May 1999 Table of Contents

THE PHYSICIAN AND SPORTSMEDICINE - VOL 27 - NO. 5 - MAY 99

Poison Ivy, Oak, and Sumac Dermatitis
Identification, Treatment, and Prevention

Poison ivy and its relatives flourish over most of the United States, and at least half the population is sensitive to the plants' resins. Along with up-to-date guidance on treatment and prevention, this article includes photos to help you identify the plants and the typical skin reactions.

Lisa A. Garner, MD

Oral Creatine Supplementation
Separating Fact From Hype

Many athletes tend to buy the idea that creatine can boost their performance in nearly any kind of all-out exercise. But the evidence so far demonstrates an ergogenic effect in only a few specific situations, such as repeated stationary cycling sprints. And the presence of creatine in many tissues and organs suggests a potential for unpredictable side effects with long-term use.

Mark S. Juhn, DO

Obturator Neuropathy
A Cause of Exercise-Related Groin Pain

As if the differential diagnosis for sports-related groin pain weren't already complex enough, here's another possible cause: entrapment of the obturator nerve in the proximal thigh. Based on their experience with more than 150 patients, the authors discuss the typical history and tests that help confirm the diagnosis. A table compares obturator neuropathy with other causes of chronic groin pain.

Peter Brukner, MBBS; Chris Bradshaw, MBBS; Paul McCrory, MBBS

Effort Thrombosis With Sepsis

A young man who had been doing intense weight lifting noticed a slight swelling in his right arm, which was followed 2 days later by fever and malaise. Investigation led to the diagnosis of a primary deep venous thrombosis with the unusual complication of sepsis. His case underpins a discussion of immediate thrombolytic treatment and the more complex area of postthrombolysis management.

Kevin deWeber, MD

Departments

Editorial Board

Editor's Notes
Supplements: Modern Miracles?

Staff

Continuing Sportsmedicine Education

Pearls

News Briefs
New Findings Reported on Biking and Impotence
Kidney Disorder Linked to Creatine Use?

Highlights
Daily Accumulated Exercise Improves Adult Fitness
Fitness Improves CPR Performance
Childhood Exercise Linked to Adult Fitness and Health
Fitness History May Affect Glucose Tolerance

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

Exercise Adviser
Correcting Overpronation: Help for Faulty Foot Mechanics
Lloyd Nesbitt, DPM

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Clinical Techniques
Chronic Exertional Compartment Syndrome: Gauging Pressure
Mark R. Hutchinson, MD; Mary Lloyd Ireland, MD

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.