Sports Medicine Consult: A Problem-Based Approach to Sports Medicine for the Primary Care Physician

Cover......Page 1
Half Title Page......Page 3
Title Page......Page 5
Copyright......Page 6
Dedication......Page 7
CONTRIBUTORS......Page 9
CONTENTS......Page 11
PREFACE......Page 13
INTRODUCTION......Page 15
INTRODUCTION......Page 17
HISTORY......Page 18
PHYSICAL EXAMINATION......Page 21
CLEARANCE......Page 22
REFERENCES......Page 24
FUNCTIONAL ANATOMY......Page 25
NARROWING THE DIFFERENTIAL DIAGNOSIS......Page 27
APPROACH TO THE ATHLETE WITH CONCUSSION......Page 29
APPROACH TO THE ATHLETE WITH EYE INJURIES......Page 31
APPROACH TO THE ATHLETE WITH NASAL INJURIES......Page 32
APPROACH TO THE ATHLETE WITH DENTAL INJURIES......Page 33
APPROACH TO THE ATHLETE WITH EAR TRAUMA......Page 34
REFERENCES......Page 35
EPIDEMIOLOGY......Page 36
NARROWING THE DIFFERENTIAL DIAGNOSIS......Page 38
APPROACH TO THE ATHLETE WITH HCM......Page 39
APPROACH TO THE ATHLETE WITH ARRHYTHMIA......Page 40
APPROACH TO THE ATHLETE WITH HYPERTENSION......Page 43
REFERENCES......Page 44
PATHOPHYSIOLOGY......Page 46
NARROWING THE DIFFERENTIAL DIAGNOSIS......Page 49
APPROACH TO THE ATHLETE WITH EXERCISE-INDUCED ASTHMA......Page 50
APPROACH TO THE ATHLETE WITH EXERCISE-ASSOCIATED BRONCHOSPASM......Page 51
APPROACH TO THE ATHLETE WITH ANEMIA......Page 52
APPROACH TO THE ATHLETE WITH IRON DEFICIENCY ANEMIA......Page 53
APPROACH TO THE ATHLETE WITH SICKLE CELL TRAIT/DISEASE......Page 54
REFERENCES......Page 56
PATHOPHYSIOLOGY......Page 57
APPROACH TO THE ATHLETE WITH FEMALE ATHLETE TRIAD......Page 58
REFERENCES......Page 60
NARROWING THE DIFFERENTIAL DIAGNOSIS......Page 61
APPROACH TO THE ATHLETE WITH TINEA CAPITIS......Page 62
APPROACH TO THE ATHLETE WITH TINEA CRURIS......Page 63
APPROACH TO THE ATHLETE WITH TINEA PEDIS......Page 64
APPROACH TO THE ATHLETE WITH DERMATOPHYTE FOLLICULITIS......Page 65
APPROACH TO THE ATHLETE WITH TINEA CORPORIS (GLADIATORUM)......Page 66
APPROACH TO THE ATHLETE WITH HERPES GLADIATORUM......Page 67
APPROACH TO THE ATHLETE WITH CELLULITIS/FURUNCULOSIS......Page 68
APPROACH TO THE ATHLETE WITH MOLLUSCUM CONTAGIOSUM......Page 69
REFERENCES......Page 70
NARROWING THE DIFFERENTIAL DIAGNOSIS......Page 72
APPROACH TO THE ATHLETE WITH UPPER RESPIRATORY INFECTIONS......Page 73
APPROACH TO THE ATHLETE WITH OTITIS EXTERNA......Page 74
APPROACH TO THE ATHLETE WITH LOWER RESPIRATORY TRACT INFECTIONS......Page 75
APPROACH TO THE ATHLETE WITH MONONUCLEOSIS......Page 76
APPROACH TO THE ATHLETE WITH GASTROENTERITIS......Page 78
REFERENCES......Page 79
PATHOPHYSIOLOGY......Page 80
NARROWING THE DIFFERENTIAL DIAGNOSIS......Page 81
APPROACH TO THE DIABETIC ATHLETE......Page 83
APPROACH TO THE DIABETIC ATHLETE WITH AUTONOMIC NEUROPATHY......Page 84
APPROACH TO THE ATHLETE WITH DIABETIC RETINOPATHY......Page 85
APPROACH TO THE ATHLETE WITH DIABETIC NEPHROPATHY......Page 86
REFERENCES......Page 87
FUNCTIONAL ANATOMY......Page 88
NARROWING THE DIFFERENTIAL DIAGNOSES......Page 90
