Physician Sportsmed
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Physician Sportsmed · Nov 2001
Airway management for the sports physician part 2: advanced techniques.
Airway emergencies sometimes require techniques other than basic management methods. Advanced techniques are needed to manage laryngeal edema or fracture, upper-airway hemorrhage, or other injuries that make ventilation or intubation from above impossible. Placing various endotracheal devices and performing surgical techniques such as needle cricothyrotomy and tracheostomy can be done by physicians who have training and the necessary equipment. Surgical techniques can be performed with medical bag components, but commercial kits are available for those who are uncomfortable performing techniques using bag equipment.
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Concern exists that heading the ball in soccer may cause brain injury. Studies using EEG, CT, neurologic exams, and neuropsychological testing have not clearly established that the practice is hazardous. Studies generally have shown no neuropsychological differences between soccer players and other athletes, but some have revealed differences between soccer players and nonathletes. Because of the uncertainties, the authors advocate use of correct heading technique, enforcement of game rules, and increased awareness of the potential for injury from heading the ball.
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Knee injuries in children and adolescents often involve the growth plate (physis), as well as the adjacent bony areas of the femur, tibia, or patella. Young patients who have injured knees require careful clinical and radiographic assessment to determine the extent of their injuries, with specific management to minimize the potential for growth arrest and resultant deformity. This article discusses distal femoral physeal, proximal tibial physeal, tibial eminence, patellar sleeve, and tibial tubercle fractures in skeletally immature patients.
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Physician Sportsmed · Apr 1996
Exertional compartment syndrome of the leg: steps for expedient return to activity.
The pain and swelling associated with exertional compartment syndrome is caused by raised intracompartmental pressures possibly induced by muscle swelling or increased osmotic pressure. Although either the acute or chronic form of exertional compartment syndrome may occur, chronic is more common. ⋯ Diagnosis is confirmed by intracompartmental pressure measurements before and after exercise. Although activity modification may alleviate symptoms, fasciotomy may be required.
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The job of a reviewer for a medical journal is anonymous and largely thankless. Yet it is one of the most important elements in the quality and success of this journal. ⋯ For the most part, we get all we ask for and more. Thus, I'd like to thank all those who reviewed papers for us in 1992.