March 1996 Table of Contents

Diagnosing and Treating Clavicle Injuries

By considering the clavicle's role in the "claviclar complex," the authors offer a precise approach to diagnosing clavicle injuries. In most cases these injuries can be treated successfully with conservative measures such as a figure-of-eight harness and icing.

Mark R. Hutchinson, MD; Gurminder S. Ahuja, MD

Pectoralis Major Ruptures: Ensuring Accurate Diagnosis and Effective Rehabilitation

In two case reports, the authors contrast the surgical and conservative treatment of pectoralis major ruptures. Surgery has the clear advantage, but early recognition by a thorough history and physical exam remains key. After surgery, rehab should include immobilization and then range-of-motion exercises and a graduated strength training program.

Janus D. Butcher, MD; Andrew Siekanowicz, MD; Frank Pettrone, MD

Exercise: An Alternative Therapy for Gestational Diabetes

Realizing that exercise benefits both healthy pregnant women and patients who have diabetes, the author has investigated its benefits for patients who fall into both of these categories. He has found that whether a woman has gestational diabetes or type II diabetes and becomes pregnant, a specialized, safe exercise program can help control her blood glucose levels.

Raul Artal, MD

Managing Collateral Ligament Tears of the Knee

When an athlete takes a hit to the knee, the result may be a medial or lateral collateral ligament injury. In addition to an effective treatment plan, the author details knee exam techniques that not only confirm the diagnosis, but also rule out more serious associated injuries, such as cruciate ligament tears, growth plate disruptions, and fractures.

Robert J. Meislin, MD

Practice Guidelines Take Center Court: How to Limit Liability

Physicians use practice guidelines to standardize and streamline high-quality care for their patients. But what do lawyers use them for? Smart sports medicine physicians know the answer and—as the author points out—how best to protect themselves.

David L. Herbert, JD

Guest Editorial: Practice Guidelines: A Positive Perspective

William O. Roberts, MD

ECG Quiz: Palpitations and Fatigue in a Football Player

During exercise, a college football player felt an irregular heartbeat and lightheadedness. Fever, chills, and fatigue had also troubled him. After looking at his resting ECG, see if you can make the diagnosis.

Cortland P. Bassett, PA-C, MAE, ATC; Raymond J. Barile, MS, ATC; Michael A. Goodfriend, MD

Sports Medicine Fellowships for Physicians

Departments

Editor's Notes
In the Middle of the Bell Curve

Editorial Board/Staff

Pearls

Highlights

Nutrition Adviser

Employment Opportunities

Information for Authors

Coming in Sportsmedicine

Exercise Adviser
Giving Injuries the Cold Treatment
Bryant Stamford, PhD

CME Self Test

In an effort to provide information that is scientifically accurate and consistent with accepted standards of medical practice, the editors and publisher of The Physician and Sportsmedicine routinely consult sources believed to be reliable. However, readers are encouraged to confirm this information with other sources. For example and in particular, physicians are advised to consult the prescribing information in the manufacturer's package insert before prescribing any drug mentioned.

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