Physio

New & hot: Learning

After a patient has undergone ACL surgery, rehabilitation is bread and butter in many physiotherapy/sports medicine clinics. Many BJSM podcast listeners will be expert in this role. If you are less expert and wondering if there is an ‘optimum’ way to guide the patient back to sport, Dr Andy Franklyn-Miller provides some food for thought. 

He discusses some novel ways of assessing a patient’s progress after ACL reconstruction, advocates for the use of video in the clinic, and shares the dynamic tests he uses before allowing a player to return to sport. He shares exercises that both test, and help rehabilitate athletes in this setting.
 
Dr Franklyn-Miller is a sports physician at the Sports Surgery Clinic in Dublin, Ireland. He has published widely in sports medicine and his book, Clinical Sports Anatomy (2011), co-authored with Eanna Falvey and Peter Brukner, is an international best-seller. You can follow him on Twitter @AFranklynMiller and his blog provides great resources (www.drAndyFranklyMiller.com) including a further series of podcasts.
 
See also:
His previous podcasts on BJSM relating to running injuries (http://bit.ly/1bqMh8C) and groin pain (http://bit.ly/1fo2TAW).

Consensus criteria for defining ‘successful outcome’ after ACL injury and reconstruction: a Delaware-Oslo ACL cohort investigation: http://bjsm.bmj.com/content/early/2013/07/23/bjsports-2013-092299.full

Lower extremity performance following ACL rehabilitation in the KANON-trial: impact of reconstruction and predictive value at 2 and 5 years: http://bjsm.bmj.com/content/47/15/980.full
 

Andy Franklyn-Miller - Tuning up rehabilitation after ACL reconstruction

Dr Alex Kountouris is the physiotherapist or the Australian men’s cricket team, a position he has held for 8 years. He has just completed his PhD on the relationship between quadratus lumborum and lumbar stress fractures. 

In this podcast he discusses strategies for the prevention and treatment of lumbar spine injuries in cricket. The interesting questions posed to him come from our twitter followers, so hear his responses to your questions!

See also:

Biomechanics of lumbar spine injury in young Australian fast bowlers: http://bjsm.bmj.com/content/44/Suppl_1/i4.3.abstract

MRI findings in the lumbar spines of asymptomatic, adolescent, elite tennis players: http://bjsm.bmj.com/content/41/11/836.full

A stress fracture of the lumbar spine in a professional rugby player: http://bjsm.bmj.com/content/41/5/337.full

Injuries in West Indies cricket 2003–2004: http://bjsm.bmj.com/content/40/2/119.full

@PeterBrukner discusses today’s major headline: Successful antibiotic treatment in a subset of people with chronic low back pain: http://blogs.bmj.com/bjsm/2013/05/08/peterbrukner-discusses-todays-major-headline-successful-antibiotic-treatment-in-a-subset-of-people-with-chronic-low-back-pain/

Book Review: Clinical anatomy of the lumbar spine and sacrum: http://blogs.bmj.com/bjsm/2008/10/16/book-review-clinical-anatomy-of-the-lumbar-spine-and-sacrum/



Lower back injuries in cricket players, with Alex Kountouris

Welcome to the Sports Medcast, brought to you in association with the American Medical Society for Sports Medicine.

In this episode, AMSSM members discuss the recently published 'Overuse Injuries and Burnout in Youth Sports: A Position Statement from the AMSSM' with statement authors Dr John DiFiori, Dr Joel S Brenner and Dr Neeru Jayanthi.

Read the statement: http://goo.gl/lczEHo

Please feel free to contact us at thesportsmedcast@gmail.com regarding this or any other Sports Medcast.

AMSSM Sports Medcast: Overuse injuries and burnout

Professor Philippe Neyret from Lyon, France, is a renowned sports orthopaedic surgeon. Following from his talk at the Isokinetic Football Medicine Conference in Milan, BJSM editor Karim Khan reached him via mobile phone. 

Prof Neyret discusses patellar dislocation in the setting of football and explains that certain anatomic variations (including trochlea dysplasia) make the condition more likely to occur. For players who have suffered patellar dislocation, next steps are not straightforward. Professor Neyret explains which players he would recommend have surgery.  

