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Sports Hernia

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181. CRACKCast E041 – Head Injury

peduncle compression (midbrain) by the tentorium cerebelli. It is a FALSE localizing sign: ie. the patient has a left SDH causing an uncal herniation to the right, producing decreased LOC and LEFT (rather than right) sided hemiparesis. This post was copyedited and uploaded by Riley Golby ( ). (Visited 4,541 times, 4 visits today) Chris Lipp is one of the founding Fathers for CrackCast. He currently divides his time as an EM Physician in Calgary (SHC/FMC) and in Sports Medicine. His interests (...) Post-seizure Post-intoxicating drugs Brain or brainstem compression due to swelling or a mass Bleed Hypotension 2) List four herniation syndromes. Uncal herniation Most common type: due to traumatic extra-axial hematomas in the lateral middle fossa or temporal lobe. Central transtentorial herniation Due to an expanding lesion at the vertex, frontal, or occipital brain Upward transtentorial herniation Expanding posterior fossa tumour Signs: Rapid decline of LOC, downward conjugate gaze, pinpoint

2016 CandiEM

182. Chronic Groin Pain in Athletes: Sportsman’s Hernia with Bilateral Femoral Hernia Full Text available with Trip Pro

Chronic Groin Pain in Athletes: Sportsman’s Hernia with Bilateral Femoral Hernia The differential diagnosis of chronic groin pain in athletes is a long list and its evaluation is a challenging task. Sports hernia, one of the common cause of these groin pains, had been managed both with open & endoscopic repairs in the past. We report a case of sports hernia in young footballer who presented with bilateral groin pain for 5 years. Endoscopic hernioplasty was done (by totally extra-peritoneal (...) technique) which identified bilateral occult femoral hernia and were repaired simultaneously. Post op outcome was good with excellent results.

2010 The Indian journal of surgery

184. Pediatric Pulmonary Hypertension: ATS/AHA Clinical Practice Guidelines

.) Key Words: AHA Scientific Statements ? bronchopulmonary dysplasia ? congenital diaphragmatic hernia ? congenital heart disease ? genetics ? persistent pulmonary hypertension of the newborn ? sickle cell disease © 2015 by the American Heart Association, Inc., and the American Thoracic Society. Circulation is available at http://circ.ahajournals.org DOI: 10.1161/CIR.0000000000000329 †Deceased. The American Heart Association and the American Thoracic Society make every effort to avoid any actual (...) parenchymal lung disease, particularly if associated with prolonged rupture of membranes and oligohydramnios (Class IIa; Level of Evidence B). Congenital Diaphragmatic Hernia 1. Minimizing peak inspiratory pressure and avoid- ing large tidal volumes is recommended to reduce ventilator-associated acute lung injury in infants with congenital diaphragmatic hernia (CDH) (Class I; Level of Evidence B). 2. High-frequency oscillatory ventilation is a reason- able alternative mode of ventilation for subjects

2015 American Thoracic Society

185. Low Back Pain

Neuroradiol. 2005;26(8):2057-2066. 13. Autio RA, Karppinen J, Niinimaki J, et al. Determinants of spontaneous resorption of intervertebral disc herniations. Spine (Phila Pa 1976). 2006;31(11):1247-1252. 14. Last AR, Hulbert K. Chronic low back pain: evaluation and management. Am Fam Physician. 2009;79(12):1067-1074. 15. Kobayashi A, Kobayashi T, Kato K, Higuchi H, Takagishi K. Diagnosis of radiographically occult lumbar spondylolysis in young athletes by magnetic resonance imaging. Am J Sports Med (...) . No red flags (red flags defined in Table 1). No prior management. The natural history of acute LBP, with or without radiculopathy, is considered a self-limiting condition in most patients. Additionally, imaging patients with acute LBP of <6 weeks’ duration and no red flag symptoms provides no clinical benefit [5]. Numerous studies have shown that routine imaging is not beneficial. The majority of disc herniations reabsorb or regress by 8 weeks after symptom onset [13]. Similarly, in patients

2015 American College of Radiology

186. Pediatric Pulmonary Hypertension Full Text available with Trip Pro

? bronchopulmonary dysplasia ? congenital diaphragmatic hernia ? congenital heart disease ? genetics ? persistent pulmonary hypertension of the newborn ? sickle cell disease © 2015 by the American Heart Association, Inc., and the American Thoracic Society. Circulation is available at http://circ.ahajournals.org DOI: 10.1161/CIR.0000000000000329 †Deceased. The American Heart Association and the American Thoracic Society make every effort to avoid any actual or potential conflicts of interest that may arise (...) IIb; Level of Evidence B). 8. iNO can be beneficial for preterm infants with severe hypoxemia that is due primarily to PPHN physiology rather than parenchymal lung disease, particularly if associated with prolonged rupture of membranes and oligohydramnios (Class IIa; Level of Evidence B). Congenital Diaphragmatic Hernia 1. Minimizing peak inspiratory pressure and avoid- ing large tidal volumes is recommended to reduce ventilator-associated acute lung injury in infants with congenital diaphragmatic

