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Apophyseal Injury

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21. Lumbosacral Disc Injuries (Diagnosis)

Lumbosacral Disc Injuries (Diagnosis) Lumbosacral Disc Injuries: Background, Epidemiology, Functional Anatomy Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvOTQ1NTQtb3ZlcnZpZXc= processing > Lumbosacral Disc (...) Injuries Updated: Oct 12, 2015 Author: Robert E Windsor, MD, FAAPMR, FAAEM, FAAPM; Chief Editor: Craig C Young, MD Share Email Print Feedback Close Sections Sections Lumbosacral Disc Injuries Overview Background Injuries to the intervertebral discs of the lumbosacral spine are invoked as a causative factor in one of the most common health problems in the United States — low (LBP). Of the many possible etiologies of LBP, the intervertebral disc has been implicated as a more frequent source than muscular

2014 eMedicine.com

22. Athletic Foot Injuries (Diagnosis)

. 1993 Mar 3. 269(9):1127-32. . Rachel JN, Williams JB, Sawyer JR, Warner WC, Kelly DM. Is radiographic evaluation necessary in children with a clinical diagnosis of calcaneal apophysitis (sever disease)?. J Pediatr Orthop . 2011 Jul-Aug. 31 (5):548-50. . Smith K, Waldrop N. Operative Outcomes of Grade 3 Turf Toe Injuries in Competitive Football Players. Foot Ankle Int . 2018 Sep. 39 (9):1076-1081. . Richardson DR, Dean EM. The recurrent Morton neuroma: what now?. Foot Ankle Clin . 2014 Sep. 19 (3 (...) Athletic Foot Injuries (Diagnosis) Athletic Foot Injuries: Background, Epidemiology, Functional Anatomy Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvODU2Mzktb3ZlcnZpZXc= processing > Athletic Foot Injuries

2014 eMedicine.com

23. Athletic Foot Injuries (Treatment)

with a number of athletic foot injuries, including sesamoiditis, apophysitis, plantar fasciitis, and stress fractures. Although these agents are efficacious, there is evidence in the literature to suggest that NSAIDS prescribed for the acute management of stress fractures have demonstrated impaired bone healing. The concern about masking painful symptoms, prompting premature return to activity and exacerbating a stress fracture, has resulted in some clinicians avoiding the use of NSAIDS in the management (...) in acute ankle injuries. Refinement and prospective validation. JAMA . 1993 Mar 3. 269(9):1127-32. . Rachel JN, Williams JB, Sawyer JR, Warner WC, Kelly DM. Is radiographic evaluation necessary in children with a clinical diagnosis of calcaneal apophysitis (sever disease)?. J Pediatr Orthop . 2011 Jul-Aug. 31 (5):548-50. . Smith K, Waldrop N. Operative Outcomes of Grade 3 Turf Toe Injuries in Competitive Football Players. Foot Ankle Int . 2018 Sep. 39 (9):1076-1081. . Richardson DR, Dean EM

2014 eMedicine.com

24. Groin Injury (Overview)

Groin Injury (Overview) Groin Injury: Introduction and Frequency, Functional Anatomy and Sport-Specific Biomechanics, Approach to History Taking and Physical Examination Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache (...) =aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvODc4OTUtb3ZlcnZpZXc= processing > Groin Injury Updated: May 30, 2018 Author: Timothy J Rupp, MD, MBA, FACEP, FAAEM; Chief Editor: Craig C Young, MD Share Email Print Feedback Close Sections Sections Groin Injury Introduction and Frequency Groin injuries are commonly encountered by physicians and clinicians who treat athletes of all ages at all levels of competition. Groin injuries are particularly common in activities in which forceful adduction of the hip occurs; examples include skating, ice hockey, swimming

2014 eMedicine.com

25. Lumbosacral Spine Acute Bony Injuries (Overview)

Malaysia . 2000 Sep. 55 suppl C:9-13. . Stanislas MJ, Latham JM, Porter KM, Alpar EK, Stirling AJ. A high risk group for thoracolumbar fractures. Injury . 1998 Jan. 29(1):15-8. . Ryan M, Klein S, Bongard F. Missed injuries associated with spinal cord trauma. Am Surg . 1993 Jun. 59(6):371-4. . Williams B. Pathogenesis of post-traumatic syringomyelia. Br J Neurosurg . 1992. 6(6):517-20. . Browne TD, Yost RP, McCarron RF. Lumbar ring apophyseal fracture in an adolescent weight lifter. A case report. Am J (...) or roots] [German]. Z Orthop Ihre Grenzgeb . 1972 Feb. 110(1):116-20. . Bötel U. [Classification and surgical indications in spinal injuries] [German]. Langenbecks Arch Chir Suppl Kongressbd . 1992. 263-70. . Centenera LV, Choi S, Hirsch JA. Percutaneous vertebroplasty treats compression fractures. Diagn Imaging (San Franc) . 2000 Nov. 22(11):147-8, 153. . Clark JE. Apophyseal fracture of the lumbar spine in adolescence. Orthop Rev . 1991 Jun. 20(6):512-6. . Commandre FA, Taillan B, Gagnerie F, et al

