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Sports Injuries

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Table of Contents

PART I. Introduction: Missions of the International Societies in Sports.- Collaboration with International Sports Federations (FIFA, UEFA, etc..).- Young Scientists for the Future of Sports Traumatology.- Medicolegal Items in Orthopaedic Sports Medicine: Perspective from an Orthopaedic Surgeon.- Medicolegal Items in Orthopaedic Sports Medicine: Perspective from a Lawyer.- Study Design, Reviewing and Writing in Orthopaedics, Arthroscopy and Sports Medicine.- Publishing for Sports Medicine.- Studies on Orthopaedic Sports Medicine: New Horizons.- Research on Measuring in Vivo Joint Motion and Ligament Function: New Developments.- Surgery in Sports Traumatology: Research Pearls.- PART II. Shoulder Injuries: Shoulder Anatomy and Biomechanics of the Rotator Interval.- Anatomy and Portals in Shoulder Arthroscopy.- Bone Deficiency of the Glenohumeral Joint.- Pathogenesis of Rotator Cuff Tears, Implications on Treatment.- Arthroscopic Repair of Rotator Cuff Disorders.- Double Row Versus Single Row Arthroscopic Rotator Cuff Repair.- Rotator Cuff Repair Augmented with Platelet Rich Plasma.- New Technologies In Shoulder Rotator Cuff Surgery.- Posterosuperior and Anterosuperior Impingement.- Internal Impingement.- SLAP Lesions.- Shoulder Instability.- Recurrent Dislocation of the Hypermobile Shoulder.- Humeral Avulsion Glenohumeral Lesions of Shoulder.- Acute Posterior Dislocations and Posterior Fractures-Dislocations.- Neglected Posterior Dislocations and Treatment Modal ities.- Posterior Shoulder Pain.- Nerve Decompressions: Principles and Different Techniques.- Arthroscopic Release of the Suprascapular Nerve.- Sports Injuries From the Sternoclavicular to the Acromioclavicular Joints.- Acromioclavicular Joint Problems and Reconstruction.- Biceps Tendon Injuries.- Sports Spesific Traumatic Shoulder Injuries.- Treatment of Shoulder Fractures Under Arthroscopic Control.- Clavicula Fractures.- Prevention Strategies of Shoulder Injuries.- Rehabilitation and Re turn to Sports after Conservative and Surgical Treatment of Shoulder Injuries.- Accelerated Rehabilitation of Shoulder Injuries in Athletes.- Thoracic Outlet Compression Syndrome and Its Surgical Treatment Modalities.- PART III. Elbow and Wrist Injuries: Elbow Anatomy.- Physical Examination of the Elbow.- Sports Related Elbow Problems.- Lateral and Medial Epicondylitis.- Medial and Lateral Instability of the Elbow.- Elbow Dislocations.- Common Elbow Fractures.- Different Surgical Techniques in Elbow Fractures.- Nerve Entrapments of Upper Extremity.- Different Treatment Modalities in the Nerve Entrapments of Upper Extremity.- Tricks in Elbow Arthroscopy.- Anatomy and Biomechanics of Wrist and Hand.- Carpal Tunnel Syndrome and Tendon Pathologies of the Wrist.- Carpal Instabilities in Athletes.- Arthroscopic Treatment of Intrinsic Ligament Injuries of the Wrist.- Traumatic Injuries of the Hand & Wrist.- Wrist Arthroscopy.- Elbow Rehabilitation, Different Concept!.- PART IV. Groin Injuries and Hip: Groin Anatomy and Biomechanics.- Common Reasons of Groin Pain in Sports.- Differential Diagnosis in Groin Pain: Perspective From the General Surgeon.- Differential Diagnosis in Groin Pain: Perspective From a Surgeon.- Groin Pain: Neuropathies and Compression Syndromes.- Bone and Joint Problems Related to Groin Pain.- Hip Problems in Athletes and Current Indications for Hip Arthroscopy.- Arthroscopic Treatment of Femoroacetabular Impingement.- Hip Labral Repair and Reconstruction in Athletes.- Anterior Inferior Iliac Spine and Subspine Hip Impingement: Concept, Surgical Technique, and Outcomes.