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F-MARC Football Medicine Manual 2Nd Edition F-MARC Football Medicine Manual 2Nd Edition 2 Editors - Authors - Contributors | Football Medicine Manual
F-MARC Football Medicine Manual 2nd Edition F-MARC Football Medicine Manual 2nd Edition 2 Editors - Authors - Contributors | Football Medicine Manual Football Medicine Manual Editors DVORAK Jiri Prof. Dr F-MARC, Schulthess Clinic Zurich, Switzerland JUNGE Astrid Dr F-MARC, Schulthess Clinic Zurich, Switzerland GRIMM Katharina Dr FIFA Medical Offi ce Zurich, Switzerland Authors 2nd Edition 2009 ACKERMAN Kathryn E. Harvard Medical School Harvard, USA BABWAH Terence Dr Sports Medicine and Injury Rehabilitation Clinic Macoya, Trinidad BAHR Roald Prof. Dr Oslo Sports Trauma Research Center Oslo, Norway BANGSBO Jens Prof. Dr University of Copenhagen Copenhagen, Denmark BÄRTSCH Peter Prof. Dr University of Heidelberg Heidelberg, Germany BIZZINI Mario PT Schulthess Clinic Zurich, Switzerland CHOMIAK Jiri Dr Orthopaedic University Hospital Bulovka Prague, Czech Republic DVORAK Jiri Prof. Dr F-MARC, Schulthess Klinik Zurich, Switzerland EDWARDS Tony Dr Adidas Sports Medicine Auckland, New Zealand ENGEBRETSEN Lars Prof. Dr Oslo Sports Trauma Research Center Oslo, Norway FULLER Colin Prof. Dr University of Nottingham Nottingham, England GRIMM Katharina Dr FIFA Medical Offi ce Zurich, Switzerland JUNGE Astrid Dr F-MARC, Schulthess Clinic Zurich, Switzerland KHAN Karim Prof. Dr Editor in Chief British Journal of Sports Medicine Sydney, Australia Editors - Authors - Contributors | Football Medicine Manual 3 KOLBE John Prof. Dr University of Auckland Auckland, New Zealand LÜSCHER Thomas Prof. Dr University of Zurich Zurich, Switzerland MANDELBAUM Bert Dr Santa Monica Orthopaedic and Sports Medicine Group Santa Monica, USA MAUGHAN Ron Prof. Dr University of Loughborough Loughborough, Great Britain PETERSON Lars Prof. Dr Gothenburg Medical Center Gothenburg, Sweden REILLY Thomas Prof. Dr Liverpool John Moores University Liverpool, Great Britain SALTIN Bengt Prof. -
Topical Diagnosis in Neurology
V Preface In 2005 we publishedacomplete revision of Duus’ Although the book will be useful to advanced textbook of topical diagnosis in neurology,the first students, also physicians or neurobiologists inter- newedition since the death of its original author, estedinenriching their knowledge of neu- Professor PeterDuus, in 1994.Feedbackfromread- roanatomywith basic information in neurology,oR ers wasextremelypositive and the book wastrans- for revision of the basics of neuroanatomywill lated intonumerous languages, proving that the benefit even morefromit. conceptofthis book wasasuccessful one: combin- This book does notpretend to be atextbook of ing an integrated presentation of basic neu- clinical neurology.That would go beyond the scope roanatomywith the subject of neurological syn- of the book and also contradict the basic concept dromes, including modern imaging techniques. In described above.Firstand foremostwewant to de- this regard we thank our neuroradiology col- monstratehow,onthe basis of theoretical ana- leagues, and especiallyDr. Kueker,for providing us tomical knowledge and agood neurological exami- with images of very high quality. nation, it is possible to localize alesion in the In this fifthedition of “Duus,” we have preserved nervous system and come to adecision on further the remarkablyeffective didactic conceptofthe diagnostic steps. The cause of alesion is initially book,whichparticularly meets the needs of medi- irrelevant for the primarytopical diagnosis, and cal students. Modern medical curricula requirein- elucidation of the etiology takes place in asecond tegrative knowledge,and medical studentsshould stage. Our book contains acursoryoverviewofthe be taught howtoapplytheoretical knowledge in a major neurologicaldisorders, and it is notintended clinical settingand, on the other hand, to recognize to replace the systematic and comprehensive clinical symptoms by delving intotheir basic coverage offeredbystandardneurological text- knowledge of neuroanatomyand neurophysiology. -
Disorders of the Contractile Structures 54
