2024-03-28T13:25:41Z
https://journals.assaf.org.za/index.php/sajsm/oai
oai:journals.assaf.org.za:article/106
2017-06-21T09:26:39Z
sajsm:CS
v2
https://journals.assaf.org.za/index.php/sajsm/article/view/106
2017-06-21T09:26:39Z
South African Sports Medicine Association
Vol. 26 No. 3 (2014); 93-94
A case of cyclist’s nodule in a female patient
Makhanya, Nonjabulo Ziphano; Department of Radiology, Steve Biko Academic Hospital, Pretoria, South Africa
Velleman, Mark; Department of Radiology, Little Company of Mary, Pretoria, South Africa
Suleman, Farhana Ebrahim; Department of Radiology, Steve Biko Academic Hospital, Pretoria, South Africa
2014-10-15
The South African Journal of Sports Medicine reserves copyright of the material published. The work is licensed under a Creative Commons Attribution 4.0 (CC BY 4.0) International License. Material submitted for publication in the South African Journal of Sports Medicine is accepted provided it has not been published elsewhere. The South African Journal of Sports Medicine does not hold itself responsible for statements made by the authors.
url:https://journals.assaf.org.za/index.php/sajsm/article/view/106
Cyclist's nodule
Biker's nodule
Female
MRI
Ultrasound
Radiology
Sport
en_US
There are few reported cases of cyclist’s nodule in females. The condition has thus lent itself to synonyms such as third, supernumerary or accessory testicle. We report the imaging findings of a perineal nodule in a 29-year-old female patient who is a known cyclist, and discuss the differential diagnosis.
oai:journals.assaf.org.za:article/124
2021-10-11T06:33:37Z
sajsm:CS
oai:journals.assaf.org.za:article/125
2021-10-11T06:33:07Z
sajsm:CS
oai:journals.assaf.org.za:article/348
2020-11-11T05:59:31Z
sajsm:CS
v2
https://journals.assaf.org.za/index.php/sajsm/article/view/348
2020-11-11T05:59:31Z
South African Sports Medicine Association
Vol. 24 No. 2 (2012)
Popliteal artery entrapment syndrome misdiagnosed as chronic exertional compartment syndrome in a young male athlete: Role of dynamic ultrasound
Oschman, Z
Metherell, E
The South African Journal of Sports Medicine reserves copyright of the material published. The work is licensed under a Creative Commons Attribution 4.0 (CC BY 4.0) International License. Material submitted for publication in the South African Journal of Sports Medicine is accepted provided it has not been published elsewhere. The South African Journal of Sports Medicine does not hold itself responsible for statements made by the authors.
url:https://journals.assaf.org.za/index.php/sajsm/article/view/348
en_US
Popliteal artery entrapment syndrome (PAES) is an uncommon cause of exercise-induced pain in the lower extremity of young athletes. However, it might explain the symptoms of those athletes who do not respond to treatment for the more common overuse syndromes. We present a case of a young professional male athlete who was diagnosed with bilateral chronic exertional compartment syndrome (CECS), for which he was operated on twice. His symptoms persisted for 5 years before PAES was diagnosed withdynamic ultrasound, and after bilateral surgical release a few months apart, he was completely symptom-free except for some discomfort in the fasciotomy scars.
oai:journals.assaf.org.za:article/399
2017-01-24T12:58:04Z
sajsm:CS
v2
https://journals.assaf.org.za/index.php/sajsm/article/view/399
2017-01-24T12:58:04Z
South African Sports Medicine Association
Vol. 26 No. 2 (2014); 62-63
Chronic exertional compartment syndrome in the forearm of a rower
Volcke, P; Campus Health Service and the Centre for Human Performance Sciences, Stellenbosch University, South Africa; Department of Physical Medicine and Rehabilitation, Catholic University of Leuven, Belgium
Kirby, J H; Campus Health Service and the Centre for Human Performance Sciences, Stellenbosch University, South Africa
Viviers, P L; Campus Health Service and the Centre for Human Performance Sciences, Stellenbosch University, South Africa
Viljoen, J T; Campus Health Service and the Centre for Human Performance Sciences, Stellenbosch University, South Africa
2014-06-15
The South African Journal of Sports Medicine reserves copyright of the material published. The work is licensed under a Creative Commons Attribution 4.0 (CC BY 4.0) International License. Material submitted for publication in the South African Journal of Sports Medicine is accepted provided it has not been published elsewhere. The South African Journal of Sports Medicine does not hold itself responsible for statements made by the authors.
url:https://journals.assaf.org.za/index.php/sajsm/article/view/399
Exertional pain
Upper limb
Compartment syndrome
Rowing
Medicine
Sport
en_US
This case report describes chronic exertional compartment syndrome in the forearm of a professional rower. We consider this to be a rare anatomical location for this type of syndrome. Morever, not much is known about its clinical presentation and the subsequent optimal medical management thereof.
