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Ankle

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Tibiotalar Joint Injection: Ultrasound - Sports Medicine Review

A tibiotalar or ankle joint injection can be performed under ultrasound guidance to help treat symptoms of ankle arthritis.

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Diagnostic Posterior Tibial Nerve Block

Diagnostic posterior tibial nerve block can be done under ultrasound guidance and help diagnose tarsal tunnel syndrome.

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Evidence for a Lace Up Ankle Brace

Lace up ankle braces are commonly used to prevent inversion ankle injuries and sprains and may also be used to prevent recurrence of ankle…

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Achilles tendon's return to play.
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Return to Play Following Achilles Tendon Rupture

Achilles tendon ruptures are typically treated conservatively with a return to play in 6 months.

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Subtalar Osteoarthritis

Subtalar osteoarthritis (STOA) is often secondary to chronic ankle sprains or trauma, which seriously affects the quality of life of patients.

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Case Report: Trimalleolar Fracture

Trimalleolar ankle fractures are 3-part ankle fractures which require surgical fixation.

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A Case of Septic Arthritis

Septic arthritis is characterized by a infectious process involving one or more joints who's treatment requires antibiotics and surgical intervention

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Review of the Sinus Tarsi Syndrome

The development of lateral hindfoot pain and instability after an ankle injury can be suggestive of the sinus tarsi syndrome.

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Plantar Plate Tear of the Lesser Toes

Plantar plate tears are a common cause of forefoot pain and can lead to a hammertoe deformity.

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Os trigonum syndrome.
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Os trigonum syndrome

Os trigonum syndrome, sometimes called posterior ankle impingement syndrome, is a potentially underrecognized cause of posterior ankle pain.

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Osteochondral defect of the talus
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Osteochondral Defect of the Talus

Osteochondral Defect of the Talus is one of the most common places to get an OCD and can sometimes be treated nonsurgically depending on…

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PRP and achilles tendinopathy
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PRP and Achilles Tendinopathy

Achilles tendonitis or tendinopathy is a common cause of heel pain in patients that is treated with a variety of modalities. Does PRP help?

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corticosteroid injections of the foot and ankle
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Evidence Behind Corticosteroid Injections of the Foot and Ankle

Corticosteroid injections can be used for ankle arthritis, plantar fasciitis, Morton's neuroma, and tarsal tunnel syndrome among other foot and ankle problems.

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Back

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Special Tests for Sacroiliac Pain

The sacroiliac joint (SIJ) has been estimated to contribute to pain in as much as 38% of cases of lower back pain.

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Axial spondyloarthritis.
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Axial Spondyloarthritis

Whenever dealing with athletes and back pain, providers should have awareness of inflammatory back pain (IBP) including spondyloarthritis.

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Spondylolyisis and Spondylolisthesis

There is always confusion in the medical community in regards to spondylolysis and spondylolisthesis, although it is very likely to be seen in the…

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Sacral insufficiency fracture
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Sacral Insufficiency Fractures

sacral insufficiency fractures introduction Sacral insufficiency fractures (SIFs) are often misdiagnosed or under diagnosed and may be the root of back or groin pain.…

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Facet Joint Arthropathy

Facet arthropathy is a common cause of axial back pain of the cervical and lumbar spine.

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Baastrup's Disease

Baastrup’s disease, also known as kissing spine syndrome and interspinous bursitis, results from adjacent spinous processes in the lumbar spine rubbing against each other…

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Important History and Physical Examination Pearls of Athletic Back Pain

Back pain affects up to 75% of athletes and physicians should be familiar with how to perform a detailed back examination.

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A Review on Reading Lumbar X-rays

Lumbar xrays or radiographs can be used to help identify the cause of pain in patients presenting with back pain.

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Cardiology

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Commotio Cordis in Athletes

Most spectators across the country witnessed a haunting scene on Sunday, January 1 that will be remembered for a very long time.

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Channelopathies in athletes.
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Channelopathies and their role in Sudden Cardiac Arrest

Channelopathies are alterations in ion channels that can lead to arrhythmias and sudden cardiac death in athletes.

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Case Report

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Case Report: 5th Metatarsal Fracture

5th Metatarsal Fractures commonly occur in the foot and management depends on the location of the fracture.

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Case Report: Trimalleolar Fracture

Trimalleolar ankle fractures are 3-part ankle fractures which require surgical fixation.

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A Case of a Transverse Patella Fracture

A patient presents with a transverse patella fracture and you must determine if their extensor mechanism is intact?

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A Case of Septic Arthritis

Septic arthritis is characterized by a infectious process involving one or more joints who's treatment requires antibiotics and surgical intervention

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Chest

Pec major tears.
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Pectoralis Major Tears

Tears of the pectoralis major occur can occur with weight lifting and may require surgery for full thickness tears.

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Chronic

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Overview of Gout

Gout is the most common form of inflammatory arthritis and is caused by the presence of MSU crystals formed during prolonged hyperuricemia.

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Plantar Fasciitis Review

Plantar fasciitis is a common source of heel pain that is due to degeneration of the plantar fascia insertion on the calcaneus.

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Chronic Exertional Compartment Syndrome
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Chronic Exertional Compartment Syndrome of the Lower Extremity

Chronic exertional compartment syndrome (CECS) is causes leg weakness and tingling during exercise in certain athletes such as running, sprinting and jumping sports.

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Calcium hydroxapatite deposition disease.
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Calcium Hydroxyapatite Deposition Disease

Calcium hydroxyapatite deposition disease, also known as CHDD, is a common cause of calcific tendonitis of the shoulder

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Concussion

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Concussion Consensus Statement Updates

We provide a summary of the consensus statement on concussion from the international conference on concussion in sport in Amsterdam

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Emerging Treatments in Concussion Management

Mild traumatic brain injury (mTBI), which includes sport-related concussion (SRC), is a significant public health problem with no proven effective intervention.

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Emerging Treatment and Diagnostics for Concussion

There continues to be an evolving field in the diagnosis and management of persistent post concussive symptoms (PPCS).

