Clinics in sports medicine
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In conclusion, the sports medicine specialist is able to use a spectrum of diagnostic, surgical, and rehabilitation techniques to identify etiologic factors and to choose optimal treatment regimens for patients with Achilles tendinitis or traumatic rupture. Correction of pathomechanic factors, anatomic restoration, and aggressive postoperative rehabilitation allows an early return to sport without significant loss of strength or mobility.
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This article describes the application of MR imaging to musculoskeletal imaging, specifically, imaging of the foot and ankle. The instrumentation, safety, and imaging techniques are discussed with specific attention to fat suppression, three-dimensional Fourier transform images, dynamic imaging, magnetization transfer contrast, and MR angiography. Normal and abnormal osseous, ligamentous, and tendonous anatomy is discussed and illustrated.
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Chronic leg pain in athletes results from various conditions. Proper diagnosis requires careful examination, knowledge of the various presentations, and appropriate use of diagnostic studies. These conditions can often coexist, making accurate diagnosis difficult. Most exercise-induced leg pain responds to conservative nonsurgical treatment; however, certain syndromes such as chronic compartment syndrome or popliteal artery entrapment syndrome are more appropriately treated surgically to improve the athlete's ability to return to full participation.