- PART V. Knee Injuries: Complex Functioning of the Knee Joint.- The Neglected Tendon Injuries Around the Knee: A Clinical Alert.- Patellar Tendinosis and Rupture.- Degeneration and Cysts of the Meniscus.- Asymptomatic Meniscal Tears.- Meniscectomy.- Arthroscopic Repair of the Meniscus Tears.- Human Meniscus: From Biology to Tissue Engineering Strategies.- Meniscal Allograft Transplantation.- Meniscal Substitutes: Polyurethane Meniscus Implant - Technique and Results.- Meniscus Reconstruction Using New Collagen Meniscus Implant.- The Role of Biologicals in Meniscus Surgery.- Treatment of Intraarticular Knee Fractures Under Arthroscopic Control.- ACL Registers.- Risk Factors for ACL Injuries Identifiable for Pre-participation Imagiological Analysis.- Prevention of Knee Injuries in Soccer Players.- Prevention Strategies for ACL Injuries.- State of Art in ACL Surgery.- Personalized Treatment Algorithms for ACL Injuries.- Partial ACL Ruptures and Knee Laxity Measurements/Pivot Shift.- ACL Augmentation in Partial Ruptures.- Arthroscopic Repair of Partial ACL Tears: My Viewpoint.- ACL Injuries with Concomittant Meniscal Pathologies.- Different Techniques of ACL Reconstruction: Guidelines.- Primary ACL Repair in Athletes with Mesenchymal Stem Cells and PRP.- Medial Tunnel Placement in ACL Reconstruction and Differences with Transtibial Placement.- ACL Reconstruction with Autologous Quadriceps Tendon.- Biomechanical Variation of Double-Bundle ACL Reconstruction.- The Evalution and Principles of Anatomic Double Tunnel ACL Reconstruction: Why Double Tunnel Anatomic ACL Reconstruction?.- Double Tunnel Anatomic ACL Reconstruction.- Single versus Double ACL Reconstruction in Athletes.- Alternative Techniques For Double Tunnel Anatomic ACL Reconstruction.- ACL Graft Selection and Fixation.- Allografts in ACL Reconstruction.- Costs and Safety of Allografts.- The Role of Growth Factors in ACL Surgery.- Graft Remodelling and Bony Ingrowth After ACL Reconstruction.- Dealing With Complications in ACL Reconstruction.- Arthrofibrosis.- Revision ACL Reconstruction.- ACL Injuries and Surgery - Current Evidence and Modern Development.- Perioperative and Postoperative ACL Rehabilitation Focused on Soft Tissue Grafts.- A Structured Rehabilitation Model with Clinical Outcomes After ACL Reconstruction.- Guidelines to Return to the Field After ACL Reconstruction.- Factors affecting return to Sports after ACL Reconstruction.- Return to Play Decision-Making Following ACL Reconstruction: Multi-Factor Considerations.- PCL Reconstruction: New Concepts.- Current Concepts in the Treatment of PCL injuries.- Combined ACL & PCL Injuries.- Allografts in PCL Reconstructions.- Specialities in Multiple Ligament Injuries.- MCL & ACL Functional Synergy: The ACL Does Not Function in Isolation.- Medial Side Instability and Reconstruction.- Anteromedial Knee Instabilities.- Reconstruction of the Posterolateral Corner (PLC) of the Knee.- Reconstruction of the Posteromedial Corner (PMC) of the Knee.- Rehabilitation of Complex Knee Injuries and Key Points.- Future Perspectives on Knee Ligament Surgery.- Radiologic Criterias & Demonstration of Patellar Instability.- Non-surgical Treatment of Patellofemoral Pain.- Physiotherapy Tricks in Patellofemoral Pain Syndrome.- Knee Dislocations.- Patellar Dislocations: Overview.- Arthroscopic Patellar Instability Surgery.- MPFL Reconstruction: Current Concepts.- Reconstruction of the MPFL: My Viewpoint.- Malrotation of Femur and Tibia Leading to Patellar Pain and Discomfort.- Computer-assisted Osteotomies for Genu Varum Deformity: Rationale, Surgical Technique, Results and Return to Sportive Activities.- The Role of Osteotomy for Knee Cartilage and Ligament Injuries.- Return to Play After Acute Patellar Dislocation.