BJSM

Hans Tol (BJSM senior associate editor) talks to Gino Kerkhoffs (Orthopaedic Surgery, Academic Medical Centre, Amsterdam, Netherlands) about diagnosing and treating acute ankle injuries, as his group has just published clinical guidelines on this in BJSM.0.37 Who the guidlines are aimed at2.11 Risk factors for ankle injuries5.09 Is there still a place for MRI in diagnosing acute ankle injuries?11.50 Functional treatment - tape or brace?15.03 Should injuries where the syndesmotic ligament is involved be treated the same as lateral injuries?16.50 Surgery21.45 Prevention after surgical repair24.16 The future of diagnosis and treatment26.24 What’s the evidence for platelet rich plasma treatment?See also:Diagnosis, treatment and prevention of ankle sprains: an evidence-based clinical guideline http://bit.ly/Qn0UTG

Dr Mark Hutchinson, professor of Orthopaedics and Sports Medicine at the University of Illinois Medical Centre, and star of the three million times viewed BJSM physical examination videos [http://bit.ly/17UykR2], gives Karim Khan an update on examination and management of shoulder injuries.In this podcast Dr Hutchinson covers (i) Common pitfalls and what to do instead (ii) How to diagnose overuse in the throwing shoulder (iii) ‘Labral tears’ vs ‘SLAP’ tears nomenclature (iv) Shoulder dislocation – when is surgery appropriate? and (v) Scaphoid fracture - has screw fixation become first line treatment?If you missed Dr Hutchinson’s knee podcast listen here http://bit.ly/O2rRe2.Another popular shoulder podcast is by Professor Jeremy Lewis on rotator cuff tendinopathy http://bit.ly/11yxbel.

Dr Mark Hutchinson, professor of Orthopaedics and Sports Medicine at the University of Illinois Medical Centre, and star of the 3 million times viewed BJSM physical examination videos [http://bit.ly/17UykR2] gives Karim Khan an update on examination and management of acute knee injuries.He shares his experience in interpreting physical signs, imaging indications, and the advantages of early sideline diagnosis. He also answers 4 key questions: (i) knee haemarthrosis - to drain or not to drain?, (ii) mensical tear - arthroscopy or wait?, (iii) is surgery always indicated after ACL tear, and (iv) first time patellar dislocation - conservative or surgical management?Please note that Professor Hutchinson’s shoulder podcast will be released next week! What this space, BJSM’s Facebook page, or our Twitter feed for updates!

Professor Lars Nordsletten, from the Olso Sports Trauma Research Centre, talks to Karim Khan, BJSM editor, questioning the role of NSAIDs and COX-2 inhibitors in sport. He discusses how mediation of inflammatory response may not be in an athlete’s best interest. He shares data on NSAIDs delaying fracture healing, and discusses which drugs are most appropriate at various points during recovery.See also:Professor Nordsletten’s biography page http://bit.ly/10aK8XLAbuse of medication during international football competition in 2010 – lesson not learned. Philippe Tscholl and colleagues. http://bit.ly/Y1smw1Nonsteriodal anti-inflammatory drug use in sports medicine: Guidelines for practical but sensible use. Jason Paoloni and colleagues. http://bit.ly/10aV6MY

Jeremy Lewis, consultant physiotherapist and visiting professor of Physiotherapy at Chelsea and Westminister NHS Foundation Trust, talks to Prof Jill Cook about management of rotator cuff tendinopathy. They cover the role of the subacromial bursa in the condition, new treatment paradigms, hopes for future developments.Bursa: 3.40Changing treatment paradigms: 6.00Future developments: 13.30

In the second part of this two-part podcast, Ross Tucker, one of the authors on The Science of Sport (http://www.sportsscientists.com/) explains how a understanding what limits performance can help an athlete achieve their best. He covers the use of GPS data and other measures of training volume, the difficulty that massive volumes of data creates, and how teams can use advanced sport science programs to gain a competitive advantage. He illuminates recent discoveries that ‘central’ processes - ‘the central governor’ - regulate performance; this contrasts with older views that suggested anaerobiosis (lack of oxygen) in skeletal muscle limited performance.Ross Tucker’s paper on pacing/limits of performance tiny.cc/ybc3hwThe January 2013 issue of BJSM focused on pacing and the Central Governor bjsm.bmj.com/content/46/1.tocPart 1 of the podcast: ‘What makes an Olympic champion?’ http://bit.ly/MQNiyf

