Elbow Problems
Elbow Problems 6.1 Lateral Epicondylitis/Tendinosis (Lateral Tennis Elbow) J Bone Joint Surg 1999;81-A:259; Clin Sports Med 1992;11:851; Curr Opin Orthop 2003;14:291 Cause: Repetitive or overuse injury of the common extensor…
Cervical Spine Injuries
Cervical Spine Injuries 4.1 Cervical Strain/Sprain Ligamentous Sprain, Neck Strain, Whiplash, Myofascial Neck Pain Prim Care 2004;31:19; Phy Sportsmed 1997;25:60; Current Diagnosis and Treatment in Family Medicine. McGraw-Hill, New York…
Injections
Injections 1.1 General Principles Clin Sports Med 1995;14:353; Geriatrics 1990;45:45; Curr Opin Rheumatol 1999;11:417 Medications: Dexamethasone acetate (Decadron LA) 8 mg/cc Triamcinolone diacetate (Aristocort) 40 mg/cc Local anesthetics: lidocaine 1%,…
Nutrition and Ergogenics
Nutrition and Ergogenics 3.1 General Nutrition guidelines are established every 5 years by the U.S. Department of Agriculture and the U.S. Department of Health and Human Services (http://www.nalusda.gov/fnic/dga/dguide95.html). The Food…
Environmental Injuries
Environmental Injuries 2.1 Acute Mountain Sickness Respirology 2004;9:485; Br J Sports Med 1999;33:376 Cause: Hypoxia associated with rapid ascent to altitude. Epidem: Altitude illness develops at elevations above 2,000-2,400 m,…
Techniques of Arthrocentesis
Techniques of Arthrocentesis Dennis W. Boulware A 52-year-old man with rheumatoid arthritis presents with a 36-hour history of acute knee pain with fever after a week of moderate fever and…
Monitoring of Patients on Antirheumatic Therapy
Monitoring of Patients on Antirheumatic Therapy W. Winn Chatham The chronicity of the majority of rheumatic diseases often involves the long-term use of antirheumatic therapies. Multiple inflammatory mediators and mechanisms…
Use of the Laboratory in Diagnosing Rheumatic Disorders
Use of the Laboratory in Diagnosing Rheumatic Disorders Terry Shaneyfelt Gustavo R. Heudebert Patient 1: An 80-year-old retired carpenter presents for evaluation of diffuse joint pain. He reports gradual onset…
Viral Arthritis
Viral Arthritis Katherine Holman Martin Rodriguez A 21-year-old Caucasian woman with no significant past medical history presents with a 3-day history of joint pain and swelling. She states that the…
Lyme Disease
Lyme Disease William F. Iobst Kristin M. Ingraham A 39-year-old white male presents to your office with a 3-month history of a painful, swollen left knee. He currently denies other…