- Reconstruction of Neglected Tears of the Extensor Apparatus of the Knee.- Proximal Tibiofibular Syndesmotic Disruptions in Sport.- PART VI. Ankle Injuries: Heel Pain in Athletes.- Tendinopathies Around the Foot and Ankle.- Brace Types of the Different Tendon and Ligament Pathologies Around the Foot and Ankle.- Ligamentous Injuries of the Ankle: Sprained Ankle.- Syndesmosis Injuries.- Distal Tibiofibular Syndesmotic Disruption: Missed Injury.- Anterior Ankle Impingement.- Chronic Ankle Instability.- Arthroscopy of the Ankle: New Approaches.- Arthroscopic Assisted Bostrom-Gould Repair.- Osteochondral Injuries of Talus.- Treatment of Osteochondral Talus Defects by Biodegredable Scaffolds.- Arthrosurface in Talus Osteochondral Lesions.- The Natural Course of the Ankle Injury: Based on Volleyball Experience.- Proprioceptive and Functional Exercises After Ankle Surgery.- PART VII. Cartilage Pathologies: Cartilage Biology.- Epidemiology of Cartilage Injuries.- Surgical Treatment of Osteochondral Defects With Mosaicplasty Technique.- Surgical Treatment of Osteochondral Defects in the Knee with PVA-H Hydrogel Implants.- Arthroscopic Autologous Chondrocyte Implantation for the Treatment of Chondral Defects.- Second Generation Autologous Chondrocyte Implantation: What to Expect.- Second and Third Generation Cartilage Transplantation.- Next Generation Cartilage Solutions.- Scaffold-free Tissue Engineered Construct (TEC) Derived From Synovial Mesenchymal Stem Cells.- PRP in the Treatment of Cartilage Defects and Early Osteoarthritis of the Knee.- Scaffold-free Endogenous Healing of the Articular Cartilage Lesion.- Adipose Tissue and Progenitor Cells for Cartilage Formation.- Rehabilitation after Knee Cartilage Transplantation with Autologous Chondrocytes or Stem Cells.- PART VIII. Stress Fractures: Stress Fractures: Overview.- Imaging of Stress Fractures and Involved Risk of Ionizing Radiation.- Jones Fracture.- Tarsal and Navicular Stress Fractures.- Sesamoid Stress Fractures.- Stress Fractures Around Hip.- PART IX. Muscle and Tendon Injuries: Tendon and Ligament Pathophysiology - Healing after Injuries.- Muscle Pathophysiology - Healing of Muscle Injuries.- Prevention of Muscle Injuries in Sports.- Muscle Injuries: Strains, Contusions and Ruptures.- Hamstring Injuries: Types, Rehabilitation and Prevention.- Lower Extremity Muscle Injuries in Professional Football Players: Overwiev.- When and How We Can Use PRP in Muscle Injuries?.- Usage of Growth Factors in Acute Muscle Injuries.- Anesthesia Managements for Sports Related Musculoskeletal Injuries.- Exertional Rhabdomyolysis.- Compartment Syndromes of the Lower Leg.- Surgery of Muscle Injuries in Sports. When and Why?.- Functional Tissue Engineering for Tendinopathies: What's New on the Horizon?.- Tendinopathies in Sports: From Basic Research to the Field.- Achilles Tendinopathies.- Conservative Treatment of Achilles Tendinopathies.- Ultrasound-Guided Injections.- Achilles Tendon Surgery: My Viewpoint.- Total Achilles Tendon Ruptures: Current Trends!.- Minimally Invasive Surgery for Achilles Tendon Pathologies.- Endoscopy and Percutaneous Suturing in the Achilles Tendon Ruptures and Proprioceptive Physiotherapy.- Advantages of Endoscopy Assisted Repair for Achilles Tendon Ruptures.- PART X. Osteoarthritis and Sports/Arthroplasty: How to Assess the Degenerative Knee? Physical & Complementary Exams and Scores.- Osteotomy and Sports.- Sports Participation and Risk of Hip Osteoarthritis.- Sports Participation and Risk of Knee Osteoarthritis.- Sports Participation and Risk of Ankle Osteoarthritis.- Joint Resurfacing of the Shoulder and Knee in Athletes.- Arthroscopic Treatment of Knee Osteoarthritis in Athletes.- Unicompartmental Knee Replacement and Return to Sports.