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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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The “Magglingen protocols” and other cases of abuse in sports have attracted public attention to the problem of interpersonal violence against athletes. This article summarizes the scientific literature on the prevalence of different forms of interpersonal violence in sports, on personal, organizational, and cultural risk factors for victimization, and on psychopathological consequences of athlete abuse. In conclusion, recommendations for trauma-informed interdisciplinary prevention and intervention programs are outlined.
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Children and young people should be physically active as much and as often as possible. This applies always and especially during the COVID-19 pandemic, which led to massive restrictions in the everyday lives of children and young people. Following hygiene and distance rules, vaccination and staying away from sports with typical SARS-CoV-2 symptoms can minimize the occurrence of infection foci and the transmission of SARS-CoV-2. However, if an infection does occur, there is only a low risk of serious secondary/accompanying diseases, in particular the occurrence of myocarditis with a possible fatal course.
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Despite increasingly advanced diagnostic and therapeutic ­methods, coronary heart disease and myocardial infarction continue to be by far the leading cause of death worldwide. This makes it all the more important in this context to make full use of known but far from optimally used therapeutic measures. Adequate physical activity in everyday life and addi­tional targeted training lead to an evidence-based ­improvement in quality of life, a reduction in morbidity and above all to a ­significant reduction in cardiac and overall ­mortality.
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Within a clinical sports medical setting the discussion about doping is insufficient. In elite-sports use of pharmaceutical agents is daily business in order to maintain the expected top-level performance. Unfortunately, a similar development could be observed in the general population of leisure athletes where medical supervision is absent. As a sports physician you are facing imminent ethical questions when standing in between. Therefore, we propose the application of a standardised risk score as a tool to promote doping-prevention and launch the debate within athlete-physician-relationship.
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Introduction: Adequate physical activity is important for a healthy and age-appropriate development in children and adolescents with congenital heart disease (CHD). To enable each child with CHD individual and harmless physical ­activity an exam by a pediatric cardiologist/sports medicine physician, specific recommendations based on residual findings and structures of care are needed. Methods: A selective review of the literature in PubMed was performed to retrieve current guidelines and review ­articles.
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Ideally, the musculosceletal system and it’s components maintain a biologic balance during growth in order to compensate and/or adapt to intrinsic and extrinsic factors. Otherwise, the risk of acute or overuse injuries is increasing. The growth cartilage at the level of the growth plates or apophyses as well as the spine is highly vulnerable to overuse injuries, especially during the pubertal growth spurt. The diagnosis of an overuse injury is often delayed due to the undulant clinical manifestation and the treatment can be extensive and long-lasting, sometimes leading to an early cessation of sports activities.
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The Athlete Biological Passport detects the effect of doping on the organism through longitudinal monitoring of biomarkers. The first quantitative analysis is performed by a software algorithm based on the Bayes theorem, taking into account previous values of the athlete. Profiles which have been found as abnormal with this technique are submitted for qualitative analysis to an expert panel regarding potential causes for the abnormality. Possible causes include analytical shortcomings, Pathologies, extremes of physiological regulation or doping.
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