shoulder

Adam Weir talks to Ben Kibler from the Shoulder Center of Kentucky about the 2013 consensus statement on scapular dyskinesis in shoulder injury.

Read the editor's choice article for free online: http://bjsm.bmj.com/content/47/14/877.full

The second international consensus conference on the scapula was held in Lexington Kentucky. The purpose of the conference was to update, present and discuss the accumulated knowledge regarding scapular involvement in various shoulder injuries and highlight the clinical implications for the evaluation and treatment of shoulder injuries. 

Scapular summit 2013 with Ben Kibler

Marathon runners often come to us with pain, but also they need to build up their mileage in preparation for one of the most challenging events in endurance sport. They're trying to do more when their body may be telling them they need to be doing less. 

How do we manage their symptoms, and guide them up to the marathon itself?

Find out in this podcast with Tom Goom (Running Physio).

150. Top tips for treating marathon runners. Physio Edge Track record: Running repairs podcast..

Here’s the podcast that over 12,000 listeners have been demanding – physiotherapist Adam Meakins (@TheSportsPhysio)on a number of controversial topics, including:
Is diagnostic palpation accurate?
Can the sacroiliac joint really be ‘unstable’?
How does ‘touch’ in physiotherapy have its therapeutic effect? 

Adam provides great value on Twitter and on his blog – here you can listen to him in your favourite podcast setting. 

Adam shares his way of explaining neural pain to patients and that alone is worth the price. 

He also discusses his popular blogs on ‘5 Least Favourite Shoulder Rehab Exercises’ as well as ‘Top 5 Shoulder Rehab Exercises’. 

He argues that the key to managing some knee conditions is to manage load and he refers to Scott Dye’s classic ‘envelope of function’ concept. 

And we close by discussing a couple of  figures that have gained great traction in the Twittersphere. You might find them useful in your clinical practice. But it’s a risk on radio – I get that! Enjoy and comment via @BJSM_BMJ or on Facebook.

See also:

Why does my shoulder hurt? A review of the neuroanatomical and biochemical basis of shoulder pain: http://bjsm.bmj.com/content/47/17/1095.full

Effectiveness of soft tissue massage and exercise for the treatment of non-specific shoulder pain: a systematic review with meta-analysis: http://bjsm.bmj.com/content/48/16/1216.full

Rehabilitation for shoulder instability: http://bjsm.bmj.com/content/44/5/333.full

Biomechanics laboratory-based prediction algorithm to identify female athletes with high knee loads that increase risk of ACL injury: http://bjsm.bmj.com/content/45/4/245.full

Adam Meakins' practical physio tips – explaining neural pain, shoulder rehab and managing knee load

Apophyseal injury in children and adolescents are common and usually respond to simple unloading interventions. But what is the underlying pathology and why do some children succumb and others not? And why do some apophyses become painful and others fail completely with a complete avulsion? Despite these questions it is an area that is under-researched and few people have a specific interest in this area. 

Listen to the insights of Dr Matthieu Sailly, who is a French sports physician who has expertise and research interest in injuries in young athlete. He was the head of the Aspire Academy medical centre where he worked extensively with highly trained adolescent athletes and developed experience on growth related injuries and long term development strategies for immature athletes in various sports.

See also:

Physeal injuries in children’s and youth sports: reasons for concern?: http://bjsm.bmj.com/content/40/9/749.full

Sports-related acute and chronic avulsion injuries in children and adolescents with special emphasis on tennis: http://bjsm.bmj.com/content/41/11/827.full

“Goalkeeper’s hip”: acute haematogenous osteomyelitis secondary to apophyseal fractures: http://bjsm.bmj.com/content/40/9/808.full

Matthieu Sailly - Apophyseal injury in children and adolescents

Shoulder dislocation is common in sports, and management for the active athlete who dislocates for the first time remains controversial. Canada’s Olympic Medical Committee Medical Director, Prof Bob McCormack, explains the ways to assess patients to help decide whether to trial rehabilitation first or to opt for reconstruction. 