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Role of Vestibular Rehab in Concussion Management

Vestibular or balance deficits are commonly seen in the post concussive period and may require specific vestibular therapy.

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Persistent Post-Concussive Symptoms: Pharmacology

Persistent Post-Concussive Symptoms, sometimes called post-concussive syndrome, lasts longer than the expected recovery time and is sometimes treated with medications.

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Persistent Post-concussive Symptoms (PPCS): Treatment Strategies

Persistent Post-concussive Symptoms, or post concussive syndrome, is a concussion which lasts past the expected duration and has broad treatment options.

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Persistent Post-concussive Symptoms (PPCS): Imaging and Treatment Strategies

Treatment for Persistent Post-Concussive Symptoms (PPCS) includes treadmill therapy, vestibular and vision therapy and other collaborate care.

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Persistent Post-concussive Symptoms (PPCS): Introduction and Diagnosis (Part 1)

Persistent Post-concussive Symptoms (PCCS) represents persistent concussion symptoms which do not resolve in the expected time frame.

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The Conundrum of Return to Play after Moderate TBI

Return to play after a concussion represents a challenge for sports medicine physicians to safely return athletes to play following sports and recreation related…

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Dermatology

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Herpes Gladiatorum in Athletes

Herpes Gladiatorum is a cutaneous infection with the herpes simplex virus seen in sports with lots of skin to skin contact, most commonly wrestling.

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Elbow

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Chronic exertional compartment syndrome of the forearm

Chronic exertional compartment syndrome of the lower limb (CECS) is well reported, but CECS of the forearm is less known.

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PRP for Partial UCL Tears

Ulnar collateral ligament (UCL) injuries of the elbow are very common among overhead athletes and providers will likely run across multiple cases each season.

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A Review on Reading Elbow Radiographs

Reading elbow radiographs (xrays) is a key skill used by physicians to help diagnose the cause of the patients elbow pain.

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Ultrasound guided common extender tendon injections.
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Performing an Ultrasound Guided Lateral Epicondyle Injection

Lateral epicondylosis is a common source of lateral elbow pain and is amenable to corticosteroid and PRP injection.

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UCL Injuries in Quarterbacks

The elbow injury to Josh Allen is dominating headlines and we provide some insight and evaluate potential options and prognosis.

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Stress Ultrasound of the UCL

Dynamic ultrasound can assess for partial tears in the anterior band of the UCL.

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Special Tests for the Elbow Exam

The physical exam of the elbow should include a series of special tests to help diagnose the cause of the patients elbow pain.

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A Review of Cubital Tunnel Syndrome

Cubital Tunnel Syndrome is a compressive neuropathy of the ulnar nerve most commonly at the level of the cubital tunnel

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Closed Reduction Techniques for Elbow Dislocations

Elbow dislocations are common among adult and child athletes. Physicians should be familiar with various reduction techniques.

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Distal Biceps Tendon Tear

Acute distal biceps tendon tears are fairly uncommon elbow and upper arm injuries that mainly affect active males and typically require surgery.

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Risk Factors for UCL Injury

The Ulnar Collateral Ligament (UCL) is at risk for injury among throwing athletes such as baseball and softball pitchers.

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Quick Guide to Diagnostic Ultrasound of the Elbow

Diagnostic ultrasound of the elbow can be used to evaluate causes of elbow pain such as tennis elbow, golfers elbow and UCL injuries.

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Triceps Tendon Injuries: An Uncommon Clinical Entity

Triceps tendon injuries, which can includes strain, tendinopathy, partial and complete tears, is a rare clinical phenomenon and cause of elbow pain.

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Treatment Algorithm for Olecranon Bursitis

Olecranon bursitis is a common cause of elbow pain and swelling which can easily be treated with several nonsurgical therapies

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Platelet Rich Plasma (PRP) and Lateral Epicondylitis

Platelet Rich Plasma (PRP) can be used to treat Lateral Epicondylitis or tennis elbow by injecting your healthy blood around the diseased tendon.

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Environmental

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Marine Envenomations

Marine envenomations are an important consideration in water sports including swimming, diving, scuba, fishing, surfing, and wakeboarding.

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Heat-Associated Conditions in the Athlete

Heat related illness (or conditions or hyperthermia) can lead to heat cramps, heat edema, heat syncope, heat exhaustion and rarely heat stroke.

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Foot

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Performing an Ultrasound Guided Morton's Neuroma Injection

Ultrasound guided injections of a Morton’s neuroma have been used to treat the symptoms associated with a neuroma of the interdigital nerve.

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Performing an Ultrasound Guided First MTP Joint Injection

Pain localizing to the first MTP joint can be amenable to an ultrasound guided first MTP injection with corticosteroids or PRP.

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Diagnosing a Lisfranc Ligament Injury

A Lisfranc ligament injury should be considered in an athlete complaining of pain and tenderness along the midfoot.

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Freiberg Infraction

Freiberg infraction, or Freiberg’s disease, is an osteonecrosis of the metatarsal head bone, which was firstly described in 1914.

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A Review of Bunionettes

A bunionette typically involves lateral forefoot pain and can be managed conservatively with a wide based shoe prior to considering surgical options.

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Review of Plantar Fibromas

A plantar fibroma is typically a painless mass that can be felt or palpated within the plantar fascia.

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Cuboid Stress Fractures

Cuboid Stress Fractures: Causes and Management introduction Though rare, an isolated cuboid stress fracture should be considered in a patient presenting with lateral foot…

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Case Report: 5th Metatarsal Fracture

5th Metatarsal Fractures commonly occur in the foot and management depends on the location of the fracture.

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Overview of Gout

Gout is the most common form of inflammatory arthritis and is caused by the presence of MSU crystals formed during prolonged hyperuricemia.

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Review of Sesamoid Pain

Plantar surface forefoot pain is typically due to pain from the sesamoid bone.

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Common Toenail Injuries in Athletes

Athletes commonly endure injuries to their toenails and we will briefly review some of the most frequently encountered pathology.