oai:journals.assaf.org.za:article/486
2017-01-24T13:36:39Z
sajsm:CS
v2
https://journals.assaf.org.za/index.php/sajsm/article/view/486
2017-01-24T13:36:39Z
South African Sports Medicine Association
Vol. 27 No. 1 (2015); 23
Primary spontaneous pneumothorax in a recreational athlete
Van der Colff, F J
2015-03-15
The South African Journal of Sports Medicine reserves copyright of the material published. The work is licensed under a Creative Commons Attribution 4.0 (CC BY 4.0) International License. Material submitted for publication in the South African Journal of Sports Medicine is accepted provided it has not been published elsewhere. The South African Journal of Sports Medicine does not hold itself responsible for statements made by the authors.
url:https://journals.assaf.org.za/index.php/sajsm/article/view/486
en_US
Primary spontaneous pneumothorax (PSP) is relatively uncommon in the athletic population. Because of the subtle nature of the symptoms, the diagnosis is easily missed, which can lead to unnecessary prolonged discomfort and recovery time for the athlete. ere is currently a lack of evidence in the literature concerning treatment and return-to-play protocols referring specically to PSP within the athletic community. is case report highlights the predisposing and important factors in the history of a 34-year-old recreational male athlete who developed PSP. According to the knowledge of the authors, this report of PSP in a recreational athlete is the rst of its kind described in South Africa. Owing to the possibility of life-threatening complications, it is important for sports physicians to be familiar with the important points in the history and to be made aware of the predisposing factors that may lead to PSP.
oai:journals.assaf.org.za:article/493
2020-02-13T12:22:17Z
sajsm:CS
v2
https://journals.assaf.org.za/index.php/sajsm/article/view/493
2020-02-13T12:22:17Z
South African Sports Medicine Association
Vol. 27 No. 2 (2015); 55-57
Iliopsoas haematoma in a rugby player
Janse van Rensburg, D C
2015-06-15
The South African Journal of Sports Medicine reserves copyright of the material published. The work is licensed under a Creative Commons Attribution 4.0 (CC BY 4.0) International License. Material submitted for publication in the South African Journal of Sports Medicine is accepted provided it has not been published elsewhere. The South African Journal of Sports Medicine does not hold itself responsible for statements made by the authors.
url:https://journals.assaf.org.za/index.php/sajsm/article/view/493
en_US
Traumatic iliopsoas haematoma is a serious complication of haemorrhage disorders rarely seen in young healthy athletes. It is mostly describedin patients on anticoagulant therapy and commonly associated with various degrees of femoral nerve palsy. A 22-year-old male rugby playerpresented with severe onset of pain in the lower back, right hip flexor/pelvic area following a tackle during a rugby match. Magnetic resonanceimaging identified a distinct, hyperechoic heterogeneous mass within the right iliopsoas muscle, confirming a diagnosis of iliopsoas haematoma.The case resolved completely after conservative medical treatment in addition to a period of rest and intense active physical therapy. This casestudy reports the rare diagnosis of an uncomplicated iliopsoas haematoma following a sports injury in a young athlete.
oai:journals.assaf.org.za:article/494
2020-02-13T12:22:16Z
sajsm:CS
v2
https://journals.assaf.org.za/index.php/sajsm/article/view/494
2020-02-13T12:22:16Z
South African Sports Medicine Association
Vol. 27 No. 2 (2015); 58
Frozen shoulder or missed posterior dislocation?
Leijnen, D
2015-06-15
The South African Journal of Sports Medicine reserves copyright of the material published. The work is licensed under a Creative Commons Attribution 4.0 (CC BY 4.0) International License. Material submitted for publication in the South African Journal of Sports Medicine is accepted provided it has not been published elsewhere. The South African Journal of Sports Medicine does not hold itself responsible for statements made by the authors.
url:https://journals.assaf.org.za/index.php/sajsm/article/view/494
en_US
The clinical presentation of a missed posterior shoulder dislocation has similarities with an idiopathic frozen shoulder masking properdiagnosis at the time of injury. We report a case of a 48-year-old woman with shoulder pain which demonstrates the importance of correctinitial diagnosis and management.
oai:journals.assaf.org.za:article/527
2017-01-24T11:19:28Z
sajsm:CS
v2
https://journals.assaf.org.za/index.php/sajsm/article/view/527
2017-01-24T11:19:28Z
South African Sports Medicine Association
Vol. 24 No. 4 (2012)
Acute corticosteroid-induced rhabdomyolysis in a golf player
Janse van Rensburg, D
Theron, W
Grant, T
Zondi, P
Grant, C
2012-12-04
The South African Journal of Sports Medicine reserves copyright of the material published. The work is licensed under a Creative Commons Attribution 4.0 (CC BY 4.0) International License. Material submitted for publication in the South African Journal of Sports Medicine is accepted provided it has not been published elsewhere. The South African Journal of Sports Medicine does not hold itself responsible for statements made by the authors.
