Wrightington Sports Shoulder Conference 2009

Wrightinton Sports Shoulder Conference

Dates: 18-20 June 2009

Venue: Wrightington Conference Centre, Wrightington Hospital

International Guest Faculty:
Guiseppe Porcellini - Italy
Joe DeBeer - South Africa
Dan Guttmann - USA
Ehud Rath - Israel
Anne Cools - Belguim
Paolo Paladini - Italy
UK Faculty: Stuart Cosgrove, David Jones, Jo Gibson, Nick Granthan, Jonathan Harris, Mike Loosemore, Lennard Funk, Ian Trail, John Haines, Robert Conlon, Sarah Russell.

The latest advances in the management of sports injuries of the shoulder.
The conference welcomes all clinicians and therapists with an interest or experience of managing shoulder disorders in athletes.
The international faculty includes experts from the fields of orthopaedic surgery, physiotherapy, sports medicine and radiology. All are experienced in treating athletes.
The course comprises a mixture of lectures , case discussions , workshops and live surgery . Emphasis is on the particular issues of athletic shoulder injuries, including pathology recognition, diagnosis, non-operative and operative interventions. We will concentrate on innovative methods of return to play as soon as possible, drawing on current evidence and the faculties experience.
In order to ensure plenty of opportunity for participation and discussion, we will restrict delegate numbers. Therefore, early application is recommended in order to avoid disappointment.

• Download the Course Programme here (pdf)
• For more information and to apply click here

ARSENAL FOOTBALL CLUB MEDICAL OFFICER - Job Advertisement

ARSENAL FOOTBALL CLUB MEDICAL OFFICER

Reporting to the Manager, the Club Doctor will be responsible for the treatment, care and rehabilitation of all first team squad players of Arsenal Football Club.

Main Duties & Responsibilities

To attend the Training Centre 2 to 3 days per week and attend all First team fixtures – Home and Away.

Injury management duties to include:

Assisting in primary assessment
Arranging investigations, as appropriate
Arranging secondary care input, as appropriate
To be available at all times by phone for opinion
To liaise with medical teams from other countries and National Associations, as appropriate

Person Specification

The person applying for this position must have achieved and be able to demonstrate the following:

· At least five years working in elite sports environment

· Experience of primary care/accident and emergency

· Computer literate

· Able to work within a close medical team

Although not essential - MFSEM/FFSEM would be preferred.

All applications with full CV should be sent to:

Ken Friar Managing Director Arsenal Football Club
Highbury House
75 Drayton Park
London N5 1BU

No later than Friday 5th December 2008

Arsenal Football Club actively promotes equal opportunities in
employment and welcomes all applications

High-Resolution Ultrasound in the Diagnosis of Upper Limb Disorders: A Tertiary Referral Centre Experience.

Annals of Plastic Surgery. 61(3):259-264, September 2008.

Allen, Gina M. BM, DCH, MRCP, MRCGP, FRCP, MFSEM *; Drakonaki, Eleni E. MD +; Tan, Melissa Ley H. MBChB ++; Dhillon, Manpreet MBChB, MRCS, FRCR ++; Rajaratnam, Vaikunthan MBBS, AM, MBA(USA), FRCS, FICS(USA) ++[S]

Abstract:
The purpose of this study is to determine the reliability of high-resolution ultrasound (HRUS) in the diagnosis of upper limb disorders compared with the initial clinical opinion. We prospectively studied 178 patients referred for HRUS examination (47.2% hand, 34.8% wrist, and 18% elbow examinations) by recording the clinical opinion, the specific ultrasound diagnosis, and the final diagnosis, as established by surgery (79.9%) or follow-up (20.1%). HRUS examination was highly reliable in diagnosing cystic lesions, synovial disease, ligament injury and foreign bodies (100%), and slightly less reliable for solid lesions (82.1%) and nerve, bone, and tendon disorders (97%, 91.7%, 86.5%, respectively). HRUS examination resulted in significantly more correct diagnoses (92.1%) than the clinical opinion (70.8%) (McNemar test, P = 0.001). The agreement between the HRUS diagnosis and the clinical opinion was slight (Kappa test, k = 0.16). HRUS examination is more reliable than clinical examination in diagnosing upper limb disorders.

Regenerative Injection of Elite Athletes with Career-Altering Chronic Groin Pain

Am J Phys Med Rehabil. 2008 Aug 6.
A Consecutive Case Series.
Topol GA, Reeves KD.

From the Physical Medicine and Rehabilitation Service, Jaime Slullitel Rosario Orthopedic and Trauma Institute, Argentina (GAT); Servicio de Medicina Física y Rehabilitación del Hospital Provincial de Rosario, Argentina (GAT); Team Physiatrist, Rosario Rugby Union, Argentina (GAT); Meadowbrook Rehabilitation Hospital, Gardner, Kansas (KDR); and Department of Physical Medicine and Rehabilitation, University of Kansas Medical Center, Kansas, Kansas (KDR).

Topol GA, Reeves KD: Regenerative injection of elite athletes with career-altering chronic groin pain who fail conservative treatment: a consecutive case series. Am J Phys Med Rehabil 2008. OBJECTIVE:: To obtain multisport and long-term outcome data from use of regenerative injection therapy on career-threatened athletes. DESIGN:: Consecutive enrollment of elite performance-limited athletes with chronic groin/abdominal pain who failed a conservative treatment trial. The treatment consisted of monthly injection of 12.5 dextrose in 0.5% lidocaine in abdominal and adductor attachments on the pubis. Injection of the nociceptive source was confirmed by repetition of resistive testing 5 min after injection. RESULTS:: Seventy-five athletes were enrolled. Seventy-two athletes (39 rugby, 29 soccer, and 4 other) completed the minimum two treatment protocol. Their data revealed a mean groin pain duration of 11 (3-60) mos. Average number of treatments received was 3 (1-6). Individual paired t tests for VAS of pain with sport (VAS Pain) and Nirschl pain phase scale measured at 0 and an average of 26 (6-73) mos indicated VAS Pain improvement of 82% (P < 10), and Nirschl pain phase scale improvement of 78% (P < 10). Six athletes did not improve following regenerative injection therapy treatment and the remaining 66 returned to unrestricted sport. Return to unrestricted sport occurred in an average of 3 (1-5) mos. CONCLUSIONS:: Athletes returned to full elite-level performance in a timely and sustainable manner after regenerative injection therapy using dextrose.