APPROACH TO THE ATHLETE WITH CERVICAL DISC DISEASE......Page 91
APPROACH TO THE ATHLETE WITH CERVICAL FRACTURE......Page 93
APPROACH TO THE ATHLETE WITH SPEAR TACKLER’S SPINE......Page 94
APPROACH TO THE ATHLETE WITH SPINAL STENOSIS......Page 95
APPROACH TO THE ATHLETE WITH BURNERS/STINGERS (TRANSIENT BRACHIAL PLEXOPATHY)......Page 96
REFERENCES......Page 97
FUNCTIONAL ANATOMY......Page 98
EPIDEMIOLOGY......Page 99
NARROWING THE DIFFERENTIAL DIAGNOSIS......Page 100
APPROACH TO THE ATHLETE WITH INSTABILITY (DISLOCATION, SUBLUXATION, MULTIDIRECTIONAL INSTABILITY)......Page 102
REFERENCES......Page 104
FUNCTIONAL ANATOMY......Page 106
EPIDEMIOLOGY......Page 109
NARROWING THE DIFFERENTIAL DIAGNOSIS......Page 111
APPROACH TO THE ATHLETE WITH THROWING OR OVERHEAD INTERNAL IMPINGEMENT......Page 116
APPROACH TO THE THROWING OR OVERHEAD ATHLETE WITH CHRONIC INSTABILITY......Page 117
APPROACH TO THE THROWING OR OVERHEAD ATHLETE WITH SLAP TEARS......Page 118
REFERENCES......Page 120
FUNCTIONAL ANATOMY......Page 121
EPIDEMIOLOGY......Page 122
NARROWING THE DIFFERENTIAL DIAGNOSIS......Page 123
APPROACH TO THE ATHLETE WITH ARTHRITIS OF THE ACROMIOCLAVICULAR JOINT......Page 126
APPROACH TO THE ATHLETE WITH SUBACROMIAL IMPINGEMENT SYNDROME......Page 127
APPROACH TO THE ATHLETE WITH INTERNAL IMPINGEMENT......Page 128
APPROACH TO THE ATHLETE WITH TEARS OF THE ROTATOR CUFF TENDON......Page 129
REFERENCES......Page 131
FUNCTIONAL ANATOMY......Page 132
EPIDEMIOLOGY......Page 133
NARROWING THE DIFFERENTIAL DIAGNOSIS......Page 134
APPROACH TO THE ATHLETE WITH MEDIAL EPICONDYLITIS (GOLFER’S ELBOW)......Page 135
APPROACH TO THE ATHLETE WITH LATERAL EPICONDYLITIS (TENNIS ELBOW)......Page 136
APPROACH TO THE ATHLETE WITH POSTERIOR INTEROSSEOUS NERVE ENTRAPMENT SYNDROME......Page 137
APPROACH TO THE ATHLETE WITH CUBITAL TUNNEL SYNDROME......Page 138
APPROACH TO THE ATHLETE WITH DISTAL BICEPS TENDON RUPTURE......Page 140
APPROACH TO THE ATHLETE WITH VALGUS EXTENSION OVERLOAD INJURIES (UCL AND ASSOCIATED INJURIES)......Page 141
REFERENCES......Page 142
FUNCTIONAL ANATOMY......Page 144
EPIDEMIOLOGY......Page 146
NARROWING THE DIFFERENTIAL DIAGNOSIS......Page 147
APPROACH TO THE PATIENT WITH DE QUERVAIN DISEASE......Page 148
APPROACH TO THE PATIENT WITH INTERSECTION SYNDROME......Page 149
APPROACH TO THE PATIENT WITH TRIANGULAR FIBROCARTILAGE COMPLEX TEARS......Page 150
APPROACH TO THE PATIENT WITH EXTENSOR CARPI ULNARIS TENDONITIS/SUBLUXATION......Page 151
APPROACH TO THE PATIENT WITH NONUNION SCAPHOID FRACTURES......Page 152
APPROACH TO PATIENT WITH NONUNION FRACTURE OF THE HOOK OF THE HAMATE......Page 153
APPROACH TO EPIPHYSEAL INJURIES IN THE WRIST (GYMNAST WRIST)......Page 154
APPROACH TO MALLET FINGER......Page 155
APPROACH TO BOUTONNIERE INJURIES......Page 156
REFERENCES......Page 158
FUNCTIONAL ANATOMY......Page 159
EPIDEMIOLOGY......Page 160
NARROWING THE DIFFERENTIAL DIAGNOSIS......Page 161
APPROACH TO THE ATHLETE WITH A TENDON INJURY......Page 162
