#Sports Medicine

[mindblowingscience]

The study adds to the growing body of science that suggests that “cocoon therapy”—bed rest in the dark with minimal mental stimulation after concussion—isn’t good for patients. Instead, when done under the guidance of a trained clinician, exercise is preferable, says Landon Lempke, a research fellow with appointments at the University of Michigan Concussion Center and the Exercise and Sport Science Initiative, both housed in the School of Kinesiology and first author of the study in the journal Sports Medicine. The observational study monitored more than 1,200 college athletes at 30 institutions nationwide before injury and at injury until medical clearance. The study wasn’t designed to establish a causal relationship between exercise and concussion recovery, but the findings are in line with previous smaller, randomized controlled trials identifying similar relationships. Athletes who began light exercise within 48 hours were considerably more likely to see symptoms resolve than those who did not exercise, with about 2.5 days faster symptom recovery time. Athletes who started exercising roughly eight days or later after injury were significantly less likely to experience symptom recovery than those who did not exercise, and took about five days longer to recover.

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[softersolace]

Welcome, friend. Come, stop by a while. ♡ 

Sofie, she/her, 20s studying A&P learning to navigate my chronic disease(s) hopelessly romanticising the rain and the shine 🔆

this is my personal main blog and my soft little corner of the web you can expect... ➵ poems, prose and general thinking out-loud ➵ clothes, outfit selfies ➵ studyblr / study inspo ➵ self-care and self-development ➵ health journey updates ➵ light/soft academia & aesthetics

other misc little things: I'm a chronic daydreamer, huge bookworm and literary lover. Silly little musician with too many instruments. Avid gamer and TTRPG player. I stream sometimes here asks and dms are open, and I try to follow people back thank you for stopping by ♡

[hyenabeanz]

Oh man, from where we were sitting at the X, we didn't see Spooner go down; I hadn't realized she was injured. Watching the replays, the hit didn't look worse than any of the other hard hits they were letting go on both sides, but something went wrong.

Hope she's okay and can come back.

I also hope with the increase of focus on women's sports we finally see sports medicine research start to catch up. We know cis women athletes (and presumably AFAB nonbinary people who aren't on any kind of hormones) are way more prone to knee injury than cis men. Would be cool if we could do some science to decrease the risks.

I hate watching players go down with knee injuries. Because I know exactly how that feels. (Bad. It feels very bad.)

[thornsofrosesdumps]

more Sports med quotes as team STRQ

(disclaimer all of these quotes are from my group of friends we wouldn’t treat random patients like this, promise)

Qrow: Your really desperate to touch my foot, what you got a foot fetish?

Tai splinting Qrows broken ankle: Dude if I wanted to I could maim you for life shut the fuck up

———

Tai: IF YOU RUN ON THAT LEG IM GOING TO MAKE YOU LOSE BOTH OF THEM

Raven sprinting on a injured leg: FUCK YOU YOUR NOT THE BOSS OF ME (trips and falls on a rock and rolls down a small hill) OKAY MAYBE YOU SHOULD BE BUT STILL FUCK YOU.

———

Ozpin: They put me charge of a group of slightly feral idiots with basic sports medicine knowledge and told me to teach them how to do there job.

Summer and Raven in the background making fun of Qrow for not being able to rip tape properly.

Tai: I am one of those feral idiots why are you telling me this?

Ozpin: Because I your the only one I’m hoping doesn’t trip while running with a knife.

Tai confused and slightly scared: Thank you?

———

Taiyang: do you remember the proximal landmark?

Qrow: Bitch do I look like I play geo guesser

[ecgekg]

fitted with a recording backpack, he will go for a run or workout as his heart is recorded second by second

[worstjourney]

Down the Rabbit Hole

Some days you're just logging journal entries and tagging them with the usual ... frostbite, sastrugi, ice crystals, rations ...

And then some days you get to learn about ischæmic necrosis of the anterior crucal muscles.

Truly the Terra Nova Expedition is a portal to all human knowledge.

[gayandloveableperidot]

Taking sports med with a connective tissue is funny cuz like actually what I’m being taught is not accurate to me half the time

[thetransplant]

How to gym as a cripplepunk

I confess I still feel a bit uncomfortable referring to myself as a #cripplepunk because my disability is invisible. I literally walk in to a gym like anyone else. CAT scans, MRIs and all the metal detectors can see me, but the others have no clue. To make it even more baffling I can get away with not using a cane or walker if I time my day right by spending most of it supine or seated. Right now…

[irispublishersorthopedics]

Iris Publishers- Finding an Association Between Congenital Talipes Equinovarus (CTEV) and Developmental Dysplasia of Hip (DDH): Role of Early Ultrasonography

Abstract

Introduction: Congenital talipes equinovarus (CTEV) and developmental dysplasia of the hip (DDH) are common congenital anomalies. An association between these two conditions has been proposed, but no consensus has been reached. Purpose: The purpose of this study was to determine the incidence of sonographic hip dysplasia in infants with idiopathic clubfoot.