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Treatment Options for Plantar Fasciitis

Plantar Fasciitis is a common cause of medial arch foot pain and has a wide variety of treatment modalities that can be used.

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Plantar Plate Tear of the Lesser Toes

Plantar plate tears are a common cause of forefoot pain and can lead to a hammertoe deformity.

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Os trigonum syndrome.
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Os trigonum syndrome

Os trigonum syndrome, sometimes called posterior ankle impingement syndrome, is a potentially underrecognized cause of posterior ankle pain.

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Chopart Complex Injuries

Chopart Complex Injuries, referring to injuries of the Chopart joint, range from sprains and soft tissue injuries all the way to fracture-dislocations.

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Iselins Disease
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Iselin's Disease

Iselin’s Disease: Understanding This Pediatric Foot Condition introduction Iselin disease is traction apophysitis of the fifth metatarsal base and clinically presents with tenderness and…

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Management of Subungual Hematoma
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Subungual Hematoma Management

Subungual hematomas occur on fingers and toes following trauma and are usually easily managed with trephination.

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Management of Toe Fractures

Toe fractures represent one of the most commonly encountered fracture patterns in the clinical setting and can generally can be treated without surgery.

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A Review of Navicular Stress Fractures

Navicular stress fractures are commonly encountered in athletes who participate in track and field, running and basketball.

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Review on Peroneal Tendinopathy

Peroneal tendonitis is a common source of lateral ankle pain that can be typically be managed conservatively without surgery.

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Sports Injuries and Foot Orthotics: Prevention and Recovery

Foot orthotics are a modality that can be used to help with sport injury prevention and recovery of common foot injuries.

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Diagnosis of morton's neuroma.
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Diagnosis of a Morton’s Neuroma

Morton's neuroma is a common cause of forefoot pain and can be found within the intermetatarsal space as a hypoechoic mass on ultrasound.

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Plantar Fasciitis Review

Plantar fasciitis is a common source of heel pain that is due to degeneration of the plantar fascia insertion on the calcaneus.

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Treatment of Achilles Tendon Rupture

The Achilles tendon is the largest tendon in the body and is made of a complex anatomical structure which are prone to rupture.

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Fellow Level Foot and Ankle Exam Techniques

Foot and ankle exam techniques require lots of practice. We describe some of the more common ones you should include in your physical exam.

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A Review of Distal Fibula Fractures

Isolated distal fibula fractures account for up to 55-65% of all ankle fractures and can be classified using the Weber classification system.

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Etiologies of Midfoot Pain

Midfoot pain can be broken down as coming from the forefoot, midfoot or hindfoot and can be traumatic or atraumatic.

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Evidence Behind Corticosteroid Injections of the Foot and Ankle

Corticosteroid injections can be used for ankle arthritis, plantar fasciitis, Morton's neuroma, and tarsal tunnel syndrome among other foot and ankle problems.

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General

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Treatment of Joint Hypermobility Syndrome

Treatment of patients in an intensive interdisciplinary pain management program and is individualized based on the needs of each patient.

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Joint Hypermobility Syndrome

Joint hypermobility syndrome (JHS) refers to a combination of signs and symptoms incorporating multiple body systems, including the musculoskeletal, cardiovascular, gastrointestinal, urogenital and neurological…

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Mental Health in Sports Medicine

The mental health of sports medicine physicians and providers can overall be difficult very to evaluate and study.

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A Review on Traumatic Tympanic Membrane Perforations

Traumatic tympanic membrane perforations are the result of barotrauma to the ear and are typically treated conservatively.

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Incidence of Lower Extremity Injuries in the NFL on Grass versus Turf

Football fans and medical providers have likely noticed increased debate regarding injuries and playing surfaces.

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Review of Ganglion Cysts

Ganglion cysts are commonly found on the dorsum of the wrist and typically treated by aspiration or surgery.

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What's in a Sport Medicine Doctor’s Bag?

Sports medicine physicians have to be ready for anything whether they are covering a game, a mass participation event such as a marathon, or…

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Popliteal Artery Entrapment Syndrome

Popliteal artery entrapment syndrome (PAES) is an underreported condition affecting the lower extremities in active individuals.

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Auricular Hematoma

Cauliflower Ear: Causes and Treatment introduction Auricular hematomas are a frequent complication of blunt force trauma to the external ear, often seen in contact…

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Pec major tears.
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Pectoralis Major Tears

Tears of the pectoralis major occur can occur with weight lifting and may require surgery for full thickness tears.

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Morel-Lavallee lesions

The Morel-Lavallee lesion (MLL) is a somewhat uncommon injury encountered in sports medicine practice and delays can occur that cause unwanted outcomes.

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Nasal Fractures

Nasal Fractures and other nasal injuries are common among athletes and sports medicine physicians should be familiar with diagnosis and management.

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Iron Deficiency Anemia in Athletes

Iron Deficiency Anemia (IDA) is a spectrum of disease common in athletes, especially among females and those that participate in endurance sports.

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A Brief Recap of Infectious Mononucleosis in Athletes

Mono, or infectious mononucleosis, sometimes referred to as ‘kissing disease’ is a viral triad of pharyngitis, fever and cervical lymphadenopathy caused by the epstein-barr…

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A Review of Overtraining Syndrome (OTS)

Overtraining syndrome (OTS) refers to athletes who have a mismatch between their training program, recovery time and performance.

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COVID-19 and Sports Medicine Trends Today

Covid 19 (novel coronavirus) has implications for management of athletes, teams and leagues which we review in detail here.

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What are Osteoid Osteomas?

Osteoid osteomas consists of an area of abnormal osteoid surrounded by dense sclerotic bone tissue most commonly in the tibia or femur.

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Relative Energy Deficiency in Sport

Relative Energy Deficiency in Sport (REDS) is characterized by low energy availability or energy deficiency (ED), dysfunctional menstruation and decreased bone mineral density

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The Anti-Inflammatory Diet in Athletes

Athletes should consider the anti-inflammatory diet to help live a healthy lifestyle and potentially decrease systemic inflammation.

