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!
Now, I’m not hear to scare you. But there are many conditions out there that are so uncommon that we often don’t even know that they exist. Unfortunately, sometimes these conditions may walk into our clinics and have us shaking our heads in disbelief and asking ourselves… ‘why don’t you fit into that diagnosis!’. I think for many pigmented villonodular synovitis (PVNS) of the knee is one of these diagnoses. It is quite rare, however, it presents similarly to many of the conditions that we as sports physiotherapists treat on a daily basis. This article discusses PVNS including assessment, diagnosis, and the treatment options.
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…..
Concussion is a common injury sustained by athletes in contact sports (Hunt & Asplund, 2010). Subsequently, it is a condition commonly encountered by the sports physiotherapist, particularly those who work on the sidelines of contact sports. Given its frequency, concussion has been discussed previously on this site. However, the previous article does not discuss indicators to predict recovery timeframes following concussion. That is exactly what this article does.
As sports physiotherapists we regularly assess and treat hamstring strains, sometimes on a daily basis! Hawkins et al. (2001) showed that hamstring injuries accounted for approximately 12% of football injuries, and thus are extremely common. Given their frequency, hamstring injuries have been discussed commonly on this site. However, to date, we have not paid much attention to the often recommended intervention of spinal manual therapy and its role in the evidence based management of hamstring strains….
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.
As I suggested in the previous post: assessment of scapular dyskinesis; sports physiotherapists regularly assess and rehabilitate shoulder dysfunctions and pathologies. As a sports physiotherapists it is important to evaluate the contributing factors to shoulder pathology. A common contributor, seen in 68-100% of shoulder injuries, is scapular dyskinesis. If you treat shoulders, ‘treating the scapula’ is absolutely paramount … ignore it at your own peril. This article will discuss some treatment options for scapular dyskinesis
Sports physiotherapists regularly assess and rehabilitate shoulder dysfunctions and pathologies. As a sports physiotherapists it is important to evaluate the contributing factors to shoulder pathology. A common contributor, seen in 68-100% of shoulder injuries, is scapular dyskinesis. Accurate and comprehensive assessment of scapular dyskinesis is essential to identify alterations in normal scapulo-humeral rhythm. If you treat shoulders, ‘treating the scapula’ is absolutely paramount … ignore it at your own peril.
In this episode of the podcast I interview Jonathan Mulford. Dr Mulford is an Orthopaedic Surgeon who specialises in all aspects of knee surgery. He graduated from the University of Tasmania with Honours in 1995, and completed his orthopaedic training in Sydney in 2005. In addition to his clinical work he has a strong interest in clinical research, and has just authored a systematic review on the use of the LARS ligament.