Disorders of the contractile structures 54 CHAPTER CONTENTS and is felt as a sudden, painful ‘giving way’ at the front of the Extensor mechanism 713 thigh. Alternatively, the muscular lesion may result from a direct contusion during contact sports (judo or American foot- Quadriceps strains and contusions . 713 ball), known as ‘Charley Horse’. Adherent vastus intermedius . 714 Patients who suffer an acute quadriceps strain will usually Tendinous lesions about the patella . 714 know right away. They are typically involved in sports requiring Rupture of the quadriceps tendon . 718 kicking, jumping, or initiating a sudden change in direction while running. Frequently, a sharp pain is felt, associated with Lesions of the infrapatellar tendon . 718 a loss in function of the quadriceps. Sometimes pain will not Lesions of the insertion at the tibial tuberosity . 719 fully develop during the athlete’s activity while the thigh is Patellar fracture . 719 warm; consequently, the extent of the injury is underesti- Patellofemoral disorders 719 mated. Stiffness, disability and pain then set in some time Introduction . 719 afterwards, e.g. late at night, and the following morning the patient can walk only with a limp.1 Mechanical theory . 719 Clinical examination shows a normal hip and knee, although Neural theory . 720 passive knee flexion is painful or both painful and limited, Clinical examination . 720 depending on the size of the rupture. Resisted extension of the Clinical manifestations . 722 knee is painful and slightly weak. As a rule, the lesion is in the 2 Strained iliotibial band 724 rectus femoris, usually at mid-thigh level. The affected muscle belly is hard and tender over a large area. -
Porro NEWORK NEWS
International Polio Network SAINT LOUIS, MISSOURIUSA Winter 2003 .Vol. 19, No. 1 Porro NEWORKNEWS Straight Answers to Your "Cramped" Questions Holly H. Wise, P7; PhD, and Kerri A. Kolehma, MS, MD, Coastal Post-Polio Clinic, Charleston, South Carolina Tired in the morning? Is it diffi- Cramps can occur throughout origins anywhere in the central cult to get comfortable for a good the day but more often occur at and peripheral nervous systems night of sleep? A complaint often night or when a person is resting. and may explain the wide range reported at the Coastal Post-Polio Although it is not known exactly of conditions in which the Clinic in Charleston, South why cramps happen mostly at cramping occurs (Bentley, 1996). Carolina, is the inability to get these times, it is thought that to sleep at night due to leg pain, the resting muscle is not being Seeking Answers twitching, or cramping. stretched and is therefore more A thorough history and possibly easily excited. Muscle cramping is a relatively a referral for screening labs will common, painful, and bother- The basis for the theory that help determine the causes for some complaint among generally I cramps occur more at rest, due to I leg pain and cramping. Polio healthy adults, and is more com- I the muscle not being stretched, I survivors can provide a descrip- mon in women than men. Some I is that passive stretching can I tion of their muscle cramps, studies estimate as many as 50- 1 relieve muscle cramping. Pain I identification of the time and 70% of older adults may experi- I associated with cramping is likely I place when they occur, and an ence nocturnal leg and foot I caused by the demand of the I activity log of the 24-48 hours cramps (Abdulla, et. -
Muscle Spasms and Strains
MUSCULOSKELETAL HEALTH Muscle spasms may have many possible causes, including, Muscle spasms but not limited to: • Poor blood circulation and strains • Overexertion of the muscles while exercising • Insufficient stretching before exercise • Excessive exercise in the heat Lynn Lambert, BPharm • Muscle fatigue Amayeza Info Centre • Dehydration • A magnesium and/or potassium deficiency • A side-effect of medication. Introduction A muscle locked in spasm produces a sudden, tight and Muscles are the “powerhouse” of the human body as their main intense pain. The pain can range in intensity from slight to agonising. A muscle in spasm may feel hard to the touch, function is to produce motion. Skeletal muscle is responsible and/or appear visibly distorted. A twitch beneath the skin can for the movement of external areas of the body, for example, be seen in some cases. A spasm can last a few seconds to the limbs. Most people experience a muscular injury, such as a 15 minutes or longer, and may recur a few times before it goes spasm or a strain, at some time during their lives. Such injuries away. can occur during sport or exercise, but can also take place while sitting, walking, or even during sleep. Muscle spasms Treatment and prevention and strains are a common complaint with which patients Muscle spasms usually resolve with self-care measures present at a pharmacy. Therefore, the pharmacist’s assistant without the need to see a doctor. It is important that the patient is in an ideal position to provide practical advice, combined stops the activity which triggered the spasm. -
