We all know that hamstring strains are common injuries within sports that involve sprinting and jumping. In fact, they represent a significant proportion of muscle injuries: 50% in sprinting, 40% in soccer (Yeung et al, 2009) and 14% in Australian Rules football (Gabbe et al, 2006). They have been shown to be more common than any other muscle injuries and players are 2.5 times more likely to suffer a hamstring strain compared to a strain of their quadriceps (Woods et al, 2004). This is significant as Small et al (2010) found that soccer players miss on average 3 competitive matches per hamstring injury. Consider the huge impact on the success of sporting teams when high profile players are injured!
In the world of sports physiotherapy the assessment and diagnosis of knee pathology is a daily event. As we are all well aware, an accurate diagnosis is achieved only via a skilled subjective and objective examination. Thus, sports physiotherapists will regularly rely on the results of special orthopaedic or clinical tests to make a diagnosis. This is well covered ground on this site, as we regularly the discuss the diagnostic accuracy of clinical tests for common conditions. However, there is always new research regarding the accuracy of existing techniques and the development of new ones. This leads to new research on the use of joint line fullness to assist in the diagnosis of meniscal tears. This article will discuss the technique and its potential clinical utility.
In the sports physiotherapy world we are frequently called upon to assess and treat athletes of all ages. As you might expect, this may range from young children through to nonagenarian Master’s athletes. Sports physiotherapists would know when dealing with young athletes missing a career-ending (yes, career) diagnosis can be unforgivable. One such diagnosis is juvenile osteochondritis dissecans of the knee, a condition that commonly affects athletic children, and one that if left unchecked could jeopardise the integrity of their knee. Thus, accurate and timely diagnosis followed by appropriate management is essential when dealing with juvenile osteochondritis dissecans…..
Shoulder injuries to the rotator cuff are very common. Whilst rotator cuff injuries are more commonly seen in supraspinatus and infraspinatus, there has been a recent increase in awareness and recognition of subscapularis injuries. In fact, Barth et al. (2006) suggested 29.4% of those who underwent shoulder arthroscopy for a rotator cuff tear had involvement of the subscapularis. Therefore, a thorough understanding of the evidence based clinical assessment for subscapularis is essential, and is thus presented in this article.
In this episode of the podcast I interview Jeff Boyle. Dr Jeffrey Boyle is the Principal Physiotherapist at the Fremantle Dockers Football Club. Jeff is a Specialist Sports Physiotherapist (as awarded by the Australian College of Physiotherapists in 2009) as well as a Musculoskeletal Physiotherapist. Additionally Jeff is an Adjunct Senior Teaching Fellow at the University of Western Australia. In the interview we discuss…
The sports physiotherapists reading this would be aware of the challenge of accurate diagnosis of hip pathology. The hip/groin area is an area with incredibly complex anatomy and biomechanics (Feeley et al., 2008). To quote a former anatomy lecturer of mine; “It is real tiger country!”. This means to improve clinical reasoning and diagnosis clinicians (and/or diagnosticians) must be acutely aware of the diagnostic accuracy of the clinical tests in their arsenal.
What if I were to tell you that I was going to discuss the second most common foot injury in athletes, that is missed or misdiagnosed in 1 in every 5 cases? Is that something you might be interested in? Well that is what happening… Lisfranc joint injuries are a challenging presentation in an athletic population. As stated above, they are relatively common and regularly misdiagnosed. However, unfortunately they have the potential to develop into a CAREER-ENDING injury! Undoubtedly, this makes prompt and accurate diagnosis and evidence based management exceptionally important.
As sports physiotherapists we regularly assess and treat patients and athletes with shoulder instability. It has been suggested that glenohumeral instabllity affects up to 2% of the general population (Ahlgren et al., 1978). However, we know that posterior instability is much less common accounting for somewhere between 2 and 10% of these cases (Tannenbaum & Sekiya, 2011). The reason why it is important for use is that these presentations are most common in athletes, secondary to either overuse or a traumatic episode. This makes knowledge of evidence based management and diagnosis of posterior shoulder instability particularly pertinent.
Ankle injuries are a ridiculously common sports injury. Fong et al (2007) found that ankle injuries are the most common injuries in a wide variety of popular sports. It has been suggested that syndesmosis injuries account for about 11% of ankle injuries. Furthermore, ankle syndesmosis injuries (or “high” ankle sprains) have high occurrences during athletic activities, particularly those that involve twisting or cutting activities. Read on for evidence based assessment and diagnosis of ankle syndesmosis injuries.
Patellar dislocation accounts for 2 – 3% of all knee injuries, however, is the second most common cause of knee haemarthrosis (Aglietti et al., 2001). Patellar dislocation is most commonly associated with sports injuries, and therefore, is encountered commonly by the sports physiotherapist. In recent times there has been controversy on the most appropriate forms of management following primary (or first time) patellar dislocation. This post discusses evidence based management of primary patellar dislocations.