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Sports Hernia

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161. Diagnosis and Treatment of Cervical Radiculopathy from Degenerative Disorders

. The role of the dorsal root ganglion in cervical radicular pain: diagnosis, pathophysiology, and rationale for treatment. Reg Anesth Pain Med. Mar-Apr 2006;31(2):152-167. 28. Wainner RS, Gill H. Diagnosis and nonoperative manage- ment of cervical radiculopathy. J Orthop Sports Phys Ther. Dec 2000;30(12):728-744. 29. Yoo K, Origitano TC. Familial cervical spondylosis. Case report. J Neurosurg. Jul 1998;89(1):139-141. 30. Yoshida M, Tamaki T, Kawakami M, Hayashi N, Ando M. NASS Clinical Guidelines (...) the level of nerve root involvement. Pain in the suprascapular region suggests C5 or C6 radiculopathy, pain in the inter- scapular region suggests C7 or C8 radiculopathy, and pain in the scapular region suggests C8 radicu- lopathy. Yoss et al 55 conducted a retrospective observational study of 100 patients to correlate clinical findings with surgical findings when a single cervical nerve root (C5, C6, C7, C8) is compressed by a disc hernia- tion. Symptoms included pain in the neck, shoulder, NASS

2010 North American Spine Society

163. Epidemiological profile of patients diagnosed with athletic pubalgia (PubMed)

, with mean age of 33 years. As for sports, 25 (58.1%) athletes were soccer players and 13 (30.2%) were runners; 37.2% were professional athletes. Inguinal hernia was diagnosed in 20.9% of patients, showing the importance of its routine search in these patients. Treatment duration ranged from 1 to 12 months and 95.2% of the patients returned to sport.This study presented the epidemiological characteristics of patients diagnosed with athletic pubalgia attended to in a reference medical center (...) Epidemiological profile of patients diagnosed with athletic pubalgia To evaluate the clinical and epidemiological characteristics of pubalgia in patients from a Sports Medicine Center.Data analysis from medical records of patients with athletic pubalgia attended to from January 2007 to January 2015. The diagnosis was made by an experienced hip surgeon, complemented with pelvic X-ray, abdominal wall ultrasound, and magnetic resonance imaging of the pelvis.Among 43 patients, 42 were men

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2016 Revista brasileira de ortopedia

164. Planetary Habitat Simulation: Bone Metabolism Studies

homeostasis. Fourteen non-obese men, who are otherwise healthy, will be recruited following medical and psychological screening. They will be invited to attend the Olympic Sport Centre, Planica, Slovenia on 3 occasions, with each visit being 31 days in duration and separated by 5 months. Each 31-day visit ('campaign') includes a baseline recording period (5 days), 21 days of intervention, and a recovery period (5 days), with a follow-up visit being carried out 14 days after each intervention. The 3 (...) , allergies, hypertension, hypocalcemia, uric acidaemia, lipidaemia, or hyperhomocysteinaemia Gastro-esophageal reflux disease or renal function disorder, Hiatus hernia History of medical illness Smoker within six months prior to the start of the study Abuse of drugs, medicine or alcohol Participation in another study up to two months before study onset No signed consent form before the onset of the experiment Blood donors in the past three months before the onset of the experiment Vegetarian and Vegans

2015 Clinical Trials

165. The NFL Orthopaedic Surgery Outcomes Database (NO-SOD): The Effect of Common Orthopaedic Procedures on Football Careers. (PubMed)

athletes and to compare respective prognoses and effects on careers.Case series; Level of evidence, 4.Athletes in the NFL undergoing procedures for anterior cruciate ligament (ACL) tears, Achilles tendon tears, patellar tendon tears, cervical disc herniation, lumbar disc herniation, sports hernia, knee articular cartilage repair (microfracture technique), forearm fractures, tibial shaft fractures, and ankle fractures were identified through team injury reports or other public records. Game (...) and performance statistics during the regular season were collected before and after surgery. Statistical analysis was performed with significance accepted as P < .05.A total of 559 NFL athletes were included. Overall, 79.4% of NFL athletes returned to play after an orthopaedic procedure. Forearm open reduction and internal fixation (ORIF), sports hernia repair, and tibia intramedullary nailing (IMN) led to significantly higher return-to-play (RTP) rates (90.2%-96.3%), while patellar tendon repair led

2016 American Journal of Sports Medicine

166. Patient Modesty: Volume 73

there are those militant providers that insist on them. Here is an example: . Then we come to find after an evidence based review, these things provide no benefit and are a matter of ritual (women's pelvic exam and sports hernia check). Give the patient the option of skipping these. Explicitly ask, right one is about to preform a GE if the patient wants to skip it. The problem is that they know they can skip them, the first clue is that other providers skip them. The next issue is dealing with the past (...) in a sports league. Over drinks they would discuss pts openly with names - "Mrs. Johnson and her" A few of us that overheard switched from this large (6 physician) practice to smaller ones. How do you complain about this and get results? Interesting study: http://rutgerssocialcognitionlab.weebly.com/uploads/1/3/9/7/13979590/moss-racusin_phelan__rudman_2010.pdf "In sum, our findings demonstrate that men encounter prejudice when they behave atypically, and raise the possibility that men may avoid behaving