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Marine Envenomations

Marine envenomations are an important consideration in water sports including swimming, diving, scuba, fishing, surfing, and wakeboarding.

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Exercise Induced Anaphylaxis: A Brief Review

Exercise-induced anaphylaxis (EIA) represents a rare presentation of a severe allergic reaction or anaphylaxis in athletes triggered be exercise.

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The Role and Relationship of Athletic Trainers in Sports Medicine Practice

Athletic Trainers play a key role in the care of athletes as part of the sports medicine team with a ride range of duties…

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Channelopathies in athletes.
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Channelopathies and their role in Sudden Cardiac Arrest

Channelopathies are alterations in ion channels that can lead to arrhythmias and sudden cardiac death in athletes.

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Creating an Emergency Action Plan

All sports medicine teams should have an emergency action plan in the event of catastrophic injuries or cardiac arrest of athletes.

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Fragility Fractures: Nonpharmacologic Treatment

Fragility fractures are a type of atraumatic fracture in elderly patients who can sometimes be managed with nonsurgical treatment.

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Fragility Fractures: Introduction

Fragility fractures are a type of atraumatic fracture which occur in patients with brittle bones or osteoporosis, typically in older women.

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Preparing for the Certificate of Added Qualification in Sports Medicine
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Preparing for the Certificate of Added Qualification in Sports Medicine

The Certificate of Added Qualification in Sports Medicine (CAQSM) is the board exam for physicians who complete a sports medicine fellowship.

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Pitching velocity shoulder and elbow injuries
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Increasing Throwing Velocity in Baseball Pitchers: What is the Cost?

Increased throwing velocity among baseball pitchers can lead to overuse injuries of your throwing shoulder and elbow.

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Hand

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Performing an Ultrasound Guided Trapeziometacarpal Joint Injection

Ultrasound guided trapeziometacarpal joint injections can improve accuracy in a condition that can causing pain at the base of the thumb.

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Review of Kienbӧck Disease

Kienbock disease is characterized by lunate necrosis and is staged based on the radiographic findings.

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Diagnosing Hook of Hamate Fractures

Hook of the hamate fractures are one cause of ulnar sided wrist pain that sports medicine physicians should be familiar with.

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Review of the Anterior Interosseous Nerve Syndrome

Anterior Interosseous Nerve (AIN) syndrome most commonly presents as acute weakness of the thumb and pointer finger.

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Review of the Traumatic Boutonniere Deformity

Boutonniere deformities are typically caused by an acute injury to the central slip that leads to the characteristics boutonniere deformity.

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Review on Injury to the Sagittal Bands

Injury to the sagittal bands are common in Boxer's and can lead to subluxation and dislocation of the extensor tendon.

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Review of Boxer's Fracture

Fractures of the fifth metacarpal neck are called Boxer's fractures and typically managed non surgically.

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Carpal tunnel injections.
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Carpal Tunnel Injections

Carpal tunnel Injections are one treatment modality used to treat patients with carpal tunnel syndrome (CTS).

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Review on Dupuytren's Contracture

Dupuytren’s contracture is a fibroproliferative disease that forms band like contractures in the palm of the hand leading to finger contractures.

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Management of Subungual Hematoma
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Subungual Hematoma Management

Subungual hematomas occur on fingers and toes following trauma and are usually easily managed with trephination.

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Sideline management of pip joint dislocations.
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Sideline Management of PIP Dislocation

PIP dislocations are the most common dislocation of the hand and are typically reduced on the sideline and managed conservatively.

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Review of digital phalanx fractures.
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Review of Distal Phalanx Fractures

Fractures of the distal phalanx can be divided in to the base, shaft, and tuft and are typically managed non-operatively.

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Diagnostic Wrist and Hand Ultrasound

Ultrasound is an excellent imaging technique to investigate a wide range of conditions affecting the hand and wrist.

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Trigger Finger Review

Trigger finger, a disease characterized by "locking" if your finger when flexed, is a benign condition that is commonly treated with a corticosteroid injection.

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The Uncommon Common Finger Injuries

Finger injuries in athletes include UCL injuries, also known as skier's or gamekeeper's thumb, as well as sprain, strains and dislocations.

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Scaphoid Fractures Diagnosis & Management

Scaphoid fractures are a commonly fractured carpal bone that requires splinting, evaluation by an orthopedist and occasionally surgery.

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A Review on CMC Joint Arthritis

Carpometacarpal (CMC) Joint Arthritis is a common cause of thumb and hand pain in elderly patients and related to overuse injuries.

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A Review on Reading Wrist X-rays

Wrist xrays or radiographs are commonly used by orthopedists to evaluate common causes of wrist pain and injuries and exclude fractures.

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Intersection Syndrome: A Review

Intersection syndrome is an uncommon overuse injury of the forearm due to a pathologic relationship between muscles on the back of the forearm.

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Evidence Behind the Non-Operative Management of Metacarpal Fractures

Metacarpal fractures, a common fracture of the hand, can often be managed without surgery by using appropriate reduction, splinting and bracing.

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Evidence Behind Injections on the Elbow, Wrist and Hand

Cortisone injections of the hand, wrist and elbow are common among patients treated by orthopedic and sports medicine physicians.

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Hematology

A person running with the text foot strike hemiplegia.
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Foot-Strike Hemolysis

Running can lead to footstrike hemolysis of the red blood cells in the capillaries of the foot and lead to multiple alterations identified on…

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Iron Deficiency Anemia in Athletes

Iron Deficiency Anemia (IDA) is a spectrum of disease common in athletes, especially among females and those that participate in endurance sports.

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Hip

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Review on Hip Apophysitis

Approximately one-third of school-aged children visit a professional each year for a sports injury and apophysitis is responsible for a large percentage.

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Performing an Ultrasound Guided Trochanteric Bursa Injection

Ultrasound guided sub-gluteus maximus or trochanteric bursa injections can help treat pain associated with greater trochanteric pain syndrome.

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Performing an Ischial Bursa Injection

Ischial bursitis which is characterized by buttocks pain with sitting can be injected under ultrasound guidance to avoid sciatic nerve injury.

