RTS – SEMS-journal

elite sports RTS information technology knee leg ligament

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.

elite sports RTS information technology sports medicine digestive system ob/gyn pain

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.

elite sports RTS information technology leg overuse

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.

elite sports RTS information technology sports and youth sports injury concussion

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.

elite sports RTS information technology sports injury shoulder & elbow

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.

elite sports RTS sports medicine cardiology cardiology

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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Strength deficits of the hamstrings following surgery on the anterior cruciate ligament: a case-control study of elite alpine ski racers

Background: Research to date clearly shows that injuries to the cruciate ligaments are a frequent occurrence in alpine ski racing. The hamstrings play an important role in protecting the anterior cruciate ligament (ACL). Here eccentric muscle activity, in particular, is of great significance as it plays a more important role in terms of duration and intensity than concentric muscle activity in alpine ski racing. The aim of this study was to establish whether the hamstrings of alpine ski racers show eccentric strength deficits following surgery on the anterior cruciate ligament.

sports injury hip & groin sports physiotherapy RTS RTS

Return to sport following hip arthroscopy for femoroacetabular impingement syndrome: return to sport rates and methodological considerations

Research studies on “Return to sport” (or return to play) have been recently published also in the field of hip arthroscopy for femoroacetabular impingement (FAI) in athletes. While most published papers discuss cases series (low level of evidence), Lasse Ishoi and the group of K. Thorborg and P. Hölmich (Copenhagen, Denmark) conducted one of the first prospective cohort studies on this topic. The paper has already been published in AJSM and the results were presented at the #SportSuisse2018 conference. One of the key methodological points is the definition of “Return to sport” when conducting studies: is it return to any sport at any level, or return to preinjury sport at preinjury level?