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Publisher TOR DAVIES BSc (Hons) Editor LYNN BOOTH MCSP Art editor DEBBIE ASHER Advertising manager TOR DAVIES +44 (0)845 652 1906 Subscriptions SANDRA GREATOREX +44 (0) 845 652 1906

TECHNICAL ADVISORS Richard Bolton Steve Aspinall

Sophie Cox Dr Bryan English MCSP, MAPA


BSc (podiatry), SRCh, MChS

Dip Sports Med, DO

Joanne Elphinston BPhty MA, MCSP Dr Dylan Morrisey MCSP, MSc PhD Prof Graham Smith FCSP, SRP Joan Watt


Dr Nick Webborn MRCGP, Dip Sports Med, MSC

Dr Greg Whyte PhD, BSc (Hons Welcome I was very lucky recently to be given a treasured iPad. For those of you

who have been subscribing to sportEX medicine since our launch in 1999, a lot has changed in the way media is delivered. We have provided our content online since 2003, at the time, amazingly, that was quite cutting edge, while now it’s a given! Our website (while a little outdated-looking) still hosts every single article that we’ve published during that time.

As a publisher, I can’t help but be excited about the future when I hold the iPad in my hands! I have avidly downloaded every magazine available on the iPad and I pour through them, fascinated by what works and what doesn’t and what the future might hold for specialist publications like sportEX. Apple dissenters might look the other way but it won’t take long before there is a rash of similar products on the market and when it comes to delivering media, there is no doubt they open up a whole new world of opportunity.

At the moment we’re just too small to justify an iPad app but if you get a chance to play with the iPad, checkout The Times app which has been beautifully built specifically for this medium and offers an early flavour of what the future will undoubtedly bring. In the meantime please take the time to visit our online versions (online access is now included with all subscriptions) by logging into the sportEX website. They are designed with one thing in mind - to bring our content to life. The subject matter we cover in all the sportEX titles lends itself beautifully to this new, dynamic, visual medium and I can’t wait to share this publishing future with you!

Enjoy the summer of sport! Tor Davies, publisher

is published by Centor Publishing Ltd 88 Nelson Road Wimbledon, SW19 1HX

Tel: +44 (0)845 652 1906 Fax: +44 (0)845 652 1907

OTHER TITLES IN THE SPORTEX RANGE sportEX dynamics - ISSN 1744-93838 Written specifically for professionals working with a wide variety of athletes and sports people to help them get the most out of their athletic performance - personal annual subscription £54, practice subscription £94 sportEX health - ISSN 1471-8154 For people working in the physical activity health promotion sector, health and fitness industry as well as in primary care and occupational health - annual subscription £54 for individuals, £94 for departments

CONTENTS 4Journal watch 7The knee joint

the best clinical approach

A look at some of the latest research An introduction to assessment and diagnosis.

13Case report – tibial fracture 23Achilles tendinosis


While every effort has been made to ensure that all information and data in this magazine is correct and compatible with national standards generally accepted at the time of publication, this magazine and any articles published in it are intended as general guidance and information for use by healthcare professionals only, and should not be relied upon as a basis for planning individual medical care or as a substitute for specialist medical advice in each individual case. To the extent permissible by law, the publisher, editors and contributors to this magazine accept no liability to any person for any loss, injury or damage howsoever incurred (including by negligence) as a consequence, whether directly or indirectly, of the use by any person of any of the contents of the magazine.

Copyright subsists in all material in the publication. Centor Publishing Limited consents to certain features contained in this magazine marked (*) being copied for personal use or information only (including distribution to appropriate patients) provided a full reference to the source is shown. No other unauthorised reproduction, transmission or storage in any electronic retrieval system is permitted of any material contained in this publication in any form.

The publishers give no endorsement for and accept no liability (howsoever arising) in connection with the supply or use of any goods or services purchased as a result of any advertisement appearing in this magazine. 3

a novel treatment intervention for the management of a complex tibial fracture in an elite rugby player

The pitfalls in diagnosis and a guide to

31 sportEX update A look at the latest developments from sportEX 32 2012 London Olympic 34 What’s on in our sister publications

Take a look at what’s going on in sportEX dynamics and sportEX health

volunteering update The latest information on volunteering as a physical therapist at London 2012

and Paralympic Games –

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