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Performing a Piriformis Muscle Injection

Piriformis syndrome is entrapment of the sciatic nerve within the piriformis muscle and injections can help aid in diagnosis and treatment.

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Adductor Tears in Athletes

After the injury of Lane Johnson, this post will try to briefly describe the nature of adductor injuries, treatment and return to play.

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Special Tests for Physical Exam of the Hip

Physical examination of the hip can be aided by focused special tests to help determine the cause of the patients pain.

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Management of Posterior Hip Dislocations

osterior hip dislocations are frequently encountered in sports and sports medicine physicians should be familiar with management.

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Chronic hamstring tendinopathy.
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Chronic Hamstring Tendinopathy Review

Chronic hamstring tendinopathy is a common cause of ishchial pain that can be treated with physical therapy and also PRP injections.

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Diagnostic Ultrasound of the Hip

Diagnostic ultrasound of the hip can be used in both adults and children to diagnose disorders of the hip.

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Sacral insufficiency fracture
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Sacral Insufficiency Fractures

sacral insufficiency fractures introduction Sacral insufficiency fractures (SIFs) are often misdiagnosed or under diagnosed and may be the root of back or groin pain.…

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Paper Review: Intra-articular Saline vs Corticosteroids vs PRP vs Hyaluronic Acid for Hip Osteoarthritis
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Paper Review: Intra-articular Saline vs Corticosteroids vs PRP vs Hyaluronic Acid for Hip Osteoarthritis

Hip injections are a common treatment for hip osteoarthritis and can include corticosteroids (CS), platelet rich plasma (PRP) and hyaluronic acid (HA)

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A Quick Review of Meralgia Paresthetica cover
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A Quick Review of Meralgia Paresthetica

Meralgia paresthetica (MP), a neuropathy of the Lateral Femoral Cutaneous Nerve (LFCN), is an uncommon cause of neuropathic thigh pain.

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Fluoroscopy vs Ultrasound Guidance for Corticosteroid Injections of the Hip

Corticosteroid injections (CSI) are a treatment option for patients with mild-to-moderate hip osteoarthritis and other causes of hip pain.

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Avascular Necrosis of Hip: Treatment Options

Avascular Necrosis (AVN) of the hip is a form of degenerative joint disease which can be divided into operative and nonoperative management.

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Avascular Necrosis of the Femoral Head: Background, Diagnosis and Classification

AVN of the femoral head (AVNFH) is associated with impaired blood supply to the femoral head resulting in bone necrosis and collapse.

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Treatment options for greater trochanteric pain syndrome
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Treatment Options For Greater Trochanteric Pain Syndrome

Greater Trochanteric Pain Syndrome, historically called trochanteric bursitis, is a chronic tendinopathy of the gluteus medius muscle causing hip pain.

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Femoroacetabular Impingement Syndrome

Femoroacetabular impingement (FAI) is a disease where there is abnormal bone contour of the hip joint, specifically the femur and or acetabulum.

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corticosteroid injections of the hip and knee
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Evidence Behind Corticosteroid Injections of the Hip and Knee

Corticosteroid injections, sometimes called cortisone, can be used to treat hip and knee arthritis as well as other causes of hip and knee pain.

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Infectious

Bacterial folliculitis on a person's arm.
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Recognizing and Treating Bacterial Folliculitis

Folliculitis is an infection of the hair follicle that is most commonly caused by staphylococcus aureus.

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A Brief Recap of Infectious Mononucleosis in Athletes

Mono, or infectious mononucleosis, sometimes referred to as ‘kissing disease’ is a viral triad of pharyngitis, fever and cervical lymphadenopathy caused by the epstein-barr…

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COVID-19 and Sports Medicine Trends Today

Covid 19 (novel coronavirus) has implications for management of athletes, teams and leagues which we review in detail here.

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Journal

September 2021 Sports Medicine Journal Roundup
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September 2021 Sports Medicine Journal Roundup

We review the September 2021 sports medicine journals all in one place. Get all of the orthopedic journals for the month in a single…

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june 2021 journal roundup review
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June 2021 Sports Medicine Journal Roundup

We review the June 2021 sports medicine journals all in one place. Get all of the orthopedic journals for the month in a single…

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May 2021 Sports Medicine Journal Roundup

We review the May 2021 sports medicine journals all in one place. Get all of the orthopedic journals for the month in a single…

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april 2021 sports medicine journal review roundup
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April 2021 Sports Medicine Journal Roundup

We review the April 2021 sports medicine journals all in one place. Get all of the orthopedic journals for the month in a single…

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march 2021 sports medicine journal roundup review
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March 2021 Sports Medicine Journal Roundup

We review the March 2021 sports medicine journals all in one place. Get all of the orthopedic journals for the month in a single…

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February 2021 Sports Medicine Journal Roundup

We review the February 2021 sports medicine journals all in one place. Get all of the orthopedic journals for the month in a single…

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january 2021 sports medicine journal roundup
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January 2021 Sports Medicine Journal Roundup

We review the January 2021 sports medicine and orthopedic journals all in one place. Get all of the sports medicine research for the month…

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December 2020 Sports Medicine Journal Roundup

We review the December 2020 sports medicine and orthopedic journals all in one place. Get all of the sports medicine research for the month…

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November 2020 Sports Medicine Journal Roundup

We review the November 2020 sports medicine and orthopedic journals all in one place. Get all of the sports medicine research for the month…

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October 2020 Journal Review Roundup
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October 2020 Sports Medicine Journal Roundup

October 2020 Sports Medicine Journal Roundup The American Journal of Sports Medicine (October 2020) Hagemans FJA, Jonkers FJ, van Dam MJJ, von Gerhardt AL,…

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September 2020 journal roundup
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September 2020 Sports Medicine Journal Roundup

September 2020 Sports Medicine Journal Roundup The American Journal of Sports Medicine (Sept 2020) Ciccotti MC, Hammoud S, Dodson CC, Cohen SB, Nazarian LN,…