See also:

Injuries of the sporting knee: http://bjsm.bmj.com/content/34/6/467.1.full

Patient Information Sheet: Patellar Instabilities (dislocation or subluxation of the kneecap): http://blogs.bmj.com/bjsm/2008/10/16/patient-information-sheet-patellar-instability-dislocation-or-subluxation-of-the-kneecap/

Patellar dislocation in football, with Professor Philippe Neyret, France

Hip dysplasia is a commonly missed cause of hip and groin pain. In this podcast, which is part 2 in the 3 part series with Tom Goom (Running Physio), you’ll discover three types of hip dysplasia that will cause different symptoms and need different treatment (based on Wilkins et al. 2017), how to identify each type, and common exercises and a treatment approach that may be stirring up your patients hip and groin pain.

156. 3 types of hip dysplasia and how to identify them with Tom Goom

ACL injuries can be career ending, or they can be an opportunity to sort out movement efficiency, motor control and and technical skills, coming back from the rehabilitation process with more power, speed and efficiency than they had before they injured their ACL.

In this podcast, Enda King from the Sports Surgery Clinic in Dublin currently completing his PhD in 3D biomechanical analysis after ACL reconstruction, with the aim to assist in RTP decision making and identifying fully rehabilitated athletes, and David Pope discuss ACL injuries, and the most important factors in pre-operative management and post-operative exercise programming to get your patients back to sport with improved sporting performance.

Going deep on the details involved in ACL Rehabilitation, including:

01:20 Enda King and SSC, and working with ACL athletes PhD in 3D biomechanical analysis after ACL reconstruction, aim to assist in RTP decision making and what a fully rehabilitated athlete looks like

What does a fully rehabilitated athlete look like?
Incorporating performance goals into the rehab process
Can athletes achieve better performance post ACL rehab than they were pre-injury
Types of ACL grafts
Preoperative ACL Physiotherapy, helping your patient to prepare for the surgery
Preoperative education
Restoring knee extension, balancing pain and improved range of movement, empowering your patient
Guidelines for pain, swelling when restoring range of movement
Restoring quadriceps activation, normalising gait patterns
Clinical Edge
Clinical Edge’s free webinar program
Preoperative length of time
Post-op - initial management
To use or not use co-contraction exercises of quads and hamstrings
Should you use squatting style exercises Week 1 post op
Activating quadriceps - internal quadriceps cues or external exercise focus
How much pain should a patient experience during or after an exercise
Week 2 post-op
When can heavy gym training commence
Changing movement patterns throughout the kinetic chain
Advice for patients in the early stages of rehab
Frequency of exercise
Week 2 onwards - exercises incorporating balance and proprioception
Open vs closed chain exercises
Advice for patients in weeks 2–6
Nutrition and dietary advice for patients
Gym based rehabilitation
Choosing and modifying exercises for middle stages of the rehabilitation process
Various types of squatting movement, and progressing the types of squats
Goblet squats
Retraining ideal squat patterns
Progressing squats, deadlifts and lunges
Front squats
Front squats and trap bar deadlifts vs back squats during rehabilitation
When can an athlete start cycling
Disadvantages of using cycling as the main part of a rehabilitation program
Hamstring rehabilitation after semitendinosis/gracilis graft
Strength and power development
Strength testing - mid thigh pull, leg press
Should we use open chain strength tests
When to perform strength tests
Strength vs power and rate of force development
Running - incorporating into the program. When can your patient start running?
Preparation for running
Running drills
Ideal movement patterns in running
Enda King and SSC, and working with ACL athletes
Podcast timeline

Physio Edge #032 How To Rehabilite ACL Injuries With Enda King

Dr Donald Shelbourne is an orthopedic surgeon at The Shelbourne Clinic in Indianapolis, Indiana. He has performed more than 6,000 ACL reconstructions since 1982 and he is credited with developing the ‘accelerated rehabilitation program’. He discusses the history of the field and how he contributed to eliminating the big problem of the ‘stiff stable’ knee. He does NOT detail the rehabilitation method itself. He has an interesting thought on the role of ACL reconstruction in young people who suffer ACL tears. 

See the timeline below that includes a paper referred to in the discussion and two additional BJSM resources. If I had to create a short slogan for the podcast I would go with ‘Symmetric Motion is Key’.  

