Category

sports injury

Category
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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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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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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Hip pain is a common clinical problem caused by a variety of orthopedic and non-orthopedic factors. While orthopedic causes such as osteoarthritis and femoroacetabular impingement (FAI) are well documented, non-orthopedic causes such as sports hernias, peritrochanteric pain syndrome, psoas syndrome, adductor strains, symphysitis and hamstring pathologies require more differentiated consideration.
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Injections around the autonomic nervous system, particularly the so-called sympathetic trunk, have been established for years. The main focus so far has been the treatment of CRPS (Complex Regional Pain Syndrome). The procedures are being increasingly used for other indications that are associated with vegetative dysregulation, such as DOMS (Delayed ­Onset Muscle Soreness).
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In the context of regenerative medicine, therapy using autologous cells (in combination with platelet-rich plasma) appears to be a promising option. The so-called medicinal signaling cells (MSC), also known as mesenchymal stem cells, can be obtained, for example, from bone marrow, subcutaneous adipose tissue, or umbilical cord blood, and can be applied to targets of degeneration or inflammation.
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