A Patient's Guide to Muscle Cramps Or Striated Muscles Are Those That We Move by Choice (For Example, the Muscles in Your Arms and Legs)
A Patient’s Guide to Muscle Cramps The Central Orthopedic Group 651 Old Country Road Plainview, NY 11803 Phone: 5166818822 Fax: 5166813332 [email protected] Compliments of: The Central Orthopedic Group DISCLAIMER: The information in this booklet is compiled from a variety of sources. It may not be complete or timely. It does not cover all diseases, physical conditions, ailmentsA orPatient's treatments. The Guide information to should Muscle NOT be usedCramps in place of a visit with your health care provider, nor should you disregard the advice of your health care provider because of any information you read in this booklet. The Central Orthopedic Group The Central Orthopedic Group 651 Old Country Road Plainview, NY 11803 Phone: 5166818822 Fax: 5166813332 [email protected] http://thecentralorthopedicgroup.com All materials within these pages are the sole property of Medical Multimedia Group, LLC and are used herein by permission. eOrthopod is a registered trademark of Medical Multimedia Group, LLC. 2 Compliments of: The Central Orthopedic Group A Patient's Guide to Muscle Cramps or striated muscles are those that we move by choice (for example, the muscles in your arms and legs). These muscles are attached to bones by tendons, a sinewy type of tissue. Involuntary muscles, or smooth muscles, are the ones that move on their own (for example, the muscles that control your diaphragm and help you breathe). The muscles in your heart are called involuntary cardiac muscles. Introduction You have over 600 muscles in your body. These muscles control everything you do, from breathing to putting food in your mouth to swallowing. -
Muscle Cramps Reliable and Validated Outcome Measures and New Treatments Are Needed
NEUROMUSCULAR DISORDERS Muscle Cramps Reliable and validated outcome measures and new treatments are needed. By Hans D. Katzberg, MD, MSc, FRCPC and Hamid Sadeghian, MD, FRCPC What Is a Muscle Cramp? limb syndromes) and peripheral processes, including tetany, A muscle cramp is a hyperexcit- myokymia, myotonia, neuromyotonia (focal muscle stiff- able neurologic phenomena of ness), or myalgia.6 excessive, involuntary muscle The origin and propagation of neurogenic muscle cramps contractions.1,2 It is important localizes to peripheral and central targets (Figure 1), including to distinguish between myogen- the neuromuscular junction, where mechanical disruption ic and neurogenic muscle cramps, because each has unique and electrolyte disturbances can influence hyperexcitability pathophysiology and management.3 The conventional defi- and cramp generation. Injury to peripheral nerve components nition of a muscle cramp is a painful contraction of a muscle including the motor neuron cell bodies or the motor axons or muscle group, relieved by contraction of antagonist can result in ephaptic transmission and development of mus- muscles.4 Colloquially, muscle cramps are known by a num- cle cramps. Dysfunctional intramuscular small fiber sensory ber of different terms depending on the country, including afferents (eg, mechanoreceptors and spindles) are also pro- charley horse in the US, chopper in England, and corky in posed to be involved in cramp generation.7-10 Centrally, persis- Australia.5 Care must be taken to avoid confusing muscle tent inward currents mediated by GABAergic transmitters at cramps with other phenomena including central hyperexcit- the spinal level can amplify incoming sensory input and lead ability (eg, dystonia, spasticity, seizures, and stiff person/stiff to the propagation and amplification of cramp potentials.11 Figure 1: Pathophysiology Underlying Neurogenic Muscle Cramps. -
