Tibial stress injuries, commonly called shin splints, often result when bone remodeling processes adopt inadequately to repetitive stress. Physicians who are caring for athletic patients must have a thorough understanding of this continuum of injuries, including medial tibial stress syndrome and tibial stress fractures, because there are…

A review of medical charts of 13 youths (age 8-15) with soccer-related eye injuries identified as causes: a head butt, kicks, the ball. Risks can be lessened by use of polycarbonate eyeguards, properly inflated balls, adequate conditioning and practice before scrimmages, a moderate and balanced practice/playing schedule and good sportsmanship.…

Review of sports medicine records of 285 softball players and responses of 200 adult softball players to a questionnaire regarding injuries leads to suggestions about ways to prevent softball injuries, including preseason conditioning and strengthening. (Author/CB)

Common among runners and athletes who participate in jumping sports, plantar fasciitis is an overuse injury that is potentially incapacitating, causes heel and arch pain, and usually occurs after sudden increases in running mileage, frequency, or speed. Therapy is described. (Author/CB)

The article provides answers to frequently asked questions about sports ophthamology, concerning sports-related eye injuries, eye protection, safety recommendations, and medical restrictions. (CB)

Hypertrophic cardiomyopathy (HCM) is a rare cause of death among athletes, with deaths occurring in young, apparently healthy people. Differentiating HCM from conditioning hypertrophy is challenging. Routine detection involves family history, physical examination, electrocardiography, and echocardiography. Keys to differential diagnosis include…

Reports on a recent study of Chesapeake Bay watermen, which indicates a possible association between long-term exposure of the eyes to ultraviolet B rays and risk of cataract development. Authorities recommend protective lenses for outdoor athletes, especially those involved in winter sports. (SM)

The first reported case of hyponatremia from participation in endurance running of marathon distance is discussed. Nine earlier cases occurring in subjects who endured greater distances are summarized. Symptoms and treatment of the 21-year-old subject of this case report are presented and preventive measures recommended for endurance-event…

The sports medicine community is beginning to address the fitness and exercise needs of the Black community--and to encourage more Blacks to join its ranks. (JD)

Reviews the nature and frequency of injuries in youth hockey (which range from musculoskeletal injuries to life-threatening emergencies). Overall injury rates have decreased, but there is an increase in head, neck, and spine injuries. Those injuries that are serious demand prompt, skillful attention. A comprehensive format for on-ice management is…

The amount of protein needed by athletes is an area of controversy. Some researchers are studying the claims that protein supplements stimulate muscle growth. Others are examining the protein needs of endurance and strength athletes. However, few studies have controlled for the right mix of nutrition and exercise variables. (Author/SM)

Low-back pain (LBP) in active people is common and recurrent. This paper describes: the natural history and clinical course of LBP; anatomy and biomechanics of LBP; what causes pain; diagnosis; initial treatment (e.g., pain and inflammation control, bed rest, and exercises); rehabilitation (e.g., lumbar stabilization exercises, conditioning, and…

This case report describes how a weightlifter's shoulder pain was diagnosed using radionuclide imaging. This technique is valuable because it detects increased vascularity or metabolic activity of lesions long before such changes can be seen on plain radiographs or other imaging modalities. (Author/JL)

Because football season becomes dangerous when warm weather collides with the need for protective gear, researchers investigated critical heat balance limits in non-heat- acclimatized men who wore various football uniform ensembles and exercised at 35 percent VO2 max in a programmable environmental chamber. The air temperature and humidity limits…

Describes plastic surgery techniques used to irrigate, debride, and close lacerations caused by surfboards. Head lacerations and nose fractures are the most common injuries. According to a survey, lacerations may be deeper than expected from their surface appearance and wounds may contain surfboard fragments. Injury prevention is discussed. (SM)