2014 eMedicine.com

26. Lumbosacral Disc Injuries (Overview)

Lumbosacral Disc Injuries (Overview) Lumbosacral Disc Injuries: Background, Epidemiology, Functional Anatomy Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvOTQ1NTQtb3ZlcnZpZXc= processing > Lumbosacral Disc (...) Injuries Updated: Oct 12, 2015 Author: Robert E Windsor, MD, FAAPMR, FAAEM, FAAPM; Chief Editor: Craig C Young, MD Share Email Print Feedback Close Sections Sections Lumbosacral Disc Injuries Overview Background Injuries to the intervertebral discs of the lumbosacral spine are invoked as a causative factor in one of the most common health problems in the United States — low (LBP). Of the many possible etiologies of LBP, the intervertebral disc has been implicated as a more frequent source than muscular

2014 eMedicine.com

27. Lumbosacral Spine Acute Bony Injuries (Treatment)

RP, McCarron RF. Lumbar ring apophyseal fracture in an adolescent weight lifter. A case report. Am J Sports Med . 1990 Sep-Oct. 18(5):533-5. . Alexander MJ. Biomechanical aspects of lumbar spine injuries in athletes: a review. Can J Appl Sport Sci . 1985 Mar. 10(1):1-20. . Snook GA. Injuries in intercollegiate wrestling. A 5-year study. Am J Sports Med . 1982 May-Jun. 10(3):142-4. . Konermann W, Sell S. [The spine--a problem area in high performance artistic gymnastics. A retrospective analysis (...) . Eur Radiol . 1997. 7(1):61-4. . Levi AD, Hurlbert RJ, Anderson P, et al. Neurologic deterioration secondary to unrecognized spinal instability following trauma--a multicenter study. Spine . 2006 Feb 15. 31(4):451-8. . Massari L, Chiarelli GM, Lupi L, Bighi S. Fractures of the posterior apophyseal ring of the lumbar vertebral body in young patients. Three cases. [English, Italian]. Chir Organi Mov . 1990 Apr-Jun. 75(2):129-33. . Matejka J. [Hyperextension injuries of the thoracolumbar spine

2014 eMedicine.com

28. Lumbosacral Disc Injuries (Treatment)

Lumbosacral Disc Injuries (Treatment) Lumbosacral Disc Injuries Treatment & Management: Acute Phase Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvOTQ1NTQtdHJlYXRtZW50 processing > Lumbosacral Disc Injuries (...) Treatment & Management Updated: Oct 12, 2015 Author: Robert E Windsor, MD, FAAPMR, FAAEM, FAAPM; Chief Editor: Craig C Young, MD Share Email Print Feedback Close Sections Sections Lumbosacral Disc Injuries Treatment Acute Phase Rehabilitation Program Physical Therapy Physical therapy for acute radiculopathy should emphasize analgesia through passive modalities, stretching activities, and soft-tissue mobilization initially, and then the therapy should advance to McKenzie-type activities to regain

2014 eMedicine.com

29. Lumbosacral Disc Injuries (Follow-up)

Lumbosacral Disc Injuries (Follow-up) Lumbosacral Disc Injuries Follow-up: Return to Play, Complications, Prevention Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvOTQ1NTQtZm9sbG93dXA= processing > Lumbosacral (...) Disc Injuries Follow-up Updated: Oct 12, 2015 Author: Robert E Windsor, MD, FAAPMR, FAAEM, FAAPM; Chief Editor: Craig C Young, MD Share Email Print Feedback Close Sections Sections Lumbosacral Disc Injuries Follow-up Return to Play Return to play is an individualized process. [ , ] No specific time frame exists for a particular injury. Safe return to play is allowed after the appropriate sport-specific rehabilitation program is completed and the athlete demonstrates full pain-free range of motion