url:https://journals.assaf.org.za/index.php/sajsm/article/view/527
en_US
Acute corticosteroid-induced rhabdomyolysis is a rare, but potentially life-threatening, condition that deserves the attention of medical professionals and sport scientists. Early diagnosis is vital in minimising the secondary damage caused by rhabdomyolysis. This case of rhabdomyolysis highlights the severity of symptoms and the importance of decisive treatment. Clinicians should be familiar with the most common symptoms of acute corticosteroid-induced rhabdomyolysis to enable early diagnosis and efficient management of this condition.
oai:journals.assaf.org.za:article/1416
2020-04-17T10:31:36Z
sajsm:CS
v2
https://journals.assaf.org.za/index.php/sajsm/article/view/1416
2020-04-17T10:31:36Z
South African Sports Medicine Association
Vol. 28 No. 1 (2016); 33-34
An atypical presentation of myositis ossificans
Bultheel, M
2016-11-04
The South African Journal of Sports Medicine reserves copyright of the material published. The work is licensed under a Creative Commons Attribution 4.0 (CC BY 4.0) International License. Material submitted for publication in the South African Journal of Sports Medicine is accepted provided it has not been published elsewhere. The South African Journal of Sports Medicine does not hold itself responsible for statements made by the authors.
url:https://journals.assaf.org.za/index.php/sajsm/article/view/1416
en_US
In the following case study an atypical presentation of myositisossificans (MO) in the superior anterolateral thigh of a youngsoccer player is discussed. This case demonstrates that MO canpresent without obvious history of trauma, which makes thediagnosis of this condition more challenging. The most importantdifferential diagnosis is malignant osteosarcoma or soft-tissuesarcoma, which usually presents without trauma. Additionallyboth pathologies typically occur in the same population.Keywords: case report, ossification, osteosarcoma
oai:journals.assaf.org.za:article/4259
2021-09-20T11:34:22Z
sajsm:CS
v2
https://journals.assaf.org.za/index.php/sajsm/article/view/4259
2021-09-20T11:34:22Z
South African Sports Medicine Association
Vol. 29 No. 1 (2017); 1-2
Case report: Pathological fracture of the manubrium sternum of unknown aetiology
Swart, J
2017-10-24
The South African Journal of Sports Medicine reserves copyright of the material published. The work is licensed under a Creative Commons Attribution 4.0 (CC BY 4.0) International License. Material submitted for publication in the South African Journal of Sports Medicine is accepted provided it has not been published elsewhere. The South African Journal of Sports Medicine does not hold itself responsible for statements made by the authors.
url:https://journals.assaf.org.za/index.php/sajsm/article/view/4259
en_US
A 26-year-old male professional football player presented with sternal discomfort after performing upper limb exercises. X-rays and a computed tomography (CT) scan of the manubrium sternum indicated an area of lysis with a fracture line. An MRI showed bone marrow oedema as well as presternal and retrosternal soft tissue mass. An incision biopsy of the site and the soft tissue were performed under general anaesthesia. Additional investigations included a bone marrow biopsy from the left iliac crest, a full blood count and C-reactive protein test, all of which were normal. The morphological features were mostly in keeping with a healing fracture site, and the investigations revealed no evidence of a tumour or structural abnormality. In bone injuries, where the level of force is not commensurate with the degree of injury or where the anatomical area and other factors in the presentation are unusual, they require careful investigation. Treating physicians should actively exclude the multitude of potential causes when investigating pathological fractures
oai:journals.assaf.org.za:article/4260
2020-02-13T11:24:36Z
sajsm:CS
v2
https://journals.assaf.org.za/index.php/sajsm/article/view/4260
2020-02-13T11:24:36Z
South African Sports Medicine Association
Vol. 29 No. 1 (2017); 1
Acute unilateral foot drop as a result of direct blunt trauma to the peroneal nerve in a professional mixed marital arts bout: A case report
Sethi, N
2017-10-24
The South African Journal of Sports Medicine reserves copyright of the material published. The work is licensed under a Creative Commons Attribution 4.0 (CC BY 4.0) International License. Material submitted for publication in the South African Journal of Sports Medicine is accepted provided it has not been published elsewhere. The South African Journal of Sports Medicine does not hold itself responsible for statements made by the authors.
url:https://journals.assaf.org.za/index.php/sajsm/article/view/4260
en_US
As a result of its superficial location, the peroneal nerve is prone to compression injuries. This is a case report of an acute unilateral foot drop which occurred during a professional mixed martial arts (MMA) contest, specifically as a result of direct blunt trauma to the left peroneal nerve, without an accompanying fracture of the fibula.
