Current sports medicine reports
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Syndesmotic injuries or high ankle sprains in athletes can occur in elite and recreational athletes. They typically require a longer recovery and a significant delay in return to play compared with routine ankle sprains. ⋯ Management is guided by the severity of injury and the demands of the athlete. Many mild or stable injuries can be treated nonoperatively; however, acute surgical repair or stabilization in high-grade injuries can provide excellent results and an earlier return to play in selected cases.
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Interest in sports concussion has grown widely in the last two decades among laypersons and medical professionals. Significant contributions of evidence-based research have led to a better understanding of this multifaceted, but still often elusive, injury. ⋯ This research has been the basis of the paradigm shift from traditional concussion grading scales to individualized care. Today, concussion management requires a patient-centered approach with individualized assessment, including risk factor analysis, neurocognitive testing, and a thorough symptom evaluation.
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Curr Sports Med Rep · Nov 2008
Practical approaches to office-based physical activity promotion for children and adolescents.
Child and adolescent obesity is increasing at a rapid pace. A significant contributing factor relates to the overall decline in physical activity for both children and adults. ⋯ However, only a minority of patients are counseled regarding physical activity at any given office visit. To improve upon this, providers need to understand current recommendations regarding physical activity, have available clinical tools that help in the diagnosis of physical inactivity, and develop office systems to ensure consistency in addressing physical activity at every office visit.