March 1996 Table of Contents
THE PHYSICIAN AND SPORTSMEDICINE - VOL 24 - NO. 3 - MARCH 96
Diagnosing and Treating Clavicle Injuries
By considering the clavicle's role in the "claviclar complex," the authors offer a precise approach to diagnosing clavicle injuries. In most cases these injuries can be treated successfully with conservative measures such as a figure-of-eight harness and icing.
Mark R. Hutchinson, MD; Gurminder S. Ahuja, MD
Pectoralis Major Ruptures: Ensuring Accurate Diagnosis and Effective Rehabilitation
In two case reports, the authors contrast the surgical and conservative treatment of pectoralis major ruptures. Surgery has the clear advantage, but early recognition by a thorough history and physical exam remains key. After surgery, rehab should include immobilization and then range-of-motion exercises and a graduated strength training program.
Janus D. Butcher, MD; Andrew Siekanowicz, MD; Frank Pettrone, MD
Exercise: An Alternative Therapy for Gestational Diabetes
Realizing that exercise benefits both healthy pregnant women and patients who have diabetes, the author has investigated its benefits for patients who fall into both of these categories. He has found that whether a woman has gestational diabetes or type II diabetes and becomes pregnant, a specialized, safe exercise program can help control her blood glucose levels.
Raul Artal, MD
Managing Collateral Ligament Tears of the Knee
When an athlete takes a hit to the knee, the result may be a medial or lateral collateral ligament injury. In addition to an effective treatment plan, the author details knee exam techniques that not only confirm the diagnosis, but also rule out more serious associated injuries, such as cruciate ligament tears, growth plate disruptions, and fractures.
Robert J. Meislin, MD
Practice Guidelines Take Center Court: How to Limit Liability
Physicians use practice guidelines to standardize and streamline high-quality care for their patients. But what do lawyers use them for? Smart sports medicine physicians know the answer and—as the author points out—how best to protect themselves.
David L. Herbert, JD
Guest Editorial: Practice Guidelines: A Positive Perspective
William O. Roberts, MD
ECG Quiz: Palpitations and Fatigue in a Football Player
During exercise, a college football player felt an irregular heartbeat and lightheadedness. Fever, chills, and fatigue had also troubled him. After looking at his resting ECG, see if you can make the diagnosis.
Cortland P. Bassett, PA-C, MAE, ATC; Raymond J. Barile, MS, ATC; Michael A. Goodfriend, MD
Sports Medicine Fellowships for Physicians
In the Middle of the Bell Curve
What to Do When You're Eating for Two
Susan M. Kleiner, PhD, RD
Information for Authors
Coming in Sportsmedicine
Giving Injuries the Cold Treatment
Bryant Stamford, PhD
CME Self Test
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.
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