Welcome to the latest issue of Current Sports Reports (CSMR). High school and college football have started and most teams have a game or two under their belts. My thoughts go out to the teams in Texas and Florida whose seasons have been delayed or possibly cancelled due to the flooding from hurricanes Harvey and Irma. I am often asked how I can live in the frigid north and I guess the lack of hurricanes may be one of the reasons.
We have had a cool August here in Minnesota, so very little heat stress for the fall athletes in our region. While it has been cool in Minnesota, other regions of the country are having record heat. Athletes can acclimate to heat, but at some point the body temperature begins to rise with production of metabolic heat from exercise, so an emergency action plan for heat stroke should be in place and ready to implement if needed. Remember "heat attack, respond like heart attack" and have that cooling tub ready to go. "Cool first, and transfer later" can be lifesaving.
I was recently asked to participate in a podcast addressing the American Fitness Index and the #1 Fit City designation of the Minneapolis St Paul area. As I near the end of my last term as Editor-in-Chief of CSMR, I have reflected on the changes in sports medicine during my career. Sports medicine has grown from an emphasis on athlete performance and injury care to include "Exercise is Medicine" and the public health opportunities of exercise and fitness for our patients. When we consider that our influence as physicians is about 10% of the total health picture, we seem like a small part of the determinants of health. Fit cities play a role in the overall health of our patients with an emphasis on the built environment, park land, bike trails, play grounds, and other opportunities for physical activity. We can and should as sports medicine physicians play a role in public health, as well as athlete health, by speaking up for the programs that promote health and wellness across the entire population.
On another note, I would like to take this opportunity to thank Craig C. Young MD, FACSM, for his service to the journal as Section Editor for the Sport-specific Illness and Injury section; this is his last issue. He has been serving as section editor for CSMR since 2010 and done a remarkable job pulling in timely and useful articles. We will miss his contributions as section editor, but hope to keep him involved with the journal on the Editorial Board and as a manuscript reviewer.
In this issue of CSMR, the FIMS: International Perspectives penned by Michael Geistlinger, et al. and titled "Replacement of Doped Olympic Medalists" addresses the issue of returning and re-issuing medals lost to positive drug tests as technology advances give WADA better tools to detect doping in past Olympics. Pearls & Pitfalls discusses if heat stress nephropathy is a concern for endurance athletes. Scanning Sports Medicine covers the latest clinical research published by ACSM, and Web Alerts reviews several interesting Web sites. CAQ Review covers exertional heat stroke and Clinical Pearls provides a pad placement pearl for metatarsalgia. Our Clinician Profile features Anthony I. Beutler, MD, an active clinician member of ACSM since 2001. The featured sections, Extremity and Joint Conditions and Sport-Specific Illness and Injury are filled with a wide array of topics that should pique the interest of every reader.
The Extremity and Joint Conditions Section Editor Chad A. Asplund, MD, MPH, FACSM, has assembled a set of articles that will prove useful in your care of athletes. Check out this section to learn more about nonoperative management and novel imagining for posterior circumflex humeral arty injury in volleyball, common overuse wrist pathology in gymnasts, treatment of acute wrist fractures, and diagnosis and management of sacroiliac joint dysfunction. In this section, you'll also want to read the two case reports featuring a lunate dislocation in a division 1 football player and a unique case of foot drop in a high stepping cross-country athlete.
When exploring the Sport-Specific Illness and Injury segment recruited by Section Editor Craig C. Young, MD, FACSM, you will learn more about competitive diving principles and injuries, common ice hockey injuries and treatment, and care of water polo players. You won't want to miss the two case reports in this section involving collegiate football players. One is about severe exercise associated hyponatremia and the other on pectoralis major injury.
I hope the topics covered in this edition will help you help your athletes and active patients perform at their peak, return to competition safely, and reduce their risk of injury.
William O. Roberts, MD, MS, FACSM