Specialists

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The Rotator Cuff

Key Points The majority of symptomatic rotator cuff disease patients respond to a nonoperative program emphasizing the restoration of normal biomechanics, unrestricted motion, and functional force couples.Early surgical management should be considered for acute rotator cuff tears in physiologically young and very active individuals.

The ability to recognize the complex layered anatomy in addition to […]

Protocol for Positioning and Helmet Removal-The Prone Athlete

If an athlete is found in the prone position after an injury, cervical spine injury should be assumed. The team physician and the training staff should complete their initial evaluation (i.e., primary survey) without moving the athlete. The team physician and athletic trainer position themselves by the patient. The trainer stabilizes the cervical spine […]

Management of Protective Equipment

Collision sports, such as football and ice hockey, further complicate the risk of cervical spine injury because of the protective equipment associated with each athlete. Helmets and shoulder pads aim to protect athletes from contact, but they often provide little additional support for motion of the spine and, quite frankly, make it difficult to assess […]

Management of Cervical Spine Injuries-Primary Survey

On reaching the injured player, the primary objectives are to assess for immediately life-threatening conditions and to prevent further injury. The initial evaluation follows the ABCDE sequence of trauma care:

A, airway maintenance with cervical spine protection;

B, breathing and ventilation;

C, circulation;

D, disability (i.e., neurological status); and

E, exposure of the athlete.

During […]

Noncatastrophic Cervical Spine Injuries

Noncatastrophic injuries include neuropraxia of the cervical root or brachial plexus (the “stinger” or “burner”), paracentral intervertebral disc herniation, stable fractures, spinal ligament injury, and intervertebral disc injury. These more common syndromes make up the majority of injuries encountered by sports medicine physicians.

Unilateral upper extremity involvement usually represents neuropraxia of a cervical nerve root […]

Cervical Spine Injuries in the Athlete

Key Points

Football, ice hockey, rugby, skiing, snowboarding, and equestrian athletes have been identified as being at an increased risk of spinal cord injury. Athletic injuries are the fourth most common cause of spinal cord injury. The risk is small, but such an injury can be devastating to a young player’s career and life. Equipment […]

Prolotherapy Therapy with Platelet Rich Plasma

Tendons and ligaments connect muscles to bones, making it possible to do all kinds of physical activities. Overuse or damage to tendons over a long period of time causes the collagen fibers that make up the tendons to form small tears, a condition called Tendinosis. Ligaments are composed of collagen fibers and hold bones together, […]