The Physician and Sportsmedicine
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October 2021 Table of Contents

THE PHYSICIAN AND SPORTSMEDICINE - VOL 33 - NO. 10 - OCTOBER 2021

NEWS AND ANALYSIS           

Editor's Notes
A Cool Perspective on Heat Injury: Staying Vigilant in Varied Conditions
GORDON O. MATHESON, MD, PHD

News Briefs
Expert Panel Recommends Pertussis Booster • Sports Medicine Physicians Feel Katrina's Impact • CDC Launches Concussion Prevention Initiative • NFHS Issues Infectious Skin Disease Policy

REVIEW ARTICLE

Evaluation and Management of Hip Pain
The Emerging Role of Hip Arthroscopy
Managing hip pain in active people can be frustrating, not only because the differential diagnosis contains about 36 conditions, but also because patients may spend from months to years with no relief, despite intensive nonsurgical treatment. Hip arthroscopy is becoming a key tool for visualizing hip pathology and treating tears, lesions, impingement, loose bodies, and instability.
CHRISTOPHER M. LARSON, MD; JENNIFER SWARINGEN, MD; GRANT MORRISON, MD

CASE REPORT

Bilateral First Metatarsal Stress Fractures in a Field Hockey Player
First metatarsal stress fracture is rare. In this case, a physician who was evaluating a young female field hockey player for a recent onset of foot pain identified the injury in both of the patient's feet. When no evidence was seen on x-rays, the physician followed up with bone scan and magnetic resonance imaging. Treatment included rigid-soled shoes and relative rest for 4 to 6 weeks.
JOHN P. METZ, MD

COMMENTARY

Mind Over Matter
Deducing Heatstroke Pathology
Several unanswered questions about heatstroke should be explored within a different framework. Instead of assuming that normal physiology is overwhelmed by severe environmental demands, physicians and researchers should consider the possibility of a pathologic process, such as excess heat production in the muscles.
TIMOTHY D. NOAKES, MBCHB, MD, DSC

Common Threads in a Random Tapestry
Another Viewpoint on Exertional Heatstroke
Physicians are always on guard for heatstroke, because it can occur unpredictably in unlikely environmental conditions. Without reliable patterns and markers, developing a stronger sense of several factors—such as a lack of acclimatization—can tip an individual patient's scales toward greater heatstroke risk.
WILLIAM O. ROBERTS, MD

CLINICAL PRACTICE

Pearls
A Coaching Focus on Concussions

READER SERVICE

Staff

Editorial Board

Information for Authors

CME Self Test
Additional CME credit available at https://www.physsportsmed.com/cme.htm

Classified Advertising

Index to Advertisers

Index 1990-2021


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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