1:00 How Dr Shelbourne discovered accelerated rehabilitation  
3:00 The problem of knees that were too stiff after ACL surgery in the 1980s. 
4:00 The problem of excessively large ACL grafts and graft hypertrophy blocking knee extension
4:40 Casts contributing to knees becoming ‘stiff-stable’. Knees not returning to full extension (1980s)
6:00 Moving patients from plaster to one hour a day of a limited motion brace
6:50 Dr Shelbourne comments on augmented lateral procedures today. Discusses hamstring grafts and allografts in this context. His rationale for ipsilateral patellar tendon grafts. 
9:40 Patellar tendon donor site problems – the role of physiotherapy in solving the problem
9:10 A comment on Dr Leo Pinzewski’s 20 year post-ACL surgery followup study. (Hamstring graft) Paper in American Journal of Sports Medicine (http://ow.ly/hcRx300Eb58). See also Professors Hutchinson and McCormack discuss that paper in BJSM (http://ow.ly/f1JM300EcQ0). They also have a new editorial on ACL outcomes online first as this podcast goes live (http://ow.ly/gqdk300Edm7). 
10:50 Stiffness is not acceptable. Patients prefer a bit of instability with full range of motion than a stiff stable knee. Stiff knee is a time bomb for osteoarthritis.
12:00 Who should have an ACL reconstruction? About half of patients who have ACL injuries are not getting back to sport at the previous level. “In a way you are much better off having non-operative treatment….”
13:00 If you are wondering whether to have surgery or not after ACL injury – go for conservative management first. “Nothing to lose”. “A stiff knee is a time bomb for osteoarthritis later on.”
13:45 Osteoarthritis. Patients who don’t get all their movement back have a high risk of osteoarthritis moving forward. Many surgeons overlook the loss of motion as a risk factor. 

Related podcasts: 
Dr Mark Hutchinson on ACL reconstruction: https://soundcloud.com/bmjpodcasts/markhutchinson2?in=bmjpodcasts/sets/bjsm-1
Dr Mark Hutchinson on meniscectomy for symptoms of painful locking and clicking: https://soundcloud.com/bmjpodcasts/mark-hutchinson?in=bmjpodcasts/sets/bjsm-1


The father of accelerated rehabilitation, Dr Don Shelbourne, on history and managing ACL injuries

In this episode of the Heart podcast, Digital Media Editor Dr. James Rudd is joined by a vascular biology legend, Professor Peter Libby from Harvard University and Chief of Cardiovascular Medicine at Brigham and Women's Hospital in Boston. They discuss how the inflammation hypothesis of atherosclerosis has been proven by the CANTOS trial and what the future might hold. We trust you'll enjoy the police sirens in the middle of the interview and hope you enjoy the discussion.

Link for CANTOS study - http://www.nejm.org/doi/full/10.1056/NEJMoa1707914

Inflammation and heart disease - what's next?

In this episode of the Heart podcast, Digital Media Editor, Dr James Rudd, is joined by Dr Charlotte Warren-Gash from the London School of Hygiene and Tropical Medicine. They discuss the links between respiratory infections and subsequent heart attacks and strokes.
If you enjoy the show, please subscribe to the podcast to get episodes automatically downloaded to your phone and computer. Also, please consider leaving us a review at https://itunes.apple.com/gb/podcast/heart-podcast/id445358212?mt=2
Link to published paper: https://www.lshtm.ac.uk/newsevents/news/2018/respiratory-infections-could-increase-risk-heart-attack-and-stroke

Respiratory infections and subsequent heart attacks and strokes

Following their recent editorial (https://bjsm.bmj.com/content/early/2018/11/09/bjsports-2018-099457) in the BJSM, and the publication of the reliability paper in the #BMJOpenSEM https://t.co/lCFcZNi5Tu - we managed to get this international team of collaborators around the table at BMA House, to discuss the applicability of the ASH test in guiding the return to play process following shoulder injuries.
Steffan Griffin had the pleasure of hosting Ben Ashworth, Laura Tulloch, Nav Singh & Daniel Cohen, who take us through the journey behind the test, and how it can be used within the clinical setting. Some great examples & case-studies for anyone who sees upper limb injuries in sport!
If you’re interested in the paper & the group’s work, you can follow them here:
https://twitter.com/AthleteShoulder
https://twitter.com/benashworth
https://twitter.com/lt_physio
https://twitter.com/paddhog
https://twitter.com/danielcohen1971
https://twitter.com/i/status/1021381112378155009

The use of force plates in return-to-play following shoulder injuries. Episode #371