2015 American Heart Association

188. Evidence Map of Tai Chi

of Systematic Reviews (which keeps a record of all ongoing and completed Cochrane reviews); the Campbell Collaboration database; AMED (the Allied and Complementary Medicine database); CINAHL (which indexes nursing and allied health literature); PsycInfo (which is directed at psychological research), Scopus and the Web of Science (to capture sports literature), and the review registry PROSPERO without publication date restriction, to identify English-language systematic reviews focusing on Tai Chi published

2014 Veterans Affairs Evidence-based Synthesis Program Reports

190. Value-based commissioning of MSK procedures

treatment for lumbar disc herniation over two years: evidence from the Spine Patient Outcomes Research Trial (SPORT) Spine 2008; 33(19): 2108-2115 http://www.crd.york.ac.uk/CRDWeb/Show- Record.asp?AccessionNumber=22009100311 7. NICE Interventional procedures guidance [IPG300] Percutaneous endoscopic laser lumbar discectomy. NICE May 2009. http:// www.nice.org.uk/guidance/IPG300 8. NICE Interventional procedures guidance [IPG141] Automated percutaneous me- chanical lumbar discectomy. NICE Novem- ber 2005 (...) /14651858.CD008265.pub2/full 4. Page MJ, Massy-Westropp N, O’Connor D, Pitt V. Splinting for carpal tunnel syn- drome. Cochrane Database of System- atic Reviews 2012, Issue 7. Art. No.: CD010003. DOI: 10.1002/14651858. CD010003. http://onlinelibrary.wiley.com/ doi/10.1002/14651858.CD010003/full 12 Proposed policy: Discectomy surgery is only commissioned in adult patients who meet the following criteria: • The patient has had magnetic resonance imaging, showing disc herniation (protru- sion, extrusion

2014 Evidence briefings

191. Editorial Commentary: I Have a Hip Labral Tear? Well, That Makes Sense Because I Had a Labral Tear in My Shoulder Too. Full Text available with Trip Pro

both upstream and downstream on the kinetic chain (lumbosacral spine, periarticular hip musculature [athletic pubalgia, core muscle injury, sports hernia], knee [anterior cruciate ligament], and shoulder and elbow). Thus, it is tempting to believe that the hip issue may cause the shoulder issue or that an innate genetic (or acquired) abnormality may predispose both joints to labral injury. However, the wise clinician will not be lured into this trap-correlation does not equal causation

2019 Arthroscopy

194. Chronic Effect of Individualized Core Stability Programs in Recreational Athletes.

Criteria Inclusion Criteria: - Healthy recreative male athletes between 18 and 35 years old Exclusion Criteria: Inguinal hernia or urinary incontinence Pathologies that contraindicate physical exercise practice Low back pain in the last six months prior to testing Pathologies related with Central Nervous System that affect balance Professional athletes of sports modalities with high core stability demands Contacts and Locations Go to Information from the National Library of Medicine To learn more about (...) . The quantification of the load intensity is fundamental to analyze the dose-response relationships between training and CS adaptations. Therefore, the main aim of this study is to evaluate the effectiveness of two individualized CS training programs using smartphone accelerometers placed on the pelvis to quantify the intensity of several of the most common CS exercises employed in fitness, sports and rehabilitation. The expected effect is that the experimental groups will improve CS significantly. Condition

2018 Clinical Trials

195. Current practice patterns for postoperative activity restrictions in children. (Abstract)

appendectomy, and inguinal hernia repair. Information on type and duration of clinical practice was also collected for each surgeon. Descriptive and bivariate analyses were performed.The survey was completed by 293 pediatric surgeons for a response rate of 28.9%. There was wide national variability in the recommended activity restrictions for children <12 years old among pediatric surgeons. Following laparoscopic appendectomy, 30.7%, 51.9% and 47.8% of surgeons recommends restriction of gym, contact sports (...) , and heavy lifting for 2-3 weeks respectively, but 26.7%, 19.8%, and 22.2% do not recommend any restriction whatsoever of these three activities. Following inguinal hernia repair, 31.7%, 49.1% and 44.4% of surgeons recommend restriction of gym, contact sports, and heavy lifting for 2-3 weeks, but 30.8%, 30.8%, and 29.2% do not recommend any restriction of these three activities. Only 22% of surgeons change their activity restriction recommendations for children ≥12 years old, this decision

2018 Journal of Pediatric Surgery

196. The Vienna Statement; an Update on the Surgical Treatment of Sportsman's Groin in 2017 Full Text available with Trip Pro

