Key Topics in Sports Medicine

A.A. Narvani, P. Thomas, B. Lynn

• Publisher: Routledge
• Year: 2006
• eBook ISBN: 9781134220601
• Topic: Medicine
• Subtopic: Physiotherapy, Physical Medicine & Rehabilitation

Students have often commented on the need for a concise textbook on sports medicine that presents the essential information otherwise scattered across several much larger medical textbooks on other topics. Addressing this need, Key Topics in Sports Medicine makes effective use of the successful Key Topics format to provide extensive relevant information in an accessible and easy-to-follow manner. Practical and clearly presented, this is an invaluable resource for those students and practioners of sports medicine and rehabilitation, athletic training, physiotherapy and orthopedic surgery.

Urinary tract injuries

P Thomas

Renal injuries

Haematuria is the symptom present in ruptures or contusions but absent in avulsions where the vascular pedicle is still intact. The pain the athlete experiences is at the renal angle below the twelfth rib. IVP investigation or CT scan will assist diagnosis.

An avulsion that has occurred beyond 12 hours will require a nephrectomy but renal ruptures can be treated with partial or complete kidney salvage. In cases of perinephric tamponade ruptures, then surgery is necessary because of hypovolaemia.

Following renal injury, a persistent hypertension may exist and it will need attention. Counseling and advice should be provided to the individual athlete with a solitary kidney on the risks, although low, in taking part in contact sports.

Bladder injuries

Such injuries are usually associated with a full bladder during contact sport. A cystogram will assist diagnosis. Intra-peritoneal rupture will require laparotomy and repair. However, with an extra-peritoneal rupture then bladder drainage alone is sufficient in the majority of defects.

Urethral injuries

Usually they occur from a kick to the groin or a fall onto an object such as a bicycle handlebar. The athlete will present with an inability to void or the presence of blood in the urine. A urethrogram is diagnostic. A urine catheter must not be introduced until the diagnosis is made to avoid risk of creating a false urethral passage.

Scrotum injuries

They are common and obvious injuries. They can be classified as contusions, haematoma, torsion or rupture of the testicle. It is important to organise an ultrasound scan to distinguish between a traumatic haematoma and the presence of a tumor, which could be detected in young individuals.

Further reading

Zachazewski JE et al. (Eds) Athletic Injuries and Rehabilitation. Philadelphia: WB Saunders, 1996.

Related titles from Routledge
Drugs in Sport

Fourth Edition

Edited by David R. Mottram

Drug use is perhaps the biggest challenge facing sport today. Yet with media and public opinion, medals and morals all at stake, it is difficult to gain a clear perspective on this complex issue. Drugs in Sport is the most comprehensive and accurate text available on the subject. Taking into account the latest regulations, methods and landmark cases, it explores the hard science behind drug use in sport, as well as the ethical, social, political and administrative context. Key topics include:

• Action and side-effects of each major class of drugs used in sport
• The latest WADA doping control regulations
• Advances in doping control, and the sanctions for testing positive
• The use of therapeutic drugs banned in sport
• Ethical, political and administrative issues in monitoring drug use
• An assessment of the prevalence of drug taking in sport

Extensively referenced, Drugs in Sport provides a comprehensive, objective resource for students and researchers, athletes, sports scientists and coaches, journalists, sports administrators and policymakers.

David R. Mottram is Professor of Pharmacy Practice at Liverpool John Moores University.

Hb: 0-415-37563-0
Pb: 0-415-37564-9

Available at all good bookshops For ordering and further information please visit:

www.routledge.com

Related titles from Routledge
Food, Nutrition and Sports Performance II

The International Olympic Committee Consensus on Sports Nutrition

Edited by R.J. Maughan, L.M. Burke and E.F. Coyle

This book presents the latest consensus statement on Food, Nutrition and Sports Performance from the International Olympic Committee Medical Commission Working Group on Sports Nutrition, together with detailed discussion of research evidence, guidelines for athletes and coaches, and key issues in sports nutrition.

Includes:

• Energy balance and body composition
• Macronutrient metabolism and availability
• Athletes’ fluid and electrolyte requirements
• Dietary supplements
• Nutrition and immune function
• Nutritional s...

