October 1998 Table of Contents

THE PHYSICIAN AND SPORTSMEDICINE - VOL 26 - NO. 10 - OCTOBER 98

Anniversary Commentary

Tyrannized by Evidence?
Making 'Outcomes' Work for Our Patients

Guidelines are a two-edged sword: They can clarify and enhance treatment, yet hamper individualization of care. The author proposes an approach to musculoskeletal medicine that improves patient care in a climate of cost control.

Stanley A. Herring, MD

Emergencies

Ankle Sprains
Expedient Assessment and Management

When someone has injured an ankle, distinguishing a simple inversion sprain from a more serious injury is essential. The thorough assessment approach described and illustrated here will lead to a specific diagnosis and open the way to proper management.

Thomas H. Trojian, MD, MMB; Douglas B. McKeag, MD, MS

Controlling Blood Lipids
Part 1: A Practical Role for Diet and Exercise

A healthy blood-lipid profile goes a long way toward preventing or limiting coronary artery disease. The authors provide up-to-date information and simple recommendations for patients on the role of various fats, fish oil, antioxidants, alcohol, and aerobic exercise in controlling blood lipids. The role of medication will be covered in our November issue.

Tedd L. Mitchell, MD; Larry W. Gibbons, MD, MPH

Exercise Is Medicine

Exercise Against Depression

It's something of a catch-22: Exercise can ease symptoms of depression, but depression itself tends to make exercise difficult. The authors explain the case for exercise and offer suggestions for helping patients overcome the obstacles.

Michal Artal, MD, with Carl Sherman

Patient Adviser
Mobilize Against Depression
Michal Artal, MD, with Carl Sherman

Wrist Injuries
Part 2: Spotting and Treating Troublemakers

Building on assessment tips discussed in the September issue, this guide will help you recognize and treat a broad range of wrist injuries in active people. It emphasizes injuries that are easy to miss or can lead to chronic trouble, such as scaphoid fractures and scapholunate dissociation.

Eric W. Honing, MD

Departments

Editor's Notes
Sports Medicine Goes Public: Meet Gordon O. Matheson, MD, PhD

Editorial Board/Staff

Continuing Sportsmedicine Education

News Briefs
What's the Prescription for Drug Testing Woes?
Team Physicians Manage a Mean Heat Streak

Highlights
Moderate Exercise Raises Insulin Sensitivity;
ACL Repair Succeeds in Middle-Aged Athletes

Pearls

Information for Authors

Calendar

Classified Advertising

CME Self Test
This test has expired, but additional CME credit available at http://www.physsportsmed.com/cme.htm

Exercise Adviser
Exercise for Heart Patients: Optimal Options
Barry A. Franklin, PhD, with James R. Wappes

Clinical Techniques
Certifying Wrestlers' Minimum Weight: A New Requirement
William O. Roberts, MD

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.