Welcome to our March 2014 Issue of the Clinical Journal of Sport Medicine, the second issue of this calendar year.
Our Editorial this month, written by Neil Craton and Oliver Leslie, serves as a reminder that not all Consensus Statements should go unquestioned. The authors have produced what may be considered to be a provocative piece which calls into question a number of the fundamental concepts and recommendations found in the 4th Zurich Consensus Statement guidelines on Concussion in Sport, previously published in this Journal. These include definitions of concussion, diagnostic criteria, and recommendations for return to activity and sports participation. They call for a rejection of 'this diagnostic and therapeutic algorithm' based on the authors' analysis of the guidelines, which will no doubt trigger debate amongst academics and practicing clinicians alike.
We also publish an important Consensus Statement from the 2014 Female Athlete Triad Coalition on the Treatment and Return to Play of the Female Athlete Triad, based on the proceedings of the First and Second International Conferences held in 2012 and 2013 respectively. The Statement offers a comprehensive overview of definitions, adverse associated health consequences, screening, risk stratification and diagnosis, and management of patients with the Triad. There are also a number of recommendations and guidance for team physicians including a useful decision-making model for return to play. The Consensus Statement has been endorsed by a number of important Sports Medicine organizations including the American Medical Society for Sports Medicine (AMSSM) and the American College of Sports Medicine (ACSM). We commend the Statement to our readership as a flagship reference on this important medical condition.
In addition, we bring you the Canadian Academy of Sport and Exercise Medicine (CASEM) Position Statement on Athletes at High Altitude. The statement includes a discussion of risk factors for the development of high altitude illnesses, including Acute Mountain Sickness (AMS), High Altitude Cerebral Edema (HACE) and High Altitude Pulmonary Edema (HAPE); strategies for the prevention and management of these conditions, and performance considerations including acclimatization and training at altitude.
As well as three Original Research Articles and three interesting Case Reports, we also publish both the Research Presentation Abstracts and the Case Presentation Abstracts for the forthcoming 23rd annual meeting of the American Medical Society for Sports Medicine.
Our Journal Club highlights recent Sport Medicine articles published elsewhere, and I am sad to say that this will be our last Journal Club for a while following the recent departure of our Journal Club Editorial Associate, Ann Lotter. Ann has served in her role for the Journal with both diligence and excellence for over twenty years. Ann will be missed by both the Editorial Board membership and our readership, and we extend out thanks to her for her longstanding and excellent work over the years.