2015 Bioethics Discussion Blog

167. Patient Modesty: Volume 70

calls for an anogenital examination for a (wellness) physical when a patient is requesting a "modesty wellness physical." The SOP for a modesty wellness physical" can include alternatives such as PSA testing or ultrasound to assess prostate health, urine and blood tests for genital health, self reporting for hernia, etc. I think that the ACA will help with some of these issues. Another issue is requiring pelvic exams for oral contraceptives. Under the ACA's anti-fraud provisions, this can

2015 Bioethics Discussion Blog

168. Patient Modesty: Volume 71

versed in the laws surrounding informed consent. The problem is that the law is routinely ignored, see . Informed consent includes offering a patient EVERY option whether reasonable or not, even if not covered by insurance. Dr. Sherman has also written about . One has to wonder IF anyone who ever objected to the hernia check (whether it be sports or employment) was offered radiology or was the issue just coerced with threats of denial of validating the form? My point is that providers can justify (...) is not acting in his own best interests. However, many other societies prioritize beneficence over autonomy." Continued... At , said... Part 2: Even justice conflicts with autonomy. A patient is never offered an MRI (or other radiology) when they object to a "hernia exam." Every physician would argue that the test is too expensive, too overly used which in turns lessens availability and raises healthcare costs (justice) and exposes the patient to needless radiation (beneficence/non-maleficence

2015 Bioethics Discussion Blog

170. TEP Versus Open Minimal Suture Repair for the Sportsman's Groin

for the treatment of Sportsman´s hernia/athletic pubalgia. The primary endpoint is patient being free from intractable groin pain during sports activity or daily work four weeks after surgery. Condition or disease Intervention/treatment Phase Hernia Procedure: Total ExtraPeritoneal Procedure: Open minimal suture repair Not Applicable Detailed Description: The prevalence of chronic groin pain in athletes and physically active adults is between 5 and 10 % (1-3). The groin area is vulnerable in contact sports (...) mesh placed in the preperitoneal space behind the pubic symphysis and posterior inguinal canal (11). The aim of this randomized study is to compare the effectiveness of OMR technique in local or spinal anesthesia to TEP technique in general anesthesia for treatment of Sportsman´s hernia/athletic pubalgia with the primary endpoint; patients being totally free from groin pain during sports activity four weeks after surgery. Study Design Go to Layout table for study information Study Type

2014 Clinical Trials

171. Reinforcement of the Abdominal Wall After Breast Reconstruction With the Pedicled TRAM-flap

site morbidity [ Time Frame: 24 months ] Bulge Definition: visible abdominal contour abnormality, without the presence of a fascial defect, with or without the need for surgical correction. Assessed after 3-4, 12 and 24 months by clinical examination and after 12 and 24 months by CT scanning including the Valsalva maneuver Hernia Definition: abdominal wall bulge with the presence of a palpable fascial defect and/or a fascial defect found during an additional correcting surgical procedure or by CT (...) scanning. Assessed after 3-4, 12 and 24 months by clinical examination and after 12 and 24 months by CT scanning including the Valsalva maneuver Abdominal donor site correction procedure (within 24 months) Pain/ discomfort Assessed after 3-4, 12 and 24 months by DoloTest® Study specific questionnaire regarding postoperative assessment of abdominal pain/ discomfort including effect on daily life activities and ability to perform sport Aesthetics at the abdominal wall [ Time Frame: 24 months ] Study

2014 Clinical Trials

172. Groin defects seen at extra-peritoneal laparoscopic dissection during surgical treatment of athletic pubalgia. (PubMed)

. In addition to these defects, five patients (12.5%) had additional unilateral femoral hernias, whereas no patient had solitary femoral hernia defects.AP is a new diagnostic entity with poorly understood etiology. It mostly affects young active adults, often involved in competitive sports and surgical methods may be most effective at achieving the cure. In our experience all of the patients presented with groin defects, though not all were the same. It is our belief that these defects, although likely (...) Groin defects seen at extra-peritoneal laparoscopic dissection during surgical treatment of athletic pubalgia. Recently new disease process, often referred to as athletic pubalgia (AP), has been acknowledged by the medical community. The patients suffering from this ailment present with unilateral or bilateral chronic groin pain associated with physical activity without a clear diagnosis of a groin hernia. Though physical therapy and medical treatments are considered first line remedies, some