In the first part of this two-part podcast, Dr Ross Tucker, one of the authors of the hugely popular blog - The Science of Sport (http://www.sportsscientists.com/) - talks about what makes an Olympic champion. Dr Tucker assesses the role of genetics, training and the validity of the ‘10,000 hour’ concept. He rationally, and with evidence, discusses the eligibility of Oscar Pistorius and Caster Semenya in the Olympics.Dr Tucker is an exercise physiologist, conditioning coach, and team coach. He is based at the University of Cape Town in the Exercise Science and Sports Medicine Department and the Sports Science Institute of South Africa.Related links:Ross Tucker’s Blog: http://www.sportsscientists.com/Ross Tucker’s Twitter account: @ScienceofSportRoss Tucker and Malcolm Collins: BJSM paper ‘What makes champion?’ http://bit.ly/11ygMXxPart 2 of this podcast:Understanding performance http://bit.ly/17fzGVe

Sudden cardiac death in footballers has been headline news, so how should those involved in the sport be looking out for players?FIFA’s chief medical officer Jiri Dvorak explains what the organisation is doing, and Bolton Wanderers’ club doctor Jonathan Tobin gives us a pitch-side view. BJSM editor Karim Khan asks the questions.0.45 FIFA’s pre-competition medical assessment3.53 Organisation pitch-side5.32 Researching the aetiology of sudden cardiac death – FIFA’s Medical and Research Centre6.40 Putting plans in place10.09 Getting the message and resources out worldwide12.16 What to do if you want your club to be more prepared for cardiac events15.27 Checklists for all involved17.18 Automatic external defibrillatorsSee also:FIFA’s Medical and Research Centre http://bit.ly/PDKLt5Jon Drezner and the 2012 sudden cardiac death update: two new key messages http://bit.ly/M5Tjan

Per Holmich, head of the Arthroscopic Centre at Amager University Hospital, has been working for many years on overuse problems especially hamstring, groin and hip problems focusing on exercise treatment and hip arthroscopy.In this podcast he talks to Karim Khan about groin injuries, what to watch out for in diagnosis, and how to treat.

Karim Khan talks to Andy Murray, Scotland’s official Physical Activity Champion. After completing a gruelling 2659 mile run from John O’Grotes in Scotland to the Sahara Desert, Andy is now working to promote physical activity in the rest of the population.He talks about the programmes that the Scottish government is putting in place to improve the health of the nation through exercise.See also:Scotland2Sahara http://www.scotland2sahara.com/Global Advocacy for Physical Activity http://www.globalpa.org.uk/23.5 hours video http://bit.ly/sHJgx6Andy’s twitter feed https://twitter.com/docandrewmurrayHealthier Scotland www.takelifeon.co.ukActive Scotland http://www.activescotland.org.uk/

Professor Jon Drezner emphasises the need for careful planning and practice of emergency protocols in the sports medicine setting. He also shares the new criteria for ECG screening - these lead to a much lower false positive rate than was previously reported. He makes a compelling case to include a resting 12-lead ECG in the periodic health examination of athletes.In this podcast he previews the international collaboration to improve the criteria for interpreting ECGs in athletes. These ‘Seattle criteria’ will be shared for free world-wide via BMJ Learning though sponsorship by numerous stakeholders including FIFA, AMSSM, PACES and ESC.0.47 Has there been an increase in the rate of sudden cardiac death in sportspeople aged over 35 years?1.42 What can clinicians do to minimize the risk of sudden cardiac death?5.14 Screening and periodic health examination8.56 Efforts to increase the accuracy of ECG interpretation - the Seattle meeting21.04 AMSSM - a great member society for primary care physicians23.33 SummarySee also:BJSM blog: ECG Summit in Seattle: Successes and Next Steps http://bit.ly/wCELeSYou can read how a two page tool with criteria for assisting interpreting ECGs in athletes led to improved accuracy in ECG reading by sports medicine attendings, primary care attending and primary care residents http://bit.ly/12EJwz4Jon’s previous BJSM podcast: Preventing sudden cardiac death with Jon Drezner http://bit.ly/occXQjThe two page tool http://bit.ly/14LIF2YRecommendations for interpretation of 12-lead electrocardiogram in the athlete http://bit.ly/Y1iUbODetailed criteria for the interpretation of the electrocardiogram in young athletes http://bit.ly/ZJOMgi

