Month: June 2019

Should clinical practice guidelines for rehabilitation after anterior cruciate ligament injury be standardised?

27 June 2019 3 comments

The ultimate goal of rehabilitation after a football player gets an anterior cruciate ligament (ACL) reconstruction is to manage instability and to enable a successful return to the pitch at the pre-injury level of performance. Clinicians follow specific stepwise progression rehabilitation criteria and should rely on several clinical, subjective, objective and functional criteria to base [...]

Common peroneal nerve injury

26 June 2019 7 comments

Case A 16-year-old club player presented approximately two weeks after an inversion injury to his right foot, sustained during a slide tackle. He was able to limp off the field but was unable to continue. Over the next few days he developed progressive weakness in his right foot. On examination he was unable to dorsiflex [...]

Rectus femoris avulsion

20 June 2019 3 comments

Case A 33-year-old recreational player experienced sudden pain in the anterior groin as he shot the ball. He presented to a physiotherapist shortly after the injury but did not make much progress. Five yard passes were tolerable but anything more than that that required power created pain. He presented to a sport and exercise physician [...]

Are isometric exercises a good treatment for tendinopathy ?

13 June 2019 5 comments

This edition of the FastFact highlights an editorial, rather than original research, which has prompted an interesting online argument (look for the @BJSM_BMJ Twitter account) about a common clinical problem1. The editorial highlights that while isometric exercise has become a very popular treatment for the management of acute tendinopathy, the evidence for this approach is [...]

$Hook of Hamate fracture$

Hook of Hamate fracture

12 June 2019 5 comments

Case This 42-year-old male recreational football player presents with an eight-week history of hand and wrist pain following a fall onto his right hand. He is found to have localised tenderness over the volar aspect of his wrist and mild discomfort with gripping activities. Findings A routine x-ray series of the wrist was completed at [...]

Ankle syndesmosis injury

06 June 2019 2 comments

Case This 20-year-old national representative football player presented following an acute injury to her left ankle. She described an eversion type mechanism during a competitive match. While she was unable to play on, she did not immediately think that her injury was too bad. The following day however her ankle was very sore, and she [...]