Common Ice Hockey Injuries and Treatment: A Current Concepts Review.

Injuries are common in ice hockey, a contact sport where players skate at high speeds on a sheet of ice and shoot a vulcanized rubber puck in excess of one hundred miles per hour. This article reviews the diagnoses and treatment of concussions, injuries to the cervical spine, and lower and upper extremities as they pertain to hockey players. Soft tissue injury of the shoulder, acromioclavicular joint separation, glenohumeral joint dislocation, clavicle fractures, metacarpal fractures, and olecranon bursitis are discussed in the upper-extremity section of the article. Lower-extremity injuries reviewed in this article include adductor strain, athletic pubalgia, femoroacetabular impingement, sports hernia, medial collateral and anterior cruciate ligament tears, skate bite, and ankle sprains. This review is intended to aid the sports medicine physician in providing optimal sports-specific care to allow their athlete to return to their preinjury level of performance.

Epidemiology, identification, treatment and return to play of musculoskeletal-based ice hockey injuries.

UNLABELLED: Ice hockey is a high contact sport where players are inherently at an increased risk for traumatic and time-loss injury. With its increasing popularity and high incidence of injury, further research is necessary to understand the risks and injuries associated with the sport and to develop performance-based outcome measures to guide return to play. This review, tailored to the practicing sports medicine team physician, focuses on the stepwise identification, treatment, time loss, return to play and subsequent risk of injury for the most common areas of injury: the head, shoulder, hip and knee. Injuries were categorised into upper and lower extremity with an emphasis on glenohumeral and acromioclavicular joint injuries, femoroacetabular impingement, medial collateral ligament tears, and high ankle sprains. With return to play a primary goal for these high-level athletes, recovery in ice hockey becomes a complex issue with efficient protocols tailored to the requirements of the sport vital to the athlete and clinician alike. By reviewing the treatments and sport-specific care, athletes can be better managed with the ultimate goal of returning to their preinjury level of play. LEVEL OF EVIDENCE: Level IV.

Prevalence and Course of Treatment of Common Hip Diagnoses Presenting to a Sports Medicine Clinic.

BACKGROUND: Hip-related pain and pathology can have an overall negative impact on healthrelated quality of life. Prompt diagnosis and treatment of symptoms at the hip may expedite the recovery process and allow for an earlier return to normal activity. Knowing the prevalence of a condition can help facilitate the diagnostic process. However, the prevalence of hip diagnoses and associated courses of treatment have not been described. METHODS: A retrospective study was performed on patients presenting to a sports medicine clinic. Information on demographics, duration of pain, course of treatment, history of previous injury or surgery, and mechanism of injury was collected. Multivariate linear regression and multivariate logistic regression were utilized to describe differences in course of treatment between diagnostic groups. RESULTS: Six hundred eighteen patients were included in this study, with 641 hips analyzed. Femoroacetabular impingement syndrome (FAIS) was the most frequent diagnosis (212 hips), followed by "musculotendinous pain" and "hip pain, not otherwise specified." Of those diagnosed with FAIS, 30.1% had secondary diagnoses in other categories. Home exercise programs were the most commonly prescribed treatment, followed by injections and physical therapy. Having a diagnosis of FAIS or chondrolabral pathology increased the odds of surgery. CONCLUSION: Femoroacetabular impingement syndrome was the most common diagnosis in our cohort and had the highest frequency of concurrent diagnoses. A combination of a home exercise program, injection, and physical therapy made up the typical course of treatment, while surgery was utilized less frequently.

Femoroacetabular impingement: a common cause of hip pain.

Femoroacetabular impingement (FAI) is a common cause of hip pain that can affect a wide range of patients. It is due to altered bony morphology of the proximal femur and acetabulum, resulting in decreased function and progression to early osteoarthritis. Until the early 2000s, little was known or understood about the significance of FAI as a clinical entity. The field of hip preservation has grown exponentially since that time, and has led to many advances in caring for those with symptomatic impingement. This review details the early diagnosis and proper management of femoroacetabular impingement for the sports medicine practitioner.