Table Of ContentAbout the Oxford American Handbooks in Medicine
The Oxford American Handbooks are fl exi-covered pocket clinical books,
providing practical guidance in quick reference, note form. Titles cover
major medical specialties or cross-specialty topics and are aimed at stu-
dents, residents, internists, family physicians, and practicing physicians
within specifi c disciplines.
Their reputation is built on including the best clinical information, com-
plemented by hints, tips, and advice from the authors. Each one is carefully
reviewed by senior subject experts, residents, and students to ensure that
content refl ects the reality of day-to-day medical practice.
Key series features
• Written in short chunks, each topic is covered in a two-page spread
to enable readers to fi nd information quickly. They are also perfect
for test preparation and gaining a quick overview of a subject without
scanning through unnecessary pages.
• Content is evidence based and complemented by the expertise and
judgment of experienced authors.
• The Handbooks provide a humanistic approach to medicine—it’s more
than just treatment by numbers.
• A “friend in your pocket,” the Handbooks offer honest, reliable
guidance about the diffi culties of practicing medicine and provide
coverage of both the practice and art of medicine.
• For quick reference, useful “everyday” information is included on the
inside covers.
• Made with hard-wearing plastic covers, tough paper, and built-in ribbon
bookmarks, the Handbooks stand up to heavy usage.
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Oxford American Handbook of
Sports Medicine
Published and Forthcoming Oxford American Handbooks
Oxford American Handbook of Clinical Medicine
Oxford American Handbook of Anesthesiology
Oxford American Handbook of Clinical Dentistry
Oxford American Handbook of Clinical Diagnosis
Oxford American Handbook of Clinical Pharmacy
Oxford American Handbook of Critical Care
Oxford American Handbook of Emergency Medicine
Oxford American Handbook of Geriatric Medicine
Oxford American Handbook of Nephrology and Hypertension
Oxford American Handbook of Obstetrics and Gynecology
Oxford American Handbook of Oncology
Oxford American Handbook of Otolaryngology
Oxford American Handbook of Pediatrics
Oxford American Handbook of Physical Medicine and Rehabilitation
Oxford American Handbook of Psychiatry
Oxford American Handbook of Pulmonary Medicine
Oxford American Handbook of Rheumatology
Oxford American Handbook of Surgery
Oxford American
Handbook of
Sports
Medicine
Edited by
Jeffrey R. Bytomski
Head Medical Team Physician
Associate Professor and Director
Primary Care Sports Medicine Fellowship
Duke University Medical Center
Durham, North Carolina
Claude T. Moorman, III
Associate Professor
Head Team Physician and Director
Duke Sports Medicine
Duke University Medical Center
Durham, North Carolina
with
Domhnall MacAuley
School of Life and Health Science
University of Ulster
Department of Epidemiology
The Queen’s University of Belfast
Northern Ireland
1
3
Oxford University Press, Inc. publishes works that further
Oxford University’s objective of excellence
in research, scholarship and education.
Oxford New York
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With offi ces in
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Copyright © 2010 by Oxford University Press, Inc.
Published by Oxford University Press Inc.
198 Madison Avenue, New York, New York 10016
www.oup.com
Oxford is a registered trade mark of Oxford University Press
First published 2010
All rights reserved. No part of this publication may be reproduced,
stored in a retrieval system, or transmitted, in any form or by any means,
electronic, mechanical, photocopying, recording, or otherwise,
without the prior permission of Oxford University Press,
Library of Congress Cataloging-in-Publication Data
Oxford American handbook of sports medicine / edited by Jeffrey R. Bytomski,
Claude T. Moorman with Domhnall MacAuley.
p. ; cm. — (Oxford American handbooks)
Adapted from: Oxford handbook of sport and exercise medicine / edited by
Domhnall MacAuley. 2007.
Includes bibliographical references and index.
ISBN 978–0–19–537219–9
1. Sports medicine—Handbooks, manuals, etc. I. Bytomski, Jeffrey R. II. Moorman,
Claude T. III. MacAuley, Domhnall. IV. Title: Handbook of sports medicine.
V. Series: Oxford American handbooks. [DNLM: 1. Sports Medicine—Handbooks.
2. Athletic Injuries—Handbooks. QT 29 O97 2010]
RC1211.O938 2010
613.71—dc22 2009023186
9 8 7 6 5 4 3 2 1
Printed in China
on acid-free paper
This material is not intended to be, and should not be considered,
a substitute for medical or other professional advice. Treatment for
the conditions described in this material is highly dependent on the indi-
vidual circumstances. And, while this material is designed to offer accurate
information with respect to the subject matter covered and to be current
as of the time it was written, research and knowledge about medical and
health issues is constantly evolving and dose schedules for medications are
being revised continua lly, with new side effects recognized and accounted
for regularly. Readers must therefore always check the product informa-
tion and clinical procedures with the most up-to-date published product
information and data sheets provided by the manufacturers and the most
recent codes of conduct and safety regulation. Oxford University Press and
the authors make no representations or warranties to readers, express
or implied, as to the accuracy or completeness of this material, including
without limitation that they make no representation or warranties as to
the accuracy or effi cacy of the drug dosages mentioned in the material.
The authors and the publishers do not accept, and expressly disclaim, any
responsibility for any liability, loss or risk that may be claimed or incurred
as a consequence of the use and/or application of any of the contents of
this material.
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vii
PPrreeffaaccee
The world of sports medicine is becoming more complex as athletes receive
care from a multi-faceted team including physicians, athletic trainers, physical
therapists, and sports psychologists, to name a few. Many other professions
assist in the care of athletes as well. Sports medicine is unique in balancing
a safe return to sports while aggressively treating the problem in the least
amount of time. With extensive media coverage of elite athletes, every athlete
from children to the average “weekend warrior” expect the same level of care
given to their sports elite fi gures. The sports medicine team is stretched on a
daily basis to provide cutting-edge care while maintaining a full schedule.
The purpose of this Handbook is to have a reliable source readily available
to those who are on the frontlines of sports medicine care. It is meant to be
a reference as care providers travel from the offi ce, to the training room, to
the sideline, and around the world. Our aim for this text is to bridge the gap
between comprehensive knowledge and quick access at the point of care by
multiple levels of providers. This book is adapted from the original British
version and has the advantage of knowledge collected from many experts
around the globe. We have provided some practical chapters on procedures
and radiology as well as exposure to many of the techniques used in the
evolving world of sports psychology. The scope of the text ranges from
discussion of event coverage and preparticipation exams to both acute and
chronic treatment of common medical and orthopedic problems in athletes.
We hope you gain the knowledge and insight needed to take care of
your athletes at the highest level, wherever your travels take you.
Acknowledgments
This Handbook has only come together through the time, effort, and sacri-
fi ce of many individuals, not unlike the sports medicine team caring for its
athletes at the highest level. The authors did a wonderful job of reviewing
the previous text while updating and molding the new chapters to their
current version. The clinical experience and knowledge of Dr. Moorman
was without equal in assuring a quality text in the orthopedic chapters. Also,
Andrea Seils at Oxford University Press has been instrumental in making
this publication a high-quality Handbook. I would also like to thank all of the
families of the contributors for their sacrifi ce in allowing the contributors to
take time away from their schedules to make this a fi ne Handbook.
And fi nally, I would like to thank Shanda, Jarek, Trevor, and Alexandra for
their patience and sacrifi ce as I spent time away from them in preparing the
Handbook you have in front of you.
Jeffrey R. Bytomski
