November 1997 Table of Contents
THE PHYSICIAN AND SPORTSMEDICINE - VOL 25 - NO. 11 - NOVEMBER 97
Diagnosing Posterior Cruciate Ligament Injuries
Posterior cruciate ligament injuries can escape detection because symptoms are often vague and usually do not include incapacitating pain. Clues such as a blow to the anterior proximal tibia and a positive posterior drawer test can clinch the diagnosis.
Eric A. Morgan, MD; Randall R. Wroble, MD
Exercise Is Medicine
Exercise and Chronic Obstructive Pulmonary Disease: Modest Fitness Gains Pay Big Dividends
Exercise cannot reverse the lung damage of chronic obstructive pulmonary disease—but it can improve patients' endurance, breathing efficiency, and tolerance of dyspnea. With an individualized program and a dose of encouragement, many patients can increase their exercise capacity 70% to 80% within 6 weeks.
Barry D. Mink, MD
Patient Adviser
Your Exercise Treatment for Lung Disease
Barry D. Mink, MD
Osteoporosis in Active Women: Prevention, Diagnosis, and Treatment
Seventeen-year-old runners as well as 70-year-old walkers are susceptible to osteoporosis if they have insufficient estrogen. The authors examine the risks and consequences of osteoporosis and compare prevention and treatment strategies for younger and older women.
Steven M. Erickson, MD; Thomas L. Sevier, MD
Blunt Trauma Reveals a Single Kidney: A Disqualification Dilemma
After an 18-year-old water-skier collided with a boat, imaging studies revealed that he had a single right kidney, which was uninjured. The treating physicians advised him to quit playing collision sports because of the risk of renal injury. Hoping for a different answer, he consulted the authors.
Tom Terrell, MD, MPhil; Mike Woods, DO; David O. Hough, MD
Don't Miss Gastrointestinal Disorders in Athletes
Vigorous exercise, by itself or in combination with other factors, can trigger gastrointestinal symptoms. Patients may assume that such symptoms are just a natural result of hard training. Physicians should not assume the same, since gut symptoms in athletes sometimes signal serious underlying disease.
Margot Putukian, MD, with Carol Potera
Overcoming 'Protected Child Syndrome': Kids, Exercise, and Chronic Illness
Children who have chronic illnesses like asthma or cystic fibrosis used to be treated as invalids, but we now know that appropriate exercise can help such children live more normal lives. Physicians who know the benefits and risks of exercise can safely support physical activity for these patients.
James Thornton
Departments
Editor's Notes
Time-Out for Thanksgiving
Continuing Sportsmedicine Education
News Briefs
A Return to Football After Heart Surgery
Calendar
Pearls
Highlights
Exercise Adviser
Heart Health for a Lifetime: Sound Exercise Choices
Barry A. Franklin, PhD,
with James R. Wappes
Nutrition Adviser
Caffeine: A User's Guide
Nancy Clark, MS, RD
CME Self Test
This test has expired, but additional CME credit available at http://www.physsportsmed.com/cme.htm
Index to Advertisers
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.