oai:journals.assaf.org.za:article/5126
2020-02-13T12:21:12Z
sajsm:CS
v2
https://journals.assaf.org.za/index.php/sajsm/article/view/5126
2020-02-13T12:21:12Z
South African Sports Medicine Association
Vol. 17 No. 3 (2005)
Rectal prolapse in a young adult male patient and its unique aetiology
Kulkarni, D
2018-05-18
The South African Journal of Sports Medicine reserves copyright of the material published. The work is licensed under a Creative Commons Attribution 4.0 (CC BY 4.0) International License. Material submitted for publication in the South African Journal of Sports Medicine is accepted provided it has not been published elsewhere. The South African Journal of Sports Medicine does not hold itself responsible for statements made by the authors.
url:https://journals.assaf.org.za/index.php/sajsm/article/view/5126
en_US
.
oai:journals.assaf.org.za:article/5143
2020-04-17T10:32:56Z
sajsm:CS
v2
https://journals.assaf.org.za/index.php/sajsm/article/view/5143
2020-04-17T10:32:56Z
South African Sports Medicine Association
Vol. 30 No. 1 (2018); 1-3
Sacroiliac tuberculosis masquerading as mechanical lower back pain in a collegiate basketball athlete: a case presentation
Moyaert, M
Viljoen, J
Viviers, P
Derman, W
de Villiers, R
2018-03-26
The South African Journal of Sports Medicine reserves copyright of the material published. The work is licensed under a Creative Commons Attribution 4.0 (CC BY 4.0) International License. Material submitted for publication in the South African Journal of Sports Medicine is accepted provided it has not been published elsewhere. The South African Journal of Sports Medicine does not hold itself responsible for statements made by the authors.
url:https://journals.assaf.org.za/index.php/sajsm/article/view/5143
en_US
Background:Sacroiliac tuberculosis is a rare condition for which early diagnosis and effective management frequently proves challenging. This report describes a case that was initially overlooked due to its presentation and unreported constitutional symptoms.
Aim:To alert clinicians about skeletal tuberculosis, an often neglected diagnostic differential, which requires a high index of clinical suspicion, especially for patients from endemic areas.
Findings:This patient’s presentation (sports injury) and unreported constitutional symptoms resulted in a delay in the diagnosis and initial institution of treatment.
Implications:This report illustrates the importance of specifically asking about constitutional symptoms, even in sports injury settings and being mindful of infectious diseases or other chronic medical conditions, which may masquerade as common sports injuries.
oai:journals.assaf.org.za:article/5641
2020-04-16T08:26:29Z
sajsm:CS
v2
https://journals.assaf.org.za/index.php/sajsm/article/view/5641
2020-04-16T08:26:29Z
South African Sports Medicine Association
Vol. 31 No. 1 (2019); 1-4
A tale of two sit-bones: The cyclist’s ischial hygroma (Perineal nodular induration)
Swart, J; University of Cape Town
De Villiers, R; Sports Science Radiology, Winelands Radiology, Sports Science Institute of South Africa. Boundary Rd, Newlands
Francois, R; Tygerberg Academic Hospital, Cape Town
Rademan, F; Suite 4 Mediclinic Durbanville, 9 Paul Kruger Road, Durbanville, Cape Town, 7550
Thom, G; Private Practice, Claremont, Cape Town
2019-02-21
The South African Journal of Sports Medicine reserves copyright of the material published. The work is licensed under a Creative Commons Attribution 4.0 (CC BY 4.0) International License. Material submitted for publication in the South African Journal of Sports Medicine is accepted provided it has not been published elsewhere. The South African Journal of Sports Medicine does not hold itself responsible for statements made by the authors.
url:https://journals.assaf.org.za/index.php/sajsm/article/view/5641
en_US
The ischial hygroma or perineal nodular induration is a relatively rare and cycling specific injury that is often incorrectly diagnosed and managed. We highlight two cases with divergent managements to highlight the spectrum of treatment available to manage this rare condition. We describe the presentation, assessment and management of two cases of pernineal nodular induration.
The management (surgical excision vs conservative management with saddle pressure mapping) highlight that there is no single optimal management and a multidisciplinary approach should be applied to treat these injuries successfully. Perineal nodular induration should be investigated appropriately to exclude less benign causes of perineal masses. Both conservative management and surgical excision can be successful. Clinicians should be familiar with assessment and management options for this relatively rare but debilitating condition in competitive cyclists.
oai:journals.assaf.org.za:article/7638
2020-03-16T09:56:36Z
sajsm:CS
v2
https://journals.assaf.org.za/index.php/sajsm/article/view/7638
2020-03-16T09:56:36Z
South African Sports Medicine Association
Vol. 32 No. 1 (2020); 1-4
Changes in cardiorespiratory fitness and cardiovascular health in the workplace: a case study
Torres, Georgia; University of the Witwatersrand
Gradidge, Philippe; Centre for Exercise Science and Sports Medicine, Faculty of Health Sciences, University of the Witwatersrand
Constantinou, Demitri; Centre for Exercise Science and Sports Medicine, Faculty of Health Sciences, University of the Witwatersrand
2020-03-16
The South African Journal of Sports Medicine reserves copyright of the material published. The work is licensed under a Creative Commons Attribution 4.0 (CC BY 4.0) International License. Material submitted for publication in the South African Journal of Sports Medicine is accepted provided it has not been published elsewhere. The South African Journal of Sports Medicine does not hold itself responsible for statements made by the authors.
