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  • ISSN: 2379-0571
    Current Issue
    Volume 5, Issue 1
    Case Report
    Daniel Teixeira de Oliveira*, Andre Martins Teixeira, Carlos Eduardo Franciozi, Marcus Vinicius Malheiros Luzo, Renato Hiroshi Salvioni Ueta, Everton Quadros Fiebig, Juliano Flor e Silva, and Daniel Souza Carvalho
    Cycling injuries are becoming more common since the increasing number of participants in athletic forms of cycling. Given that, physicians must be ready to deal with different situations, the aim is to secure an early recovery to the sport. In this case-report we show a 51 year-old Brazilian female long distance triath-lon athlete who suffered a non-surgical cervical fracture and was ready to compete in the Ironman® world championship only 12 weeks after the accident.
    Georgina Waters*, Peter D'Alessandro, Benjamin McGrath, and Jordan Leith
    The Latissimus Dorsi is a large muscle of the pectoral girdle that is a powerful adductor of the arm, and also acts to elevate the trunk when the arms are fixed. Reported avulsion injuries of its tendinous insertion at the humerus treated with surgical repair have been rarely reported, the literature showing fewer than 15 cases. This is a unique case report of a late presenting Latissimus Dorsi avulsion injury in a power-lifting athlete cycling a wide range of anabolic steroids. We show that utilizing a dual incision approach can allow for safe and effective mobilization of a retracted tendon. Furthermore, robust fixation using an intracortical button technique can produce a successful repair with restoration of full function, even in the most challenging patients.
    Emel Kaya Aumann, and Neslihan Aksu*
    Internal shoulder impingement is defined as an abnormal contact between the rotator cuff undersurface and the glenoid margin, resulting in tearing of the posterosuperior rotator cuff and posterior labrum. This shoulder injury appears in throwing athletes and occurs during the maximal cocking or initial acceleration phase of throwing. Most of the articles in the literature on internal crash involve professional rugby players, tennis players, cricketers, and squash players.In this case report, we aimed to show the internal shoulder impingement caused by overhead lifting figures in a professional folk dancer.
    Hamid Arazi*, and Ehsan Eghbali
    Osteosarcopenia syndrome has recently been identified as a conditionencompassing osteopenia/osteoporosis and sarcopenia. Osteosarcopenia is especially deleterious inolder adults. Sarcopenia and osteoporosis have common risk factors and biological pathways, and are significantly associated with physical disabilities and major threats to the loss of autonomy in life. Genetic, endocrine and mechanical factors as well as inflammatory and nutritional states concurrently affect muscle tissues and bone metabolism.Exercise can affect osteosarcopenia patients through increase the concentration of anabolic hormones, signaling pathways of mTOR, Wnt-Catenin pathway, down-regulator of inflammation, etc. Studies have shown that a complete exercise program (including aerobic activity, strength, flexibility, and equilibrium exercises) can have a positive effect on osteosarcopenia individuals. In addition, long-term exercises should be carried out in order to create positive effects; otherwise the effects of exercise activities will be eliminated.
    Research Article
    Tamerah Hunt* and Laura Harris
    Context: Following concussion, a sequential progression outlining the return to physical activity is universally accepted as best practice; however, a parallel progression for reintegration into academics for adolescents is less accepted.
    Objective: Describe a theory outlining the mitigating factors influencing academic reintegration and provide a model to facilitate a successful recovery from concussion.
    Design: General Interpretive.
    Setting: Focus groups were conducted in the library of the participants' high schools.
    Participants: Fifteen asymptomatic athletes (13 males (8 low socioeconomic status (SES-L), 5 high socioeconomic status (SES-H)) and 2 females (SES-H), mean age of 15.87 + 1.65 years) with a history of sport-related concussion completed semi-structured interviews during four focus groups.
    Data Collection and Analysis: Using content analysis, the researchers independently analyzed notes and transcriptions to identify themes associated with (1) cognitive rest and (2) academic reintegration of adolescents during recovery. Credibility and trustworthiness were established through member checks and a peer auditor.
    Results: Regardless of sex, number of days missed or SES, all participants described anxiety which led to frustration during the return to learn process. Concussion recovery outcomes were impacted by 1) quality of healthcare provider and teacher communication and 2) teachers' expectations.
    Conclusions: Participants described poor outcomes that resulted from poor communication between educators and healthcare providers in regards to restrictions and reintegration to academics. The academic demands experienced after missing school resulted in heightened anxiety and declining grades. This research describes a theoretical model that provides stages in which clinicians can intervene during important aspects of recovery.
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