Breakneck speeds. Scorching heat. Extreme g-forces. Motor racing is one of the most challenging of all sports - not only for drivers themselves, but also for the teams that play an integral role in the performance of the driver and car.
As the 2019 Formula One World Championship Season launches into action this weekend in Melbourne, F1 physiotherapist Kim Keedle takes a pit stop with BJSM’s Daniel Friedman (T: @ddfriedman) to share insights into the physically and mentally demanding world of motor racing.
Kim graduated from Melbourne University in 2012 with a Bachelors of Physiotherapy, and completed a Masters in Strength & Conditioning at Edith Cowan University in 2016. He is currently working full time as a physiotherapist and high performance coach for the Haas F1 Team, based in Geneva.
In this 17 minute conversation, Kim explains:
·   	His pathway into F1
·   	The role of the physiotherapist within the broader F1 medical team
·   	The physical and mental demands of F1 racing
·   	The importance of neck and trunk strength for drivers
·   	Cervical loading programs and conditioning during the off season
 
Further reading:
https://blogs.bmj.com/bjsm/2013/03/26/the-fast-and-the-furiousand-physiotherapy-training-for-extreme-g-force-loads-on-the-neck/
Contact Kim: kkeedle@gmail.com

In the driver's seat with Formula One physio Kim Keedle. Episode #372

What common injury patterns do adolescent overhead throwing athletes face? What are the current pitch count recommendations and evidence for their use? How can we best monitor and encourage compliance with these recommendations? Host Dr. Devin McFadden, MD is joined by Dr. Jason Zaremski to explore these topics and more on the AMSSM Sports Medcast.
 Dr. Zaremski is an assistant professor from the Division of Physical Medicine and Research, Department of Orthopaedics and Rehabilitation and Co-Medical Director of the Adolescent and High School Outreach Program at the University of Florida College of Medicine in Gainesville, Florida. He is also a past participant in the AMSSM International Travelling Fellowship program, having recently travelled to Scandinavia where he shared insights on the above topics and learned how the Scandinavians deal with similar injuries.
In this 30 minute conversation Dr. Zaremski addressed the following topics:
What are common injury patterns in adolescent overhead throwing athletes?
What injury prevention strategies have been enacted and what is the evidence for their use?
When to consider operative rather than conservative treatments.
 
Mechanisms and Treatment of Throwing Injuries- https://journals.lww.com/acsm-csmr/fulltext/2017/05000/Mechanisms_and_Treatments_for_Shoulder_Injuries_in.17.aspx
 
Zaremski ZL, Wasser JG, Vincent HK. Mechanisms and Treatments for Shoulder Injury in Overhead Throwing Athletes. Current Sports Medicine Reports. 2017;16(3):179-188
 
Unaccounted Workload in Pitch Counts- https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5894908/
 
Zaremski JL, Zeppieri G, Jones DL, et al. Unaccounted workload factor: game-day pitch counts in high school baseball pitchers- an observational study. Orthop J Sports Med. 2018;6(4):1-7
 
The Thrower’s Ten Exercises- https://insights.ovid.com/pubmed?pmid=28498227
 
Wilke KE, Yenchak AJ, Arrigo CA, et al. The advanced throwers ten exercise program: a new exercise series for enhanced dynamic shoulder control in the overhead throwing athlete. Phys Sportsmed. 2011;39(4):90-97.

Upper extremity issues in the adolescent overhead throwing athlete. Episode #373

STOP PLAYING SMALL.

A lot of times when we think about growth, we think small. We say, “How can I make thirty thousand more a year?” Instead, we should say, “How can make 300 thousand more a year.” You’ve got to unlock yourself from your budget mentality. Other people may not understand, but you can’t get knocked off course. If you’re destined for greatness, you shouldn’t settle for anything less. On today’s episode of The School of Greatness, I talk about playing big with one of the top entrepreneurs in the world: Grant Cardone. Grant Cardone is the author of eight business books, thirteen business programs, and is the CEO of seven privately held companies. Forbes calls him one of the top social media business influencers in the world. Cardone founded and manages a real estate investment firm, Cardone Capital, with $1Billion assets under management. He also travels the world consulting Fortune 500 companies, small business owners, startups and governments on business expansion. One of his enterprises recently hosted The 10X Growth Conference at Miami Marlins Park in Miami, Florida with over 34,000 business people and entrepreneurs in attendance from over fifty countries. Grant Cardone wants you to 10X your business, 10X your income and 10X your life. Everyone is underestimating themselves.

