Clinics in Sports Medicine RSS feed: Current Issue. Clinics in Sports Medicine updates you on the latest trends in patient management; keeps you up to date on the newest advances; and provides a sound basis for choosing treatment options. Each issue focuses on a single topic in sports medicine and is presented under the direction of an experienced guest editor.http://www.sportsmed.theclinics.com/?rss=yesElsevier Inc.en © 2009 Published by Elsevier Inc. All rights reserved. Clinics in Sports Medicine0278-5919284October 2009 © 2009 Published by Elsevier Inc. All rights reserved. healthpermissions@elsevier.comhttp://www.sportsmed.theclinics.com/article/PIIS027859190900057X/abstract?rss=yesContents10.1016/S0278-5919(09)00057-XClinics in Sports Medicine 28, 4 (2009)2009-10-01Clinics in Sports Medicine2009-10-01284S0278-5919(09)X0004-9vviihttp://www.sportsmed.theclinics.com/article/PIIS0278591909000581/abstract?rss=yesForthcoming issues10.1016/S0278-5919(09)00058-1Clinics in Sports Medicine 28, 4 (2009)2009-10-01Clinics in Sports Medicine2009-10-01284S0278-5919(09)X0004-9viiiviiihttp://www.sportsmed.theclinics.com/article/PIIS0278591909000507/abstract?rss=yesAlthough we have until now largely refrained from producing sports-specific topics, we elected here to devote an issue to boxing because of the unique nature of this sport and the sometimes devastating injuries associated with it. Drs. Varlotta and Jordan have done a great job of putting this issue together.ForewordMark D. Miller10.1016/j.csm.2009.08.001Clinics in Sports Medicine 28, 4 (2009)2009-10-01Clinics in Sports Medicine2009-10-01284S0278-5919(09)X0004-9ixixhttp://www.sportsmed.theclinics.com/article/PIIS0278591909000519/abstract?rss=yes Medical injuries are the unfortunate consequence of all sports but the prevalence is higher in combative sports participation. In boxing, injuries can be found crossing the standard lines of medical care and include neurologic, ophthalmologic, musculoskeletal, and behavioral. The ringside physician needs to be aware and capable of handling all emergent neurologic and non-neurologic aspects of the sport for the protection of the participants. Unanticipated catastrophic occurrences need to be minimized through education of the medical aspects of the sport and knowledge of the sport itself.PrefaceGerard P. Varlotta, Barry Jordan10.1016/j.csm.2009.08.002Clinics in Sports Medicine 28, 4 (2009)2009-10-01Clinics in Sports Medicine2009-10-01284S0278-5919(09)X0004-9xixiihttp://www.sportsmed.theclinics.com/article/PIIS027859190900043X/abstract?rss=yesThe roles and responsibilities of the ringside physician are complex and have evolved into a unique specialty in sport medicine. In addition to the medical aspects of ringside medicine, the doctor is now responsible for many administrative, ethical, and legal considerations. This article reviews and details the numerous roles the ringside physician plays in the sport of boxing.Medical Safety in Boxing: Administrative, Ethical, Legislative, and Legal ConsiderationsMichael B. Schwartz10.1016/j.csm.2009.06.003Clinics in Sports Medicine 28, 4 (2009)2009-10-01Clinics in Sports Medicine2009-10-01284S0278-5919(09)X0004-9505514http://www.sportsmed.theclinics.com/article/PIIS0278591909000477/abstract?rss=yesRingside physicians play a dynamic and multifaceted role in combat sports. Extensive preparation and long hours are required. This article reviews prelicensing, prebout, and postbout evaluations. It also outlines some crucial decision-making and actions necessary during the event, including rendering of instant medical opinions on bout termination and acute care of the injured fighter.Role of the Ringside Physician and Medical Preparticipation Evaluation of BoxersMichael Kelly10.1016/j.csm.2009.07.003Clinics in Sports Medicine 28, 4 (2009)2009-10-01Clinics in Sports Medicine2009-10-01284S0278-5919(09)X0004-9515519http://www.sportsmed.theclinics.com/article/PIIS0278591909000453/abstract?rss=yesDespite the inherent risks associated with exercise in general and boxing in particular, the sport has had a limited number of catastrophic cardiovascular events. Screening should be based on risks involved and become more extensive with the advancement of the athlete. Anatomic and electrophysiologic risks need to be assessed and may preclude participation with resultant life style and economic complications. There should be adequate preparation for the rare potential cardiovascular complication at all events, with the ability to rapidly assess and treat arrhythmias.Cardiovascular Issues in Boxing and Contact SportsStephen A. Siegel10.1016/j.csm.2009.07.001Clinics in Sports Medicine 28, 4 (2009)2009-10-01Clinics in Sports Medicine2009-10-01284S0278-5919(09)X0004-9521532http://www.sportsmed.theclinics.com/article/PIIS0278591909000441/abstract?rss=yesBoxers are not immune from the abuse of drugs. This article outlines the history of drug taking in boxing and sport in general. The current criteria that constitute doping, and prohibited substances and methods in and out of competition, according to guidelines issued by the World Anti-Doping Agency, are listed. Drugs and therapeutic exemptions are discussed.The Status of Doping