Welcome everyone to the July 2016 issue of CJSM.
The year is flying past with Euro 2016 already well underway, and as I write we are into the early stages of the Wimbledon Tennis Championships. With the Rio 2016 Olympics just round the corner, this is a busy time for many of our readers.
Perhaps one of the greatest on-going clinical challenges of our time lies in dealing with the major worldwide problem of physical inactivity, which is ranked by the World Health Organization as the fourth leading risk factor for morbidity and mortality on a global scale, and this issue we publish an important Position Statement from our Founder Society, the Canadian Academy of Sport and Exercise Medicine, on Physical Activity Prescription.
The Statement has been endorsed widely by a number of International Sports Medicine organizations, and will also be co-published in BJSM later on this year. It highlights the current burden of physical inactivity, discusses the evidence for the effectiveness of exercise prescription offered by Primary Care Physicians, and offers guidelines and practical advice on many aspects of exercise prescription in clinical practice.
It is to be hoped that this Statement will be widely read by Primary Care physicians, and will assist them in implementing exercise medicine interventions on a wide scale for primary, secondary and tertiary disease prevention. Most of our readers will already be familiar with the Exercise is Medicine global initiative, and I would urge you to check out the wide range of resources available for clinicians and patients on their website.
As usual, we bring you a wealth of Original Research articles. Chicorelli and colleagues present their results from a retrospective case series of 250 skeletally immature athletes of 14 years and under who had previously undergone ACL reconstruction, finding that the vast majority of athletes were able to return to sports at an equivalent skill level, with a median time for return to sport of 9 months post-op, and with most (85%) returning to sport within 12 months. This research should enable clinicians to offer patients reassurance on the effectiveness of ACL reconstruction in returning young athletes to sport.
Aspects of ACL Reconstruction amongst adolescents will be further discussed in our forthcoming podcast with one of the authors of this study, Dr Lyle Micheli. In addition, we will also be offering accompanying CME activity on aspects of ACL reconstruction related to adolescent athletes in due course, so keep an eye on our expanding CME section on the LWW CMEConnection website (also signposted on our home page). Our CME offers AMA PRA Category 1 credits for those successfully completing the modules, and offers a great way for readers to improve their knowledge of clinically-relevant aspects of the research presented in the Journal.
Other Original Research articles this issue include a review of the efficacy of prophylactic valaciclovir in the primary prevention of herpes simplex outbreaks within wrestling camps, a school-based injury prevention program to reduce sport injury risk amongst youth sports participants, and research on the utility of sonoelastography of the Achilles tendon amongst other articles.
We bring you an interesting Practical Management article on the use of patient-centred participation in glenohumeral relocation procedures in order to achieve optimal muscle relaxation prior to relocation.
There are two Brief Reports on mixed martial arts injuries sustained between 2000 and 2013 in Edmonton, Canada, and on the utility of custom-made orthoses during medial foot loading in patients with patellofemoral pain.
A major concern for many clinicians and athletes competing in the Rio 2016 Olympics is the threat posed by the Zika virus outbreak, and this issue is highlighted in a Letter to the Editor by Shagdan and Khodaee who offer advice on the use of protective clothing for all those at risk. Further information and advice for clinicians and competitors on the Zika virus and the 2016 Rio Olympics can be found on the Centers for Disease Control and Prevention website.
As always, don't forget to check us out on Twitter (@cjsmonline), Facebook, and on our CJSM Blog with James MacDonald, Emerging Media Editor for the Journal.
Enjoy the issue, with best wishes,
Christopher Hughes MBBS MSc