Solutions for swimmer shoulder baseballer elbow and runner

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Warm up

Solutions for swimmer’s now for 17–21 April 2010 and remember
that AMSSM shows its welcome for inter-
national guests by sharing its member
shoulder, baseballer’s elbow conference registration rate with all non-
North Americans.

and runner’s upper respiratory Podcasts, blogs and BMJ Learning
Read more on the blog. Listen to the
tract infection podcasts (concussion, ACL, and more
coming). Web access means you can even
do CME online. Check out http://learning.
Karim M Khan bmj.com/; to launch the series you’ll
ﬁnd an online, interactive ankle sprain
As BJSM begins a record-breaking year strikes at a critical time. And infections case contributed by pre-eminent ankle
(see below), I’ll try to tempt you to spend are most common immediately before expert Evert Verhagen. (You have to reg-
more time on our site than you can really or after high-level competition. Difﬂam ister with BMJ Learning but it’s free and
afford. Please scan the subheadings for throat spray was tested as a way to pre- there’ll be more to follow so it is deﬁnitely
your pet topics. vent upper respiratory symptoms in asso- worth it).
ciation with a half-marathon race3 (see
Swimmer’s shoulder page 127). 16 issues per year, >1000 submissions,
This is a big problem and has tradition- 1.5 million page downloads!
ally been considered to have multifacto- Economics in sports and exercise BJSM helps you serve patients by provid-
rial aetiology. But Myanmar’s Mya Lay Sei medicine – here to stay! ing valuable information, tips and tools.
has partnered with global shoulder heavy- A Canadian systematic review (on which You receive 16 issues a year (thanks to our
weight George Murrell to discover that I am an author) has already been tabled partnership with the IOC for four special
distance swum is a critical predictor1 (see in the New Zealand parliament as sensi- ‘Injury Prevention and Health Protection’
page 105). Load, load, load – do not ignore ble folks tried to help Prime Minister John issues). We average over 100,000 page
load! This may have a big inﬂuence for Key make a quality decision. The issue downloads per month. Last year, we
swimming physios, docs and coaches. Not was to keep funding exercise classes, passed the 1,000 submissions mark on
to mention biomechanists. And remem- which save the nation money by reduc- 2 December. All of that is good news for
ber that BJSM’s April 2010 issue, edited by ing fall-related injuries in seniors4 (see readers.
Kibler, Pluim and van Cingel, focuses on page 80). The days of anyone arguing
shoulder pain. Just one of our 16 issues per Competing interests: KMK is a coauthor on the paper
that that health economics is not sports by Davis et al.4. This paper was brought forward to print
year (in case I forget to mention that). medicine are patently over. Ask the publication (as many papers are for various reasons). In
Australasian College of Sports Physicians this case, the reason was the paper’s prominence in a
Baseball pitcher’s elbow as they negotiate with the Rudd gov-
national parliamentary debate.
Interpreting the signiﬁcance of growth ernment to fund their specialty – a spe- Br J Sports Med 2010;44:79–79
plate images on X-ray is a challenge for cialty that has the potential to limit the doi:10.1136/bjsm.2010.071399
medical students, residents, fellows, and economic burden of physical inactivity.
even experts. Normal variant or pathol- Physical inactivity costs the US over $1 REFERENCES
ogy? This paper from Brazil2 (see page 90) trillion annually; clearly exercise is medi- 1. Sein ML, Walton J, Linklater J, et al. Shoulder pain
helps to clarify that issue. And if you are in elite swimmers: primarily due to swim-volume-
cine – and good value at that. induced supraspinatus tendinopathy. Br J Sports Med
treating paediatric sports injuries remem- 2010;44:105–13.
ber to check back to the January 2010 2. Murachovsky J, Ikemoto RY, Nascimento LGP, et al.
issue (http://bjsm.bmj.com/content/vol44/ Conference preview – book now for Does the presence of proximal humerus growth plate
AMSSM in Cancun! changes in young baseball pitchers happen only in
issue1/?etoc), which raised lively debates
symptomatic athletes? A x ray evaluation of 21 young
(http://blogs.bmj.com/bjsm/) about kids, Sign up to be a part of AMSSM’s excel- baseball pitchers. Br J Sports Med 2010;44:90–4.
their treatment, and their injuries. lent conference in Cancun, in Mexico’s 3. Cox AJ, Gleeson M, Pyne DB, et al. Respiratory
Mayan Riviera. Your family will love you symptoms and inﬂammatory responses to a Difﬂam
for that! At this friendly and value-packed throat spray intervention in half-marathon runners:
‘Medical’ issues – respiratory symptoms a randomised controlled trial. Br J Sports Med
and high-level competition conference you will hear the latest from 2010;44:127–133.
An upper respiratory tract infection can Tim Hewett5, Bert Mandelbaum, Kevin 4. Davis JC, Robertson MC, Ashe MC, et al. Does
Guskiewicz (concussion) and many more; a home-based strength and balance programme
wipe out four years of training if it in people aged ≥80 years provide the best value
even more importantly, the AMSSM con- for money to prevent falls? A systematic review of
ference is renowned for letting you get economic analyses of falls prevention interventions.
Correspondence to: Dr Karim M Khan, Department of up close and personal to ask your speciﬁc Br J Sports Med 2010;44:80–9.
Family Practice, Faculty of Medicine, The University of 5. Quatman CE, Hewett TE: The anterior cruciate
British Columbia, 303-2647 Willow St, Vancouver, questions – one-on-one time with these
ligament injury controversy: is “valgus collapse”
British Columbia V5Z 1M9, Canada; folks and others. And that’s really some- a sex-speciﬁc mechanism? Br J Sports Med
karim.khan@familymed.ubc.ca thing you can’t get any other way. Book 2009;43:328–35.

Br J Sports Med 2010;44:79–79. doi:10.1136/bjsm.2010.071399 79
Downloaded from bjsm.bmj.com on December 10, 2011 - Published by group.bmj.com

Solutions for swimmer's shoulder,
baseballer's elbow and runner's upper
respiratory tract infection
Karim M Khan

Br J Sports Med 2010 44: 79
doi: 10.1136/bjsm.2010.071399

Updated information and services can be found at:
http://bjsm.bmj.com/content/44/2/79.full.html

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References This article cites 5 articles, 5 of which can be accessed free at:
http://bjsm.bmj.com/content/44/2/79.full.html#ref-list-1

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