- Lateral Unicompartmental Knee Replacement and Return to Sports: My Viewpoint.- Sports After Total Knee Prosthesis.- Treatment of Pain in Total Knee Arthroplasty (TKA) Favoring Post-op Physical Activity.- Sports and Knee Arthroplasty : How to Deal with the Extensor Mechanism.- Joint Resurfacing and High Tibial Osteotomy (HTO) in the Athletes.- Focal Joint Resurfacing for the Hip.- Sports After Total Hip Arthroplasty.- Periprosthetic Soft Tissue Balance in Hip Arthroplasty.- PART XI. Pediatric Sports Injuries: Prevention of Childhood Sports Injuries.- Physical Abuse of Adolescent and Young Athletes.- Physeal Fractures.- Elbow Injuries in Pediatric Pitchers.- Shoulder Injuries in Pediatric Athletes.- Patellofemoral Problems in Adolescent Athletes.- Meniscal Injuries and Discoid Lateral Meniscus in Adolescent Athletes.- ACL Injuries in Children.- Pediatric ACL Injuries and Combined Cartilage Problems: Current Concepts.- MPFL in Adolescent.- Thoraco-lumbar Injuries in Pediatric Athletes.- PART XII. Sport Spesific Injuries: Olympic Sports and Prevention.- Prevention in Soccer Injuries.- Soccer and Associated Sports Injuries.- American Football Associated Injuries.- Rugby and Associated Sports Injuries.- Cricket and Associated Sports Injuries.- Boxer's Knuckle.- Team handball injuries.- PART XIII. Extreme Sports & Motorsport Injuries: Endurance & Adventure Sports Injuries: Ultra-Marathon Running Injuries (Musculoskletal Injuries and Other Health Related Problems).- Endurance & Adventure Sports Injuries: Mountain bike injuries: an update.- Ironman Triathlon.- Biathlon: Maximum & Minimum in the Same Event.- Epidemiology and Medical Coverage of Motocross and Supercross Races.- Driver as a High Level Athlete.- Motorsport Injuries: Current Trends and Treatment Concepts.- Incidence of Motocross Injury: 30 years' Experience.- Power Boat Racing.- F1 Power Boat Accident Different View Point.- PART XIV. The Field of Play and Pitchside Management of Sports Emergencies: Planning the Medical Aspects of a Sports Event.- Environment and Fluid Homeostasis at the Pitchside.- Acute Heart Conditions, Sudden Death on the Field and Prevention.- The Collapsed Athlete on the Field.- The Pitchside Management of Limb Injuries: Fractures and Dislocations.- Wound and Haemorrhage Management.- Head and Neck Injuries in Sports.- Traumatic Dental Injuries in Sports.- Thorax and Abdominal Injuries on the Field.- Spine Injuries on the Field.- PART XV. Future of Sports Traumatology: Biomechanical Measurement Methods to Analyze the Mechanisms of Sport Injuries.- Clinical Relevance of Gene Therapy and Growth Factors in Sports Injuries.- Platelet Rich Plasma: From the Lab to the Clinic.- Future Trends in Sports Traumatology.- Bioactive Radiofrequency Effects on Ligament and Tendon Injuries.- A Tissue-Engineered Approach to Tendon and Ligament Reconstruction: Current Trends.- Biomaterials in Musculoskeletal Conditions: Classification, Design, and Regulatory Aspects.- Nanotechnology in Sports Medicine.- The Effects of Advancement on Biomechanics and Biology on Active Performance.- Input of Second Opinion of International Experts in Orthopaedic Sports Medicine.- Animations and Surgical Simulation in Sports Medicine Education.- Innovation in Sports Medicine.- Injury Prevention in Different Sports.- Internet Portal and Education in Orthopaedics.- Orthopaedic Research in the Year 2025.- Biomedical Engineering and Orthopaedic Sports Medicine.- PART XVI. Industry and Orthopaedic Sports Medicine: Ethics and Medical Law in Sports Medicine.- The Bridge Between Industry and Orthopaedics.- Implant strategy in the Health Sector.- Surgical Instruments and Maintenance.- PART XVII. Miscellaneous: Tumours mimicking sports Injuries.