url:https://journals.assaf.org.za/index.php/sajsm/article/view/7638
en_US
Background: Cardiorespiratory fitness (CRF) is an independent predictor of cardiovascular (CV) and all-cause mortality, contributing a higher proportion of CV risk compared to other traditionally recognised risk factors. However, CRF is not included in usual workplace wellness protocols and, as such, employers are not aware of the importance of this factor.
Aim: The aim of this case study was to explore the effect of a 12-week exercise intervention programme on CRF, CV health and medical health claims in a male participant who was employed by a corporate company with existing chronic diseases.
Findings: Health outcome measures improved after the 12-week exercise intervention programme. CRF showed the greatest improvement and medical health claims were lowered during the three-month post-intervention period.
Implications: CRF should be included as a health outcome measure in worksite wellness programmes and monitored.
oai:journals.assaf.org.za:article/7737
2020-03-05T19:01:09Z
sajsm:CS
v2
https://journals.assaf.org.za/index.php/sajsm/article/view/7737
2020-03-05T19:01:09Z
South African Sports Medicine Association
Vol. 32 No. 1 (2020); 3
A “scattered” SCAT in a football goalkeeper: a case report
Bosch, Saskia; Institute of Sport and Exercise Medicine, Division of Orthopaedics, Faculty of Medicine and Health Sciences, Stellenbosch University, South Africa; FIFA Medical Centre of Excellence, Stellenbosch University, South Africa; Campus Health Service, Stellenbosch University, South Africa; Catholic University of Leuven, Department of Physical Medicine and Rehabilitation, Leuven, Belgium
Viviers, Pierre; Institute of Sport and Exercise Medicine, Division of Orthopaedics, Faculty of Medicine and Health Sciences, Stellenbosch University, South Africa; IOC Research Centre, Cape Town, South Africa; FIFA Medical Centre of Excellence, Stellenbosch University, South Africa; Campus Health Service, Stellenbosch University, South Africa
Derman, Wayne; Institute of Sport and Exercise Medicine, Division of Orthopaedics, Faculty of Medicine and Health Sciences, Stellenbosch University, South Africa; IOC Research Centre, Cape Town, South Africa; FIFA Medical Centre of Excellence, Stellenbosch University, South Africa
de Villiers, Richard; Winelands Radiology, Institute of Orthopaedics and Rheumatology, Stellenbosch, South Africa
2020-03-05
The South African Journal of Sports Medicine reserves copyright of the material published. The work is licensed under a Creative Commons Attribution 4.0 (CC BY 4.0) International License. Material submitted for publication in the South African Journal of Sports Medicine is accepted provided it has not been published elsewhere. The South African Journal of Sports Medicine does not hold itself responsible for statements made by the authors.
url:https://journals.assaf.org.za/index.php/sajsm/article/view/7737
en_US
Background: In an acute field-side setting, it is often challenging to differentiate benign sports-related concussion (SRC) from potential, more sinister, intracranial pathology. Moreover, recovery in the ensuing days and weeks is often complex as the resolution of classical signs and symptoms does not always follow a standard pattern.
Aim: To highlight the value of a structured and repeated thorough clinical assessment approach toward SRC, particularly as atypical and unexpected sequences in patient recovery patterns may require further specialist referral and intervention.
Findings: A football goalkeeper sustained a concussion in which symptoms failed to resolve as expected. Deterioration in his clinical condition led to an eventual diagnosis of Chiari malformation (type I), which required surgical intervention.Implications: Non-typical recovery patterns of concussion may be indicative of increased severity when considered retrospectively. However, clinicians should not discount the possibility of underlying conditions.
Keywords: concussion, soccer, sports-related head injury
oai:journals.assaf.org.za:article/8300
2020-07-03T09:57:04Z
sajsm:CS
v2
https://journals.assaf.org.za/index.php/sajsm/article/view/8300
2020-07-03T09:57:04Z
South African Sports Medicine Association
Vol. 32 No. 1 (2020); 1-2
Cyriax syndrome in a young male professional soccer player: A case report
Tsobgny Panka , Chrislain ; Health and Sports Clinic , Douala
Tchebegna, Patrick Yvan; Kerthan Clinic
2020-07-03
The South African Journal of Sports Medicine reserves copyright of the material published. The work is licensed under a Creative Commons Attribution 4.0 (CC BY 4.0) International License. Material submitted for publication in the South African Journal of Sports Medicine is accepted provided it has not been published elsewhere. The South African Journal of Sports Medicine does not hold itself responsible for statements made by the authors.
