Thorn in Your Side or Thorn in Your Head? Anxiety and Stress as Correlates of Exercise-Related Transient Abdominal Pain
Conclusions: In runners, this is the first investigation to reveal that anxiety and stress are associated with the presence of ETAP. (Source: Clinical Journal of Sport Medicine)
Source: Clinical Journal of Sport Medicine - September 1, 2022 Category: Sports Medicine Tags: Original Research Source Type: research

Use of Monospot Testing in the Diagnosis of Infectious Mononucleosis in the Collegiate Student–Athlete Population
Conclusions: The specificity of the monospot test is lower than previously reported in the literature, and a positive test is not sufficient to diagnose mononucleosis in this clinical setting. Positive monospot results should be confirmed with EBV antibody testing. Elevated transaminase levels are highly correlated with acute IM and could play a supporting role in the diagnosis. (Source: Clinical Journal of Sport Medicine)
Source: Clinical Journal of Sport Medicine - September 1, 2022 Category: Sports Medicine Tags: Original Research Source Type: research

Calcific Tendinopathy of the Shoulder: A Retrospective Comparison of Traditional Barbotage Versus Percutaneous Ultrasonic Barbotage
Objective: The purpose of this study was to compare a traditional barbotage technique with percutaneous ultrasonic barbotage (PUB) for the treatment of rotator cuff (RC) calcific tendinopathy. Design: Three-year retrospective review. Setting: Participants aged 18 to 75 presenting at 2 highly specialized outpatient orthopedic referral centers with symptomatic RC calcific tendinopathy. Patients: There were 75 patients included (23 patients in the traditional barbotage group; 52 patients in the PUB group) with an average age of 55.3(6.5) and 55.9(9.8), respectively. There was no significant difference...
Source: Clinical Journal of Sport Medicine - September 1, 2022 Category: Sports Medicine Tags: Original Research Source Type: research

Do High-Volume Injections Affect the Ultrasonographic Neovascularization in Chronic Achilles Tendinopathy? A Randomized Placebo-Controlled Clinical Trial
Conclusion: A HVI does not affect Doppler flow in patients with chronic midportion AT. Also, changes in Doppler flow were not associated with the clinical outcome. These findings challenge the theoretical basis of a HVI. Trial registration: NCT02996409. (Source: Clinical Journal of Sport Medicine)
Source: Clinical Journal of Sport Medicine - September 1, 2022 Category: Sports Medicine Tags: Original Research Source Type: research

Subacromial Injections of Low- or High-Molecular-Weight Hyaluronate Versus Physical Therapy for Shoulder Tendinopathy: A Randomized Triple-Blind Controlled Trial
Objective: Shoulder tendinopathy is a prevalent and debilitating problem. We compared the effects of subacromial high- or low-molecular-weight hyaluronate injection with physical therapy (PT) in shoulder tendinopathy. Design: A triple-blinded randomized controlled trial. Setting: We conducted the trial in an outpatient clinic at a teaching hospital. Participants: In total, 79 patients with shoulder tendinopathy were randomly allocated to high- (n = 27) or low-molecular-weight (n = 28) hyaluronate or PT (n = 24) groups. Interventions: We administered a 20-mg injection of high- or low-molecula...
Source: Clinical Journal of Sport Medicine - September 1, 2022 Category: Sports Medicine Tags: Original Research Source Type: research

In Response to: Use of Different Radial Extracorporeal Shock Wave Devices May Explain Different Outcome in Treatment of Chronic Greater Trochanteric Pain Syndrome Using This Modality
No abstract available (Source: Clinical Journal of Sport Medicine)
Source: Clinical Journal of Sport Medicine - July 1, 2022 Category: Sports Medicine Tags: Letters to the Editor Source Type: research

A Novel Treatment of Painful Medial Collateral Ligament Calcification (Pellegrini–Stieda Syndrome): A Case Report
In conclusion, ultrasound-guided percutaneous calcific lavage followed by autologous platelet-rich plasma infiltration may be an effective way to treat refractory cases of Pellegrini–Stieda syndrome. (Source: Clinical Journal of Sport Medicine)
Source: Clinical Journal of Sport Medicine - July 1, 2022 Category: Sports Medicine Tags: Case Report Source Type: research

Botulinum Toxin A for Chronic Exertional Compartment Syndrome: A Retrospective Study of 16 Upper- and Lower-Limb Cases
Conclusion: In 16 individuals with CECS treated with BoNT-A injections, we observed moderate efficacy without major adverse effects, but an initial improvement was often followed by recurrence, especially among those with partial initial efficacy. (Source: Clinical Journal of Sport Medicine)
Source: Clinical Journal of Sport Medicine - July 1, 2022 Category: Sports Medicine Tags: Brief Report Source Type: research