About the Author

Prof. Mahmut Nedim Doral, M.D., is internationally recognized for his expertise in orthopedic sports medicine. He has authored over 150 scientific articles in peer-reviewed journals and over 15 book chapters in internationally published books; he also acts as a referee for four national and five international journals. His last book, Sports Injuries: Prevention, Diagnosis, Treatment and Rehabilitation, was published by Springer in 2011. For over 30 years, Dr. Doral's major research interests have been in sports injuries and rehabilitation, arthroscopic and endoscopic surgery, basic science research in tendon injuries, and knee arthroplasty. He is the chairman of the Department of Orthopaedics and Traumatology and the Department of Sports Medicine at the Hacettepe University Medical School. Dr. Doral is the medical chief and health system organizer of Galatasaray Sports Club Youth Teams. He has been the director of the Hacettepe University Sports Medicine Center since 1995. He has been board member (2003-2009), program committee member (2004-2012), and membership committee chairman (2007-2011) of the International Society of Arthroscopy, Knee Surgery & Orthopaedic Sports Medicine (ISAKOS). He is also a past member of the scientific committee of European Society of Sports Traumatology Knee Surgery and Arthroscopy (ESSKA). He currently serves in the Executive Council of the Turkish National Olympic Committee; as executive committee chair of and newsletter editor at the Asia Pacific Orthopaedic Associations; and also as newsletter editor at the European Federation of Orthopaedic Sports Traumatology (EFOST). Dr. Doral served as president of the Turkish Society of Orthopaedics & Traumatology (TOTBID) (2010-2011). He was the past president of EFOST (2000-2003), Asia-Pacific Knee Society (APKS/Knee Section of APOA) (2004-2006), and the Turkish Society of Sports Traumatology, Arthroscopy and Knee Surgery (2002-2004), and past chief of the Medical Committee Turkish Federation of National Basketball Team. He is the founder and past president of the Turkish Society of Sports Traumatology. He was honored as distinguished visiting professor by the University of Pittsburgh School of Engineering in 2006 and Kentucky University in 2009. Prof. Jon Karlsson, M.D., Ph.D., was born in Iceland, where he graduated from the medical school in Reykjavik in 1978 and moved to Gothenburg, Sweden, in 1981. He defended his Ph.D. thesis on "Chronic Lateral Ankle Instability" at the Gothenburg University in 1989 and was appointed associate professor in 1990. He has been senior consultant in the Orthopaedic Department of the Sahlgrenska University Hospital since 1991 and clinical head during 1997-2001. Since 2001, Dr. Karlsson has been the academic head at the Sahlgrenska Academy. In that capacity, he mentored 32 Ph.D. theses and was appointed chief of the orthopedic research laboratory. He is author of more than 300 pe er-reviewed papers and 26 books on orthopedics and sports traumatology. He was appointed professor of orthopedics and sports traumatology in 1998. He was president of the Swedish Association of Sports Medicine in 1999-2001. Since 2008, Dr. Karlsson has been editor-in-chief of KSSTA (Knee Surgery, Sports Traumatology, Arthroscopy), the official journal of the European Society of Sports Traumatology Knee Surgery and Arthroscopy (ESSKA). He has been program chairman of the biannual ESSKA congress for 2006, 2008, and 2010 and board member of the International Society of Arthroscopy, Knee Surgery & Orthopaedic Sports Medicine (ISAKOS) since 2005. He is currently secretary of the ISAKOS Executive Board. Active in sports, Dr. Karlsson played basketball and is currently the caretaking physician of the Swedish soccer team IFK Gothenburg.

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