APPROACH TO THE ATHLETE WITH A HAND FRACTURE......Page 163
APPROACH TO THE ATHLETE WITH AN INTERPHALANGEAL JOINT DISLOCATION......Page 165
APPROACH TO THE ATHLETE WITH A THUMB INJURY......Page 166
APPROACH TO THE ATHLETE WITH A WRIST INJURY......Page 168
REFERENCES......Page 171
FUNCTIONAL ANATOMY......Page 172
EPIDEMIOLOGY......Page 173
NARROWING THE DIFFERENTIAL DIAGNOSIS......Page 174
APPROACH TO THE ATHLETE WITH LUMBAR STRAIN......Page 176
APPROACH TO THE ATHLETE WITH LUMBAR DISC DISEASE......Page 177
APPROACH TO THE ATHLETE WITH SPONDYLOLYSIS AND SPONDYLOLISTHESIS......Page 178
REFERENCES......Page 180
FUNCTIONAL ANATOMY......Page 181
EPIDEMIOLOGY......Page 183
NARROWING THE DIFFERENTIAL DIAGNOSIS......Page 184
APPROACH TO THE ATHLETE WITH STRAIN OR AVULSION INJURIES......Page 186
APPROACH TO THE ATHLETE WITH OSTEITIS PUBIS......Page 187
APPROACH TO THE ATHLETE WITH SNAPPING HIP SYNDROME......Page 188
APPROACH TO THE ATHLETE WITH A LABRAL TEAR......Page 189
APPROACH TO THE ATHLETE WITH AVASCULAR NECROSIS OF THE FEMORAL HEAD......Page 190
APPROACH TO THE ATHLETE WITH CHONDRAL DAMAGE OR DEGENERATIVE JOINT DISEASE......Page 191
REFERENCES......Page 192
FUNCTIONAL ANATOMY......Page 194
EPIDEMIOLOGY......Page 198
NARROWING THE DIFFERENTIAL DIAGNOSIS......Page 199
APPROACH TO THE ATHLETE WITH MEDIAL COLLATERAL LIGAMENT INJURIES......Page 202
APPROACH TO THE ATHLETE WITH ANTERIOR CRUCIATE LIGAMENT INJURIES......Page 203
APPROACH TO THE ATHLETE WITH POSTERIOR CRUCIATE LIGAMENT INJURIES......Page 204
APPROACH TO THE ATHLETE WITH LATERAL KNEE LIGAMENTOUS INJURIES......Page 205
APPROACH TO THE ATHLETE WITH MENISCAL TEARS OF THE KNEE......Page 206
APPROACH TO THE ATHLETE WITH OSTEOCHONDRITIS DISSECANS OF THE KNEE......Page 207
APPROACH TO THE ATHLETE WITH A TIBIAL PLATEAU FRACTURE......Page 208
REFERENCES......Page 209
NARROWING THE DIFFERENTIAL DIAGNOSIS......Page 211
APPROACH TO THE ATHLETE WITH PATELLOFEMORAL PAIN SYNDROME (RUNNER’S KNEE)......Page 213
APPROACH TO THE ATHLETE WITH ILIOTIBIAL BAND FRICTION SYNDROME......Page 215
APPROACH TO THE ATHLETE WITH PATELLAR TENDINOPATHY (JUMPER’S KNEE)......Page 216
APPROACH TO THE ATHLETE WITH CHONDROMALACIA PATELLAE......Page 217
APPROACH TO THE ATHLETE WITH KNEE OSTEOARTHRITIS......Page 218
APPROACH TO THE ATHLETE WITH PES ANSERINE TENDINITIS......Page 220
APPROACH TO THE ATHLETE WITH OSTEOCHONDRITIS DISSECANS......Page 221
REFERENCES......Page 222
NARROWING THE DIFFERENTIAL DIAGNOSIS......Page 224
APPROACH TO THE ATHLETE WITH FUNCTIONAL ANKLE INSTABILITY......Page 229
APPROACH TO THE ATHLETE WITH PERONEAL TENDON STRAIN/SUBLUXATION......Page 230
APPROACH TO THE ATHLETE WITH POSTERIOR TIBIALIS DYSFUNCTION......Page 231
APPROACH TO THE ATHLETE WITH TARSAL TUNNEL SYNDROME......Page 233
APPROACH TO THE ATHLETE WITH STRESS FRACTURE OF THE FOOT......Page 234
APPROACH TO THE ATHLETE WITH PLANTAR FASCIITIS......Page 236
APPROACH TO THE ATHLETE WITH METATARSALGIA......Page 237
APPROACH TO THE ATHLETE WITH MORTON’S NEUROMA......Page 238