Table of contents

• Cover Page
• Title Page
• Copyright Page
• List of Contributors
• Preface
• Abdominal Injuries In Sport
• Achilles Tendon Rupture
• Ageing and Sport
• Ankle–Acute Sprains
• Ankle–Persistent Problems Following Sprains: Overview
• Ankle–Persistent Problems Following Sprains: Lateral Ankle Instability
• Ankle–Persistent Problems Following Sprains: Other Injuries
• Back Pain–Overview
• Back Pain–Lumbar Strains and Sprains
• Back Pain–Discogenic
• Back Pain–Spondylolysis
• Biomechanics
• Calf Pain
• Cervical Spine Injuries–Overview
• Cervical Spine–Cervical Ligament and Muscle Injuries
• Cervical Spine–Cervical Disc Injuries and Herniations
• Cervical Spine–Fracture/Dislocation
• Cervical Spine–Cervical Cord Neuropraxia
• Cervical Spine–Nerve Root/Brachial Plexus Injuries
• Chest Injuries
• Compartment Pressure Syndromes
• Diabetes and Exercise
• Disability and Sport–Overview
• Disability and Sport–Classification
• Disability and Sport–Medical Problems
• Disability and Sport–Equipment
• Drugs In Sport–Overview
• Drugs In Sport–The Administrative Framework: Doping Control Procedures
• Drugs In Sport–Anabolic Steroid Abuse
• Drugs In Sport–Blood Doping, Erythropoietin and Altitude Training
• Diving–Hyperbaric Medicine
• Ear, Nose, Throat Conditions In Athletes
• Elbow–Lateral Epicondylitis (Tennis Elbow)
• Elbow–Medial Epicondylitis (Golfer’s Elbow)
• Elbow–Throwing Injuries
• Epilepsy and Exercise
• Exercise Physiology–Circulatory and Respiratory Systems
• Exercise Promotion
• Eye Injuries In Sports
• Female Athlete–The Triad
• Female Athlete–Exercise During Pregnancy
• Fitness Testing
• Forearm  and Wrist Conditions
• Gender Verification
• Groin Pain
• Hand Injuries
• Head Injury
• Heel Pain
• Imaging of Sports Injuries–Plain Radiograph (Plain X-Ray)
• Imaging of Sports Injuries–Ultrasound (USS)
• Imaging of Sports Injuries–Isotope Bone Scan
• Imaging of Sports Injuries–Magnetic Resonance Imaging (MRI)
• Imaging of Sports Injuries–Computed Tomography (CT)
• Knee–Acute Injuries
• Knee–Overuse Injuries
• Knee–Anterior Knee Pain
• Lumbar Intervertebral Disc Herniation
• Maxillofacial Injuries In Sport
• Muscle Properties Relevant to Sports and Exercise (Including Fatigue)
• Nerve Injury–Overview of Peripheral Nerve Injuries
• Nerve Entrapment Syndromes–Upper Limb
• Nerve Entrapment Syndromes–Lower Limb
• Orthoses In Sport
• Osteoarthritis and Sport
• Osteoarthritis–Treatment
• Paediatrics–Sports Medicine
• Paediatrics–Sports Injuries
• Paediatrics–Osteochondrosis (Osteochondritis)
• Physiotherapy–General Principles
• Physiotherapy–Acute Injury Management
• Physiotherapy–Rehabilitation
• Physiotherapy–The Team Physiotherapist
• Prevention of Sports Injuries
• Psychology–Performance Enhancement
• Psychology–Sports Injuries
• Pulmonary Disorders and Exercise
• Risk of Sudden Death In Athletes
• Shin Pain
• Shoulder–Acute Dislocation
• Shoulder–Instability
• Shoulder–Impingement Syndrome/Rotator Cuff Disease
• Shoulder–Acromioclavicular Joint Injuries
• Skin Infections In Athletes
• Sport and Exercise At Altitude
• Sport and Exercise In the Cold–Hypothermia
• Sport and Exercise In the Heat–Thermoregulation and Fluid Balance
• Sport and Travelling
• Sports Footwear
• Stress Fractures In Sports
• Team Physician
• Thigh Pain (Anterior)–Quadriceps Muscle Injuries
• Thigh Pain (Posterior)–Hamstring Strains
• Thigh–Muscular Contusions and Myositis Ossificans
• Thoracolumbar Spine Fractures
• Training
• Unexplained Underperformance Syndrome
• Urinary Tract Injuries