Australian Family Physician January/February - Sports injuries

Vol 39, (1/2) 1 - 80

Australian Family 
Physician January/February - Sports injuriesThe theme for the January/February issue of AFP is sports injuries. This month's articles include musculoskeletal injuries, sports related concussion, management in general practice, ankle injuries, shin pain in athletes, knee injuries, and sport and exercise medicine – a new specialty.


Sport and exercise medicine – a new specialty

David Humphries
Sport and exercise medicine (SEM) incorporates a diverse range of disciplines.

2010 and other lovely numbers

Jenni Parsons
‘Twenty ten’ sounds good to me. I have a quirk when it comes to numbers – some have more of an emotional appeal than others, and some irritate me by their mere existence.

‘Male friendly’ services

Carol A Holden, Carolyn A Allan, Robert I McLachlan
It is generally agreed that general practices tend to be ‘female oriented’. As part of a strategy to reduce barriers for men accessing health care, the Australian Government’s proposed National Men’s Health Policy has stated that a focus on ‘male friendly’ settings will be adopted.

Musculoskeletal injuries

Salma Fahridin, Graeme Miller
In 2007–2009, BEACH (Bettering the Evaluation and Care of Health) recorded 979 encounters at which a possible sports related injury was managed in a patient aged 5–24 years.

Sports related concussion - Management in general practice

Michael Makdissi
Concussive injuries are common in many sports and recreational activities, especially those involving body contact, collisions or high speed.

Sports ankle injuries - Assessment and management

Drew Slimmon, Peter Brukner
Sports ankle injuries present commonly in the general practice setting. The majority of these injuries are inversion and plantar flexion injuries that result in damage to the lateral ligament complex.

Shin pain in athletes - Assessment and management

Paul Blackman
Shin pain is a common complaint among running athletes and can be caused by bony, muscular, vascular or neural pathology.

Sports knee injuries - Assessment and management

Bianca Scotney
Sports knee injuries present commonly in the general practice setting. A good understanding of the anatomy and biomechanics of the knee assists accurate diagnosis of acute knee injuries.

Meningococcal meningitis - Prevention in travellers

Cora A Mayer, Amy A Neilson
This article is the first in a series providing a summary of prevention strategies and vaccination for infections that may be acquired by travellers.

Work related asthma - Diagnosis and management

Ryan F Hoy, Michael J Abramson, Malcolm R Sim
Work related asthma (WRA) is a common condition and is under recognised in Australia. Work related asthma refers to the development of new asthma due to occupational factors (occupational asthma) and the worsening of asthma control due to occupational factors (work exacerbated asthma).

How do we compare? - Applying UK pay for performance indicators to an Australian general practice

Adrian Elliot-Smith, Mark A J Morgan
United Kingdom general practitioners receive payment based on their performance in multiple clinical indicators.

Impact of compliance on weight loss and health profile in a very low energy diet program

Graeme Wright, Brian Dawson, Geoffrey Jalleh, Saskia Law
Although intuitive, little data links program compliance with weight loss and health profile changes in obese Australians.

Where are they now? The career paths of the Remote Vocational Training Scheme registrars

Susan Wearne, Patrick Giddings, Jeanette McLaren, Catherine Gargan
The Remote Vocational Training Scheme trains doctors in remote communities using distance education and supervision.

General practitioners' use of cardiovascular risk calculators

Amy Imms, Stephen Quinn, Mark Nelson
This study was designed to investigate general practitioners' knowledge of absolute risk estimation, and whether they used it to guide their management of cardiovascular disease.

Early management of prostate cancer

Michael Izard
Prostate cancer is now the commonest cancer diagnosed in Australia. In 2005 there were 5913 men diagnosed with prostate cancer in New South Wales alone (31% of male cancers; 17% of all cancers).

Developing the guidelines for preventive care – two decades of experience

Mark F Harris, Linda Bailey, Teri Snowdon, John Litt, Jane W Smith, Beres Joyner, John Furler
The Royal Australian College of General Practitioners Guidelines for preventive activities in general practice (the 'red book') are now more than 20 years old.

Sleeping infants safely – considerations for GPs

Leigh Wilson, Susan Quine, Milton Lewis
Infants who die from sudden infant death syndrome (SIDS) account for the majority of infants who die suddenly and unexpectedly. In New South Wales alone, 50–60 SIDS deaths occur each year.

Practice management – tips from the toolkit: 1 – know yourself

Neville Steer
High performance organisations review their strategy and business processes as part of usual business operations. If you are new to the field of general practice, do you have a career plan for the next 5–10 years?

Barriers to good health care

Hilton Koppe
Being a doctor to a colleague is a great honour for any medical practitioner. However, it also presents many challenges.

Book reviews

Books reviewed this month are Management of the Menopause, 5th edition by Margaret Rees, John Stevenson, Sally Hope, Serge Rozenberg, Santiago Palacios and First do no harm - Being a resilient doctor in the 21st century by Leanne Rowe, Michael Kidd.

AFP in Practice

AFP in Practice questions are designed to get you started in a small group learning (SGL) activity in your practice or with colleagues. Requirements to earn 40 Category 1 CPD points for a SGL activity are: minimum of four and a maximum of 10 people, minimum of 8 hours of discussion in a year, and at least two GPs. Vertical integration - Reducing the load on GP teachers

Clinical Challenge

Questions for this month's clinical challenge are based on articles in this issue. The style and scope of questions is in keeping with the MCQ of the College Fellowship exam. The quiz is endorsed by the RACGP Quality Assurance and Continuing Professional Development Program and has been allocated 4 CPD points per issue.

Publication Date: 22 January 2010
Authorised By: Australian family physician

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