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august 2020 journal review roundup
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August 2020 Sports Medicine Journal Roundup

August 2020 Sports Medicine Journal Roundup The American Journal of Sports Medicine August 2020 Kvist, J., Filbay, S., Andersson, C., Ardern, C. L., &…

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July 2020 Sports Medicine Journal Roundup

July 2020 Sports Medicine Journal Roundup The American Journal of Sports Medicine (July 2020) Kim, D. M., Shim, I. K., et al. A Combination…

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July 2020 journal roundup.
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June 2020 Sports Medicine Journal Roundup

June 2020 Sports Medicine Journal Roundup The American Journal of Sports Medicine (June 2020) Cvetanovich, G. L., Gowd, A. K., Frantz, T. L., Erickson,…

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may 2020 journal roundup
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May 2020 Sports Medicine Journal Roundup

May 2020 Sports Medicine Journal Roundup The American Journal of Sports Medicine (May 2020) Wong, C.-C., Yeh, Y.-Y., Yang, T.-L., Tsuang, Y.-H., & Chen,…

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April 2020 Sports Medicine Journal Roundup

April 2020 Sports Medicine Journal Roundup The American Journal of Sports Medicine (May 2020) Slagstad, I., Parkar, A. P., Strand, T., & Inderhaug, E.…

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March 2020 Journal Roundup
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March 2020 Sports Medicine Journal Roundup

March 2020 Sports Medicine Journal Roundup The American Journal of Sports Medicine (Feb 2020) Hott, A., Brox, J. I., Pripp, A. H., et al.…

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january 2020 journal roundup
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February 2020 Sports Medicine Journal Roundup

February 2020 Sports Medicine Journal Roundup THE AMERICAN JOURNAL OF SPORTS MEDICINE (FEB 2020) Hott, A., Brox, J. I., Pripp, A. H., et al.…

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january 2020 journal roundup
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January 2020 Sports Medicine Journal Roundup

January 2020 Sports Medicine Journal Roundup The American Journal of Sports Medicine (Jan 2020) Leland, D. P., Bernard, C. D., et al. An Age-Based…

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December 2019 Journal Review Roundup
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December 2019 Sports Medicine Journal Roundup

December 2019 Sports Medicine Journal Roundup The American Journal of Sports Medicine (Dec 2019) Lindanger, L., Strand, T., Mølster, A. O., Solheim, E., &…

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September 2019 journal review roundup
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September 2019 Primary Care Sports Medicine Journal Roundup

September 2019 Primary Care Sports Medicine Journal Roundup The American Journal of Sports Medicine (August 2019, September 2019) Note: I accidently reviewed August so…

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August 2019 journal review roundup
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August 2019 Sports Medicine Journal Roundup

August 2019 Sports Medicine Journal Roundup The American Journal of Sports Medicine (Aug 2019) Pfaller, A. Y., Brooks, M. A., Hetzel, S., & McGuine,…

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July 2019 Journal Review Roundup
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July 2019 Sports Medicine Journal Roundup

July 2019 Sports Medicine Journal Roundup The American Journal of Sports Medicine (July 2019) Kunze, K. N., Beck, E. C., Nwachukwu, B. U., Ahn,…

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June 2019 Journal Review Roundup
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June 2019 Primary Care Sports Medicine Journal Roundup

June 2019 Primary Care Sports Medicine Journal Roundup The American Journal of Sports Medicine (June 2019) Ekås, G. R., Laane, M. M., Larmo, A.,…

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May 2019 Journal Review Roundup
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May 2019 Primary Care Sports Medicine Journal Roundup

May 2019 Primary Care Sports Medicine Journal Roundup The American Journal of Sports Medicine (May 2019) Loughran, G. J., Vulpis, C. T., Murphy, et…

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April 2019 Journal Review Roundup
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April 2019 Sports Medicine Journal Roundup

April 2019 Primary Care Sports Medicine Journal Roundup The American Journal of Sports Medicine (April 2019) Gil, J. A., Gunaseelan, V., et al. (2019).…

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March 2019 Journal Review Roundup
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March 2019 Sports Medicine Journal Roundup

March 2019 Primary Care Sports Medicine Journal Roundup The American Journal of Sports Medicine (March 2019) Webster, K. E., & Feller, J. A. (2019).…

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February 2019 Journal Review Roundup
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February 2019 Sports Medicine Journal Roundup

February 2019 Primary Care Sports Medicine Journal Roundup The American Journal of Sports Medicine (Feb 2019) Lee, D. W., Kim, J. G., Cho, S.…

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January 2019 Journal Review Roundup
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January 2019 Sports Medicine Journal Roundup

January 2019 Primary Care Sports Medicine Journal Roundup The American Journal of Sports Medicine (Jan 2019) Bohu, Y., Klouche, S., Herman, S.,et al. (2019).…

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December 2018 Journal Review Roundup
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December 2018 Sports Medicine Journal Roundup

December 2018 Primary Care Sports Medicine Journal Roundup The American Journal of Sports Medicine (Dec 2018) Lai, C. C. H., Feller, J. A., &…

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November 2018 Journal Review Roundup
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November 2018 Sports Medicine Journal Roundup

November 2018 Primary Care Sports Medicine Journal Roundup The American Journal of Sports Medicine (Nov 2018) Begly, J. P., Buckley, P. S., et al.…

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October 2018 Journal Review Roundup
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October 2018 Sports Medicine Journal Roundup

October 2018 Primary Care Sports Medicine Journal Roundup American Journal of Sports Medicine (Oct 2018) Lecoq FA, Parienti JJ, et al; Société Française de…

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September 2018 Journal Review Roundup
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September 2018 Sports Medicine Journal Roundup

September 2018 Primary Care Sports Medicine Journal Roundup American Journal of Sports Medicine (Sept 2018) Ishøi L, Thorborg K, et al. Return to Sport…

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August 2018 Journal Review Roundup
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August 2018 Sports Medicine Journal Roundup

August 2018 – Primary Care Sports Medicine Journal Roundup American Journal of Sports Medicine (August 2018) Askenberger M, Bengtsson Moström E, et al. Operative…

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July 2018 Journal Review Roundup
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July 2018 Sports Medicine Journal Roundup

Primary Care Sports Medicine Journal Roundup – July 2018 American Journal of Sports Medicine (July 2018) DeFroda SF, Goodman AD, Gil JA, et al.…

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Knee

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ACL Injury and Graft Trends in NFL Players

Acute knee injuries are a part of any sports medicine practice and it is important for providers to be up to date on recent…

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An image of a man with a needle in his leg.
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Intrameniscal Injection Techniques - Sports Medicine Review

Ultrasound guided intrameniscal injections with PRP are a conservative option for patients with symptomatic degenerative meniscus tear.