Involuntary Calf Muscle Contractions
Involuntary Calf Muscle Contractions John-David often clips veritably when brickle Steve devitrified thermostatically and noddling her blennies. Gleety machine-gunnedDennis sometimes modishly. sneak-up any orb horrifies wondrously. Out-of-town Howie snaking his colatitudes The individual with a nightmare trying to turn can cause small doses in different from pointing downward flexed and involuntary muscle and serum electrolyte imbalances are vital fluids to Ranked among the top schools of pharmacy nationally, the college supports research, service and educational programs enhanced with online technologies. Pointing the foot straight forwards and keeping the heel on the ground, lean forward gradually. Are you able to please share? Episodic muscle spasms, cramps, and weakness. Middle stage ALS During the middle stages of ALS, muscle weakness and atrophy spreads to other parts of the body. Muscle spasms can affect anyone and occur in any area of the body, but they are usually not serious. Exertional heat illness and environmental conditions during a single football season in the Southeast. Whether you or someone you love has cancer, knowing what to expect can help you cope. Any muscle can cramp, but the muscles of the calf, back of the thigh, and front of the thigh are most often affected. When they fail, the large muscles in your back must take up the slack. Hold the muscle in the stretched position until the cramp is settled. Always consult a doctor if muscle cramps are severe or if they recur frequently. Struggling with aches and pains? Stretching is recommended before and after for cramps that are caused by vigorous physical activity. -
In the United States District Court for the Western District of Pennsylvania
Case 2:06-cv-01556-TFM-LPL Document 17 Filed 03/12/08 Page 1 of 23 IN THE UNITED STATES DISTRICT COURT FOR THE WESTERN DISTRICT OF PENNSYLVANIA MARSHELL SMOKER, ) ) Civil Action No. 06-1556 Plaintiff, ) ) Judge McVerry vs. ) ) Magistrate Judge Lenihan MICHAEL J. ASTRUE, ) Commissioner of ) Social Security,1 ) Re: Doc. Nos. 12 & 14 ) Defendant. ) REPORT AND RECOMMENDATION I. RECOMMENDATION It is respectfully recommended that Plaintiff’s Motion for Summary Judgment (Doc. No. 12) be granted, and Defendant’s Motion for Summary Judgment (Doc. No. 14) be denied, and that the decision of the Commissioner of Social Security denying an award of disability insurance benefits and supplemental security income be vacated and remanded for further proceedings consistent with this Report and Recommendation. II. REPORT A. Procedural History Marshell Smoker (“Plaintiff’) filed an application for disability insurance benefits 1On February 12, 2007, Michael J. Astrue became the Commissioner of Social Security. Therefore, pursuant to Fed.R.Civ.P. 25(d)(1), Michael J. Astrue is substituted for former Commissioner, Jo Anne B. Barnhart, as the Defendant in this case. Case 2:06-cv-01556-TFM-LPL Document 17 Filed 03/12/08 Page 2 of 23 (“DIB”) and supplemental security income (“SSI”) on April 13, 2004, claiming that she became disabled on September 1, 2001. (Tr. 79-81.) The state agency denied her application on June 7, 2004. (Tr. 44-47.) Plaintiff requested a hearing before an Administrative Law Judge (“ALJ”). (Tr. 48-49.) A hearing was held on October 11, 2005 in Latrobe, Pennsylvania before Administrative Law Judge, Patricia C. -
Treatment of Neuromuscular Disorders and Conditions with Different
(19) & (11) EP 1 374 886 B1 (12) EUROPEAN PATENT SPECIFICATION (45) Date of publication and mention (51) Int Cl.: of the grant of the patent: A61K 38/16 (2006.01) A61P 21/00 (2006.01) 02.09.2009 Bulletin 2009/36 (21) Application number: 03018639.9 (22) Date of filing: 07.06.1994 (54) Treatment of neuromuscular disorders and conditions with different botulinum serotype Behandlung von neuromuskularen Störungen und Zuständen mit verschiedenen botulinen Serotypen Traitement des troubles et des pathologies neuromusculaires avec différents sérotypes de botulinum (84) Designated Contracting States: (74) Representative: HOFFMANN EITLE DE ES FR GB IT Patent- und Rechtsanwälte Arabellastrasse 4 (30) Priority: 10.06.1993 US 75048 81925 München (DE) (43) Date of publication of application: (56) References cited: 02.01.2004 Bulletin 2004/01 EP-A- 1 099 445 WO-A-93/05800 WO-A-94/00481 (60) Divisional