2014 eMedicine.com

30. Lumbosacral Spine Acute Bony Injuries (Follow-up)

, Bongard F. Missed injuries associated with spinal cord trauma. Am Surg . 1993 Jun. 59(6):371-4. . Williams B. Pathogenesis of post-traumatic syringomyelia. Br J Neurosurg . 1992. 6(6):517-20. . Browne TD, Yost RP, McCarron RF. Lumbar ring apophyseal fracture in an adolescent weight lifter. A case report. Am J Sports Med . 1990 Sep-Oct. 18(5):533-5. . Alexander MJ. Biomechanical aspects of lumbar spine injuries in athletes: a review. Can J Appl Sport Sci . 1985 Mar. 10(1):1-20. . Snook GA. Injuries (...) Lumbosacral Spine Acute Bony Injuries (Follow-up) Lumbosacral Spine Acute Bony Injuries Follow-up: Return to Play, Prognosis Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvOTUxMzItZm9sbG93dXA= processing

2014 eMedicine.com

31. Groin Injury (Follow-up)

Groin Injury (Follow-up) Groin Injury: Introduction and Frequency, Functional Anatomy and Sport-Specific Biomechanics, Approach to History Taking and Physical Examination Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache (...) =aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvODc4OTUtb3ZlcnZpZXc= processing > Groin Injury Updated: May 30, 2018 Author: Timothy J Rupp, MD, MBA, FACEP, FAAEM; Chief Editor: Craig C Young, MD Share Email Print Feedback Close Sections Sections Groin Injury Introduction and Frequency Groin injuries are commonly encountered by physicians and clinicians who treat athletes of all ages at all levels of competition. Groin injuries are particularly common in activities in which forceful adduction of the hip occurs; examples include skating, ice hockey, swimming

2014 eMedicine.com

32. Knee Injury, Soft Tissue (Overview)

Knee Injury, Soft Tissue (Overview) Soft Tissue Knee Injury: Practice Essentials, Background, Pathophysiology Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvODI2NzkyLW92ZXJ2aWV3 processing > Soft Tissue Knee (...) Injury Updated: Feb 20, 2016 Author: David B Levy, DO, FAAEM; Chief Editor: Trevor John Mills, MD, MPH Share Email Print Feedback Close Sections Sections Soft Tissue Knee Injury Overview Practice Essentials Soft tissue knee injuries are some of the most common and clinically challenging musculoskeletal disorders seen in the emergency department. Accurate and timely diagnosis increases the likelihood of fully restoring normal and pain-free use of the affected knee. The image below depicts the normal

2014 eMedicine Emergency Medicine

33. Knee Injury, Soft Tissue (Diagnosis)

Knee Injury, Soft Tissue (Diagnosis) Soft Tissue Knee Injury: Practice Essentials, Background, Pathophysiology Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvODI2NzkyLW92ZXJ2aWV3 processing > Soft Tissue Knee (...) Injury Updated: Feb 20, 2016 Author: David B Levy, DO, FAAEM; Chief Editor: Trevor John Mills, MD, MPH Share Email Print Feedback Close Sections Sections Soft Tissue Knee Injury Overview Practice Essentials Soft tissue knee injuries are some of the most common and clinically challenging musculoskeletal disorders seen in the emergency department. Accurate and timely diagnosis increases the likelihood of fully restoring normal and pain-free use of the affected knee. The image below depicts the normal

2014 eMedicine Emergency Medicine

34. Groin Injury (Treatment)

Groin Injury (Treatment) Groin Injury: Introduction and Frequency, Functional Anatomy and Sport-Specific Biomechanics, Approach to History Taking and Physical Examination Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache (...) =aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvODc4OTUtb3ZlcnZpZXc= processing > Groin Injury Updated: May 30, 2018 Author: Timothy J Rupp, MD, MBA, FACEP, FAAEM; Chief Editor: Craig C Young, MD Share Email Print Feedback Close Sections Sections Groin Injury Introduction and Frequency Groin injuries are commonly encountered by physicians and clinicians who treat athletes of all ages at all levels of competition. Groin injuries are particularly common in activities in which forceful adduction of the hip occurs; examples include skating, ice hockey, swimming

2014 eMedicine.com

35. Pediatric upper extremity stress injuries. (PubMed)

Pediatric upper extremity stress injuries. To provide primary care physicians with strategies to evaluate and manage pediatric upper extremity stress injuries related to overuse with a focus on anatomic location, patient history, physical examination, and imaging.Children are susceptible to stress injuries due to their open physes. The physeal cartilage of epiphyses and apophyses is the weakest structure in the developing skeleton. The differential diagnosis for pediatric stress injuries (...) includes injury to the bone, physis, epiphysis, and apophysis. Most stress injuries in children improve with rest. Missed or misdiagnosed stress injuries can lead to growth abnormalities and potential malalignment.Awareness of stress injuries is important for timely diagnosis and prevention of sequelae. A thorough history, focused physical examination, and proper imaging studies are crucial steps to identify upper extremity stress injuries in the pediatric population.

