A 58- year old male patient presented, after a workplace accident with a 1 tonne of a metal plate on the right lower leg and foot, an open midfoot fracture and big soft tissue defect (Gustilo Anderson grade IIIA). Because of the soft tissue situation an external fixator was used for initial treatment. During hospitalization, progressing skin necrosing areas were presented, with the result that surgical depridements and a VAC (Vacuum Assisted Closure) system was necessary to treat the soft tissue damage.
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Bruxism refers to the non-physiological clenching and grinding of the teeth, due to repetitive masticatory muscle activity. A distinction is made between sleep and awake bruxism [1]. Waking bruxism occurs with a prevalence of 22-31% and sleep bruxism with 9-15%. The prevalence peaks in the 2nd -3rd decade of life [2]. Differences between the sexes have not yet been clearly clarified [3-5].
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This study investigated whether instructors applied safety recommendations from the Swiss national programme for sports promotion, called Youth+Sports (Y+S), in training courses/camps with young people. Moreover, we analysed factors that affected the awareness and application of those recommendations. The analysis was based on an online survey of Y+S instructors and Y+S experts (responsible for training instructors), as well as interviews with the education managers of sport associations.
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Boxing is a sport with a clear objective: to hit and not get hit. Despite all the rules and regulations that have been conceived for safety purposes over time, boxing will always be a hurting business at the end of the day. The sweet science is unique from all other contact sports, like hockey and football, in that the damage inflicted on your opponent is deliberate [1].
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L’année 2020 s’est montrée rude pour la JSEMS, avec l’annulation de la Students Day 2020 et les difficultés du comité, venant de la Suisse entière, à se réunir. Nous avons dû faire preuve de créativité pour prouver aux étudiant.e.s de médecine que malgré les difficultés, nous sommes toujours présents.
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Nous avons rencontré la Dre Cornevin lors du congrès annuel de la SEMS à Macolin en octobre 2021, et c’est avec plaisir que
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Acute kidney injury (AKI) resulting from ischemia-reperfusion injury (IRI) is among the most common complications in hospitalized patients. In recent years, it has been argued that exercise is an approach to attenuate impairments caused by AKI.
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Foot and ankle injuries are among the most common reasons for a medical presentation in pediatric and adolescent athletes. Acute trauma and overuse can result in injuries to the developing skeleton that are different from those seen in adults. Knowledge of normal foot and ankle development is critical to understanding age-specific injury patterns.
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Elbow injuries in young athletes are becoming an increasing concern for orthopedic sports medicine specialists, but imaging is frequently complicated. The purpose of this study was to assess MRI in imaging ligaments, plicae, and cartilage in 65 pediatric and adolescent patients. 9 MRIs (13%) did not allow assessment because of poor quality.
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Ligamentous structures are more robust than bone. Therefore, avulsion fractures are more common in children. This principle is seen in bony avulsion fractures of the anterior cruciate ligament in children. Diagnostics include conventional radiographs as well as an MRI to evaluate further intra-articular injuries.
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During puberty, when growth accelerates, physis are weak and at risk for slippage. The slipped capital femoral epiphysis is often misdiagnosed. It should be considered even if the patient’s symptoms are not typical. The diagnosis can usually be made on conventional x-rays in two planes.
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Overuse injuries are undoubtedly one of the most frequent cause of pain in adolescent athletes which can result in limitation in sport activities and competition, prolonged pain and psychological consequences. We see different forms of this condition regarding the anatomical region at insertion sites of major tendons.
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Pediatric and adolescent athletes have a high risk for elbow problems. In most cases these problems are due to overuse and can heal if diagnosed in time and treated with avoiding further overload. Traumatic elbow problems are less frequent and because of their often subtle symptoms they are at risk of underdiagnosis.
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The shoulder is a particularly vulnerable joint in sports, and especially so in children and adolescents. The normal hypermobility during growth needs to be differentiated from pathological instability. Overuse injury has to be avoided or treated. Some injuries are specific for childhood and adolescence and need to be treated with a specific and age appropriate approach.
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«Kinder sind keine kleinen Erwachsenen.» Dieser Ausdruck geistert durch viele medizinische Diskussionen. Doch was sind denn Kinder nun? Wo liegt der Unterschied zu den «Grossen», den Erwachsenen – oder sind dies nur lasche Sprüche ohne Basis?
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In den letzten eineinhalb Jahren wurde ich vielfach gefragt, ob die sportpsychologische Beratung von Sportlerinnen und Sportlern im Rahmen der Pandemie weiter in Anspruch genommen wurde und ob die Anliegen in dieser Zeit andere waren. Die Antwort lautet auf beide Fragen «ja».
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