Vor ziemlich genau 30 Jahren begab sich der französische Kniechirurg und Orthopäde Guy Liorzou auf eine besondere Studienreise. Er beklagte, dass sich die orthopädische Chirurgie und die orthopädischen Chirurgen durch…
Background: The development of Mountain Ultra Marathon (MUM) raises several questions to health professionals, regarding the short or long-term consequences on the health of participants. Objective: to present the main acute and long-term effects of MUM on the main health issues usually studied among runners. Methods: Pragmatic review of the literature, including grey literature from the medical staff of the races, notably the Ultra-trail du Mont Blanc. Results:
Meniscal Ramp lesions are frequently associated with Anterior Cruciate Ligament ruptures. It has been reported to play a key role in the anterior tibial translation the knee joint. Ramp lesions are difficult to diagnose in imaging modality and are under-recognized when using standard anterolateral and anteromedial arthroscopic portals even with probe test.
This article described the clinical examination of the lower extremity during a pre-participation screening in regard of sports ability, presence of injuries and musculoskeletal disorders as well as predisposing risk factors for injuries and prevention. It divided into global static and dynamic testing but also isolated analysis of joint function.
The elbow is a frequently underestimated and commonly misunderstood joint, leading to a considerable amount of clinical problems. A large part of this due to the largely overlapping and often unspecific symptoms of various diseases and injuries. A better understanding of elbow symptoms and the clinical exam of the elbow is the key to unlocking elbow pathology. This paper reviews a comprehensive and concise exam of the elbow that can easily be employed in a primary care sports medicine setting.
The shoulder is the second most commonly injured joint in Sports Traumatology. A thorough clinical examination is mandatory for a strategic therapy regime. A standardized and, importantly, gentle and pain sparing, physical examination not only builts the basis for above mentioned, yet also provides a base in the doctor-patient relationship. The following guideline is meant to aid in these regards. Nonetheless, clinical experience is of utmost importance in combination with a correct physical examination. Hence, if hesitation is present about the diagnosis or treatment, there should be no hesitation in consulting an expert.
Back pain has become one of the most frequent sports-related health problems. Up to 80% of the Swiss population experience at least one episode per year up to several times per week. It affects athletes of all age groups and all levels of activity equally. The causes of acute and chronic back pain are plentiful, but can be easily appreciated with a thorough and comprehensive history, concise clinical examination, and adequate imaging.
Young competitive athletes are particularly at risk during puberty. Growth plates and apophyses are reduced in their stability by hormone influence. Epiphyses can slip, apophyses can tear out. Therefore, a regular examination of those athletes is important. The examination should focus on muscular asymmetries, or reduced range of motion of a joint. Shortened muscles have to be recon as a risk factor for apophysitis. Dysbalances of the musculature are mainly found in the trunk area. Training plans should be adapted to the increased vulnerability.
There seems to be a lack of consensus among medical associations, professional sports bodies and medical professionals about when pre-participation evaluations (PPE) are indicated and how they should be designed. Although it is generally accepted that the primary purpose of the PPE is the identification of cardiovascular disease and risk factors for sudden cardiac death in competitive athletes, there is an ongoing debate on which methods are most apt in the screening process. Furthermore, the need of PPE has been questioned all together in leisure or hobby athletes.
