Sports Medicine

Keeping concussion care accessible for all

January 20, 2012

Athletes with concussions who have better access to health care may be more familiar with new concussion clinics--but others may not be aware. These tools and resources can help educate patients about these offerings.
 

How soon can I play after a concussion?

, Gretchen Fox, PA-C, MMSc, DFAAPA November 30, 2011

Second-impact brain injuries that occur before the first injury has healed can cause cardiac and respiratory collapse and even death.
 

What caused the rash 
on this 
high school 
athlete?

September 07, 2011

A high school athlete develops a number of multiplying pink and slightly translucent papules on the right and left sides of the neck.
 

Surgical treatment for osteochondral injuries of the articular knee surface

September 05, 2011

Techniques involving the transfer of osteochondral cylinders and implanting of cartilage cells in areas of damaged cartilage can reduce patients' pain and return them to an active lifestyle.
 

An effective tool in establishing the diagnosis of sport-related concussion

Jonathan Thomas Baird, MPAS, PA-C, ATC June 20, 2011

An objective assessment of concussion will benefit the athlete as well as aid clinicians in 
accurately describing the injury to parents, coaches, and the athletes themselves.
 

Diagnosis and treatment of exercise-induced bronchospasm: A review

, Ahmad Hakemi, MD June 01, 2011

Exercise-induced bronchospasm is common but may often be unrecognized. The disorder 
is usually responsive to treatment once the diagnosis has been made.
 

The female athlete triad: Patients do best with a team approach to care

, April 04, 2011

Low energy, menstrual dysfunction, and diminished bone mineral density make up the female athlete triad—a complex, wide-ranging disorder.
 

SLAP lesions: How to recognize and treat this debilitating shoulder injury

March 14, 2011

Many orthopedic clinicians have sharpened their focus on this condition, concentrating on how to best recognize this injury to the glenoid labrum in athletes and nonathletes alike.
 

Tendinopathy resulting from the use of fluoroquinolones: Managing risks

December 01, 2010

Although well-tolerated by most patients, fluoroquinolones can produce this serious 
condition.
 

Concussion: 
Assessment of traumatic brain injuries

From CSAC, the Clinical and Scientific Affairs Committee of the AAPA November 16, 2010

Mild traumatic brain injury, or concussion, is a common injury seen in the urgent care setting. PAs should be able to evaluate the patient and determine the appropriate management.
 

Are you ready for some football?

October 07, 2010

This football season has been different. A few weeks ago, my 7-year-old son said that he wanted to play football this year, "the kind with helmets and real jerseys". He played flag football last year and enjoyed it, but this year he wants to play "real" football.
 

Hip resurfacing: A fresh look at an alternative to total joint arthroplasty

, Jackie H. Coleman, CST September 02, 2010

Improved devices make the procedure a viable option for a select group of patients with hip arthritis.
 

Hypertrophic cardiomyopathy: The race to find a fatal condition in athletes

Charles S. Lemasters II, PA-C; John M. Grosel, MD June 02, 2010

Conflicting opinions and concerns about costs inhibit the routine use of 12-lead ECG in preparticipation screenings for young athletes.
 

Substance abuse: Performance-enhancing practices in the 21st century

From CSAC, the Clinical and Scientific Affairs Council of the AAPA May 11, 2010

Competitors have used performance-enhancing practices since ancient times. PAs should be aware of the signs of potential misuse.
 

How to approach the physical examination of a shoulder injury

March 02, 2010

Key factors from the history help with establishing a differential diagnosis and selecting proper tests for assessing a shoulder injury.
 

Surgical treatments for patients with an infected total knee arthroplasty

Joseph Kotelnicki, PA-C; Kevin Mitts, MD November 23, 2009

Two-stage revision arthroplasty is the usual treatment for an infected knee replacement, but less invasive procedures may also work.
 

An alternative perspective on how to treat Achilles' tendon injuries

November 20, 2009

How to diagnose and manage an acute Achilles tendon rupture
 

Rotator cuff disease; Hyperparathyroidism

, September 29, 2009

Rotator cuff disease and hyperparathyroidism are described, including signs and symptoms, clinical assessment, diagnosis, and treatment.
 

How to diagnose and manage an acute Achilles tendon rupture

David V. Cary, MPA, PA-C August 04, 2009

Patients with this complex and disabling injury need to be prepared for a long healing process, regardless of treatment modality.
 

Sudden onset of substernal chest pain in a college student at rest

David F. Irvine, DHSc, RPA-C; Wilson Crone, MD, PhD June 08, 2009

Despite its name, spontaneous pneumomediastinum may be associated with a number of factors.
 

Knee pain and an abnormal radiograph in a skier

Brian Downie, ATC, PA-C, MS February 20, 2009

The patient is a 20-year-old male who fell while downhill skiing. After returning home, he presented to our orthopedic clinic with continued complaints of lateral knee pain, swelling, and a sense of weakness.
 

Severe hyponatremia develops in a runner following a half-marathon

Beth Glace, MS; Christine Murphy, PA-C June 01, 2008

It's essential to know how to distinguish dehydration from fluid overload in endurance athletes,because the treatment for one can greatly worsen the other.
 

Guidelines for treatment of sport-related concussions

Chad Martineau, PA-C, ATC; Jackie J. Kingma, MS, ATC, PA-C, PT; Laura Bank, PhD, PA-C; Tamara C. Valovich McLeod, PhD, ATC May 01, 2007

Proper recognition, initial management, and long-term clinical decision making are important aspects of treating concussive injury and allowing for a safe return to play.
 

Increasing pain after a child's knee injury

October 01, 2006

An 11-year-old boy was referred to our orthopedic practice after injuring his left knee at football practice. The patient explained that he was hit from behind and fell on his flexed knees.
 

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