Babette Pluim (BJSM deputy editor) talks to Ann Cools (professor in the Department of Rehabilitation Sciences and Physiotherapy, Ghent University, Belgium) about her varied research into shoulder injuries.0.21 Scapular involvement in shoulder pain in overhead athletes1.32 Treatment strategy of internal impingement in the overhead athlete3.11 The Scapular Summit 20124.49 Eccentric training for shoulder injuries6.27 Scapula Dyskinesis8.56 Age related change in the shoulder in tennis players11.15 Adaptations in scapular movement, subacromial space, and range of movement and strength in elite handball players15.47 The European Society for Shoulder and Elbow Rehabilitation (EUSSER)See also:Descriptive profile of scapulothoracic position, strength and flexibility variables in adolescent elite tennis players http://bit.ly/ZJOhTIRehabilitation of shoulder impingement syndrome and rotator cuff injuries: an evidence-based review http://bit.ly/ZJOkyCScreening the athlete’s shoulder for impingement symptoms: a clinical reasoning algorithm for early detection of shoulder pathology http://bit.ly/15DCSMnInternal impingement in the tennis player: rehabilitation guidelines http://bit.ly/Y1iEttEvaluation of isokinetic force production and associated muscle activity in the scapular rotators during a protraction-retraction movement in overhead athletes with impingement symptoms http://bit.ly/129KBxqEUSSER www.eusser.org

Babette Pluim (BJSM’s deputy editor) talks to Alan Vernec of the World Anti-Doping Agency (WADA). They discuss the work of the organisation and the new posibilities blood passports are offering doping detection.See also:Leading Sports Ethics expert Mike McNamee’s 2011 comments on doping and sport http://bit.ly/11IsZGkA discussion of the challenges of doping test (for B-2 agonists) in asthma http://bit.ly/ZFW6g8

Karim Khan talks to Steven Blair, professor at the Arnold School of Public Health, South Carolina. Professor Blair discusses the wealth of evidence he’s built up on the benefits of exercise, why physical inactivity is a bigger problem than obesity, and how much and of what we should all be doing.0.51 Why physical inactivity is a greater health problem than obesity3.20 Why physical inactivity is an important factor in causing the obesity epidemic6.18 How the World Health Organisation is waking up to the fact physical inactivity is a major health problem8.47 The impact of genetic makeup on the benefits gained from physical activity10.44 The benefits of physical activity in those over 6011.52 How much and of what sort of exercise should we be doing to get the benefits?See also:Physical inactivity: the biggest public health problem of the 21st century http://bit.ly/11yeqrJRelationship between low cardiorespiratory fitness and mortality in normal-weight, overweight, and obese men http://bit.ly/10vSKQ4Changes in Physical Fitness and All-Cause Mortality http://bit.ly/XT6yQSPhysical Fitness and All-Cause Mortality http://bit.ly/Zl6gEoWHO Global status report on noncommunicable diseases 2010 http://bit.ly/i5ZiVfEffects of physical inactivity and obesity on morbidity and mortality: current evidence and research issues http://bit.ly/XT6HDMIs physical activity or physical fitness more important in defining health benefits? http://bit.ly/17UmOFeHow Much Physical Activity is Good for Health? http://bit.ly/10vT29B

Babette Pluim (BJSM’s deputy editor) talks to Ben Kibler (medical director of the Lexington Clinic Sports Medicine Center, Lexington, Kentucky) about his varied and prolific career in tennis and baseball sports medicine. Dr Kibler discusses his research on the shoulder and also the tennis serve, the importance of considering biomechanics in injury prevention and recovery, and the role of surgery.0.43 Founding the society for tennis medicine and science2.34 The increasing focus on the shoulder in sports medicine research3.45 Dr Kibler interest in the scapula6.09 The tennis serve as a weapon9.03 The importance of biomechanics in sports medicine11.14 The Kibler rehabilitation programme13.46 The role of surgery15.02 Basics of the throwing motion conference16.28 Do we need guidelines on how many serves young tennis players should hit?19.11 The importance of the rotation of the shoulder and position of the scapula in preventing injurySee also:Basics of the throwing motion conference