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Clinical Sports Medicine

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ISBN-10: 0074706519

ISBN-13: 9780074706510

Edition: 2nd 2001

Authors: Peter Brukner, Karim Khan

List price: $89.95
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Description:

Fully revised and updated, this book presents a symptom-oriented, multi-disciplinary approach to the problems that the sports medicine clinician will encounter in clinical practice.
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Book details

List price: $89.95
Edition: 2nd
Copyright year: 2001
Publisher: McGraw-Hill Professional Publishing
Binding: Hardcover
Pages: 820
Size: 7.00" wide x 9.50" long x 1.50" tall
Weight: 4.048
Language: English

Foreword to the first editionp. v
Prefacep. xxiii
Acknowledgmentsp. xxv
The authorsp. xxvi
The contributorsp. xxviii
Fundamental principlesp. 1
Sports medicine: the team approachp. 3
The sports medicine teamp. 3
The challenges of managementp. 5
The coach, the athlete and the clinicianp. 7
Love thy sportp. 7
Sports injuriesp. 9
Acute injuriesp. 9
Overuse injuriesp. 17
But it's not that simple...p. 27
Pain: where is it coming from?p. 30
Pain-producing structuresp. 30
Referred painp. 33
Conclusionp. 35
Beware: conditions masquerading as sports injuriesp. 36
How to recognize a condition masquerading as a sports injuryp. 36
Conditions masquerading as sports injuriesp. 36
Biomechanics of common sporting injuriesp. 43
Correct biomechanicsp. 43
Lower limb biomechanicsp. 45
Biomechanics of walkingp. 48
Biomechanics of runningp. 51
Abnormal lower limb biomechanicsp. 53
Common structural abnormalitiesp. 55
Assessment of lower limb biomechanicsp. 59
Correction of biomechanicsp. 59
Upper limb biomechanicsp. 66
Biomechanics of swimmingp. 73
Biomechanics of tennisp. 73
Biomechanics of other overhead sportsp. 74
Biomechanics of cyclingp. 75
Principles of injury preventionp. 84
Warm-upp. 84
Stretchingp. 85
Taping and bracingp. 86
Protective equipmentp. 91
Suitable equipmentp. 91
Appropriate surfacesp. 95
Appropriate trainingp. 96
Adequate recoveryp. 102
Psychology and injury preventionp. 105
Nutrition and injury preventionp. 106
Principles of diagnosisp. 109
Making a diagnosisp. 109
Historyp. 110
Examinationp. 112
Investigationsp. 120
Radiological investigationp. 122
The diagnosisp. 126
Principles of treatmentp. 127
Initial treatmentp. 127
To mobilize or immobilize?p. 128
Therapeutic drugsp. 129
Heat and coldp. 134
Electrotherapeutic modalitiesp. 139
Manual therapyp. 143
Acupuncturep. 154
Dry needlingp. 155
Hyperbaric oxygenp. 155
Extracorporeal shock wave therapyp. 155
Surgeryp. 155
Principles of rehabilitationp. 160
The rehabilitation programp. 160
Muscle conditioningp. 161
Flexibilityp. 171
Proprioceptionp. 174
Functional exercisesp. 175
Sport skillsp. 176
Correction of biomechanical abnormalitiesp. 178
Cardiovascular fitnessp. 178
Hydrotherapyp. 179
Progression of rehabilitationp. 179
Stages of rehabilitationp. 180
Monitoring the rehabilitation programp. 183
Psychology and rehabilitation of injuryp. 183
Conclusionp. 184
Regional problemsp. 187
Minor head injury in sportp. 189
Applied pathophysiologyp. 189
Grading of concussionp. 189
Complications of concussionp. 190
Management of the concussed athletep. 190
Post-concussion syndromep. 193
Recurrent episodes of concussionp. 193
Prevention of concussionp. 193
Headachep. 195
Clinical approach to the patient with headachep. 195
Vascular headachesp. 198
Cervical headachep. 200
Exercise-related causes of headachep. 202
Facial injuriesp. 203
Functional anatomyp. 203
Soft tissue injuriesp. 204
Nosep. 205
Earp. 206
Eyep. 207
Teethp. 211