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Osteochondritis Dissecans of the Knee: Management

Management and treatment of osteochondritis dissecans of the knee remains a controversial topic for providers.

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Osteochondritis dissecans of the knee: Diagnosis and classification

Osteochondritis dissecans (OCD), sometimes called osteochondral defect, is conventionally defined as a focal idiopathic alteration of subchondral bone with risk of instability.

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xray findings of complications following knee arthroplasty
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Imaging After a Total Knee Arthroplasty

Standard radiographs can help identify complications after a total knee arthroplasty.

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Evidence behind bracing after ACL injury

Knee braces are commonly prescribed for many reasons after anterior cruciate ligament (ACL) reconstruction or injury.

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persistent osgood schlatter disease
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Persistent Osgood Schlatter Disease

Osgood Schlatter disease is typically a self limiting condition in adolescence but may cause pain with kneeling that lasts in too adulthood.

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Meniscus root tears review.
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Review of Meniscus Root Tears

Tearing of the meniscus roots can lead to articular cartilage damage and early knee osteoarthritis.

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Dextrose Prolotherapy for Knee Osteoarthritis

Dextrose prolotherapy is a promising treatment option for patients with knee osteoarthritis.

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A Case of a Transverse Patella Fracture

A patient presents with a transverse patella fracture and you must determine if their extensor mechanism is intact?

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popliteal artery entrapment syndrome
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Popliteal Artery Entrapment Syndrome

Popliteal artery entrapment syndrome (PAES) is an underreported condition affecting the lower extremities in active individuals.

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adductor canal block for knee arthritis
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Adductor Canal Block for Knee Osteoarthritis

The Adductor Canal Block represents a novel ultrasound guided procedure for treating the symptoms of knee osteoarthritis.

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Ultrasound guided it band injections.
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Ultrasound Guided IT Band Injection

Ultrasound guided injection of the IT band bursa at the lateral femoral condyle is a treatment for IT band syndrome.

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Non operative ACL management
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Nonoperative ACL management

Both operative and nonoperative treatments of an ACL injury continue to evolve due to improved understanding of the structure and function of the native…

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sinding larsen johansson disease cover
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Sinding-Larsen-Johansson Syndrome

Sinding-Larsen-Johansson syndrome (SLJS) is a somewhat rare and overlooked cause of patellofemoral pain in adolescents.

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LCL injuries
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Lateral Collateral Ligament Injuries

The lateral collateral ligament (LCL) is the primary varus stabilizer of the knee and isolated injuries are somewhat uncommon.

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Popliteus Tendinopathy: A Poorly Understood Cause of Knee Pain

Popliteus tendinopathy is a cause of knee pain that is difficult to diagnose and poorly understood by orthopedic and sports medicine physicians.

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Progressive Tendon-loading Exercises Vs Eccentric Exercise Therapy in Patellar Tendinopathy cover
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Paper Review: Progressive Tendon-loading Exercises Vs Eccentric Exercise Therapy in Patellar Tendinopathy

Patellar tendinopathy is treated with physical therapy. We compare a paper on progressive tendon loading exercises and eccentric exercise therapy.

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Stem Cell Therapy for Knee OA
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Stem Cell Treatment for Knee Osteoarthritis

Knee Osteoarthritis is a common cause of knee pain that can be treated with stem cell therapy among many other options.

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Recurrent Patellar Instability

Anterior knee pain due to recurrent patellar instability is one of the most common entities seen in a sports medicine practice.

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Prepatellar Bursitis

Prepatellar bursitis (PPB), sometimes termed ‘housemaid’s knee’ or ‘carpenter’s knee’, refers to inflammation of the bursa in the prepatellar soft tissue above the patella.

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diagnosing osteoarthritis of the knee with a knee radiograph
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Diagnosing Osteoarthritis with a Knee Radiograph

Knee osteoarthritis is one of the most common causes of knee pain and can easily be diagnosed with standard radiographs or xrays of the…

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knee dislocation cover
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A Quick Update on Knee Dislocations

Knee dislocations are a traumatic, catastrophic injury to the knee defined by loss of articulation between the femur and the tibia.

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subchondral insufficiency fracture of the knee cover
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Subchondral Insufficiency Fracture of the Knee

Spontaneous osteonecrosis of the knee (SONK), also called subchondral insufficiency fractures of the knee (SIFK), is a degenerative, often overlooked cause of knee pain.

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Extensor Tendon Injuries of the Knee

Extensor tendon injuries of the knee refers to an injury to either the quadriceps tendon, patella or the patellar tendon.

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ACL Prevention Program

ACL Prevention Program: Strategies for Injury Mitigation Many ACL programs have been proposed and studied over the past 25 years and most have shown…

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ACL Prevention Programs Cover
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ACL Prevention Programs: Can We Do More to Prevent this Catastrophic Injury?

Anterior Cruciate Ligament (ACL) injuries are the most common cause of knee surgery in athletes and a proper prevention program is critical.

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Treatment Options for Bakers Cyst

Bakers cysts represent an extrusion of synovial fluid into a false cavity in the back of the knee which can cause pain and arthritis.

