Best of the Literature
Concussion Risk Factors and Return-to-Play Variables

News Briefs
Sports Medicine Community Loses Two Physician Icons: Allan Ryan and Richard Strauss • ACSM Issues Heat Stress Guidelines for Youth Football • NCAA Toughens Spearing Ban

Sports Dermatology Series
Acne and Active Patients
Improving More Than Superficial Appearances
Acne in active people isn't a condition that prompts clearance or return-to-play issues, but the condition can sometimes interfere with the wearing of sports equipment and the enjoyment of sports and other social activities, and it may indicate anabolic steroid use or other systemic illness. Though a wide range of effective treatments are available, some require thorough patient counseling about side effects.
MICHAEL D. PLEACHER, MD; WILLIAM W. DEXTER, MD

Identifying and Managing Shoulder Pain in Competitive Swimmers
How to Minimize Training Flaws and Other Risks
The unusually high demands that swimming places on the shoulder make it vulnerable to instability and pain. Certain stretching flaws and stroke mechanics are known contributors to shoulder pain. A thorough physical exam and an analysis of the swimmer's training routine provide clues to help reverse shoulder trauma and return the patient to his or her pool workouts.
CASEY J. O'DONNELL, DO; JAY BOWEN, DO; JEFFREY FOSSATI, MD

Family Problems and Sports Performance
The Role of Couple's Therapy in Treating Athletes and Their Families
High-profile athletes typically aren't shy about seeking treatment for medical issues, but when problems revolve around psychiatric or family issues, they often suffer in silence. This case demonstrates how recognition and treatment of depression and substance abuse in the wife of a high-profile athlete restored a balance in the family's life that produced performance benefits for the athlete.
EVA C. RITVO, MD; IRA D. GLICK, MD

Pearls
A Calcium Caveat for Epilepsy Patients

Fighting Obesity
Tools for Empowering Physicians

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Additional CME credit available at http://www.physsportsmed.com/cme.htm

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