January 2002 Table of Contents
THE PHYSICIAN AND SPORTSMEDICINE - VOL 30 - NO. 1 - JANUARY 2002
NEWS AND ANALYSIS
Editor's Notes
How Are You Investing Your Time?
Gordon O. Matheson, MD, PhD
Best of the Literature
Ankle Arthrodesis May Induce Premature Joint Dysfunction
News Briefs
IOC Asks Athletes for Asthma Proof
IOC Study Reveals Tainted Supplements
Rising Stars in High School Sports
REVIEW ARTICLES
Hypertrophic Cardiomyopathy
Practical Steps for Preventing Sudden Death
Keeping up-to-date on the most recent information on hypertrophic cardiomyopathy (HCM) is important because current reports can offer new ways of identifying patients at risk and distinguishing HCM from athlete's heart. A case report provides a compelling example. One aspect that hasn't changed is the activity recommendation: Competitive sports are contraindicated with the possible exception of low-intensity options.
Barry J. Maron, MD
Infectious Mononucleosis
Ensuring a Safe Return to Sport
Though mononucleosis-related spleen rupture is rare, 80% of cases have occurred in young men who play contact sports. A 3-week disqualification, clinical evidence of improvement, and a graded return to activity can prevent this emergency and a relapse of symptoms.
John M. MacKnight, MD
ORIGINAL RESEARCH
Treatment of Exercise Incontinence With a Urethral Insert
A Pilot Study in Women
Researchers evaluated the effectiveness of an intraurethral device for treating exercise incontinence, a condition that's an exercise obstacle in nearly a third of adult women. In a trial of the device during unsupervised home-based exercise, average urine loss decreased from 20 g without the device to 2.6 g with the device. Patient monitoring and feedback indicate that the device is an effective, safe, and comfortable treatment for exercise incontinence.
Melissa Dunn, MD; Debra Brandt, RN; Ingrid Nygaard, MD
CLINICAL PRACTICE
Pearls
Is This Hamstring Ready for Play?
A Well-Dressed Plantar Fascia Splint
READER SERVICE
CME Self Test
This test has expired, but additional CME credit available at http://www.physsportsmed.com/cme.htm
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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.