So get ready to learn how to maximize your growth on Episode 802.


Some Questions I Ask:

What switched in your mind to go from making 30 thousand to 300 thousand? (14:00 )

When did you start to think bigger? (16:00)

What advice would you have for women about following their dreams? (32:30)

What do you think your superpower is? (38:00)

Where would you be without having your married partner? (49:00)

How do you build from a small team to a large team with a culture of success? (1:17:00)


In This Episode You Will Learn:

How thinking small can have lasting problems (16:00 )

About Grant’s mother’s passing (24:00) 

Why people only have half the formula right (52:00)

The three things Grant thinks are important in a relationship (1:04:00)

How to deal with haters (1:08:00)


Follow me on:

Instagram @LewisHowes

Twitter @LewisHowes

Facebook @LewisHowes

The School of Greatness

On Apple Podcasts

Grant Cardone: Think Bigger and Take the Risk

YOUR SUCCESS IS IN YOUR OWN HANDS.

What does it take to be a champion?

You have to love what you do.

You have to care about the little details that other people let slide. And you have to have deep, unshakable confidence. A lot of what separates a player from a champion is mental. We can’t ignore the importance of keeping our mind away from the negative and focused on the end goal. On today’s episode of The School of Greatness, I’m sharing the most inspirational clips of interviews with the world’s greatest female athletes: Maria Sharapova, Katrin Tanja Davíðsdóttir, Michelle Waterson, Sasha Digiulian, Brooke Ence, The Bella twins, Emily Skye, and Danica Patrick. Maria Sharapova is one of the world’s greatest tennis players, Katrin Tanja Davíðsdóttir is a two-time champion of the CrossFit Games, Michelle Waterson is a mixed martial artist who competes in the UFC, Sasha Digiulian is a world champion climber, Brooke Ence is an elite CrossFit Champion, The Bella Twins are former WWE Wrestlers, Emily Skye is a top fitness model, and Danica Patrick is the most successful woman in the history of American open-wheel racing. We can all get distracted by self-doubt, comparing ourselves to others, and focusing on the wrong things. But we can train ourselves to have the mindset of a champion. It feels good to be great at what you do. Get ready to learn step into your greatness on Episode 803.


Some Questions I Ask:

Why are you so driven to be the best? (7:00)

What does it mean to be respectful of your opponent? (16:30)

How do you stay focused when you’re scared? (18:57)

What are some tools you use when you start comparing yourself? (30:00)


In This Episode You Will Learn:

The difference between “showing up” and “playing” (6:00)

The reason you need to focus on the things you can control (12:00)

Why not doing your best is doing a disservice to your opponent (18:00)

How trust can heal anxiety (20:00)

How to not let negative comments affect you (27:00)


Follow me on:

Instagram @LewisHowes

Twitter @LewisHowes

Facebook @LewisHowes

What It Takes To Be a Champion

Larry P. Arnn joins Hugh Hewitt to discuss Hillsdale College's 167th Commencement.

Hillsdale Dialogues 05-16-19 Hillsdale College Commencement

Larry P. Arnn joins Hugh Hewitt to discuss British politics.

Hillsdale Dialogues 05-24-19 British Politics

Larry P. Arnn joins Hugh Hewitt to discuss Article II of the Constitution.

Hillsdale Dialogues 05-31-19 Article II Of The Constitution

On this week’s BJSM podcast, the Journal of Orthopaedic & Sports Physical Therapy (JOSPT) EIC elect Dr Clare Ardern PhD (T: @clare_ardern) joins BJSM EIC Prof Karim Khan to answer the difficult questions about return to play.
Dr Clare Ardern is a physiotherapist and clinical researcher who completed her award-winning PhD on return to play in 2013. Since then, Clare has worked as a clinical researcher at the Aspetar Orthopaedic & Sports Medicine Hospital (Qatar) and Linköping University (Sweden). Clare led the 2016 Consensus statement on return to sport from the First World Congress in Sports Physical Therapy, Bern. She has a particular interest in the psychological aspect of returning to play and how the return to play transition can be improved with specific clinical interventions and superior clinical decision making.
We here at BJSM would like to thank Clare for her tireless work as BJSM Deputy Editor and wish her all the best for her upcoming role as EIC at JOSPT!
In this 30-minute conversation, Clare discusses:
·        Tips for clinicians when approaching RTP with athletes
·        The psychological aspects of RTP and the importance of shared decision making
·        Athletes’ biggest fears when RTP
·        Non-operative management of ACL injuries
·        Paediatric ACL injuries
On Oct 4-5, Clare will be speaking at the The IFSPT Third World Congress of Sports Physical Therapy in Vancouver, Canada. She will be presenting alongside a world-class line up of local and international experts exploring the theme “High performance to clinical practice”. https://www.sportphysio.ca/calendar-of-upcoming-events/spc2019/
 
