Sports Medicine for the Primary Care Physician

Author: Richard B. Birrer
Published: June 2004
Publisher: CRC Press
ISBN: 084931464X
Hardcover Book
Number of Pages: 868

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During the past decade, the primary care physician has played a pivotal role in the evolution of sports medicine as a discipline that can benefit patients of all ages. Sports Medicine for the Primary Care Physician, Third Edition provides the latest information on major topics in sports science and clinical medicine that affect primary care physicians. This third edition updates all chapters with current scientific data and incorporates information drawn from evidence-based medicine. It also includes a revised and streamlined medical illness section, as well as new chapters on radiology and complementary and alternative medicine. This authoritative edition updates our knowledge of key concepts related to the diagnosis, treatment, and prevention of sports injuries. As exercise and sports move beyond the realm of leisurely activity to a necessary component of good health, this is a timely volume for primary care practitioners, family physicians, pediatricians, internists, and anyone involved in sports medicine. Writing for primary care physicians, often the first medical professionals to see the patient after a sports injury, Birrer (medicine, Cornell University) and O'Connor (sports medicine, Uniformed Services University of the Health Sciences) provide information on major topics in sports science and clinical medicine. Coverage encompasses principles of healthy exercise, athlete populations, and sports injuries. Appendices list resources for supplies, equipment, and training programs. This third edition contains new CT and MRI images, and there are new chapters on radiology and complementary and alternative medicine. This book consists of two sections. Section One: General Sports Medicine is divided into 26 chapters describing the role of the physician in sports, general principles of exercise, and descriptions of athletic profiles (e.g., competitive athletes, weekend athletes, etc.). Section Two: Clinical Sports Medicine Practice is divided into 27 chapters detailing particular syndromes and injuries. Contributors represent many medical disciplines from family medicine to orthopedics and include academic physicians and private clinical practitioners. The editor intends this to be a textbook used in the sports medicine curriculum in family practice training programs. The book achieves the purpose of being a useful textbook, but in addition will be valuable resource for a physician who needs a reference geared to clinical practice questions. The intended audience is family practice residents; however, primary care physicians will find it to be useful. The general layout is pleasing to the eye. Line drawings and photographs are used appropriately to illustrate points from the text. References are variable; some chapters have recent journal references, whereas others have only general citations. Chapters in Section Two are arranged first with a narrative description including anatomy and pathophysiology of the affected part of the system followed by an outline description of pertinent features. This outline format is extraordinarily concise and useful. Unfortunately, the graphics are plain and make quick reading difficult. The index is excellent and a glossary of terms is very helpful. This is a useful resource for the practicing primary care physician and a practical text for trainees. The quality ofthe chapters is uneven, but taken as a whole it is a very well written text. It is utilitarian rather than scholarly. As such, it should find a place on the desk of many primary care physicians. Birrer, Richard B., MD (SUNY at Brooklyn)The contributors represent the specialties of family practice, obstetrics/gynecology, sports medicine, athletic training, physical therapy, psychology, orthopedics, pediatrics, emergency medicine, pharmacology, and sports nutrition. Many are in private practice, and several are team physicians. Some are affliated with the military. Institutions represented include UCLA, Univ of Nebraska, and Uniformed Services Univ of the Health Sciences.

Table of Contents
1 The history of sports medicine 5
2 The sports medicine physician 9
3 The preparticipation physical examination 15
4 Legal aspects of sports medicine 33
5 The role of the physican in sports : ethical considerations in sports medicine 45
6 Principles of healthy exercise 53
7 Sports medicine approach to training competitive athletes 61
8 Performance variables in sports 75
9 Promoting physical activity, exercise, and sport behaviour : a biopsychosocial approach 87
10 The athlete and the outdoors : environmental influences on sports 99
11 Nutrition in sports 113
12 Performance-enhancing substances : their use in sport 121
13 Protective athletic equipment 131
14 Physical activity counseling and exercise prescription 139
15 The competitive athlete 157
16 The weekend athlete 161
17 The female athlete 163
18 The child athlete 171
19 The older athlete 187
20 The athlete with chronic illness 197
21 The physically challenged athlete 207
22 The runner 223
23 The swimmer 233
24 The thrower 243
25 The outdoor athlete 253
26 Epidemiology of sports and recreational activity 271
27 Sports injuries : a general guide for the treatment and rehabilitation of sports injuries 281
28 Physical therapy in treatment of sports injuries 293
29 Sports medicine radiology for the primary care provider 303
30 Complementary and alternative medicine for the sports medicine physician 315
31 Casting of sports injuries 339
32 The use of orthoses for athletes 347
33 Taping procedures for sports injury 359
34 General types of injuries 371
35 Sports medicine emergencies 393
36 Sports injuries : a guide for the on-field management of injuries 411
37 Head injuries 419
38 Eye injuries 431
39 Ear injuries 439
40 Nasal injuries 443
41 Injuries to facial bones and teeth 449
42 Chest injuries 455
43 Abdominal injuries 459
44 Spinal injuries 465
45 Shoulder injuries 493
46 Elbow 523
47 Forearm injuries 541
48 Hand and wrist injuries 551
49 Injuries of the pelvis and hip 589
50 Thigh injuries 609
51 Knee injuries 617
52 Leg pain 647
53 The ankle 665
54 Foot injuries 687
55 Infections disease and the athlete 713
56 Dermatological disorders 725
57 Gastrointestinal problems in training and competition 739
58 Genitourinary problems in the athlete 751
59 Hematologic concerns in the athlete 761
60 Allergic diseases in athletes 775
61 Neurologic disorders 787
62 Cardiovascular considerations in the athlete 795
App. 1 Sports medicine resource guides 807
App. 2 Types of sports 809
App. 3 Educational and organization resources 811
App. 4 Medical supplies and equipment 813
App. 5 Injury surveillance and prevention organizations 819
App. 6 Sports and sports medicine organizations 825
App. 7 Therapeutic exercises for the injured athlete 827

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