url:https://journals.assaf.org.za/index.php/sajsm/article/view/8300
en_US
Cyriax syndrome is a neglected cause of lower chest or upper abdominal pain. The pain is due to an irritation of the intercostal nerves by the incomplete dislocation of the costal cartilage of the ribs. This study presents a rare case of a young male soccer player with cyriax syndrome and offers medical insight into the clinical diagnosis and one therapeutic modality of this condition. He came to the sports clinic reporting severe pain in the right lower rib cage near the costal cartilage junction which he has experienced for about three weeks. A chest x-ray detected nothing. After the failure of initial conservative measures, persistence of the pain led authors to initiate two separate local infiltrations using 1% lidocaine ten days apart. This resulted in a gradual decrease in pain. Cyriax syndrome is an unrecognised pathology, thus it is important for team physicians to consider this diagnosis when assessing athletes with persistent chest pain.
oai:journals.assaf.org.za:article/8522
2020-09-15T16:23:40Z
sajsm:CS
v2
https://journals.assaf.org.za/index.php/sajsm/article/view/8522
2020-09-15T16:23:40Z
South African Sports Medicine Association
Vol. 32 No. 1 (2020); 1-3
If the shoe fits... should you just wear it? A complete calcaneal stress fracture in a female recreational runner
Burger, James Willoughby; 1 Institute of Sport and Exercise Medicine, Division of Orthopaedic Surgery, Faculty of Medicine and Health Sciences, Stellenbosch University, South Africa; 2 Department of Psychiatry, Faculty of Health Sciences, University of Cape Town, South Africa
De Villiers, Richard; Winelands Radiology, Institute of Orthopaedics and Rheumatology, Stellenbosch University, South Africa
Derman, E. Wayne; 1 Institute of Sport and Exercise Medicine, Division of Orthopaedic Surgery, Faculty of Medicine and Health Sciences, Stellenbosch University, South Africa; 4 IOC Research Centre, Cape Town, South Africa
2020-09-15
The South African Journal of Sports Medicine reserves copyright of the material published. The work is licensed under a Creative Commons Attribution 4.0 (CC BY 4.0) International License. Material submitted for publication in the South African Journal of Sports Medicine is accepted provided it has not been published elsewhere. The South African Journal of Sports Medicine does not hold itself responsible for statements made by the authors.
url:https://journals.assaf.org.za/index.php/sajsm/article/view/8522
en_US
Shoe choice by runners may follow trends related to purported generalised benefits rather than following an individual risk- benefit analysis. The benefits and risks related to minimalist footwear for running has been a much debated topic. The authors report a case of a complete calcaneal stress fracture in an otherwise healthy female recreational runner in the first three weeks following her conversion from a traditional cushioned running shoe to a minimalist type of running shoe. Clinicians should be aware of the potential added bone stress with reduced cushioning and the potential risks in transitioning to new footwear.
oai:journals.assaf.org.za:article/11110
2023-02-17T12:09:38Z
sajsm:CS
v2
https://journals.assaf.org.za/index.php/sajsm/article/view/11110
2023-02-17T12:09:38Z
South African Sports Medicine Association
Vol. 34 No. 1 (2022)
The unexpected evolution of myocardial injury while infected with the coronavirus: A COVID-19 case report
Doran, Jean; Biokinetics
2022-02-22
The South African Journal of Sports Medicine reserves copyright of the material published. The work is licensed under a Creative Commons Attribution 4.0 (CC BY 4.0) International License. Material submitted for publication in the South African Journal of Sports Medicine is accepted provided it has not been published elsewhere. The South African Journal of Sports Medicine does not hold itself responsible for statements made by the authors.
url:https://journals.assaf.org.za/index.php/sajsm/article/view/11110
en_US
Background: A novel virus breakout in December 2019, with diverse clinical manifestations, initially identified as infecting the respiratory system, has spread rapidly around the world, with adverse effects which have caused acute myocardial injury and chronic damage to the cardiovascular system in some individuals.
Aim: To present a clinical case with the manifestation of COVID-19 suspected to be either a mild case of either myocarditis or pericarditis. This case highlights a relatively atypical presentation of COVID-19 and the value of a coordinated approach to the unexpected sequences of patient recovery patterns that may require further specialist referral and intervention.
Findings: A ribonucleic acid (RNA) viral infection was confirmed by a polymerase chain reaction with reverse transcription (RT-PCR) and the patient was diagnosed with coronavirus disease 2019 (COVID-19). The presenting symptoms failed to resolve and the patient was admitted to the accident and emergency (A&E) department. Upon the second visit to the A&E department at 27 days postinfection, an electrocardiograph (ECG) was conducted revealing T wave inversion.
