Clinical journal of sport medicine : official journal of the Canadian Academy of Sport Medicine
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To test the hypothesis that patients with chronic exertional compartment syndrome (CECS) of the anterior leg compartment have an increased anterior compartment thickness (ACT) compared with control subjects after exertion using ultrasound. ⋯ Ultrasonography reveals a significant increase in ACT in patients with CECS of the anterior leg compartment. Further studies are warranted to validate these findings with the goal of developing anterior leg compartment CECS ultrasound diagnostic criteria and exploring the role of using ultrasound to diagnose CECS in other compartments.
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This case study reports the clinical details and pathologic mechanisms of a nonfatal case of rhabdomyolysis secondary to heat exhaustion and sickle cell trait (SCT) resulting in acute renal failure. A 19-year-old African American male college football player collapsed after running 5 intervals of 300 m during a preseason conditioning test. ⋯ Scientific literature reports that at least 15 college football players with SCT have died as a result of a sickling crisis after intense physical exertion. This case study presents the clinical importance of prompt medical treatment and sustained low-efficiency dialysis in treating rhabdomyolysis and its sequelae after collapse in an SCT athlete.
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To compare the effectiveness of specific exercises for the rotator cuff and scapular stabilizers with unspecific exercises in the treatment of subacromial impingement syndrome. ⋯ A 3-month specifically tailored progressive strengthening exercise program was more beneficial in improving shoulder function in subacromial impingement syndrome than were non specific exercises. More patients felt their treatment was successful, and fewer subsequently chose surgery.
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To determine the effectiveness of ultrasound (US)-guided corticosteroid injection in the treatment of plantar fasciitis. ⋯ A single US-guided injection of dexamethasone reduced pain in plantar fasciitis at 4 weeks, without complications. Dexamethasone was effective in reducing plantar fascia swelling throughout the 12 weeks. Pain and swelling of the fascia subsided in both groups.