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CONTENTS JAN 2009 ISSUE 39


Publisher TOR DAVIES BSc (Hons) tor@sportex.net Editor LYNN BOOTH MCSP lynn@sportex.net Art editor DEBBIE ASHER debbie@sportex.net Advertising manager PAUL HARRIS paul@sportex.net 020 8144 3391 Sales and marketing LISA NAJI


lisa@sportex.net 0845 652 1906 Subscriptions SANDRA GREATOREX subs@sportex.net 0845 652 1906


TECHNICAL ADVISORS Richard Bolton Steve Aspinall


Sophie Cox Dr Bryan English MCSP, MAPA


BSc (BASRaT), MSc


BSc (podiatry), SRCh, MChS


Dip Sports Med, DO


Joanne Elphinston BPhty MA, MCSP Viv Lancey


MCSP, SRP


Dr Dylan Morrisey MCSP, MSc PhD Prof Graham Smith FCSP, SRP Joan Watt


MCSP, SRP


Dr Nick Webborn MRCGP, Dip Sports Med, MSC


Dr Greg Whyte PhD, BSc (Hons)


The most important thing for me to say is THANK YOU! Thank you for bringing both me and sportEX medicine this far, for believing in it, and for letting me still do what I love more than anything in the world. I wish you a VERY happy and healthy new year.


Tor Davies, publisher tor@sportex.net is published by


Centor Publishing Ltd 88 Nelson Road Wimbledon, SW19 1HX


Tel: 0845 652 1906 Fax: 0845 652 1907 www.sportex.net


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 £30, practice subscription £55


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 £35 for individuals, £60 for departments


CONTENTS 4Journal watch


Welcome


Welcome to the first issue of sportEX medicine for 2009 and amazingly (for me at least!) to the year of our 10th anniversary! Our first ever


issue of sportEX medicine was published in July 1999, the cover honouring my first love of tennis, and many of my very first subscribers are still with me - I know from your subs numbers - neither sportEX medicine or I would be here without you!


In some ways things have changed dramatically, the ubiquity and increasing speed of the internet gives us opportunities for huge advances in terms of the sophistication of our content and our communications with you. However in some ways things remain much as they did that first year I started life as my own employer. I still play a very hands on role, however very gratefully now supported by three fantastic editors who truly believe in the practical ethos we uphold. For me I feel we can still do more to make sportEX medicine even more practical. In this issue the shoulder and the hamstring articles both have animated material accompanying the online version - you will see more and more of this in 2009 along with a new website (I know it’s long overdue!!).


A look at some of the latest research


7Tendon Injuries: an overview 12The role of exercise in the


An evaluation of the evidence to prevent hamstring injury and indicate potential pre- habilitative regimes for athletes


DISCLAIMER


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.


www.sportEX.net 3


An update on clinically relevant aspects of the diagnosis and management of tendinopathies


prevention of hamstring injury


17Knee articular cartilage repair and athletes


An overview of the latest articular cartilage surgical techniques and cartilage repair rehabilitation principles and their implementaion


22Arterial compression syndromes at the shoulder


The first in a two part article have no idea what to put here


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