ITEMS IN AFP WITH KEYWORD:
The preparticipation physical evaluation (PPE) is a common primary care medical visit for young athletes. In 2019, the American Academy of Pediatrics published updated PPE recommendations. The general goals outlined in these guidelines include determining general physical and psychological health; evaluating for life-threatening or disabling conditions; and serving as an entry point into the health care system for those without a medical home or primary care physician. Consideration should be taken to address the needs and concerns of athletes who are transgender and athletes with physical and intellectual disabilities.
Family physicians may be surprised to learn the number of their patients who use performance-enhancing drugs, either deliberately to improve athletic performance or unknowingly through contaminated dietary supplements.
Hip pain usually localizes anteriorly, laterally, or posteriorly. A focused history and physical examination can help differentiate the causes of hip pain, which is important for prescribing effective therapy. Imaging is sometimes needed for a definitive diagnosis.
The American Academy of Family Physicians (AAFP)and others have published the 5th edition of the preparticipation physical evaluation monograph. Revisions include new mental health and transgender sections and expansion of the female athlete chapter.
Apophysitis and osteochondrosis are common causes of pain in growing bones. Apophysitis is responsible for a large percentage of visits by school-aged children to a health care professional each year for a sports injury. Osteochondrosis diseases are less common. Most apophysitis disorders are self-resolving with conservative management, and many osteochondrosis disorders may resolve with a period of relative rest and close monitoring.
How many clinicians are aware that high levels of physical fitness predispose patients to cardiac rhythm abnormalities? Find out more.
Most running injuries are due to overuse and typically respond to conservative treatment. Learn which tests can help diagnose patellar tendinopathy, patellofemoral pain syndrome, iliotibial band syndrome, Achilles tendinopathy, plantar fasciopathy, and tibial and hamstring injuries, and the recommended treatments for each condition.
Family physicians should be familiar with recommendations regarding the female athlete triad, because prevention and early intervention can significantly reduce morbidity from this disorder.
ACL injury prevention programs reduce the incidence of ACL injuries by at least 50% in a variety of sports, and should be used for all athletes. There is no evidence that any particular prevention program or component is superior.
Several treatments for calcaneal apophysitis may produce modest short-term improvements in pain scores. Heel inserts and prefabricated orthotics may initially improve pain scores and dysfunction, but patients have equal improvement by three months with or without therapy.