In February 2019 the BMJ published a review of topical nitroglycerin or glyceryl trinitrate (TGN) for the treatment of tendinopathies which I think is worth reviewing . Tendinopathies account for up to 30% of an orthopedic or sports medicine practice.Read More
Neck pain is a common problem encountered in sports medicine clinics. For the purpose of this review, we will discuss cervical myelopathy and cervical radiculopathy. A more common complaint is axial neck pain, which occurs due to fatigue or injury to the neck musculature and ligaments (Rao, 2002). However, due to the aging population, the incidence of osteoarthritis is increasing. As a result, cervical spondylosis, which is defined as the degenerative osteoarthritis of the spine, can cause a wide variety of pathology (Michael G. Kaiser, 2018).
Osteoporosis is a disease that is the most common bone disease in humans and is characterized by low bone mass and skeletal fragility, which results in an increased risk of fracture. Annually, two million fractures are attributed to osteoporosis, causing more than 432,000 hospital admissions, almost 2.5 million medical office visits, and about 180,000 nursing home admissions in the USARead More
Due to the large area of distribution of the tibial nerve and its branches, there are many locations where the nerve can become entrapped. As a result, entrapment neuropathy can cause a wide constellation of symptoms.Read More
The ACL, or anterior cruciate ligament, extends from the lateral femoral condyle to the anterior medial aspect of the tibia. The bands of the ACL act as a biomechanical restraint for rotation and limits anterior translation of the tibia on the femur. It assists with knee stability during running, jumping, cutting or pivoting.Read More
Scaphoid fractures are the most commonly fractured carpal bone, accounting for 2-3% of all fractures and ~10% of all hand fractures (Duckworth, 2012). They account for approximately 60% of all carpal fractures (Hove, 1999).Read More
With the increasing popularity of cell phone use, there is a corresponding increase in thumb-related pathology. Osteoarthritis represents one such overuse syndrome. The second most common location in the hand where patients develop osteoarthritis is their thumb trapeziometacarpal joint (Glyka Martou, 2004). Unfortunately for those suffering, the CMC joint is involved with flexion, extension, adduction, abduction, and opposition of the thumb (David Melville, 2015).
After covering introduction, imaging and treatment strategies of persistent post-concussive symptoms (PPCS), also termed post-concussion syndrome, we continue by examining the evidence behind commonly used pharmacologic agentsRead More
Ketorolac Tromethamine, often referred by its trade name toradol, is an injectable non-steroidal anti-inflammatory drug (NSAID). A growing utilization among orthopedists and sports medicine physicians is to use it for intra-articular analgesia and anti-inflammatory. Although generally not well studied, this article seeks to review the evidence of that indication.
Wrist injuries are a common part of an orthopedic practice. Patients frequently present for evaluation after a slip and fall injury and the development of acute wrist pain. Radiographs are part of the initial evaluation for all acute wrist injuries. When interpreting wrist x-rays, radiologists will discuss multiple different angles and measurements that correlate with various clinical conditions.Read More
After covering introduction and imaging of persistent post-concussive symptoms (PPCS), also termed post-concussion syndrome, we continue moving forward to examine treatment strategies. The recommendations have been evolving over time and treatment for both acute and persistent concussive symptoms and has changed substantially from original strategies.Read More
This article reviews 6 of the more common causes of shoulder pain; rotator cuff tendinitis, adhesive capsulitis, osteoarthritis, bursitis, acromioclavicular joint disorder and clavicular disorders including osteolysis and fractures.Read More
Patellar chondromalacia represents a degenerative process of the hyaline cartilage coating the posterior patella as it articulates with hyaline cartilage of the femoral groove. It is often termed patellofemoral pain syndrome (PFP) or runner's knee. The term patellofemoral pain syndrome generally refers to anterior knee pain and is more of a “catch all” term that is not specific to chondromalacia, however the terms are frequently used interchangeably.
Some may argue that the art of the physical exam is dying. That is not true with musculoskeletal based specialties where the physical exam is critical. One of the key components of the musculoskeletal exam are the special tests. It is easy to get lost in the weeds and sports medicine providers can often be buried under the mountain of available special tests.Read More