Fractures of facial bonesp. 212
Prevention of facial injuriesp. 214
Neck painp. 215
Clinical perspectivep. 215
Treatment of the athlete with neck painp. 218
Neck pain syndromesp. 225
Shoulder painp. 229
Functional anatomyp. 229
Clinical perspectivep. 231
Impingementp. 240
Rotator cuff injuriesp. 244
Glenoid labrum injuriesp. 247
Dislocation of the glenohumeral jointp. 248
Shoulder instabilityp. 249
Fracture of the claviclep. 252
Acromioclavicular joint injuriesp. 253
Referred painp. 256
Less common causes of shoulder painp. 256
Guidelines for shoulder rehabilitationp. 261
Putting it all together: specific rehabilitation protocolsp. 269
Elbow and forearm painp. 274
Lateral elbow painp. 274
Medial elbow painp. 284
Posterior elbow painp. 286
Acute elbow injuriesp. 287
Forearm painp. 289
Wrist and hand painp. 292
Acute injuries to the wristp. 292
Wrist pain of gradual onsetp. 302
Hand and finger injuriesp. 306
Thoracic and chest painp. 321
Thoracic painp. 321
Chest painp. 324
Low back painp. 330
Clinical perspectivep. 330
Severe low back painp. 337
Mild to moderate low back painp. 340
Acute nerve root compressionp. 344
Stress fracture of the pars interarticularisp. 346
Spondylolisthesisp. 348
Lumbar hypermobilityp. 349
Sacroiliac inflammationp. 349
Rehabilitation following low back painp. 349
Conclusionp. 359
Buttock painp. 362
Clinical approachp. 362
Referred pain from the lumbar spinep. 364
Sacroiliac joint disordersp. 368
Hamstring origin tendinopathyp. 370
Ischiogluteal bursitisp. 371
Myofascial painp. 371
Less common causesp. 372
Conditions not to be missedp. 374
Hip and groin painp. 375
Clinical approachp. 375
Adductor muscle strainsp. 378
Osteitis pubisp. 380
Adductor tendinopathyp. 385
Obturator neuropathyp. 386
Trochanteric bursitisp. 386
Less common causesp. 387
Anterior thigh painp. 395
Clinical approachp. 395
Quadriceps contusionp. 398
Myositis ossificansp. 401
Quadriceps muscle strainp. 402
Differentiating between a mild quadriceps strain and a quadriceps contusionp. 403
Less common causesp. 405
Posterior thigh painp. 407
Clinical perspectivep. 407
Hamstring muscle strainsp. 411
Referred pain to posterior thighp. 422
Less common causesp. 423
Acute knee injuriesp. 426
Functional anatomyp. 426
Clinical perspectivep. 427
Meniscal injuriesp. 432
Medial collateral ligament injuryp. 438
Anterior cruciate ligament tearsp. 440
Posterior cruciate ligament tearp. 455
Lateral collateral ligament tearsp. 457
Articular cartilage damagep. 457
Acute patellar traumap. 457
Less common causesp. 459
Chronic instabilityp. 462
Anterior knee painp. 464
Clinical approachp. 464
Patellofemoral syndromep. 468
Patellofemoral instabilityp. 480
Fat pad irritation/impingementp. 480
Patellar tendinopathyp. 481
Partial tears: acute versus chronicp. 489
Less common causesp. 490
Lateral, medial and posterior knee painp. 494
Lateral knee painp. 494
Medial knee painp. 502
Posterior knee painp. 504
Shin painp. 508
Clinical perspectivep. 508
Stress fracture of the tibiap. 515
Inflammatory shin painp. 517
Compartment syndromesp. 519
Stress fracture of the fibulap. 521
Less common causesp. 522
Acute bony injuriesp. 522
Calf painp. 524
Clinical perspectivep. 524
Gastrocnemius muscle strainsp. 528
Soleus muscle strainsp. 530
Claudicant-type calf painp. 531
Conditions not to be missedp. 533
Pain in the Achilles regionp. 535
Clinical perspectivep. 535
Achilles tendinopathyp. 540
Early treatment and long-term rehabilitationp. 542
Achilles tendon rupture (complete)p. 548
Retrocalcaneal bursitisp. 549
Less common causesp. 550
Other causes of pain in the Achilles regionp. 550
Acute ankle injuriesp. 553
Functional anatomyp. 553
Clinical perspectivep. 554
Lateral ligament injuriesp. 558
