Editor's Notes
Sports Gone Wild, Part 2: Regaining Proper Perspective
Gordon O. Matheson, MD, PhD

Best of the Literature
What Hath Exercise Wrought for Men's Hearts? • Exercise and Calcium for Kids' Bone Health

News Briefs
Groups Endorse ECG Screening for Athletes • The New Nutrition Guidelines: Tips for Counseling Patients • New Study Sheds Light on MRSA in Sports • Montreal Lab Identifies New Designer Steroid

When and Whom to Stretch?
Gauging the Benefits and Drawbacks for Individual Patients
When patients seek advice about stretching, their physicians often have to explain the myths and truths of its benefits. A review of the most recent studies on stretching, along with typical stretching questions that arise in the clinical setting, help physicians impart streamlined, precise guidance.
Ian Shrier, MD, PhD

Emergency Triage of Collapsed Endurance Athletes
A Stepwise Approach to On-Site Treatment
Managing collapsed athletes is an integral part of medical care at any endurance event. Being prepared with a good triage plan can decrease stress for physicians who—often as volunteers—cover such events. Understanding the mechanism behind exercise-related collapse helps differentiate benign episodes from the more serious cardiac events and other medical causes.
LTC Fred H. Brennan, Jr, DO; COL Francis G. O'Connor, MD

Tibial Plateau Fracture in a Softball Player
Avoiding Potentially Disastrous Delay
The symptoms of a tibial plateau fracture are often nonspecific, which can make them difficult to diagnose. One diagnostic tip-off can be the mechanism of injury. Tibial plateau fractures typically involve high-energy forces, as in this case of a 35-year-old softball player who experienced knee trauma when he collided with a teammate. In older patients, though, low-energy falls are a common cause of these injuries.
David M. Anderson, MD; Christopher A. Dawson, PA; Andrew J. Cosgarea, MD; Edward G. McFarland, MD

Freiberg's Infraction in an Adolescent Dancer
Condition Often Mistaken for a Stress Fracture
Though Freiberg's infraction is fairly uncommon, it's important to keep the injury in mind, because it can mimic a stress fracture. In this case, follow-up radiographs in a young female dancer who was initially treated for a metatarsal stress fracture revealed flattening and sclerosis, which are two of the diagnostic hallmarks of Freiberg's infraction.
David A. Berkson, MD; Robert Cabry, MD; Brian Shiple, DO

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