2014 Surgical endoscopy

174. Patient Modesty: Volume 65

, M.D. @ 181 Comments: At , said... From PT writing to Volume 64 at the time of closure. ..Maurice. Paul You forgot to mention mass school physicals and sports physicals that males have endured not to mention unnecessary female observers during military induction physicals. This is all before males actually enter the health care system with real medical problems. PT At , Anonymous said... It is sad about how male patient modesty is often disregarded. It seems like the medical industry respects

2014 Bioethics Discussion Blog

176. Gastrointestinal Complications

. In contrast to constipation or impaction, an intestinal obstruction is a partial or complete occlusion of the bowel lumen by a process other than fecal impaction. Intestinal obstructions can be classified by the following three means: The type of obstruction. The obstructing mechanism. The part of the bowel involved. Structural disorders, such as intraluminal and extraluminal bowel lesions caused by primary or metastatic tumor, postoperative adhesions, volvulus of the bowel, or incarcerated hernia, affect (...) . Anorexia. Immobility. Antidepressants. Inability to increase intra-abdominal pressure Emphysema. Any neuromuscular impairment of the diaphragm or abdominal muscles. Massive abdominal hernias. Atony of muscles Malnutrition. Cachexia, anemia, or carcinoma.* Senility. Environmental factors Inability to get to the bathroom without assistance. Unfamiliar or hurried environment. Excess heat leading to dehydration. Change in bathroom habits (e.g., use of a bedpan). Lack of privacy. Narrowing of colon lumen

2012 PDQ - NCI's Comprehensive Cancer Database

178. Osteitis Pubis (Overview)

, a blood culture Imaging studies that may be helpful include the following: Plain radiography Bone scanning (technetium-99m) Single-photon emission computed tomography (SPECT) Magnetic resonance imaging (MRI) Computed tomography (CT) Other studies that may be considered are as follows: Aspiration of the pubic symphysis for culture, when the patient is febrile but blood cultures are negative Herniography, when a sports hernia is a strong consideration Treatment Rest and time are the primary healing (...) Musculoskelet Rehabil . 2012 Jan 1. 25(4):225-30. . Garvey JF, Read JW, Turner A. Sportsman hernia: what can we do?. Hernia . 2010 Feb. 14(1):17-25. . Lloyd-Smith R, Clement DB, McKenzie DC, Taunton JE. A survey of overuse and traumatic hip and pelvic injuries in athletics. Phys Sportsmed . 1985. 18(10):131-41. Westlin N. Groin pain in athletes from southern Sweden. Sports Med Arthroscopy Rev . 1997. 5:280-4. Holt MA, Keene JS, Graf BK, Helwig DC. Treatment of osteitis pubis in athletes. Results

2014 eMedicine.com

179. Osteitis Pubis (Overview)

, a blood culture Imaging studies that may be helpful include the following: Plain radiography Bone scanning (technetium-99m) Single-photon emission computed tomography (SPECT) Magnetic resonance imaging (MRI) Computed tomography (CT) Other studies that may be considered are as follows: Aspiration of the pubic symphysis for culture, when the patient is febrile but blood cultures are negative Herniography, when a sports hernia is a strong consideration Treatment Rest and time are the primary healing (...) Musculoskelet Rehabil . 2012 Jan 1. 25(4):225-30. . Garvey JF, Read JW, Turner A. Sportsman hernia: what can we do?. Hernia . 2010 Feb. 14(1):17-25. . Lloyd-Smith R, Clement DB, McKenzie DC, Taunton JE. A survey of overuse and traumatic hip and pelvic injuries in athletics. Phys Sportsmed . 1985. 18(10):131-41. Westlin N. Groin pain in athletes from southern Sweden. Sports Med Arthroscopy Rev . 1997. 5:280-4. Holt MA, Keene JS, Graf BK, Helwig DC. Treatment of osteitis pubis in athletes. Results

2014 eMedicine.com

180. Neutrophilia (Overview)

can occur. Neutrophilia in severe burns is accompanied by a shift to the left in the differential and the presence of degenerative forms, including toxic granulation and Dohle bodies. Postoperatively, neutrophilia occurs for 12-36 hours as a result of tissue injury–related increases in adrenocortical hormones. Leukocytosis can also occur in intestinal obstruction and strangulated hernia. Neutrophil activation during cardiopulmonary bypass (CPB) surgery may occur because of the release (...) -reactive protein and erythrocyte sedimentation rate could be helpful. In hematologic diseases, it is so important to take a peripheral blood smear to assess the abnormal shape of the cells. Bone marrow study is of great value to rule out some malignancies. Previous References Syu GD, Chen HI, Jen CJ. Differential Effects of Acute and Chronic Exercise on Human Neutrophil Functions. Med Sci Sports Exerc . 2011 Nov 29. . Gratacap RL, Rawls JF, Wheeler RT. Mucosal candidiasis elicits NF-?B activation

2014 eMedicine.com

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