The Team Physician??s Handbook

Mellion, Morris B.; Walsh, William M.; Shelton, Guy L.

doi:10.1249/00005768-199111000-00024

Cited by 7 publications

(8 citation statements)

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“…Because of the volume of overhand throwing and the forces at the elbow being equivalent between a softball windmill pitcher and a baseball pitcher, the ulnar nerve is at risk for becoming inflamed. Also, windmill pitchers may strike the medial aspect of their throwing elbow on their hip just prior to ball release (22). This direct trauma may result in ulnar neuritis.…”

Section: Ulnar Neuritismentioning

confidence: 99%

Injuries and Medical Issues in Softball

Briskin¹

2012

Current Sports Medicine Reports

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Softball is enjoyed by millions of female and male athletes of all ages and competitive levels. Windmill pitchers are at risk for developing overuse injuries in the throwing arm. Improper mechanics and lack of pitch counts may increase the risk for developing a pitching-related injury. Softball-related overuse injuries include proximal biceps tendinitis, upper extremity stress fractures, and ulnar neuritis. Acute injuries commonly occur in the lower extremity and include both fractures and ligamentous injuries. Sliding injuries account for a significant number of these lower extremity injuries. The addition of breakaway bases and mandatory use of protective headgear by defensive players may decrease acute injuries commonly seen in softball. Off-season programs should stress proper throwing and sliding mechanics, core conditioning, and a lower extremity neuromuscular education program.

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Section: Ulnar Neuritismentioning

confidence: 99%

Injuries and Medical Issues in Softball

Briskin¹

2012

Current Sports Medicine Reports

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“…3 Writing as a member of the Sports Medical Committee of the Fédération Internationale de Football Association (FIFA), he has noted that: "Pressure from officials, the media or even sponsors can lead to a conflict of interests", and he added that a "particularly sensitive problem in football and in all prominent sports is that of confidentiality and professional secrecy in dealing with information on an athlete's physical and mental condition". Mellion and Walsh, 4 writing from an American perspective, have similarly noted that, in sports clubs, confidentiality is "often compromised" by the physician's relationship to the club and that "information is seldom held in the strict doctor-patient confidentiality".…”

mentioning

confidence: 99%

Management of medical confidentiality in English professional football clubs: some ethical problems and issues

Waddington

Roderick²

2002

Br J Sports Med

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Objective: To examine the ways in which confidential matters are dealt with in the context of the relationship between the club doctor (or physiotherapist) and the player as patient in English professional football clubs. Methods: Semistructured tape recorded interviews with 12 club doctors, 10 club physiotherapists, and 27 current and former players. A questionnaire was also sent to 90 club doctors; 58 were returned. Results: There is among club doctors and physiotherapists no commonly held code of ethics governing how much and what kind of information about players may properly be passed on to managers; associated with this, there is considerable variation from one club to another in terms of the amount and kind of information passed on to managers. In some clubs, medical staff attempt to operate more or less on the basis of the rules governing confidentiality that apply in general practice, but in other clubs, medical staff are more ready to pass on personal information about players. In some situations, this raises serious ethical questions. Conclusions: Guidelines dealing with confidentiality in practitioner-patient relationships in medical practice have long been available and have recently been restated, specifically in relation to the practice of sports medicine, by the British Olympic Association, the British Medical Association, and the Football Association. This is a welcome first step. However, if the guidelines are to have an impact on practice, detailed consideration needs to be given to ensuring their effective implementation; if this is to be achieved, consideration also needs to be given to identifying those aspects of the culture and organisation of professional football clubs that may hinder the full and effective implementation of those guidelines.

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“…This focus group considered limitations in performance less relevant for early identification of overuse wrist injury than signals, because they may only arise at a late injury stage. Pain during sports activity with limited performance is commonly considered indicative of advanced-stage overuse injury (DiFiori, 2010;Mellion, Walsh, & Shelton, 1997). Minor limitations in sports activity may not prompt young athletes to seek medical help.…”

Section: Discussionmentioning

confidence: 99%

Overuse wrist injuries in young athletes: What do sports physicians consider important signals and functional limitations?

Kox

Kuijer

Opperman

et al. 2017

Journal of Sports Sciences

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This study's objective was to collect items from experienced sports physicians, relating to the presence and severity of overuse wrist injuries in young athletes, for developing a measurement instrument for signals of overuse wrist injury. Seven Dutch elite sports physicians involved in guidance and treatment of young athletes in wrist-loading sports (gymnastics, tennis, judo, field hockey, volleyball and rowing) participated in a focus group. They discussed signals and limitations related to overuse wrist injuries in young athletes. Data were coded and categorised into signals and limitations with subcategories, using an inductive approach. Of the resulting 61 signals and limitations in nineteen (sub)categories, 20 were considered important, forming a comprehensive item set for identifying overuse wrist injury in young athletes. Signals such as pain, "click", crepitations, swelling and limited range of motion were marked useful for early identification of overuse wrist injury. Limitations in movement and performance were considered indicative of severe overuse injury but less relevant for initial injury identification. The focus group provided 17 important signals and 3 important limitations indicative of overuse wrist injury. These provide the basis for a valid measurement instrument for identifying overuse wrist injury in young athletes, with equal emphasis on pain and on other symptoms.

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The Team Physician??s Handbook

Cited by 7 publications

References 0 publications

Injuries and Medical Issues in Softball

Injuries and Medical Issues in Softball

Management of medical confidentiality in English professional football clubs: some ethical problems and issues

Overuse wrist injuries in young athletes: What do sports physicians consider important signals and functional limitations?

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