Persistent Pain after Clay Shoveler's Fracture Delayed Union: The Role for Ultrasound-Guided Corticosteroid Injection
Ike B. Hasley, MD, Marc P. Gruner, DO, David B. Soma, MD and Jacob L. Sellon, MD
Article Type: Case Report | First Published: April 15, 2021
Clay shoveler's fracture is an avulsion fracture of the lower cervical or upper thoracic spinous processes. This injury can be seen in trauma and sports-related activity, and usually responds to rest from painful activity. Patients with persistent pain may be treated with surgical excision of the avulsion fragment. We describe the case of a 14 year-old competitive swimmer whose desire to return to sport after failed initial treatment led to pursuit of an ultrasound-guided anesthetic/corticostero...
Medically Integrated Fitness Program Review to Improve Health and Functional Outcomes
Michael M. Haniff, MD, PhD(c), Christopher R. Sutton, MS, ACSM-RCEP, EIM, James J.L. Mateka, MD, PhD(c), Peggy McDonagh Bravo, RN, BSN, MA, Wesley R. Waggener, PhD, CSCS and Nathaniel S. Jones, MD, CAQ-SM
Article Type: Original Article | First Published: April 21, 2021
Exercise prescription may be a useful tool in the management and prevention of chronic disease among the adult population. There is a dearth of structured exercise prescription programs for improving quality of life, physical function, and overall health. The purpose of this investigation was to evaluate the effects of Next Steps Fitness Programs™ on symptoms and health outcomes among adults with one or more chronic conditions. This study was a retrospective examination of ...
First Rib Fracture Nonunion Treated With Bone Marrow Aspirate Concentrate in a Division 1 Collegiate Baseball Player
Kanjiya S, Gambardella RA and Moon CN
Article Type: Case Report | First Published: April 17, 2021
Fractures of the first rib have historically been described in major trauma with a high prevalence for cardiothoracic and musculoskeletal fractures. However, there have been several case reports describing first rib fractures in athletes. The vast majority of these patients return to play with conservative management. Unfortunately, some patients may develop fracture nonunion. Patients that develop a nonunion may remain asymptomatic. In the rare case that a patient is symptomatic or develops tho...
Causes and Prevention of Running-Related Injury: An Engineering Perspective
Lee Saxby and Mick Wilkinson
Article Type: Current Opinion | First Published: March 17, 2021
There is a high prevalence of, and lack of a systematic reduction in running-related injuries. Despite decades of research, there remains a lack of consensus about risk factors and solutions for running injury in the scientific literature. In response to suggestions that running injuries should be viewed from alternative conceptual frameworks, this paper has viewed running from an engineering perspective to suggest causes and solutions based on the 'fundamental principles' approach that characte...