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2013 Current Opinion in Pediatrics

36. A heel cup improves the function of the heel pad in Sever's injury: effects on heel pad thickness, peak pressure and pain. (PubMed)

A heel cup improves the function of the heel pad in Sever's injury: effects on heel pad thickness, peak pressure and pain. Sever's injury (apophysitis calcanei) is considered to be the dominant cause of heel pain among children between 8 and 15 years. Treating Sever's injury with insoles is often proposed as a part of a traditional mix of recommendations. Using a custom-molded rigid heel cup with a brim enclosing the heel pad resulted in effective pain relief without reducing the physical (...) shoe, compared with using a sports shoe without the heel cup. A heel cup, providing an effective heel pad support in the sports shoe, improved the heel pad thickness and reduced heel peak pressure in Sever's injury with corresponding pain relief.© 2011 John Wiley & Sons A/S.

2012 Scandinavian journal of medicine & science in sports Controlled trial quality: uncertain

37. Sever's injury: treatment with insoles provides effective pain relief. (PubMed)

Sever's injury: treatment with insoles provides effective pain relief. Sever's injury (apophysitis calcanei) is considered to be the dominant cause of heel pain among children between 8 and 15 years. The traditional advice is to reduce and modify the level of physical activity. Recommended treatment in general is the same as for adults with Achilles tendon pain. The purpose of the study was to find out if insoles, of two different types, were effective in relieving heel pain in a group of boys (...) (n=38) attending a Sports Medicine Clinic for heel pain diagnosed as Sever's injury. The type of insole was randomized, and self-assessed pain during physical activity in the treatment phase with insoles was compared with pain in the corresponding pre- and post-treatment phases without insoles. There were no other treatments added and the recommendations were to stay on the same activity level. All patients maintained their high level of physical activity throughout the study period. Significant

2011 Scandinavian journal of medicine & science in sports

38. Sever's injury; treat it with a heel cup: a randomized, crossover study with two insole alternatives. (PubMed)

Sever's injury; treat it with a heel cup: a randomized, crossover study with two insole alternatives. Sever's injury (apophysitis calcanei) is considered to be the dominant cause of heel pain among children. Common advice is to reduce physical activity. However, our previous study showed that application of insoles reduced pain in Sever's injury without having to reduce physical activity. The purpose of this study was to test which of the two insoles, the heel wedge or the heel cup, provided (...) best pain relief during sport activity in boys with Sever's injury (n=51). There was a crossover design in the first randomized part of the study. In the second part, the boys, 9-14 years, chose which insole they preferred. There was a reduction in odds score for pain to a fifth (a reduction of 80%) for the cup compared with the wedge (P<0.001). When an active choice was made, the heel cup was preferred by >75% of the boys. All boys maintained their high level of physical activity throughout. At 1

2011 Scandinavian journal of medicine & science in sports Controlled trial quality: uncertain

39. Pediatric Sports Injuries: An Age Comparison of Children Versus Adolescents. (PubMed)

(37.9% vs. 26.1%, respectively). Injury diagnosis differed between the 2 age groups. The 13- to 17-year age group sustained more anterior cruciate ligament injuries, meniscal tears, and spondylolysis, while younger children were diagnosed with fractures, including physeal fractures, apophysitis, and osteochondritis dissecans. The 5- to 12-year-old patients treated for spine injuries were disproportionately female (75.8%); most of these injuries were overuse (78.8%) and bony (60.6%); over one third (...) Pediatric Sports Injuries: An Age Comparison of Children Versus Adolescents. Significant knowledge deficits exist regarding sports injuries in the young child. Children continue to engage in physically demanding, organized sports to a greater extent despite the lack of physical readiness, predisposing themselves to injury.To evaluate sports injuries sustained in very young children (5-12 years) versus their older counterparts (13-17 years) with regard to the type and location of injuries

2013 American Journal of Sports Medicine

40. Overview of musculoskeletal pain

the injury. Pain from these disorders can persist and cause work disabilities if left unchecked, and without secondary prevention strategies in place. Overuse syndrome of the paediatric population, which results in traction apophysitis of the tibial tubercle. Typically occurs during an adolescent growth spurt in young athletes who participate in sports that involve repeated knee flexion and forced extension. Males are affected more often than females. Diagnosis is clinical; patients typically present (...) ), the term 'ankle fracture' generally refers to the medial, lateral, or posterior malleolus. An inflammatory arthritis predominantly affecting the sacroiliac joints and axial spine. Inflammatory back pain is the hallmark clinical feature. This is defined as back pain/stiffness, which is worse in the morning and improves with exercise. Injury typified by sudden, painful, audible 'pop' noise. Patient typically presents with inability to return to activity, joint instability, and rapid development

2018 BMJ Best Practice

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