«We have a moral obligation to explore, responsibly, what AI can do in the healthcare system».

Professor Idris Guessous obtained a medical degree in Lausanne in 2001, which he supplemented with clinical and epidemiological training. He specialized in general internal medicine in Lausanne and Geneva and obtained a PhD in epidemiology at Emory University (United States).

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Adult-Diagnosed ADHD in Elite Athletes: Navigating TUE Requirements with Recent Diagnosis

A 20-year-old floorball player in the L-UPL has recently been diagnosed with ADHD. Her general practitioner referred her to a specialised psychologist for assessment and the general practitioner has now prescribed Concerta®. The next competition is in four weeks.

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The Proximal Tibiofibular Joint: A Missed Diagnosis in Football Injuries

A 25-year-old football player performs a rapid cutting manoeuvre on his standing left leg. He experiences a sharp pain on the lateral side of his knee and is immediately unable to bear weight, requiring assistance to leave the pitch. He is examined by the medical staff one hour later. By then, the knee pain has significantly improved but still present, rather on the proximal lower leg.

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Pelvic Pain in the Female Cyclist: A Multifaceted Diagnostic Challenge

A 28-year-old cyclist reports cramp-like lower abdominal pain while abroad. She had an IUD inserted eight weeks ago and has not felt quite right since. A check-up with her gynecologist four weeks ago was uneventful. In addition to the lower abdominal pain, she also experiences bloating, flatulence, and a strange feeling when urinating, but no actual pain.

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Growth, Overtraining, and Immune Function in ­Adolescent Athletes: A Clinical Approach to the ­Developing Soccer Player

14 yo male soccer goalie comes to your sports medicine clinic because the second goalie of his team has grown much more during the last months and the coach has moved him to the bench, favoring the taller player.

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Managing Stress Fractures in Elite Female Gymnasts: Beyond the Obvious Diagnosis

23-year-old female athlete (artistic gymnastics, national A-squad) with persistent symptoms for the past 8 months in the anterior tibial region, which occur after, but not during training (especially on vault and floor exercises). She has repeatedly taken breaks from training for approximately 3 weeks.

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Exercise-Induced Bronchoconstriction in Elite Swimming: A Clinical Approach to Diagnosis and Management

A 19 year-old female swimmer comes to your sports medicine consultation, because she has been struggling with breathing at higher intensities since 3 months. The dyspnea mostly occurs during sustained intensities in the pool or at the later stages of short interval sprints.

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Managing Post-Concussion Syndrome in Young ­Athletes: Integrating the Amsterdam 2022 Consensus into ­Clinical Practice

A 16 year-old male rugby player suffers from headaches, tiredness and difficulty concentrating at school. The symptoms have been present for approximately 3 weeks and started 2-3 days after match where he suffered a hit in the mêlée. He continued playing, as he did not think much of it.

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Clavicular Fractures in Elite Endurance Athletes: Navigating High-Stakes Recovery in Triathlon

A 25 yo male elite triathlete sends you a text message after he crashed on the bike abroad, hurting the right shoulder. He has never had any injuries to this shoulder. He is in the emergency room and attaches the following images of the shoulder, revealing a clavicle injury.

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Fatigue and Performance Stagnation in Adolescent Triathletes: A Multidisciplinary Approach

A 16-year-old female triathlete comes in complaining of ­fatigue and decreased performance/stagnation. His coach thinks she has an iron deficiency... what should I do? What is the differential diagnosis, what investigations are recommended, and how should we manage this?

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Using artificial intelligence (large language models) for the generation of articles based on typical sports medicine clinical cases: methodological paper

Artificial intelligence (AI) has entered the public scene in November 2022, when the first version of ChatGPT was released. Quickly, multiple large language models (LLM) have emerged. The speed of adoption of these tools in the public has been unparalleled, whatever domains fo society we look at. Without surprises, many people will use this new technology to enquire about their health problem and oftentimes will do so before consulting a medical practitioner.

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Acute Perimyocarditis in Elite Athletes: Navigating Diagnosis and Return to Competition

A 23-year-old female elite runner, previously healthy with normal pre-participation screening, developed fatigue and an upper respiratory tract infection with fever for three days. Her symptoms improved but she continued to experience prolonged fatigue, which led her to seek evaluation by a sports and exercise medicine physician.

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What can AI learn from the Sports & Exercise ­Medicine doctor? – Editorial 3-2025

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Two years ago, I played a little trick on you when I had Chat-GPT write an editorial on the use of artificial intelligence (AI) in sports medicine. [1] Maybe it would be good to go back to that text before you continue with this special AI issue.

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Effects of therapeutic exercise on cognition in adults with hypertension: A systematic review

Background: To systematically review the effectiveness of exercise on cognition in patients with arterial hypertension (HTN). Methods: A systematic search was performed in the subsequent databases starting from the oldest records existing till June 2022: MEDLINE (accessed by PubMed), CENTRAL, Scopus, and Web of Science (Web of Science Core Collection). The search was carried out from November 2021 to January 2022. Trials investigating the effects of exercise on cognition in patients with HTN were included in the review. Two authors assessed trial quality using PEDro and National Institute of Health (NIH) tools.

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What you train is what you get: About the rationale of training zones in endurance sports

Endurance sports as one form of physical activity offer health benefits in many ways. Endurance training is among athletes of all ages very popular. In order to achieve a training impact endurance training needs to be on a regular basis, for a certain duration and at a chosen intensity.

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Encouraging sports participation after total hip ­arthroplasty: a desirable objective!

Hip arthroplasty is a highly successful intervention for end-stage hip osteoarthritis. With increasing numbers of young and/or more active patients undergoing total hip arthroplasty (THA) questions regarding safety and benefits of sports participations postoperatively have become increasingly relevant. But the literature about sport and THA is sparse.

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