Note from Editor-in-Chief William O. Roberts
We are headed toward the winter solstice with shorter daylight hours and the fall sports seasons are winding down. The holiday season cannot be too far away. For most parts of the country, the heat stroke risk has been mitigated by Mother Nature, so this issue’s article on football and heat stroke may seem out of sync. However, with a high of about 50°F on the Medtronic Twin Cities Marathon race day, we had a runner present with a rectal temp of 106.8°F associated with confusion and other signs of heat stroke. He was cooled rapidly and went home without further problems. Bottom line: heat stroke can occur in cool conditions.
With the solstice approaching, Nordic skiing cannot be too far behind for the northern tier and mountain states. It also marks the start of the high school and college wrestling seasons. The articles on weight loss sports and cross-country skiing will be of interest. There are other great topics in this issue that will help your day to day management of athletes and active people as well.
New Competitive Sports Section Editor John C. Hill, DO, FACSM, has assembled a set of articles that will prove useful on a variety of topics. Check out this section to learn more about rapid weight loss in sports with weight classes, injuries and training methods in cross-country skiers, and important considerations in the care of young dancers doing arabesques. You also won’t want to miss the case report in this section about bilateral glenoid hypoplasia in a college athlete.
When exploring the Special Populations segment recruited by Section Editor Suzanne S. Hecht, MD, FACSM, you will learn more about the current concepts of heat illness in football. You also will want to check out the two case reports in this section, the first one is about Little League elbow in a pre-pubertal cricket player and the second is about popliteal artery entrapment in a classical ballet dancer.
The Pearls & Pitfalls column looks at team rhabdomyolysis, caffeine fatalities, and heat cramping. Scanning Sports Medicine covers the latest clinical research published by ACSM, and Web Alerts reviews several interesting Web sites. CAQ Review covers common tendon injuries in the hand and Clinical Pearls discusses the clinical utility of the Wilson Test for osteochondral lesions at the knee.
I hope the topics covered in this issue will help you help your athletes and active patients return to competition and also reduce their risk of recurring pain, illness, and injury.
From all of us at Current Sports Medicine Reports, have a safe and active holiday season.
William O. Roberts, MD, MS, FACSM