6 0 2018 7 24 6 0 2018 7 24 6 1 epublish 30035112 10.3389/fsurg.2018.00045 PMC6043792 Clin J Sport Med. 2018 Jul;28(4):364-369 28654441 Surgery. 2011 Jul;150(1):99-107 21549403 Hernia. 2010 Feb;14(1):27-33 20063110 Lancet. 1999 Feb 6;353(9151):439-43 9989713 Br J Sports Med. 2014 Jul;48(14):1079-87 24149096 Man Ther. 2011 Apr;16(2):148-54 20952244 Scand J Med Sci Sports. 1999 Apr;9(2):98-103 10220844 Br J Sports Med. 2009 Aug;43(8):579-83 19158131 Br J Sports Med. 2008 Dec;42(12):954-64 18603584 (...) J Am Acad Orthop Surg. 2007 Aug;15(8):507-14 17664370 Med Sci Monit. 2004 Feb;10(2):CR52-4 14737043 Br J Sports Med. 2015 Jun;49(12):814-8 26031647 J Hip Preserv Surg. 2016 Feb 24;3(1):16-22 27026822 Hernia. 2014;18(6):803-10 24249070 Eur Radiol. 2017 Apr;27(4):1486-1495 27380903 Br J Sports Med. 2015 Jun;49(12):768-74 26031643 Am J Sports Med. 2004 Jul-Aug;32(5):1238-42 15262648 Am J Sports Med. 2013 Mar;41(3):603-7 23408590

2018 Frontiers in surgery

197. Athletic Pubalgia Secondary to Rectus Abdominis–Adductor Longus Aponeurotic Plate Injury: Diagnosis, Management, and Operative Treatment of 100 Competitive Athletes Full Text available with Trip Pro

Athletic Pubalgia Secondary to Rectus Abdominis–Adductor Longus Aponeurotic Plate Injury: Diagnosis, Management, and Operative Treatment of 100 Competitive Athletes A rectus abdominis-adductor longus (RA-AL) aponeurotic plate injury, commonly associated with athletic pubalgia, sports hernia, or a core muscle injury, causes significant dysfunction in athletes. Increased recognition of this specific injury distinct from inguinal hernia abnormalities has led to better management (...) function as 92% of normal. Factors associated with negative outcomes were multiple procedures, prior inguinal hernia repair, and female sex. Negative outcomes were demonstrated by decreased HOS scores and decreased sports function. The overall complication rate was 7%.RA-AL aponeurotic plate repair by the method of an adductor-to-rectus abdominis turn-up flap is a safe procedure with high return-to-play success. Patients who had previously undergone inguinal hernia repair or other hip/pelvic-related

2018 Orthopaedic journal of sports medicine

198. Minimally invasive spine surgery in the pediatric and adolescent population: A case series Full Text available with Trip Pro

underwent 17 surgeries. The median BMI was 29.2 (range, 20.8-41.5). Age ranged from 12 to 19 years. Nearly 20% of the patients in our series were smokers. Most patients underwent discectomy, with L5-S1 being the most common level. One patient underwent direct pars defect repair and another underwent recurrent discectomy. More than 90% of the patients were complication-free at follow-up period of 6 months. One patient had a recurrent disc herniation and another had a superficial wound infection. Overall (...) , 82.4% patients enjoyed full return to sports such as weight lifting, gymnastics, and contact sports. One patient required pain management to help alleviate ongoing pain. Another patient required a course of outpatient rehabilitation to help with a "foot drop."Our series illustrates the effective application of MIS techniques among carefully selected pediatric patients. Emphasis is on using a smaller (16 mm) tubular retractor and causing minimal disruption of paraspinal osseo-tendinous structures

2018 Surgical neurology international

199. Training Therapy for the Prevention of Back Pain

in up to 3 body parts (in total) or less. Group I starts with a machine assisted training, group II starts after a period of observation half a year later. Study Interventions 40 training sessions (2x / week) with DAVID training machines, which aim to improve the strength, endurance and performance of the core trunk musculature. The training will be initiated after a sufficiently long period of adjustment to the guidelines of the American College of Sports Medicine. The training plan is created (...) of the following) in order to rule out generalized musculoskeletal disorders, subjects should report discomfort or pain in no more than 3 different body parts arterial hypertension and cardiovascular events such as myocardial infarction within the last year and / or cardiomyopathy NYHA III and IV. symptomatic, lumbar disc herniation with associated neurological deficits specific spinal diseases as potential underlying reason for a back pain syndrome including rheumatoid arthritis, ankylosing spondylitis

2018 Clinical Trials

200. Case report: Osteitis/osteomyelitis pubis simulating acute appendicitis Full Text available with Trip Pro

Case report: Osteitis/osteomyelitis pubis simulating acute appendicitis There is a continuum between Athletic (Sports) Hernia, Osteitis Pubis, and Osteomyelitis Pubis. The pubis is the site of attachment of many "core" muscles. A lay term used to describe a hernia is "rupture". Athletic hernia denotes a tear. Chronic musculotendinous strain may cause inflammation (osteitis pubis). An inflammatory focus may become a nidus for infection (osteomyelitis pubis). The symptoms caused by these three

2018 International journal of surgery case reports

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