Month: July 2018

Hyperextension Injury

26 July 2018 0 comments

Case This young female football player presents after a hyperextension injury to her knee. She describes experiencing a ‘crunching’ sesation followed by pain and almost immediate swelling. When she was assessed two weeks after her injury she was found to have an effusion. There was no ligamentous laxity and no evidence of patella insability. The [...]

Hip arthroscopy for the treatment of femoroacetabular impingement (FAI) syndrome may give the best functional outcome

24 July 2018 28 comments

This multicentre, randomised controlled trial (RCT) published in the Lancet has found that hip arthroscopy provided a better level of function at 12 month follow-up when compared to a tailored rehabilitation programme.1 Femoroacetabular impingement syndrome (FAIS) is a potential cause of hip pain in young adults and is increasingly being diagnosed in football players. Impingement [...]

Sudden Cardiac Arrest Update

24 July 2018 3 comments

This month’s 11 in 11 talk features Dr Jens Kleinefeld. Jens is specialised in Anaesthesia, Emergency and Intensive Care Medicine. Jens has a special interest in the prevention of Sudden Cardiac Death in football and is an educator for both UEFA and FIFA. Over the past decade he has also worked extensively as a doping [...]

$First metacarpal fracture$

First metacarpal fracture

19 July 2018 7 comments

Case This U-20 age-group goalkeeper presents with an acute onset of thumb pain. He reports being struck on the thumb awkwardly by a strong shot. He has localised tenderness over the thumb metacarpal with modest swelling. There was no visible deformity (and especially no rotational deformity). Findings An x-ray image shows an undisplaced trnsverse fracture [...]

Os Subfibulare

12 July 2018 14 comments

Case This young football player presented with a history of recuring right ankle ‘sprains’ and lateral ankle pain. On examination she was highly reluctant to weightbear. She was found to have localised tenderness over the tip of her lateral malleolus. Findings An AP x-ray image shows a well corticated ossicle measuring about 7mm lying below [...]

An individualised approach is needed when considering vitamin D supplementation

10 July 2018 6 comments

This review of vitamin D supplementation in athletes highlights the lack of good evidence for the widespread use of vitamin D in football players and provides guidelines for an individualised approach to supplementation.1 Vitamin D supplementation has become increasingly popular over the past few years, with reported benefits to athletes including improvements in bone and [...]

Proximal hamstring tendinopathy

05 July 2018 19 comments

Case An elite male player presented with a three-month history of increasing buttock discomfort. This was initially well localised but then became more generalised with referral into the distal hamstring. The pain was made worse by striding out (sprinting) and with prolonged sitting. On examination there was a reduced straight leg raise, pain with bridging [...]

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