Treatment and rehabilitation of lateral ligament injuriesp. 559
Less common causesp. 563
Persistent pain after ankle sprain--'the difficult ankle'p. 563
Ankle painp. 574
Medial ankle painp. 574
Lateral ankle painp. 578
Anterior ankle painp. 581
Foot painp. 584
Rear foot painp. 584
Midfoot painp. 587
Forefoot painp. 593
The patient with longstanding symptomsp. 602
What is the diagnosis?p. 602
Treatmentp. 604
Summaryp. 606
Enhancing sport performancep. 607
Maximizing performance: nutritionp. 609
Maximizing energy storesp. 609
Maintaining adequate hydrationp. 615
Achieving ideal body weight for performancep. 618
Bulking upp. 624
Ensuring sufficient intake of vitamins and mineralsp. 625
Optimizing the pre-competition mealp. 633
Supplementsp. 636
Conclusionp. 636
Maximizing performance: psychologyp. 639
Fundamental psychological skillsp. 639
Psychological techniques to aid relaxationp. 645
Psychological skills can aid physical preparation for sportp. 646
The roles of a sports psychologist in a teamp. 646
Special groups of participantsp. 649
The younger athletep. 651
Management of musculoskeletal conditionsp. 651
Children with chronic illnessp. 662
How much is too much?p. 664
Nutrition for the younger athletep. 668
The 'ugly parent' syndromep. 671
Coaches' rolep. 672
The female athletep. 674
Historical perspectivep. 674
Similarities and differences between the sexesp. 675
Effect of the menstrual cycle on performancep. 678
Menstrual irregularities associated with exercisep. 680
Complications of exercise-associated menstrual cycle irregularitiesp. 683
Treatment of exercise-associated menstrual cycle irregularitiesp. 684
Contraception for the athletep. 686
Exercise and pregnancyp. 687
Menopausep. 690
Menstrual hygienep. 693
Breastp. 693
Environmental factorsp. 694
Nutritionp. 694
Injuriesp. 695
The older athletep. 700
Tissue changes with agingp. 700
The benefits of exercise in the elderlyp. 701
Risks of exercise in the elderlyp. 702
Drugs and the older athletep. 702
The disabled athletep. 705
Classificationp. 705
Injuries in disabled athletesp. 706
Dopingp. 709
Management of medical problemsp. 711
Sporting emergenciesp. 713
Preparationp. 713
Treatment of the collapsed athletep. 716
Severe head injuryp. 718
The athlete with possible spinal injuryp. 719
Dental traumap. 720
Laryngeal and tracheal injuriesp. 720
Chest injuriesp. 720
Abdominal injuriesp. 722
Injuries to the extremitiesp. 724
Other causes of collapsep. 725
Cardiovascular symptoms during exercisep. 726
Cardiovascular changes with exercisep. 726
Palpitationp. 727
Syncopep. 729
Heart murmurp. 731
Chest painp. 731
Sudden deathp. 732
Hypertrophic cardiomyopathyp. 733
Marfan's syndromep. 734
Coronary artery diseasep. 734
Other significant cardiac conditions in sports medicinep. 734
Special cardiac investigationsp. 735
Prevention of sudden deathp. 737
Respiratory symptoms during exercisep. 740
Common respiratory symptomsp. 740
Asthmap. 743
Exercise-induced bronchospasmp. 744
Sinus-related symptomsp. 750
Other exercise-related conditionsp. 751
Gastrointestinal symptoms during exercisep. 753
Upper gastrointestinal symptomsp. 753
Gastrointestinal bleedingp. 754
Abdominal painp. 755
Diarrheap. 755
Exercise and gastrointestinal diseasesp. 756
Prevention of gastrointestinal symptoms that occur with exercisep. 757
Diabetes mellitusp. 759
Type 1 diabetesp. 759
Type 2 diabetesp. 759
Exercise and diabetesp. 760
Dietary managementp. 761
Complications of exercise in the diabetic athletep. 762
Conclusionp. 764
The athlete with epilepsyp. 766
Epidemiology and nomenclaturep. 766
Pathologyp. 766
Generalized tonic-clonic seizurep. 766
Diagnosis of epilepsyp. 767
Treatmentp. 767
Exercise prescriptionp. 767
