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Volume: 38
Number: 4
Index: December 2010
Clinical Focus:Respiratory Care
Editorial Calendar
December 2010
Clinical Focus: Respiratory Medicine
  • Asthma and the athlete
    • Vocal cord dysfunction
    • Exercise-induced asthma
    • Exercise-induced bronchospasm
  • COPD
    • Obesity and COPD
    • Relationship between COPD and nutrition intake
  • Treatment options for steroid-induced osteoporosis in men
  • Treatments for asthma
    • Bronchodilators, anticholinergics
    • Corticosteroids
    • Metered-dose vs other types of inhalers
  • Respiratory infections in winter sports athletes
  • Asthma in elite athletes
  • Pulmonary rehabilitation and physical activity
  • Fitness and long-term oxygen therapy/lung transplantation
  • Airflow function and the metabolic syndrome
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doi: 10.3810/psm.2021.02.174
The Physician and Sportsmedicine: Volume 30: No.2
Evaluating and Managing Muscle Contusions and Myositis Ossificans
Christopher M. Larson, MD; Louis C. Almekinders, MD; Spero G. Karas, MD; William E. Garrett, MD, PhD
Abstract: Muscle contusions almost always completely heal, but sometimes they give rise to hematomas or myositis ossificans. Warning signs of severe quadriceps contusion include marked decreased knee range of motion and a sympathetic knee effusion. Management consists of rest, cooling, compression, and elevation. Corticosteroids should be avoided, but nonsteroidal anti-inflammatory drugs may reduce edema and the risk of myositis ossificans. Rehabilitation protocols that include early flexion exercise can hasten recovery and decrease the likelihood of myositis ossificans. Asymptomatic myositis ossificans needs no treatment, but when it is associated with decreased range of motion, muscle atrophy, and continued pain, lesions may be excised after they mature.


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