Association Between Injury Mechanisms and Magnetic Resonance Imaging Findings in Rectus Femoris Injuries in 105 Professional Football Players
Conclusions: Kicking seems to be an important mechanism related to complete ruptures and injuries occurring at the proximal free tendon. Sprinting was the other most common mechanism but was never associated with injury to the proximal free tendon. (Source: Clinical Journal of Sport Medicine)
Source: Clinical Journal of Sport Medicine - July 1, 2022 Category: Sports Medicine Tags: Original Research Source Type: research

Chronic Disease, Allergies, and Increased Years of Running Are Risk Factors Predicting Gradual Onset Running-Related Injuries in Ultramarathon Runners—SAFER XIX Study in 29 585 Race Entrants
Objectives: To identify risk factors that predict gradual onset running-related injuries (GORRIs) in ultramarathon runners entering a mass community-based event. Design: Descriptive cross-sectional study. Setting: Two Oceans 56 km ultramarathon 2012 to 2015. Participants: Race entrants (n = 42 003) completed a compulsory pre-race medical history questionnaire; 29 585 (70.4%) of entrants consented. Dependent/Outcome Variable: A history of GORRIs in the past 12 months among race entrants. Main Outcome Measures: In a multi-variate model, runner demographics, training variables (years...
Source: Clinical Journal of Sport Medicine - July 1, 2022 Category: Sports Medicine Tags: Original Research Source Type: research

Prevalence, Clinical Characteristics, and Self-Reported Treatment of Exercise-Associated Muscle Cramping Differ Between 21.1- and 56-Km Running Race Entrants—SAFER XXII
Conclusions: In 56- versus 21.1-km runners, a history of EAMC is 2 times more frequent and muscle groups affected, onset in a race, and severity of EAMC differed. The lifetime prevalence was lower than previously reported in other events. Risk factors associated with EAMC may differ between entrants for different race distances. (Source: Clinical Journal of Sport Medicine)
Source: Clinical Journal of Sport Medicine - July 1, 2022 Category: Sports Medicine Tags: Original Research Source Type: research

Exploring Vestibular/Ocular and Cognitive Dysfunction as Prognostic Factors for Protracted Recovery in Sports-Related Concussion Patients Aged 8 to 12 Years
Conclusions: The VOMS was associated with overall recovery time and proved to be a useful test to identify those who would experience a normal recovery time. Combining the 4 tests improved the prognostic accuracy of the protocol in predicting protracted versus normal recovery. These findings suggest that combining multiple, varied assessments of cognition and vestibular/ocular functions may better explain factors contributing to protracted recovery. (Source: Clinical Journal of Sport Medicine)
Source: Clinical Journal of Sport Medicine - July 1, 2022 Category: Sports Medicine Tags: Original Research Source Type: research

Factor Structure for the Sport Concussion Assessment Tool Symptom Scale in Adolescents After Concussion
Objective: To examine the factor structure of the Sport Concussion Assessment Tool-5 (SCAT5) symptom scale in adolescents on their initial presentation to a concussion clinic within the typical recovery period after concussion (ie, (Source: Clinical Journal of Sport Medicine)
Source: Clinical Journal of Sport Medicine - July 1, 2022 Category: Sports Medicine Tags: Original Research Source Type: research

Norm-Based Cutoffs as Predictors of Prolonged Recovery After Adolescent Sport-Related Concussion
Conclusions: These findings suggest that using norm-based cutoffs from cognitive, oculomotor, and vestibulo-ocular testing and symptom reporting, clinicians can accurately predict a prolonged recovery (sensitivity = 81%) and normal recovery (specificity = 83%) in an adolescent, SRC cohort. (Source: Clinical Journal of Sport Medicine)
Source: Clinical Journal of Sport Medicine - July 1, 2022 Category: Sports Medicine Tags: Original Research Source Type: research

Static and Dynamic Balance Assessment in Healthy and Concussed Adolescent Athletes
Objective: The purpose of this study was to explore the utilization of the Y Balance Test (YBT) alongside the Balance Error Scoring System (BESS) during examination of healthy adolescent athletes (14-18 year old) as well as those with acute and chronic concussion. Design: A repeated-measures study of balance in a cross-sectional convenience sample of adolescents participating in high-school athletics. Setting: Data were collected on healthy athletes in their school setting for comparison purposes and on concussed athletes in the physical therapy rehabilitation center at the hospital. Participants: ...
Source: Clinical Journal of Sport Medicine - July 1, 2022 Category: Sports Medicine Tags: Original Research Source Type: research