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Gain Without the Pain: Legal Drugs in Sport

Painkillers in sport: a form of legal doping or an excessive reliance on medication that puts the long-term health of athletes in jeopardy?

BJSM June 2017 – Most of the main papers are open access

5th International Consensus Conference on Concussion in Sport Part 1: Consensus Statement, tools and 4 systematic reviews

Cam deformity: Nature (born with it) or Nurture (a result of sports)? AJSM 2012:40:1099-1106

While being a fairly recent addition to the diagnostic options for hip pain, cam impingement has quickly become a well-recognized cause of hip pain that might eventually lead to osteoarthritis of the hip. Cam impingement is most commonly seen in young, active male patients, but when does this deformity occur? At birth? During growth?

11+ Kids warm-up programme

In children below the age of 14 years, there is a very little research relating to both epidemiology and the prevention of football injuries .

BJSM FREE: Consensus statement on concussion in sport—the 5th international conference on concussion in sport held in Berlin, October 2016

The 2017 Concussion in Sport Group (CISG) consensus statement is designed to build on the principles outlined in the previous statements and to develop further conceptual understanding of sport-related concussion (SRC) using an expert consensus-based approach. This document is developed for physicians and healthcare providers who are involved in athlete care, whether at a recreational, elite or professional level. While agreement exists on the principal messages conveyed by this document, the authors acknowledge that the science of SRC is evolving and therefore individual management and return-to-play decisions remain in the realm of clinical judgement.

Fifa’s former doctor says painkiller use risks footballers’ health

Elite footballers' "abuse" of legal painkillers risks their health and could "potentially" have life-threatening implications, says Fifa's former chief medical officer.

From BJSM: Learning to share, sharing to learn

The role of sports medicine research is to help guide practitioners to implement evidence based strategies and while we can and should learn from research to enhance our practice, this is only one piece of the puzzle.

When 20%-25% of ACL patients re-injure their knee, we must be missing something

The athlete who suffers an torn anterior cruciate ligament (ACL) will in all likelihood be advised to have ligament reconstruction surgery. The majority of ACL reconstruction surgeries will successfully restore the knee’s stability, but post-surgical outcomes remain quite variable. Less than half of athletes who have the operation will be able to return to their sport within the first year after surgery (despite some widely praised athletes who return within only a few months after surgery).

That all important denominator for injury rates: time or exposure based?

Doing an injury surveillance study may begin with simply counting the number of injuries (that, ideally, meets the most widely adopted definition of injury set forth by Fuller, et al., in Brit J Sports Med 2006; 40:193-201). But that just gives the frequency of injury during some defined time period.

Just how intense are training activities?

Coaching books are full of suggested activities to improve skill, fitness, team tactics, and more. When a coach is planning a training session, training choices need to fit in with the yearly, monthly, weekly, and daily training plan especially as the activity relates to training intensity. Unfortunately, most descriptions of training activities fail to offer any statements on the quantified intensity forcing the coach to make a purely subjective decision about any task’s intensity; something coaches probably are poorly equipped to do.

Time lost to hamstring injury and MR imaging

Football physicians realize that a hamstring strain has climbed to the top of the injury rankings in professional football. These same physicians also know that the time lost to this injury is proportional to the amount of tissue damaged so MRI is a common method to confirm the diagnosis and make an estimate on the possible time when a player can return to training and competition.

The heart of a footballer: how different is it?

A key goal of FIFA and F-MARC is prevention of sudden cardiac death during football. Despite the high visibility of these tragic events and pressure from sporting and medical bodies to mandate full cardiovascular screening prior to participation, players are still dying on the field. FIFA requires all participates in events they sponsor to have had a complete cardiovascular evaluation prior to the even. One of the required tests is the simple resting electrocardiogram. Part of the problem is that clinical norms are based on a largely non-athletic, and racially homogenous, population.

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