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Evidence for Viscosupplementation For the Knee
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Evidence for Viscosupplementation for Knee Osteoarthritis

Hyaluronic acid (HA), aka viscosupplementation or rooster comb, is naturally found in synovial fluid and acts as a shock absorber for patients with knee…

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Stress Knee Radiograph cover
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Stress Radiographs of the Knee

Stress radiographs of the knee can be used by physicians to evaluate patients with knee pain for ligamentous injuries or arthritis.

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Patellar Dislocation: Treatment Options

Patellar Dislocations are a fairly common cause of knee pain which can require reduction, physical therapy and sometimes surgery.

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patellar dislocation cover
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Patellar Dislocation Introduction and Diagnosis

Patellar dislocation, or knee cap dislocation, can occur due to minor or no trauma and is usually treated with reduction and physical therapy

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corticosteroid injections of the hip and knee
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Evidence Behind Corticosteroid Injections of the Hip and Knee

Corticosteroid injections, sometimes called cortisone, can be used to treat hip and knee arthritis as well as other causes of hip and knee pain.

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Neck

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Special Tests for the Neck Exam

Sports medicine physicians and other members of the sports medicine team should be familiar with special tests for the neck.

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Management of Recurrent Stingers

Stingers are commonly seen in tackle football and involve unilateral arm weakness and sensory loss.

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Cervical Spine & Spinal Cord Injuries in Athletes

Cervical spine and spinal cord injuries (SCI) are uncommon in athletes but carry significant risk of morbidity and mortality as well as implications for…

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Neuropathy

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A Review of Cubital Tunnel Syndrome

Cubital Tunnel Syndrome is a compressive neuropathy of the ulnar nerve most commonly at the level of the cubital tunnel

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A Quick Review of Meralgia Paresthetica cover
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A Quick Review of Meralgia Paresthetica

Meralgia paresthetica (MP), a neuropathy of the Lateral Femoral Cutaneous Nerve (LFCN), is an uncommon cause of neuropathic thigh pain.

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Parsonage Turner Syndrome

Parsonage-Turner syndrome (PTS) is an uncommon neurological disorder characterized by upper extremity pain and weakness.

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Neurogenic Thoracic Outlet Syndrome

Neurogenic Thoracic Outlet Syndrome (TOS) accounts for most cases of TOS and is characterized by neuropathy of the brachial plexus.

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entrapment neuropathies of the lower extremity
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Common Entrapment Neuropathies of the Lower Extremity

Entrapment neuropathies of the lower extremity include tarsal tunnel syndrome, baxter's neuropathy, jogger's foot and morton's neuroma.

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Nutrition

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Iron Deficiency Anemia in Athletes

Iron Deficiency Anemia (IDA) is a spectrum of disease common in athletes, especially among females and those that participate in endurance sports.

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Evidence-based Macronutrient Nutritional Considerations in the Athlete

Basic guidelines regarding nutrition in terms of total caloric intake and division of diet into macronutrients which include predominantly carbohydrates, proteins, and fats

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The Anti-Inflammatory Diet in Athletes

Athletes should consider the anti-inflammatory diet to help live a healthy lifestyle and potentially decrease systemic inflammation.

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Pharmacology

correct dosing of ibuprofen and tylenol
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Optimal Dosing of Acetaminophen (Tylenol) and Ibuprofen (Motrin)

Acetaminophen (Tylenol) and Ibuprofen (Motrin) are two of the most commonly prescribed medications in the world and sports medicine physicians should know how to…

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Treatment Options for Fragility Fractures
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Emerging Treatments and Algorithm for Fragility Fractures

Despite a wide range of effective anti-osteoporosis medications and a growing elderly population, the proportion of patients receiving adequate secondary fracture prevention is falling.

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Stem Cell Therapy for Knee OA
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Stem Cell Treatment for Knee Osteoarthritis

Knee Osteoarthritis is a common cause of knee pain that can be treated with stem cell therapy among many other options.

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oral corticosteroids for osteoarthritis OA cover
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Oral Corticosteroids for Osteoarthritis

Oral corticosteroids represent a potential treatment option for osteoarthritis (OA) in select patients, although more research is needed.

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Evidence for Viscosupplementation For the Knee
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Evidence for Viscosupplementation for Knee Osteoarthritis

Hyaluronic acid (HA), aka viscosupplementation or rooster comb, is naturally found in synovial fluid and acts as a shock absorber for patients with knee…

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Fragility Fractures: Pharmacologic Treatment

Fragility fractures occur spontaneously without trauma in elderly patients and can sometimes be treated with certain medications.

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topical glyeryl trinitrate nitroglycerin for refractory tendonitis
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Managing Refractory Tendinopathy: Topical Glyceryl Trinitrate

Tendinopathy or tendonitis can sometimes be treated with topical topical nitroglycerin or glyceryl trinitrate (TGN)

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ketorolac toradol safe and effective treatment cover
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Is Ketorolac (Toradol) a Safe and Effective Intra-Articular Injection?

Ketorolac, or Toradol, is an NSAID which can be used to treat various conditions and can be injected into joints and bursa to treat…

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Evidence Based Recovery Part 4: Medications And Supplements

Recovery from physical activity, weight training, and sports injuries can be enhanced with certain medications and supplements.

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NSAIDS and Renal Complications

NSAIDS or non-steroidal anti-inflammatory drugs are the most commonly used class of drugs in the world and can affect your kidney or renal function.

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Frequency, Cartilage Loss and Common Complications of Corticosteroid Injections

Corticosteroid injections, sometimes called cortisone, are commonly used to treat joint disease but can negatively affect joint cartilage and have complications.

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NSAIDS and gastrointestinal toxicity
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NSAIDS and Gastrointestinal Complications

NSAIDS or non-steroidal anti-inflammatory drugs are the most commonly used class of drugs in the world and can affect your gastrointestinal tract and stomach.

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Introduction and Comparison of Corticosteroids

Corticosteroids, sometimes called cortisone, are commonly used by orthopedists and sports medicine physicians to treat joint pain.

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NSAIDS and Cardiovascular Risk

NSAIDS or non-steroidal anti-inflammatory drugs are the most commonly used class of drugs in the world and can affect your heart.

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Physical Exam

special tests for the neck exam