APPROACH TO THE ATHLETE WITH SESAMOIDITIS......Page 239
REFERENCES......Page 240
FUNCTIONAL ANATOMY......Page 242
EPIDEMIOLOGY......Page 244
NARROWING THE DIFFERENTIAL DIAGNOSIS......Page 245
APPROACH TO THE ATHLETE WITH AN ANKLE SPRAIN......Page 249
APPROACH TO THE ATHLETE WITH A SYNDESMOTIC INJURY (HIGH ANKLE SPRAIN)......Page 250
APPROACH TO THE ATHLETE WITH A ROTATIONAL ANKLE FRACTURE......Page 252
APPROACH TO THE ATHLETE WITH AN OSTEOCHONDRAL LESION OF THE TALUS......Page 254
APPROACH TO THE ATHLETE WITH ACHILLES TENDON INJURY......Page 256
APPROACH TO THE ATHLETE WITH A LISFRANC SPRAIN......Page 257
APPROACH TO THE ATHLETE WITH TURF TOE......Page 259
REFERENCES......Page 260
EPIDEMIOLOGY......Page 263
NARROWING THE DIFFERENTIAL DIAGNOSIS......Page 264
APPROACH TO THE ATHLETE WITH A PROXIMAL FIFTH METATARSAL STRESS FRACTURE (JONES)......Page 268
APPROACH TO THE ATHLETE WITH A METATARSAL SHAFT STRESS FRACTURE......Page 269
APPROACH TO THE ATHLETE WITH A TARSAL STRESS FRACTURE......Page 270
APPROACH TO THE ATHLETE WITH A TIBIAL STRESS FRACTURE......Page 271
APPROACH TO THE ATHLETE WITH A FEMORAL STRESS FRACTURE......Page 273
APPROACH TO THE ATHLETE WITH A ACUTE SPINE STRESS FRACTURE (SPONDYLOLYSIS)......Page 275
REFERENCES......Page 277
EPIDEMIOLOGY......Page 278
NARROWING THE DIFFERENTIAL DIAGNOSIS......Page 279
APPROACH TO THE ATHLETE WITH STINGER/BURNER......Page 282
APPROACH TO THE ATHLETE WITH AXILLARY NERVE INJURY......Page 283
APPROACH TO THE ATHLETE WITH SUPRASCAPULAR NERVE INJURY......Page 284
APPROACH TO THE ATHLETE WITH SPINAL ACCESSORY, LONG THORACIC, OR MUSCULOCUTANEOUS NERVE INJURIES......Page 285
APPROACH TO THE ATHLETE WITH MEDIAN NERVE ENTRAPMENT NEUROPATHY......Page 286
APPROACH TO THE ATHLETE WITH RADIAL AND ULNAR NERVE ENTRAPMENT NEUROPATHIES......Page 287
APPROACH TO THE ATHLETE WITH LOWER-EXTREMITY NERVE INJURY......Page 288
REFERENCES......Page 289
EPIDEMIOLOGY......Page 291
NARROWING THE DIFFERENTIAL DIAGNOSES......Page 293
APPROACH TO THE ATHLETE WITH OSGOOD–SCHLATTER......Page 294
APPROACH TO THE ATHLETE WITH LITTLE LEAGUE ELBOW......Page 295
APPROACH TO THE ATHLETE WITH HIP FLEXOR APOPHYSIS INJURY......Page 296
APPROACH TO THE ATHLETE WITH A SALTER–HARRIS FRACTURE......Page 297
REFERENCES......Page 298
PHYSIOLOGY IN THE MATURE ATHLETE......Page 299
NARROWING THE DIFFERENTIAL DIAGNOSES......Page 300
APPROACH TO THE EXERCISE PRESCRIPTION FOR THE MATURE ATHLETE......Page 301
APPROACH TO THE ATHLETE WITH OSTEOARTHRITIS......Page 302
APPROACH TO THE ATHLETE WITH TOTAL JOINT REPLACEMENT......Page 305
REFERENCES......Page 306
PATHOPHYSIOLOGY/PHARMACOLOGY......Page 307
NARROWING THE DIFFERENTIAL DIAGNOSIS......Page 310
APPROACH TO THE ATHLETE USING PERFORMANCE ENHANCERS......Page 311
REFERENCES......Page 313
METHODS......Page 314
SHOULDER INJECTIONS......Page 315
HIP INJECTIONS......Page 316
HAND/WRIST INJECTIONS......Page 317
PHASE 1......Page 318
REFERENCES......Page 321
STAGES......Page 323
INDEX......Page 325