Methods: All neonates with a confirmed diagnosis of CTEV who were referred to our paediatric orthopaedic service for two years were clinically examined and screened with ultrasound for DDH using the Graf method.

Result: A total of 50 babies with CTEV were identified, 47 patients had physiologic hip dysplasia and 3 were found to have dislocated hips. The incidence of DDH in babies with CTEV was found to be higher than the normal population in our region.

Conclusion: Our study indicates higher risk for DDH in presence of CTEV and CTEV patients should be considered particularly for selective hip screening in our population.

Abbreviations: Developmental dysplasia of the hip; Congenital talipes equinovarus; Clubfoot; CTEV; DDH

Introduction

Clubfoot or congenital talipes equinovarus (CTEV) and developmental dysplasia of hip (DDH) are conditions commonly encountered by orthopedic surgeons in their clinical settings. Both the conditions have unknown etiology. Genetic and environmental etiologies have been suggested for both, but with different pathways. Diagnosis of CTEV is simple and evident with clinical examination. DDH, on the other hand requires high clinical expertise for diagnosis and even the negative clinical signs do not rule out the condition completely. Ultrasound is recognized method to detect hip dysplasia. Routine clinical screening tests are sometimes conducted in babies with higher risk for DDH but lacks sensitivity. The renowned risk factors include positive family history, following breech delivery or with torticollis, and oligohydrominios. The early identification of children with DDH is valuable as it allows for less invasive treatment than if DDH is identified late [1]. However, the benefit of screening all children with ultrasonography is still controversial in literature.

Controversy persists in the literature as to a potential association between idiopathic structural congenital talipes equinovarus (CTEV) foot deformity of the newborn and developmental dysplasia of the hip (DDH). Several studies have shown increased incidence of DDH in children with CTEV [2,3], whereas other studies have challenged that view suggesting that routine screening for DDH in cases of idiopathic CTEV is no longer advocated [4-6]. Hence, there remains a debate about the true association between CTEV and DDH.

We encounter patients from diverse ethnicity at Hamad General Hospital. We have followed all these patients that were referred to orthopedic service with an obvious clubfoot deformity with ultrasound screening of hips for 2 years. This observational cohort study was performed to assess if selective radiographic screening of hips in the clubfoot population is beneficial or not.

Materials and Methods

The study was conducted at Hamad General Hospital, Doha, Qatar. All cases of neonatal CTEV that were referred to the pediatric orthopedic service for evaluation in our hospital underwent routine clinical and ultrasound screening of the hips [7].

CTEV was diagnosed clinically based on the classical appearance of a fixed deformity combining equinus at the ankle, varus at the heel, supination at the mid-foot and adductus at the forefoot. Although CTEV was graded according to Pirani classification, it was not used for further in the study.

All basic details about the child were recorded. These included the patient biographic details, family history, prematurity, method and mode of delivery, history of multiple pregnancies, whether there was any complication during the delivery, and if the child has any other anomalies than the clubfoot. Children with CTEV have their hips examined clinically, all neonates’ hips were clinically examined for instability at the initial visit using the Barlow and Ortolani tests and screened with ultrasound for DDH. Static sonography was performed at the initial visit and followed at 6 weeks. Those with normal hips were not followed further. All ultrasounds were performed by the senior orthopedic consultant. The degree of dysplasia was classified according to Graf. Hips with Graf angle > 60° were classified as normal (type I), from 43° - 60° as type II (‘A’ if under three months of age, ‘B’ if aged over three months), < 43° and stable as type III and a dislocated hip as type IV. All type IIA (physiologic) underwent repeat ultrasound after three months to see if the abnormality persisted. Treatment was warranted for all babies with Graf type III or higher. Type IIB hips were regularly followed up and none required treatment.

Babies were followed up for a minimum of 2 years. As in other studies seeking to clarify an association between DDH and CTEV, we excluded all neonates with postural foot deformities, genetic syndromes or neuromuscular disorder, even though children with CTEV and DDH may have an underlying as yet undiagnosed syndrome.

Result

50 cases of congenital talipes equinovarus were referred to the orthopedic service during the study period and thus screened for hip dysplasia. There were 13 girls (26%) and 37 boys (74%). There were 18 cases (36%) of bilateral CTEV, 17 (34%) were left sided and 15 (30%) right sided.

