Dexter, William W. M.D., Editor1; Colianni, John P. M.D., Contributor2
1Sports Medicine Program, Maine Medical Center, 272 Congress Street, Portland, ME 04101, USA. E-mail: firstname.lastname@example.org
2Sports Medicine Program, Maine Medical Center, 272 Congress Street, Portland, ME 04101, USA. E-mail: email@example.com
AuntMinnie.com is a free interactive radiology Web portal launched in 1999 for professionals in radiology and medical imaging-related fields. The name for the site is derived from a colloquialism for "a case with radiologic findings so specific and compelling that no realistic differential diagnosis exists." That is to say, if it looks like your Aunt Minnie, then it is your Aunt Minnie.
The Web site is easy to navigate with content devoted to education, conference notifications, online discussion forums, reference materials, and a buyer's guide for imaging equipment. Of particular interest to the sports medicine clinician is a robust online teaching file in the education section that is searchable for musculoskeletal cases. These cases feature interactive clinical vignettes with associated imaging. The cases serve as an excellent educational tool as the viewer is directed through the development of a differential diagnosis and identification of imaging abnormalities. This is then followed by a thorough discussion of the pathology present. AuntMinnie.com is a great site for anyone looking to improve his or her radiology skill set.
Musculoskeletal imaging textbooks can be unwieldy tomes that are not conducive to rapid point-of-care clinical decision-making or reference. Alex Freitas, M.D., a musculoskeletal radiologist in private practice, has created an online musculoskeletal MRI resource that can serve as a quick guide at the clinic workstation or as an educational tool for the beginning sports clinician. While not a replacement for standard reference texts, this Web site provides a primer on the principles of MRI, an MR image atlas of the major joints, and a discussion of the MR sequences needed as part of a quality exam.
Navigation of the Web site is smooth with hyperlinks from the home page to the atlas, MRI principles, and separate sections for the major joints - knee, shoulder, ankle, elbow, and wrist. To fully appreciate the detailed anatomy identification, a computer mouse with a scroll-wheel is necessary. With the mouse wheel, the viewer is treated to an enjoyable scroll through well-labeled cuts in multiple planes of each joint. Special attention is called to the shoulder section with a clear depiction of an MR arthrogram. The site is being expanded with pending additions focusing on hip MRI and a checklist of structures to examine in each section.
When explaining musculoskeletal conditions to patients, it often is helpful to refer to a model or graphic in the exam room. As computers become more ubiquitous in the clinical setting, utilization of information on the Internet to facilitate discussions with patients is likely to become commonplace. The Virtual Athlete is a Web site that provides graphics and dynamic illustrations with coverage of skeletal and muscular views of each body region.
Upon arriving on the site, simple navigational instructions are displayed on the welcome page, along with a detailed cartoon of the body sans skin. The user is able to select a region of interest by clicking the mouse directly on the corresponding area on the cartoon. Each region can be viewed in detail by selecting a single muscle or structure from the menu. The view can be customized to anterior, posterior, and lateral vantage points. An option is available to see the structure of interest brought through a range of motion in a dynamic illustration. The menu also provides a selection of short animations detailing the mechanisms of common injuries for the highlighted region. The Virtual Athlete is a suitable Web site to refer to during patient encounters or to have available as a Web shortcut on a waiting room computer.
Superfeet.com is the Internet home of Superfeet, Inc., a producer of off-the-shelf orthotics since 1977. Superfeet insoles are an economical solution when compared with custom-made orthotics that can cost 5 to 10 times more. The insoles are routinely stocked in many sports medicine clinics and also are available for retail purchase in sporting goods stores and on Superfeet.com.
The Web site provides an overview of the 18 different Superfeet insole models, a technology demonstration, a collection of customer testimonials, a searchable database of foot health concerns, and a user's guide. These subjects are easily selected in the menu interface on the main page. With the information contained on the site targeted at the general consumer, it is suitable to refer patients to the site for additional information if insoles or orthotics are being considered. A particular section of note is the foot health section, which provides overviews of common foot and ankle pathology in a searchable database. Overall, this site provides useful information for both the patient with foot ailments or biomechanical issues and the clinician considering stocking insoles in his or her clinic.
The International Boxing Association (Association Internationale de Boxe Amateur; AIBA) is the governing body for amateur boxing competition throughout the world. The AIBA, based in Lausanne, Switzerland, is affiliated with 195 national boxing federations. The association maintains a special Medical Commission charged with ensuring the health and safety of all competitors. The Medical Corner is the commission's home on the AIBA Web site.
The Medical Corner home page contains information describing the commission's influence within the AIBA, hyperlinks to the AIBA Medical Handbook and recent press releases pertaining to medical issues in boxing, and educational materials directed specifically toward the ringside physician. There are downloadable slide sets addressing facial injuries, orthopedic issues, injury recognition and management, and head injury/sudden death. There is specific coverage of eye, nose, hand, and wrist injuries - all commonly encountered issues in the injured boxer. The Medical Corner is a great resource for both the beginning and the experienced ringside physician.
Wilderness Medical Society: www.wms.org
The Wilderness Medical Society (WMS) was founded in 1983 by three California physicians and has since grown considerably into an international society. The Society publishes a quarterly peer-reviewed journal, supports wilderness medicine research through a grant program, and organizes national and international education programs and conferences. The WMS supports a fellowship program in an Academy of Wilderness Medicine. The fastest growing segment of the organization is membership in the student section. There are currently 68 medical schools in the United States and Canada with WMS student interest groups.
The WMS Web site features a cleanly designed welcome page with sidebar hyperlinks to content focusing upon the different facets of the society. There are links for information on upcoming conferences, publications and online resources, research, interest group homepages, news and press releases, and the homepage for the Academy of Wilderness Medicine. Members of the WMS have online access to the quarterly newsletter and the peer-reviewed journal Wilderness & Environmental Medicine. The WMS Web links and WMS-sponsored conferences may be of special interest to the sports clinician, given the overlap in subject material, especially in areas of outdoor endurance sports, cold and altitude medicine, undersea/dive medicine, and travel medicine.
Cost: Free; members-only section requires society membership, which costs $50-$160, depending on membership category.