The delivery of clinical services and the organisation and teaching of Sport and Exercise Medicine in the UK were developed in concept as long ago as 1912. It accelerated, particularly over the last ...36 years, until the Faculty of Sport and Exercise Medicine of the Royal Medical Colleges of the United Kingdom was established at the Royal College of Surgeons of Edinburgh. From the concept of a hobby for doctors interested in sport to its coming of age as a medical speciality Sports Medicine has a long and fragmented history. This is well documented in Volume 36 of the Wellcome Witnesses to Twentieth Century Medicine entitled 'The Development of Sports Medicine in Twentieth-century Britain'. This short paper describes the role played by the key organisations in Sport and Exercise Medicine in the United Kingdom during the late 20th century and the early part of the 21st century.
Eye injuries in sport MacEwen, C J; McLatchie, G R
Scottish medical journal,
05/2010, Volume:
55, Issue:
2
Journal Article
Peer reviewed
Most ocular injuries involve only the external eye. However, in approximately one-third of cases the intraocular structures are damaged with potentially sight threatening consequences. A small number ...of sports, such as soccer, rugby, hockey and the racquet sports are responsible for most injuries. Sport is responsible for between 25-40% of all eye injuries severe enough to require hospital admission. Most of these are recognised as being largely preventable and methods of reducing the number and severity of such injuries are of prime importance.
Groin pain in athletes Hureibi, K A; McLatchie, G R
Scottish medical journal,
05/2010, Volume:
55, Issue:
2
Journal Article
Peer reviewed
Groin pain in athletes is a common problem in sport medicine, and remains a diagnostic challenge. It is more common with sports that involve kicking, rapid accelerations and decelerations, and sudden ...direction changes. There is an extensive differential diagnosis and overlap in signs between possible diagnoses. It is important to appreciate the anatomy of the groin and undertake a careful history and examination. Adductor strain, groin disruption and osteitis pubis are among the common causes. The aim of this article is to briefly review the most common causes of groin pain in athletes. The diagnosis and management of these conditions are briefly discussed.
Calcitonin-gene-related peptide (CGRP) and adrenomedullin are related peptides with distinct pharmacological profiles. Here we show that a receptor with seven transmembrane domains, the ...calcitonin-receptor-like receptor (CRLR), can function as either a CGRP receptor or an adrenomedullin receptor, depending on which members of a new family of single-transmembrane-domain proteins, which we have called receptor-activity-modifying proteins or RAMPs, are expressed. RAMPs are required to transport CRLR to the plasma membrane. RAMP1 presents the receptor at the cell surface as a mature glycoprotein and a CGRP receptor. RAMP2-transported receptors are core-glycosylated and are adrenomedullin receptors.
Head injury Hureibi, K A; McLatchie, G R
Scottish medical journal,
05/2010, Volume:
55, Issue:
2
Journal Article
Peer reviewed
Head injury is one of the commonest injuries in sport. Most are mild but some can have serious outcomes. Sports medicine doctors should be able to recognise the clinical features and evaluate ...athletes with head injury. It is necessary during field assessment to recognise signs and symptoms that help in assessing the severity of injury and making a decision to return-to-play. Prevention of primary head injury should be the aim. This includes protective equipment like helmets and possible rule changes.
The cause, management and outcome of 23 patients with a pancreatic fistula following acute pancreatitis are reviewed. Nineteen patients developed an external fistula following necrosectomy or ...drainage of a pancreatic abscess or pseudocyst; four of these patients died. In the 15 survivors spontaneous closure occurred in 11 cases with low output fistulae; operative intervention was needed in the four cases with high output fistulae. Four patients with internal fistulae had not undergone previous surgery; two of them had a pancreaticopleural fistula with associated pancreaticogastric fistulae, while two had pancreatic ascites. All four of these patients required surgical intervention and one died.
Scapula winging is an uncommon condition but one which may be underdiagnosed. Four patients with scapula winging referred to a sports injury clinic are presented. None of the patients was aware of ...any trauma and a traction injury to the long thoracic nerve is proposed as the aetiology of this condition. These case reports emphasize the importance of excluding winging of the scapula in patients who present to sports injury clinics with shoulder pain.
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