Extracorporeal shock wave therapy without local anesthesia for chronic lateral epicondylitis.

Background: The use of extracorporeal shock wave therapy for the treatment of lateral epicondylitis is controversial. The purpose of this study was to evaluate the use of extracorporeal shock wave therapy without local anesthesia to treat chronic lateral epicondylitis.

Methods: One hundred and fourteen patients with a minimum six-month history of lateral epicondylitis that was unresponsive to conventional therapy were randomized into double-blind active treatment and placebo groups.

Comparison of shoulder stabilization using arthroscopic transglenoid sutures versus open capsulolabral repairs: a 5-year minimum follow-up.

Background: Few long-term studies have compared the efficacy of shoulder stabilization using arthroscopic or open procedures.

Purpose: To directly compare the outcomes of shoulder stabilization using arthroscopic transglenoid sutures versus open capsulolabral repairs.

Study Design: Uncontrolled retrospective review.

Sudden cardiac death: ethical considerations in the return to play.

The team physician-athlete relationship prompts many basic questions in medical ethics. Return-to-play decisions form many of the core responsibilities facing team physicians, and occasionally these decisions can have overriding ethical dilemmas. Therefore, a structured ethical decision-making process is a valuable skill for every successful sports medicine physician.

Pectoralis Major Rupture.

In brief Rupture of the pectoralis major brief muscle and tendon, which occurs most frequently among weight lifters but has been reported in many sports, can most often be diagnosed based on the history and physical exam. Surgical intervention for complete ruptures has a clear advantage over conservative therapy. Athletes of all levels can be expected to return to near preinjury levels of participation following surgery and a well-constructed, supervised rehabilitation program.