Of the total 50 patients, 22 (44%) belonged to the local community (Qatari) whereas the rest were from varied backgrounds. 37 babies (74%) had spontaneous vaginal delivery (SVD). Of these, none was a breech presentation. 13 babies (26%) had caesarian section as method of delivery. 3 out of these 13 (23%) had breech presentation although none of these had a dysplastic hip. 2 babies were born prematurely at 32 and 33 weeks. None of the families had history of DDH previously, although 2 babies had their elder siblings that suffered from clubfoot.

1 female child had dislocated hip on the right side (Graf type IV). She underwent management for CTEV and DDH and was followed for 3 years before she travelled abroad for further treatment. 2 male babies had bilateral dysplastic hip (Graf type III) while 2 male babies had a unilateral DDH (Graf type IIA) – (1 had a left sided clubfoot and a left sided DDH; the other had bilateral clubfoot but DDH on the right side only). These last two cases were followed and had their hip ultrasound done after 3 months and instigated treatment. All babies with Graf III or less were successfully treated with Pavlik harness without complications.

According to the findings 5 babies out of 50 with no other risk factors for DDH with CTEV had dysplastic hip diagnosed upon ultrasound screening. That is every 10th child of 100 births (10%) with congenital talipoequinovarus suffers from developmental dysplasia of hip.

Discussion

There is controversy in the literature regarding the association between CTEV and DDH and there is still debate about the true association between both conditions. Studies to date have shown a variation in the incidence of DDH in children with CTEV, but no consensus has been reached. RW Paton et al in a 21-year prospective observational study included 139 children with 199 cases of fixed idiopathic CTEV feet. Sonographically, there were only 18 hips with Graf Type II hips, 1 Graf Type III hip and 0 Graf Type IV hip [8]. Westberry et al looked at 349 babies with idiopathic CTEV. 127 had screening hip radiographs identifying 1 with hip dysplasia. 1 in 127 (0.7%) [9]. Recently, T Ibrahim et al in a systematic review and meta-analysis found that the prevalence of DDH in idiopathic clubfoot is similar to the normal population, based on that they did not recommend routine screening for DDH in children with idiopathic clubfoot [10].

On the other hand, the results from some other studies have suggested an association between clubfoot and DDH. BT Carney identified eight children (16%) with radiographic signs of hip dysplasia among fifty-one children with clubfoot [11]. D Zhao et al in an observational cohort study over a three-year period revealed that the idiopathic CTEV group had a greater incidence of DDH in comparison with the general population, 2.7 % of babies (five of 184) with idiopathic CTEV had DDH [12]. DC Perry et.al in an observational cohort study identified seven babies with hip dysplasia among 119 babies with CTEV, which means 1 in 17 babies with CTEV will have underlying hip dysplasia, supporting selective ultrasound screening of hips in infants with CTEV [13].

Ultrasound of the hip has a high sensitivity for the diagnosis of DDH compared with pelvic radiographs and clinical examination and has become the most effective modality for early detection of DDH. It is widely accepted that DDH identified at an early stage in infancy requires less invasive treatment than when presenting later [1]. Although, there is a controversy if early ultrasonography should be performed for the diagnosis of DDH in all babies, most studies recommend selective screening in high-risk population, including those with a positive family history, following breech delivery or with torticollis, oligohydramnios and deformities of the foot [9]. Several authors have considered children with idiopathic clubfoot as a defined subgroup of the population with an increased risk of DDH and recommend selective ultrasound hip screening [13].

According to unpublished data, incidence of DDH in our population is 8/1000 live births, in our study 3 out of 50 babies with CTEV have DDH (Hips with Graf type IIa were considered as physiologic immature and were not included). In other words, incidence of DDH in babies with CTEV is 6/100 live births. This figure suggests that our CTEV group has 7.5 times greater incidence of DDH than the normal population.

We have to acknowledge that this study has certain limitations. Small sample size which is due to the rare nature of these two conditions. Our study did not include a control group as ethical restriction prevented direct comparison to a control group (Table 1&2).

Table 1: Degree of dysplasia classified according to side of CTEV.

Table 2: Degree of dysplasia using the Graf classification.

Conclusion

Based on our study results, a higher incidence of DDH exists in the population of our patients with idiopathic CTEV and it appears that CTEV remains an important group for selective ultrasound hip screening. However, studies of good quality with a larger sample size to assess the association between the CTEV and DDH would be most appropriate next step.

Acknowledgement

This research was conducted after the approval from Medical Research Center (MRC) at HMC. We acknowledge the support from MRC throughout the study. None of the authors of the study have any other financial benefits associated with the study.