application: 04027108.2 / 1 508 336 • SCHANTZ ET AL.: "Properties and Use of 04027109.0 / 1 512 411 Botulinum Toxin and Other Microbial 08002883.0 / 1 941 898 Neurotoxins in Medicine" MICROBIOLOGICAL REVIEW, vol. 56, no. 1, March 1992 (1992-03), (62) Document number(s) of the earlier application(s) in pages 80-99, XP001010270 WASHINGTON accordance with Art. 76 EPC: • HAMBLETON P.: "Clostridium botulinums 00203295.1 / 1 099 445 toxins : a general review ..." JOURNAL OF 94920705.4 / 0 702 561 NEUROLOGY, vol. 239, no. 1, January 1992 (1992-01), pages 16-20, XP002009346 BERLIN (73) Proprietor: ALLERGAN, INC. • JANKOVIC J. ET AL.: "Therapeutic Uses of Irvine CA 92612 (US) Botulinum Toxin" THE NEW ENGLAND JOURNAL OF MEDICINE, vol. -
Lower Limb – Jessica Magid
Lower Limb – Jessica Magid Blue Boxes for Lower Limb Lower Limb Injuries (556) o Knee, leg, and foot injuries are the most common lower limb injuries o Injuries to the hip make up <3% of lower limb injuries o In general, most injuries result from acute trauma during contact sports such as hockey and football and from overuse during endurance sports such as marathon races . Adolescents are most vulnerable to these injuries bc of the demands of sports on their slowly maturing musculoskeletal systems The cartilaginous models of the bones in the developing lower limb are transformed into bone by endochondrial ossification Bc this process is not completed until early adulthood, cartilaginous epiphysial plates still exist during the teenage years when physical activity often peaks and involvement in competitive sports is most common During growth spurts, bones actually grow faster than the attached muscle o The combined stress on the epiphysial plates resulting from physical activity and rapid growth may result in irritation and injury of the plates and developing bone (osteochondrosis) Injuries of the Hip Bone (Pelvic Injuries) (563) o Fractures of the hip bone are commonly referred to as pelvic fractures . The term hip fracture is commonly applied (unfortunately) to fractures of the femoral head, neck, or trochanters o Avulsion fractures of the hip bone may occur during sports that require sudden acceleration or deceleration forces Such as sprinting or kicking in football, hurdle jumping, basketball, and martial arts . A small part of bone with a piece of tendon or ligament attached is “avulsed” torn away . These fractures occur at apophyses (bony projections that lack secondary ossification centers . -
New Concepts in the Management of Diabetic
Diseases of the Musculoskeletal System and Connective Tissue M51 – M99 (Part 1) Presented by David Freedman, DPM, CPC, CSFAC, CPMA Webinar 5a: Thursday, March 20, 2014 1 2 APMA Educational Information: ICD-10 Webinars • Register for upcoming webinars • View archived recordings • Download PDF versions of each presentation • apma.org/icd10ishere or apma.org/webinars Coding Resource Center • apmacodingrc.org Questions • Contact the Health Policy and Practice Department • [email protected] or 301-581-9200 3 ICD-10-CM Resources www.apma.org/icd10 4 APMA Coding Resource Center www.apmacodingrc.org • ICD-9 to ICD-10 crosswalks are now available. 5 APMA Coding Resource Center 6 APMA Coding Resource Center 7 ICD-10-CM Rules M51-M99 Chapter 13: Diseases of the Musculoskeletal System and Connective Tissue (M00-M99) Note: Use an external cause code following the code for the musculoskeletal condition, if applicable, to identify the cause of the musculoskeletal condition. 8 Excludes2: arthropathic psoriasis (L40.5-) certain conditions originating in the perinatal period (P04-96) certain infectious and parasitic diseases (A00-B99) compartment syndrome (traumatic) (T79.A-) complications of pregnancy, childbirth and the puerperium (000-09A) congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99) endocrine, nutritional and metabolic diseases (E00-E88) injury, poisoning and certain other consequences of external causes (S00-T88) neoplasms (C00-D49) symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94) 9 M50-M54 Other dorsopathies M60-M63 Disorders of muscles M65-M67 Disorders of synovium and tendon M70-M79 Other soft tissue disorders M8-M85 Disorders of bone density and structure 10 ICD-10 Review of some Rules “SYMBOLS and CONVENTIONS Reviewed” 1.The “Excludes 1” is when two conditions can not occur together.