Implications: A coordinated approach is needed to combat the infection, develop cardiac-protective strategies and direct supportive measures.
oai:journals.assaf.org.za:article/11781
2023-02-17T12:09:38Z
sajsm:CS
v2
https://journals.assaf.org.za/index.php/sajsm/article/view/11781
2023-02-17T12:09:38Z
South African Sports Medicine Association
Vol. 34 No. 1 (2022)
Bilateral patellar tendon rupture in a weightlifter during an acute high-loading resistance exercise bout: A case study
Alexander, Laine; University of the Witwatersrand
Mchunu, Jabulani Thabani; University of the Witwatersrand
Kgabu, Richard ; University of the Witwatersrand
Derman, Elton Wayne; Stellenbosch University
2022-04-21
The South African Journal of Sports Medicine reserves copyright of the material published. The work is licensed under a Creative Commons Attribution 4.0 (CC BY 4.0) International License. Material submitted for publication in the South African Journal of Sports Medicine is accepted provided it has not been published elsewhere. The South African Journal of Sports Medicine does not hold itself responsible for statements made by the authors.
url:https://journals.assaf.org.za/index.php/sajsm/article/view/11781
en_US
Bilateral patellar tendon ruptures are exceedingly uncommon, especially when they occur in individuals without predisposing risk factors or systemic disease. Due to its rarity, many cases are missed on initial presentation resulting in poor patient outcomes. Identifying associated risk factors aids in diagnosis and mitigates this oversight. We report a case of a healthy, recreational weightlifter who sustained bilateral patellar tendon ruptures during an acute high-loading resistance exercise bout. We discuss how a spike in acute workload may have predisposed our patient to this injury. Research into training load and athlete injury risk is currently in vogue, however, no studies have analysed whether poor load management increases the risk of tendon ruptures. This case prompts awareness for clinicians who diagnose and manage this injury and helps to stimulate the formation of educational initiatives for athletes and coaches, aimed at injury prevention.
oai:journals.assaf.org.za:article/13145
2023-02-17T12:09:38Z
sajsm:CS
v2
https://journals.assaf.org.za/index.php/sajsm/article/view/13145
2023-02-17T12:09:38Z
South African Sports Medicine Association
Vol. 34 No. 1 (2022)
The effect of systematic exercise training on skeletal muscle strength in a patient with advanced inclusion body myositis: A case study
D'Alton, Caroline; University of Cape Town
Johnstone, Rachel; Sports Science Institute of South Africa
du Plessis, Caitlin; Sport Science Institute of South Africa
Pursad, Avinesh; Sport Science Institute of South Africa
Kohn, Tertius Abraham; University of the Western Cape
2022-06-22
The South African Journal of Sports Medicine reserves copyright of the material published. The work is licensed under a Creative Commons Attribution 4.0 (CC BY 4.0) International License. Material submitted for publication in the South African Journal of Sports Medicine is accepted provided it has not been published elsewhere. The South African Journal of Sports Medicine does not hold itself responsible for statements made by the authors.
url:https://journals.assaf.org.za/index.php/sajsm/article/view/13145
en_US
Inclusion body myositis (IBM) is an inflammatory and degenerative autoimmune disease that targets specific muscle groups, causing severe muscle weakness. Exercise training is often contraindicated in myopathies as it may aggravate muscle damage and inflammation. Although some reported positive outcomes in muscle strength of early diagnosed IBM patients undergoing resistance training, there remains uncertainty as to whether exercise could be beneficial and safe in advanced stage IBM. Thus the aims of this research were to evaluate the safety and response of 16-weeks supervised resistance training on the health and muscle performance of an elderly participant diagnosed with advanced stage IBM. It was shown that the training had no adverse effects on the health of the patient. Muscle strength measured at eight weeks and on completion of the intervention, remained the same as at baseline. In conclusion, the exercise programme was found to be safe and seemed to maintain muscle strength in a patient with advanced stage IBM.
oai:journals.assaf.org.za:article/13980
2023-06-05T08:53:04Z
sajsm:CS
v2
https://journals.assaf.org.za/index.php/sajsm/article/view/13980
2023-06-05T08:53:04Z
South African Sports Medicine Association
Vol. 35 No. 1 (2023)
The great pretender: Multi-system tuberculosis and pathological fracture masquerading as a severe acute football groin injury ‒ Case study with a 5-year follow-up
Lichaba, Mamosilo; University of Witwatersrand
Constantinou, Demitri; University of Witwatersrand
2023-06-02
The South African Journal of Sports Medicine reserves copyright of the material published. The work is licensed under a Creative Commons Attribution 4.0 (CC BY 4.0) International License. Material submitted for publication in the South African Journal of Sports Medicine is accepted provided it has not been published elsewhere. The South African Journal of Sports Medicine does not hold itself responsible for statements made by the authors.