For More OpenAccess Journals in Iris Publishers please click on: https://irispublishers.com/

For More about IrisPublishers Please click on: https://medium.com/@irispublishers/what-is-the-indexing-list-of-iris-publishers-4ace353e4eee

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[mydrxm]

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#Dolobene #SportsGel #AntiInflammatory #PainRelief #SportsMedicine #InjuryRecovery #MusclePain #JointPain #Tendinitis #Sprains #Bruises #Bursitis #TennisElbow #ActiveLife #ratiopharm #StayActive #HealthyLiving #PainManagement #SwellingReduction #FastRelief

[redefinehealthcarenj]

14 Conditions Treated with Physical Therapy

Many folks tend to associate physical therapy solely with post-surgery recovery or rehabbing from sports injuries. While it does indeed excel in these areas, its scope extends far beyond, catering to a diverse range of health conditions. Physical therapy serves as a vital tool for restoring and preserving physical function and mobility, often collaborating with other healthcare experts to tackle various health issues.

https://usefulblog.quora.com/14-Conditions-Treated-with-Physical-Therapy

https://redefinehealthcare.com/back-pain-specialist-near-me/

[blogsbyakarsh]

Top 5 Soccer Injuries Every Player Must Know | HEMA

New Jersey loves soccer. And athletes, their swift moves. Sadly, the turf isn't always forgiving; injuries can sneak onto the field uninvited. Whether you're a pro athlete, college champ, or just love some weekend pick-up soccer, knowing the common soccer injuries and having access to a sports medicine walk-in clinic is your first line of defense. Learn more about the injuries by clicking here.

Contact us for more- https://www.hemadrs.com/contact  

[igevolved]

[thornsofrosesdumps]

Taiyang Xiao long is slightly unhinged but chill sports med teacher core.

the ones who get it get it

[joga-blog]

Empowering Movement: Orthopedic Specialists and Their Impact

Orthopedic doctors, also known as orthopedic surgeons or orthopedists, specialize in the diagnosis, treatment, and prevention of musculoskeletal disorders and injuries. These medical professional experts are in the intricate system of bones, joints, muscles, ligaments, tendons, and nerves that allow us to move and function properly. From fractures to arthritis, orthopedic doctors play a vital role in helping patients regain mobility, reduce pain, and improve their quality of life.

What Do Orthopedic Doctors Treat?

Orthopedic doctors treat a wide range of conditions affecting the musculoskeletal system. Some common conditions they address include:

1. Fractures: 

Orthopedic doctors set and treat broken bones, and fractures to ensure proper alignment and healing.

2. Arthritis: 

Arthritis Whether it's osteoarthritis, rheumatoid arthritis, or other forms, orthopedic doctors provide both surgical and non-surgical treatments to manage joint inflammation and pain.

3. Sports Injuries:

Athletes often seek orthopedic care for injuries such as torn ligaments (like ACL tears), meniscus tears, and stress fractures.

4. Back and Neck Pain:

Orthopedic doctors diagnose and treat conditions such as herniated discs, spinal stenosis, and degenerative disc disease.

5. Joint Replacement:

For severe joint damage due to conditions like osteoarthritis, orthopedic surgeons perform joint replacement surgeries, such as hip or knee replacements.

6. Trauma:

Orthopedic surgeons are often involved in treating traumatic injuries like dislocations, tendon ruptures, and crush injuries.

7. Pediatric Orthopedics:

Orthopedic doctors specializing in pediatric care treat musculoskeletal issues in children, such as congenital deformities and developmental disorders.

Who Should Consult Orthopedic Doctors?

1. Those with Persistent Pain:

 If you're experiencing persistent pain in your joints, muscles, or bones, it's essential to consult an orthopedic doctor. They can diagnose the underlying cause of your pain and recommend appropriate treatment options.

2. Individuals with Mobility Issues:

Difficulty moving a joint or limb, stiffness, or weakness may indicate a musculoskeletal problem that requires orthopedic evaluation.

3. Athletes:

Sports injuries often require specialized orthopedic care to ensure proper healing and rehabilitation, allowing athletes to return to their sport safely.

4. Seniors:

As we age, our risk of developing musculoskeletal conditions like arthritis and osteoporosis increases. Orthopedic doctors can help manage these conditions and improve mobility in older adults.

5. Those with Joint Deformities:

If you notice changes in the shape or alignment of your joints, it's important to consult an orthopedic specialist who can assess the issue and recommend appropriate treatment.

6. Individuals with Traumatic Injuries:

Whether it's a fall, car accident, or other traumatic event resulting in a musculoskeletal injury, seeking prompt orthopedic care is crucial for optimal recovery.

Conclusion:

Orthopedic doctors play a vital role in diagnosing, treating, and preventing a wide range of musculoskeletal conditions and injuries. Whether you're experiencing joint pain, have suffered a sports injury, or need joint replacement surgery, consulting an orthopedic specialist can help you regain mobility, reduce pain, and improve your overall quality of life. If you're experiencing any symptoms related to your bones, joints, or muscles, don't hesitate to schedule an appointment with an orthopedic doctor for evaluation and treatment.