Pediatric and Adolescent Knee Injuries: The PRiSM Vision
It has been a while since we had an issue of Clinics in Sports Medicine focusing on the Pediatric Knee. Therefore, I asked my former Fellow, now an associate professor at Boston ’s Children Hospital at Harvard and past president of the Pediatric Research in Sports Medicine Society (PRiSM) (Yes, we are proud of him), to serve as guest editor for this issue. Not surprisingly, he put together an excellent compilation that gives us important updates for the management of pedi atric and adolescent knee injuries. (Source: Clinics in Sports Medicine)
Source: Clinics in Sports Medicine - October 1, 2022 Category: Sports Medicine Authors: Mark D. Miller Tags: Foreword Source Type: research
Pediatric and Adolescent Knee Injuries: Evaluation, Treatment and Rehabilitation
CLINICS IN SPORTS MEDICINE (Source: Clinics in Sports Medicine)
Source: Clinics in Sports Medicine - October 1, 2022 Category: Sports Medicine Authors: MATTHEW D. MILEWSKI Source Type: research
Copyright
ELSEVIER (Source: Clinics in Sports Medicine)
Source: Clinics in Sports Medicine - October 1, 2022 Category: Sports Medicine Source Type: research
Contributors
MARK D. MILLER, MD (Source: Clinics in Sports Medicine)
Source: Clinics in Sports Medicine - October 1, 2022 Category: Sports Medicine Source Type: research
Contents
Mark D. Miller (Source: Clinics in Sports Medicine)
Source: Clinics in Sports Medicine - October 1, 2022 Category: Sports Medicine Source Type: research
Forthcoming Issues
Advances in the Treatment of Rotator Cuff Tears (Source: Clinics in Sports Medicine)
Source: Clinics in Sports Medicine - October 1, 2022 Category: Sports Medicine Source Type: research
The Importance of Surrounding the Athlete ’s Heart with a Team
Providing medical care for an athlete can be challenging in many aspects. One specific aspect is the athlete ’s cardiovascular system. Athletic training and physical activity certainly can improve cardiovascular health, but it can also cause cardiac adaptations and place athletes at risk for sudden cardiac arrest. When an athlete has cardiac symptoms, a concerning family history, abnormal cardiac testing , or an underlying cardiac condition, a wide range of professionals are needed to appropriately care for the athlete under evaluation. (Source: Clinics in Sports Medicine)
Source: Clinics in Sports Medicine - June 14, 2022 Category: Sports Medicine Authors: Peter N. Dean, Kelli Pugh, Siobhan M. Statuta, John M. MacKnight Source Type: research
Incidence and Causes of Sudden Cardiac Death in Athletes
Sudden cardiac death (SCD) is the leading cause of medical death in athletes; however, many studies are significantly flawed making an accurate estimation of risk difficult. Incidence studies need to have accurate case ascertainment, a defined study population, and should be stratified by both sex and age. The risk of SCA/d in college-aged males is 1 in 35,000 person-years, black males 1 in 18,000 person-years, and higher-risk sports include men ’s basketball, men’s soccer, and American football. Inherited cardiomyopathies and electrical conditions account for ∼ 2/3 of off SCA/d and can be detected with an ECG. More ...
Source: Clinics in Sports Medicine - June 14, 2022 Category: Sports Medicine Authors: Kimberly G. Harmon Source Type: research
Non-Cardiac Conditions that Mimic Cardiac Symptoms in Athletes
When considering the variety of complaints an athlete can present with, chest pain is arguably the most concerning given the potential for catastrophic outcomes. Luckily, these do not comprise the majority of cases, and indeed, are quite rare. The bulk of presentations of athletes with chest pain are due to musculoskeletal, gastrointestinal, and pulmonary causes. Each and every healthcare provider who works closely with athletes must have a thorough understanding of contributing conditions that present as chest pain. Here, we explore some of the more prevalent causes of non-cardiac chest pain, classic presentations, and ma...
