By Dev K. Mishra, M.D., President, Sideline Sports Doc, Clinical Assistant Professor of Orthopedic Surgery, Stanford University Key Points: A “shoulder separation” is a different injury than a shoulder dislocation The shoulder separation involves a sprain to the ligaments of a joint at the point of the shoulder near the end of the collarbone We…
By Dev K. Mishra, M.D., President, Sideline Sports Doc, Clinical Assistant Professor of Orthopedic Surgery, Stanford University Key Points: Young pitchers are at risk for arm injuries due to a number of factors, and pitching while fatigued is perhaps the biggest risk for injury MLB’s Pitch Smart guidelines are designed to reduce injury risk while…
By Dev K. Mishra, M.D., President, Sideline Sports Doc, Clinical Assistant Professor of Orthopedic Surgery, Stanford University Key Points: Sport specialization by adolescent and early teenage athletes is associated with a relatively high injury risk One study of Division 1 athletes showed that only about 17% of athletes were “highly specialized” when they were in…
By Dev K. Mishra, M.D., President, Sideline Sports Doc, Clinical Assistant Professor of Orthopedic Surgery, Stanford University Key Points: Wearable technology is very popular for monitoring steps, energy expenditure, and movement patterns. The devices can generally be divided into step counters, accelerometers, GPS based devices, and physiologic measurement devices. Many systems combine several elements The…
By Dev Mishra, M.D., President, Sideline Sports Doc, Clinical Assistant Professor of Orthopedic Surgery, Stanford University Key Points: Blood Flow Restriction (BFR) training involves use of KAATSU bands or pressure cuffs to temporarily restrict blood flow during resistance exercises This type of training is reported to substantially increase the strength of the involved limb much…
By Dev K. Mishra, M.D., President, Sideline Sports Doc, Clinical Assistant Professor of Orthopedic Surgery, Stanford University Key Points: A jammed finger occurs with direct impact to the tip of a finger and is generally a mild sprain that resolves in a few days Some finger injuries can be more serious and require urgent evaluation….
By Dev K. Mishra, M.D., President, Sideline Sports Doc, Clinical Assistant Professor of Orthopedic Surgery, Stanford University Key Points: Warmup based injury prevention programs such as the FIFA 11+ and others show a dramatic reduction in injury rates for young athletes The results are so impressive that I believe all youth sport organizations should recommend…
By Dev K. Mishra, M.D., President, Sideline Sports Doc, Clinical Assistant Professor of Orthopedic Surgery, Stanford University Key Points: A new technique pioneered by Boston orthopedic surgeon Dr. Martha Murray carries the promise of harnessing the body’s ability to heal a torn ACL through a minimally invasive approach The technique is in the earliest phases…
By Dev K. Mishra, M.D., President, Sideline Sports Doc, Clinical Assistant Professor of Orthopedic Surgery, Stanford University Key Points: Recovery and return to play after ankle sprains will vary depending on the severity of the injury, and the injured athlete’s unique healing response Sport specific reconditioning after an ankle sprain often takes much longer than…
By Dev K. Mishra, M.D., President, Sideline Sports Doc, Clinical Assistant Professor of Orthopedic Surgery, Stanford University Key Points: We are seeing more ACL injuries in young growing athletes than we used to several decades ago, and more young athletes choose to have early ACL surgery ACL surgery in a growing athlete requires special considerations…
By Dev K. Mishra, M.D., President, Sideline Sports Doc, Clinical Assistant Professor of Orthopedic Surgery, Stanford University Key Points: The term “hip pointer” refers to a bruise of the muscles and soft tissue attachments to the top of the pelvis bone, near the area where your shorts or pants would be A hip pointer occurs…
By Dev K. Mishra, M.D., President, Sideline Sports Doc, Clinical Assistant Professor of Orthopedic Surgery, Stanford University Key Points: Snowboarders tend to get more ankle injuries than skiers, and skiers tend to get more knee injuries than snowboarders The “snowboarder’s fracture” is unique to ankle injuries in snowboarding A fracture of the “lateral process of…