Mentioned in this episode:
Ardern CL, Ekås G, Grindem H, et al. 2018 International Olympic Committee consensus statement on prevention, diagnosis and management of paediatric anterior cruciate ligament (ACL) injuries. Br J Sports Med 2018;doi:10.1136/bjsports-2018-099060 (article co-published by Knee Surgery Sports Traumatology Arthroscopy, Journal of ISAKOS and Orthopaedic Journal of Sports Medicine).
https://bjsm.bmj.com/content/52/7/422
Ardern CL, Glasgow P, Schneiders A, Witvrouw E, Clarsen B, Cools A, et al. 2016 Consensus statement on return to sport from the First World Congress in Sports Physical Therapy, Bern. Br J Sports Med 2016;50:853-864. https://bjsm.bmj.com/content/50/14/853
Ardern CL, Taylor NF, Feller JA, Webster KE. Fifty-five per cent return to competitive sport following anterior cruciate ligament reconstruction surgery: an updated systematic review and meta-analysis including aspects of physical functioning and contextual factors. Br J Sports Med 2014;48:1543-1552.
Grindem H, Snyder-Mackler L, Moksnes H, et al Simple decision rules can reduce reinjury risk by 84% after ACL reconstruction: the Delaware-Oslo ACL cohort study British Journal of Sports Medicine 2016;50:804-808. https://bjsm.bmj.com/content/50/13/804
Frobell RB, Roos EM, Roos HP, Ranstam J, Lohmander LS. A randomized trial of treatment for acute anterior cruciate ligament tears. New England Journal of Medicine. 2010 Jul 22;363(4):331-42.
Headspace App: https://www.headspace.com/headspace-meditation-app

Returning to play in 2019 with Dr Clare Ardern. Episode #383

In this podcast Karim Khan, BJSM Editor,  talks to the team behind the NEJM paper - A Randomized Trial of Treatment for Acute Anterior Cruciate Ligament Tears. They discuss their research and the implications for clinicians.

See the full article on the NEJM website http://bit.ly/rrS51Y

Treating acute anterior cruciate ligament tears

Which type of ACL reconstruction is best? How does one decide? What are the rehabilitation implications of each? In this podcast, US and Norwegian knee specialists Elizabeth Arendt and Lars Engebretsen share their experiences from operations that have allowed thousands to return to sport at the highest level. But they also raise the question, “Does everyone who ruptures their ACL need an operation?”

Related articles

http://bjsm.bmj.com/cgi/content/abstract/bjsm.2009.058156v1
http://bjsm.bmj.com/cgi/content/abstract/bjsm.2009.058024v1

Other relevant links
Oslo Sports Trauma Research Center http://www.ostrc.no/en
IOC statement http://bjsm.bmj.com/cgi/content/abstract/42/6/394

Prof Lars Engebretsen & Elizabeth Arendt - ACL reconstruction and rehabilitation

Coming together at the UKSEM conference in London, Professor Lars Engebretsen (Oslo Sports Trauma Research Center and IOC medical commission) talks to Dr Richard Frobell (Lund University, Malmo, Sweden) about his work on return to exercise after ACL (anterior cruciate ligament) injury.

Dr Frobell describes the evidence already on this issue, and his recently published randomized trial on whether surgery or rehabilitation improves pain, symptoms, function in sports and recreation, and knee-related quality of life post-injury

See also:
A randomized trial of treatment for acute anterior cruciate ligament tears http://bit.ly/rrS51Y
The BJSM Warm up about this injury http://bit.ly/tBNdiu
Our 2010 interview with Richard Frobell and coauthors of the NEJM paper above http://bit.ly/99leZd

Returning to play in 2019 with Dr Clare Ardern. Episode #383

BMJ talk medicine