Source: Clinics in Sports Medicine - June 14, 2022 Category: Sports Medicine Authors: Siobhan M. Statuta, Erin S. Barnes, John M. MacKnight Source Type: research
Wearables in Sports Cardiology
The expanding array and adoption of consumer health wearables is creating a new dynamic to the patient –health-care provider relationship. Providers are increasingly tasked with integrating the biometric data collected from their patients into clinical care. Further, a growing body of evidence is supporting the provider-driven utility of wearables in the screening, diagnosis, and monitoring of card iovascular disease. Here we highlight existing and emerging wearable health technologies and the potential applications for use within sports cardiology. We additionally highlight how wearables can advance the remote cardiovas...
Source: Clinics in Sports Medicine - June 14, 2022 Category: Sports Medicine Authors: David L. Beavers, Eugene H. Chung Source Type: research
Differentiating Physiology from Pathology
Routine vigorous exercise can lead to electrical, structural, and functional adaptations that can enhance exercise performance. There are several factors that determine the type and magnitude of exercise-induced cardiac remodeling (EICR) in trained athletes. In some athletes with pronounced cardiac remodeling, there can be an overlap in morphologic features with mild forms of cardiomyopathy creating gray zone scenarios whereby distinguishing health from disease can be difficult. An integrated clinical approach that factors athlete-specific characteristics (sex, size, sport, ethnicity, and training history) and findings fro...
Source: Clinics in Sports Medicine - June 14, 2022 Category: Sports Medicine Authors: Alfred Danielian, Ankit B. Shah Source Type: research
Exercise Stress Testing in Athletes
Exercise stress testing (EST) is indicated for diagnostic and prognostic purposes in the general population. In athletes, stress tests can also be useful to inform the risk of high-intensity training and competition, to assess athletic conditioning, and to refine training regimens. Many specific indications for EST are unique to athletes. Treadmill and cycle ergometer protocols each have their strengths and disadvantages; extensive protocol customization may be necessary to answer the clinical question at hand. A comprehensive understanding of the available tools for exercise testing, their strengths, and their limitations...
Source: Clinics in Sports Medicine - June 14, 2022 Category: Sports Medicine Authors: Gary Parizher, Michael S. Emery Source Type: research
Exercise in the Genetic Arrhythmia Syndromes – A Review
Provide a brief summary of your article (100 –150 words; no references or figures/tables). The synopsis appears only in the table of contents and is often used by indexing services such as PubMed. Genetic arrhythmia syndromes are rare, yet harbor the potential for highly consequential, often unpredictable arrhythmias or sudden death events. There has been historical uncertainty regarding the correct advice to offer to affected patients who are reasonably wanting to participate in sporting and athletic endeavors. In some cases, this had led to abundantly cautious disqualifications, depriving individuals from participation...
Source: Clinics in Sports Medicine - June 14, 2022 Category: Sports Medicine Authors: Chinmaya Mareddy, Matthew Thomas ScM, George McDaniel, Oliver Monfredi Source Type: research
Sports Participation and Physical Activity in Individuals with Heritable Thoracic Aortic Disease and Aortopathy Conditions
The evaluation and management of athletes with HTAD and aortopathy conditions requires shared decision-making encompassing the underlying condition, family history, aortic diameter, and type and intensity of sports and exercise. Mouse models of thoracic aortic disease show that low-to-moderate-level aerobic exercise can maintain aortic architecture and attenuate pathologic aortic root dilation. Although controlled trials in human are lacking, recreational physical activities performed at a low-to-moderate aerobic pace are generally low risk for most individuals with aortopathy conditions. High-intensity, competitive, and c...
Source: Clinics in Sports Medicine - June 14, 2022 Category: Sports Medicine Authors: Mary B. Sheppard, Alan C. Braverman Source Type: research
Cardiac Concerns in the Pediatric Athlete
Cardiovascular disease remains the number one cause of death in Americans. It is no secret that exercise mitigates this risk. Exercise and regular physical activity are beneficial for physical health including aerobic conditioning, endurance, strength, mental health, and overall improved quality of life. Unfortunately, today many children and adolescents are sedentary, lacking the recommended daily amount of physical activity, leading to higher rates of obesity, cardiovascular disease, stroke, diabetes, anxiety, and depression. Given this rising concern, the World Health Organization launched a 12-year plan to improve phys...
Source: Clinics in Sports Medicine - June 14, 2022 Category: Sports Medicine Authors: Jamie N. Colombo, Christine N. Sawda, Shelby C. White Source Type: research