Bob has vast experience as an Olympic team doctor (beginning with Sydney) and as a team physician in the Canadian Football League and Major League Soccer. 

This is the first of 3 podcasts; he discusses management of AC joint separation and clavicle fracture in the others. BJSM welcomes the Canadian Academy of Sport & Exercise Medicine (CASEM) as one of 17 member societies (Full access to all content).   


Shoulder dislocation: to operate or rehabilitate? Prof Bob McCormack (Olympic physician)

Clavicle fractures are common in contact sports as well as cycling trauma. Canada’s Olympic Team Chief Medical Officer shares dramatic results from a large RCT which has been a game changer. 

Thanks to the Canadian Academy of Sports and Exercise Medicine (CASEM) for permission to steal this content from the CASEM Annual Meeting. 

Enjoy this second of Bob McCormack’s three BJSM podcasts. 

The first was on first time shoulder dislocation: http://goo.gl/3rvsLC

The third will cover AC joint separation.

Mid-clavicular fracture: Open surgery or collar and cuff? Prof Bob McCormack (Olympic physician)

Modern surgical techniques can make a traditional treatment obsolete. Think of the Herbert screw for scaphoid fracture. Professor Bob McCormack tested a new hook plate in a Canadian multi-centre trial of management of complete dissociation & dislocation of the AC joint. You have to listen to find out how the story ends!   

Enjoy this 3rd of Bob McCormack’s 3 BJSM podcasts. 

You can find Bob’s other podcasts here: 
1.	First time shoulder dislocation: https://soundcloud.com/bmjpodcasts/shoulder-dislocation-to-operate-or-rehabilitate-prof-bob-mccormack-olympic-physician?in=bmjpodcasts/sets/bjsm-1

2.	Managing mid-clavicular fractures. https://soundcloud.com/bmjpodcasts/mid-clavicular-fracture-open-surgery-or-collar-cuff-prof-bob-mccormack-olympic-physician?in=bmjpodcasts/sets/bjsm-1


Complete AC joint dislocation (Grade 3): What’s best management? Bob McCormack (Olympic physician)

When swimmers and overhead athletes have superior & anterior shoulder pain, what are your likely diagnoses? How can you successfully treat shoulder pain that improves with rest from sport, then comes back each time they return to training or sport? Find out in this podcast with Jo Gibson (Clinical Physiotherapy Specialist).

- What are the likely diagnoses?
- Distal clavicular osteolysis (DCO) - what is it? 
- How to differentially diagnose acromial apophysitis/apophylysis (AA) in young overhead athletes. 
- What are common areas of pain and aggravating movements in DCO patients?
- Common training errors and weight training exercises that can cause or aggravate symptoms.
- Which athletes are likely to develop DCO, and common mechanisms of injury.
- When imaging is required..
- What Xray and other imaging reveals in DCO.
- What are potential long term issues following DCO, and how can this be avoided?
- The MOST important treatment for patients with DCO and AA.
- How can DCO be successfully managed?
- How to modify work activities in DCO patients.
- How long recovery takes.
- Why asymptomatic stress tests and palpation don’t mean patients are safe to return to sport.
- How to work with coaches when patients are experiencing DCO.
- How to successfully return DCO patients to sport.

Accurately assess, diagnose & treat stiff shoulders, including frozen shoulder, with this free videos series from Jo Gibson (Clinical Physiotherapy Specialist) at https://www.clinicaledge.co/shoulder     

Improve acute shoulder pain diagnosis with 3 free videos from Jo Gibson https://www.clinicaledge.co/shoulder       

Improve clinical skills, confidence and reasoning for all other areas of the body with a free trial Clinical Edge membership https://www.clinicaledge.co/sign-up   

Join Jo Gibson live on Facebook & ask any shoulder related questions every Monday on the Clinical Edge FB page https://www.facebook.com/clinicaledge

112. Shoulder pain in swimmers & overhead athletes. Physio Edge Shoulder success podcast...Jo Gibson

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