Management of a seizurep. 768
Conclusionp. 768
Joint-related symptoms without acute injuryp. 770
The patient with a single swollen jointp. 770
The patient with low back pain and stiffnessp. 771
The patient presenting with multiple painful jointsp. 774
The patient with joint pain who 'hurts all over'p. 776
Ordering and interpreting rheumatological testsp. 777
Common sports-related infectionsp. 779
Hepatitis Ap. 779
Hepatitis Bp. 779
Hepatitis Cp. 780
Other forms of hepatitisp. 780
Human immunodeficiency virus (HIV)p. 780
Infectious mononucleosisp. 781
Skin infectionsp. 781
Viral respiratory infectionsp. 782
Travelers' diarrheap. 783
Are athletes at an increased risk of infection?p. 783
Infection and athletic performancep. 784
The tired athletep. 787
Historyp. 788
Examinationp. 789
Investigationsp. 789
Overtraining syndromep. 789
Viral illnessp. 793
Nutritional deficienciesp. 794
Chronic fatigue syndromep. 794
Other causes of tirednessp. 796
Conclusionp. 796
Exercise in the heatp. 798
Mechanisms of heat gain and lossp. 798
Clinical perspectivep. 799
Heatstroke--a temperature above 41[degree]Cp. 800
Exercise-associated collapsep. 801
Crampsp. 802
Fluid overload: hyponatremiap. 802
Other causes of exercise-related collapse in hot weatherp. 803
Heat acclimatizationp. 803
Guidelines for the prevention of heat illnessp. 804
Exercise in the coldp. 807
Generation of body heatp. 807
Heat lossp. 807
How the body perceives coldp. 808
Measurement of body temperaturep. 808
Effects of hypothermiap. 808
Clinical featuresp. 809
General principles of managing hypothermiap. 809
Methods to achieve rewarmingp. 810
Treatment of hypothermia in sportp. 811
Frostbitep. 813
Prevention of cold injuriesp. 813
Exercise prescription for healthp. 816
Pre-exercise evaluationp. 816
Components of exercise prescriptionp. 824
Exercise prescription for the older individualp. 824
Exercise prescription for the patient with hypertensionp. 828
Resistance training for the cardiac patientp. 829
Exercise prescription in patients with osteoarthritisp. 832
Exercise prescription in patients with osteoporosisp. 834
Exercise prescription in practice: a case studyp. 837
Practical sports medicinep. 841
Participation screeningp. 843
The aims of screeningp. 843
Benefits of screeningp. 843
The historyp. 844
The examinationp. 844
Additional testsp. 845
Medical care of the sporting teamp. 850
The off-field teamp. 850
Pre-season assessmentp. 851
Educate team membersp. 851
Other essentialsp. 851
Traveling with a teamp. 855
Preparationp. 855
Air travel and jet lagp. 860
The medical roomp. 861
Illnessp. 862
Traveler's diarrheap. 862
Upper respiratory tract infectionsp. 862
Injuryp. 862
Drug testingp. 862
Local contactsp. 863
Psychological skillsp. 863
Personal coping skillsp. 863
Medical coverage of endurance eventsp. 865
Race organizationp. 865
The medical teamp. 866
First-aid stationsp. 867
Medical facility at the race finishp. 867
Summaryp. 868
Drugs and the athletep. 872
Historical perspectivep. 872
Why athletes take drugsp. 873
Prohibited substancesp. 873
Stimulantsp. 874
Narcoticsp. 879
Anabolic agentsp. 880
Diureticsp. 885
Peptide hormones, mimetics and analogsp. 885
Prohibited methodsp. 888
Classes of drugs subject to certain restrictionsp. 889
Permitted drugsp. 891
Therapeutic use of a prohibited substancep. 891
Supplements and other ergogenic aids permitted in sportp. 891
Food supplementsp. 891
Drug testingp. 894
Ethical dilemmasp. 896
The battle against drugsp. 896
Ethics and sports medicinep. 900
Conflict of interestp. 902
Confidentialityp. 903
Performance-enhancing drugsp. 904
Infection and ethicsp. 905
Ethics in sportp. 905
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