The 5-Minute Sports Medicine Consult, 2nd Edition by Mark D. Bracker

By Mark D. Bracker

Now in its moment variation, The 5-Minute activities medication seek advice is a clinically orientated fast seek advice reference for activities drugs. universal sports-related difficulties confronted by means of basic care practitioners are completely and concisely offered within the well-known fast-access 5-Minute seek advice layout. Chapters on musculoskeletal difficulties disguise fundamentals; analysis; acute therapy, together with on-field administration; long term remedy, together with rehabilitation and referrals; and frequently asked questions. different chapters tackle the particular populations of kids, teenagers, adult females, geriatric athletes, and disabled athletes and basic scientific difficulties in athletic participants. Appendices comprise musculoskeletal radiography, workplace rehabilitation, and joint and gentle tissue injection.

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A soft endpoint has a greater specificity for a positive ACL tear. ◊ It is more important to interpret the Lachman test as positive or negative rather than to quantify the degree of laxity. Diagnostic Tests & Interpretation Imaging • Standard radiography: ♦ Plain radiography should be performed on all patients suspected of acute ACL tears because of the risk of fractures. ♦ X-ray studies have a pivotal role in the evaluation of adolescents and children because of the risk of growth plate fractures and tibial spine fractures.

Ongoing Care Follow-Up Recommendations • Patients with suspected ACL injuries should be referred to an orthopedic or sports medicine specialist. • Preference would include specialist with experience in surgical approaches in the skeletally immature athlete. Prognosis • Typical postoperative recovery and rehabilitation period is usually 9–12 mos. • Up to 78% risk of radiographic evident osteoarthritis within 14 yrs of injury ± surgery. 41 42 • Natural history of the ACL-deficient knee is chronic instability, chondral injury, subsequent meniscal pathology, pain, and joint arthrosis.

A meta-analysis in 2007 noted a roughly 3× greater incidence of ACL tears in female soccer and basketball players versus male athletes. Year-round female athletes who play soccer and basketball have an ACL tear rate approaching 5%. Risk Factors • High-risk sports and female gender appear to be the most clear risk factors for ACL injuries: ♦ ∼70% of ACL injuries occur in the high-risk sports, such as football (ie, soccer), American football, basketball, volleyball, gymnastics, and downhill skiing.

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