Presents statistics on injury patterns in youth sports, recommending that physicians who care for young athletes understand the kinds of injuries likely to be sustained. Awareness of injury patterns helps medical professionals identify variables associated with injury, anticipate or prevent injuries, plan medical coverage, and compare individual…

This article discusses reasons for the increase in basketball-related injuries, describes common injuries, outlines steps for diagnosis and treatment, and offers recovery and prevention strategies. (IAH)

Headaches experienced by athletes are categorized (exertional, effort, and trauma-triggered migraines), and treatment methods related. Consequences of misdiagnosis, lack of reporting, and poor monitoring are discussed as well as categories of athletes most likely to suffer sports-related headaches. (IAH)

Reviews causes and treatment of heat syncope, heat exhaustion, and exertional heatstroke and discusses the effectiveness of cooling heatstroke victims in ice versus cooled water. Cooled water appears to be as effective, though ice water decreases the incidence of cardiovascular complications. An energy depletion model is presented. (Author/SM)

Describes the scope and importance of gastrointestinal bleeding in runners and other athletes, discussing causes, sites, and implications of exercise-related bleeding. Practical tips to mitigate the problem, potentially more troublesome in women because of lower iron stores, are presented (e.g., gradual conditioning and avoidance of prerace…

Discusses the history, etiology, diagnosis, histopathology, treatment, and prevention of Pseudomonas Folliculitis, an increasingly common skin infection contracted in hot tubs and, to some extent, in swimming pools. (Author/SM)

Regular exercise training results in a variety of cardiovascular adaptations including increases in left ventricular chamber size and wall thickness, and in resting vagal tone. Research has demonstrated that the changes are physiologic and are associated with preserved or enhanced cardiovascular function. (Author/JD)

Several physicians discuss the tests they use to diagnose exercise-induced asthma (EIA), the medications they typically prescribe and why, and the importance of properly educating athletes about EIA. (JD)

Asthma patients can benefit from 20 to 30 minutes of exercise at 60 to 85% of maximum heart rate several times a week. Improved fitness can reduce airway reactivity and medication use. The capacity to exercise requires good general control of asthma. Patients must learn to prevent exercise-induced bronchoconstriction by using inhaled medications…

The results of a five-year project that documented the problem of eye injuries in sports are reported; this project included a descriptive study. The article also reports the types and mechanisms of eye injuries which occurred and possible preventive measures. (JL)

Discusses the use of performance-enhancing substances in athletics, focusing on the use-detection race, burgeoning new products and off-label uses, and ways to combat the problem. The article suggests drug education programs, particularly those for adolescent athletes, have the potential to change behavior and be more cost-effective than further…

Preventing infectious disease in sports is fundamental to maintaining team effectiveness and helping athletes avoid the adverse effects of illness. Good hygiene, immunization, minimal exposure to specific diseases, and certain prophylactic measures are essential. Teammates, coaches, trainers, officials, healthcare providers, and community public…

This article reviews the medical literature on head injuries in soccer and concludes that protective headgear to reduce these injuries may not be as effective as rule changes and other measures, such as padding goal posts. (IAH)

The composition, ojbectives, and perceptions of the medical care team which has evolved over the last 10 years to provide acute care for injured persons at the finish line of the Boston Marathon are described, as well as as an ancillary group which maintains medical records and defines injury patterns. (Author/CB)

This study examined the effects of resistance exercise and anabolic steroids on lipoprotein profiles of female weightlifters. The study found that women who participate in resistance training have better lipoprotein profiles than their sedentary counterparts, but these changes do not offset the deleterious effects of steroid use. (SM)