August 1999 Table of Contents
THE PHYSICIAN AND SPORTSMEDICINE - VOL 27 - NO. 8 - AUGUST 99
Commentary
The Preparticipation Physical Examination
Steps Toward Consensus and Uniformity
The prototype preparticipation physical exam for student-athletes (circa 1969) consisted mostly of a quick check for heart murmurs and hernias. Today the exam is more extensive, but it still falls short of its potential for protecting athletes. Needed: a consensus on the objectives of the exam and a standardized method of conducting it.
David W. Glover, MD; Barry J. Maron, MD; Gordon O. Matheson, MD, PhD
Fatalities and Catastrophic Injuries in High School and College Sports, 1982-1997
Lessons for Improving Safety
Changes in rules and equipment have made interscholastic sports safer in recent decades, but the record for 1982 through 1997 shows that there is still room for improvement. Wrestling, for example, accounted for 34 direct deaths and permanent or serious injuries. The authors make sport-specific and general safety recommendations.
Robert C. Cantu, MD; Frederick O. Mueller, PhD
Exercise During Pregnancy
Safe and Beneficial for Most
Endurance athletes have been known to complete a full 50- or 60-mile running regimen one week and give birth to a healthy baby the next. This sort of zeal obviously isn't for everyone, but the list of restrictions and contraindications for pregnant women who want to exercise is getting shorter.
Raul Artal, MD, with Carl Sherman
Valgus Knee Instability in an Adolescent
Ligament Sprain or Physeal Fracture?
After a 15-year-old football player was hit on the outside of his left knee, symptoms and initial x-rays strongly suggested a medial collateral ligament sprain. Subsequent imaging studies, however, revealed that the injury was more serious.
Kenneth R. Veenema, MD
Departments
Editor's Notes
The Smell of Success? You Go, Girl!
Continuing Sportsmedicine Education
News Briefs
Study Raises Doubts About Claims for 'Andro'
Washington Forums Address Women's Sports Medicine Issues
Letters to the Editor
Subacromial Injection
Atrial Fib and Undisclosed Self-Medication
Pearls
Highlights
Exertion-Related Death and Coronary Plaque Rupture
Hamstring Flexibility Decreases Overuse Injuries
Classified Advertising
CME Self Test
This test has expired, but additional CME credit available at http://www.physsportsmed.com/cme.htm
Clinical Techniques
Using Patellofemoral Braces for Anterior Knee Pain
Scott A. Paluska, MD; Douglas B. McKeag, MD, MS
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.