and Drug Use and the Implications for BoxingGary I. Wadler10.1016/j.csm.2009.06.005Clinics in Sports Medicine 28, 4 (2009)2009-10-01Clinics in Sports Medicine2009-10-01284S0278-5919(09)X0004-9533543http://www.sportsmed.theclinics.com/article/PIIS0278591909000416/abstract?rss=yesThere are no unique boxing diseases but certain factors contributing to the spread of illnesses apply strongly to the boxer, coach, and the training facility. This article examines the nature of the sport of boxing and its surrounding environment, and the likelihood of spread of infection through airborne, contact, or blood-borne routes of transmission. Evidence from other sports such as running, wrestling, and martial arts is included to help elucidate the pathophysiologic elements that could be identified in boxers.Infectious Disease and BoxingOsric S. King10.1016/j.csm.2009.06.002Clinics in Sports Medicine 28, 4 (2009)2009-10-01Clinics in Sports Medicine2009-10-01284S0278-5919(09)X0004-9545560http://www.sportsmed.theclinics.com/article/PIIS0278591909000490/abstract?rss=yesClinical decision making for injured boxers follows the same therapeutic principles as the treatment plan for other injured athletes. Just as surgical techniques have improved, so has the scientific basis for implementing therapeutic exercises progressed to return the athletes to their former level of competition.Brain Injury in BoxingBarry D. Jordan10.1016/j.csm.2009.07.005Clinics in Sports Medicine 28, 4 (2009)2009-10-01Clinics in Sports Medicine2009-10-01284S0278-5919(09)X0004-9561578http://www.sportsmed.theclinics.com/article/PIIS0278591909000404/abstract?rss=yesProfessional boxing has done an admirable job in promoting safety standards in its particular sport. However, injuries occur during the normal course of competition and, unfortunately, an occasional life-threatening emergency may arise. Although most common medical emergencies in boxing are injuries from closed head trauma, in this article those infrequent but potentially catastrophic nonneurologic conditions are reviewed along with some less serious emergencies that the physician must be prepared to address.Nonneurologic Emergencies in BoxingDomenic F. Coletta10.1016/j.csm.2009.06.001Clinics in Sports Medicine 28, 4 (2009)2009-10-01Clinics in Sports Medicine2009-10-01284S0278-5919(09)X0004-9579590http://www.sportsmed.theclinics.com/article/PIIS0278591909000489/abstract?rss=yesIn boxing, along with a few other sports, trauma is inherent to the nature of the sport; therefore it is considered a high-risk sport for ocular injuries. The long-term morbidity of ocular injuries suffered by boxers is difficult to estimate due to the lack of structured long-term follow-up of these athletes. Complications of blunt ocular trauma may develop years after the athlete has retired from the ring and is no longer considered to be at risk for boxing-related injuries. This article describes the wide range of eye injuries a boxer can sustain, and their immediate and long-term clinical management.Eye Trauma in BoxingGustavo Corrales, Anthony Curreri10.1016/j.csm.2009.07.004Clinics in Sports Medicine 28, 4 (2009)2009-10-01Clinics in Sports Medicine2009-10-01284S0278-5919(09)X0004-9591607http://www.sportsmed.theclinics.com/article/PIIS0278591909000428/abstract?rss=yesThis article describes the treatment of the two most debilitating hand-related boxing injuries: boxer's knuckle and traumatic carpal boss. Recognition of the normal anatomy as well as the predictable pathology facilitates an accurate diagnosis and precision surgery. For boxer's knuckle, direct repair of the disrupted extensor hood, without the need for tendon augmentation, has been consistently employed; for traumatic carpal boss, arthrodesis of the destabilized carpometacarpal joints has been the preferred method of treatment. Precisely executed operative treatment of both injuries has resulted in a favorable outcome, as in the vast majority of cases the boxers have experienced relief of pain, restoration of function, and an unrestricted return to competition.Disabling Hand Injuries in Boxing: Boxer's Knuckle and Traumatic Carpal BossCharles P. Melone, Daniel B. Polatsch, Steven Beldner10.1016/j.csm.2009.06.004Clinics in Sports Medicine 28, 4 (2009)2009-10-01Clinics in Sports Medicine2009-10-01284S0278-5919(09)X0004-9609621http://www.sportsmed.theclinics.com/article/PIIS0278591909000465/abstract?rss=yesClinical decision making for injured boxers follows the same therapeutic principles as the treatment plan for other injured athletes. Just as surgical techniques have improved, so has the scientific basis for implementing therapeutic exercises progressed to return the athletes to their former level of competition.Rehabilitation of Orthopaedic and Neurologic Boxing InjuriesTodd Lefkowitz, Steven Flanagan, Gerard Varlotta10.1016/j.csm.2009.07.002Clinics in Sports Medicine 28, 4 (2009)2009-10-01Clinics in Sports Medicine2009-10-01284S0278-5919(09)X0004-9623639http://www.sportsmed.theclinics.com/article/PIIS0278591909000593/abstract?rss=yesIndex10.1016/S0278-5919(09)00059-3Clinics in Sports Medicine 28, 4 (2009)2009-10-01Clinics in Sports Medicine2009-10-01284S0278-5919(09)X0004-9641648