url:https://journals.assaf.org.za/index.php/sajsm/article/view/13980
en_US
In this clinical case, a man presented with a groin injury on his dominant side, which he apparently sustained in football (soccer) practice on the previous day. The man was unable to walk unassisted and had to be transported in a wheelchair. The consulting practitioner grew suspicious upon finding minimal clinical evidence and nothing notable on the X-ray to suggest a severe acute injury. A subsequent detailed workup revealed extrapulmonary tuberculosis (EPTB) of the musculoskeletal (MSK) and genitourinary tract (GUT) systems, complicated by a pathological fracture of the acetabulum, as the cause of the groin injury. Management of the EPTB resolved the condition with no relapse nor long-term sequelae beyond five years, despite being immunocompromised. We present the clinical case and a five year follow-up. The case serves as a reminder of the possibility that other conditions may mimic sports injuries and further illustrates a rare presentation of such a condition.
oai:journals.assaf.org.za:article/14526
2023-02-17T12:09:38Z
sajsm:CS
v2
https://journals.assaf.org.za/index.php/sajsm/article/view/14526
2023-02-17T12:09:38Z
South African Sports Medicine Association
Vol. 34 No. 1 (2022)
Acetabular fracture after cycling related falls: High index of suspicion is required to avoid missing the injury on plain radiographs
Swart, Jeroen; University of Cape Town
Horak, Michelle; Western Cape Department of Health
De Villiers, Richard; Winelands Radiology, Sports Science Institute of South Africa
Oberholzer, Carla
Rotunno, Adrian; Cape Sports Medicine Group, Sports Science Institute of South Africa
2022-11-29
The South African Journal of Sports Medicine reserves copyright of the material published. The work is licensed under a Creative Commons Attribution 4.0 (CC BY 4.0) International License. Material submitted for publication in the South African Journal of Sports Medicine is accepted provided it has not been published elsewhere. The South African Journal of Sports Medicine does not hold itself responsible for statements made by the authors.
url:https://journals.assaf.org.za/index.php/sajsm/article/view/14526
en_US
Cycling participation as a medium of transport and as a competitive sport has steadily increased in recent decades. Traumatic injuries secondary to falls and collisions occur relatively frequently. Fractures of the hip and pelvis are uncommon with no studies to date reporting their exact incidence in this sport. Injuries specific to the acetabulum are reported even less frequently. We present four cases that highlight the insidious nature of acetabular fractures in cyclists and document their management and recovery. The number of acetabular fractures following falls from bicycles directly onto the lateral hip result in a relatively high number of fractures. Many of these may be missed due to the absence of findings on plain x-ray imaging. It is therefore important to have a high index of suspicion for hip and pelvis fractures when treating cycling related traumatic injuries.
oai:journals.assaf.org.za:article/14931
2023-02-17T12:09:38Z
sajsm:CS
v2
https://journals.assaf.org.za/index.php/sajsm/article/view/14931
2023-02-17T12:09:38Z
South African Sports Medicine Association
Vol. 34 No. 1 (2022)
Myositis ossificans in a child athlete: a case study
Sapire, Romy; University of the Witwatersrand
Nenova, Radina; University of the Witwatersrand
Gounder, Perusha; University of the Witwatersrand
Rampersad, Alka; University of the Witwatersrand
Maboho, Vhonani; University of the Witwatersrand
Nhlapo, Nhlonipho; University of the Witwatersrand
Tibatshi, Kagisho; University of the Witwatersrand
Rampurtab, Sahil; University of the Witwatersrand
Ranchod, Amaresh; University of the Witwatersrand
Saggers, Robin; University of the Witwatersrand
Patricios, Jon; University of the Witwatersrand
2022-12-19
The South African Journal of Sports Medicine reserves copyright of the material published. The work is licensed under a Creative Commons Attribution 4.0 (CC BY 4.0) International License. Material submitted for publication in the South African Journal of Sports Medicine is accepted provided it has not been published elsewhere. The South African Journal of Sports Medicine does not hold itself responsible for statements made by the authors.
url:https://journals.assaf.org.za/index.php/sajsm/article/view/14931
en_US
Background: A 13-year-old female athlete presented with a painful lesion in her right buttock for which she had been receiving physiotherapy. It was keeping her from participating in sports.
Aim: To report on a case of traumatic myositis ossificans in a child athlete – including the presentation, investigations, management, and outcome.
Findings: Palpation of the right buttock indicated a tender mass. Investigation by musculoskeletal ultrasound detected a large hypoechoic lesion. An MRI revealed patterns of calcification that were inconclusive in differentiating between a malignant or benign lesion. Macroscopic and microscopic histological examination, as well as immunohistochemistry, were consistent with myositis ossificans (MO), a non-malignant condition. The patient improved remarkably within three months of treatment with rest, non-steroidal anti-inflammatory drugs (NSAIDs) and extracorporeal shock wave therapy (ESWT).
Implications: Accurate differentiation of myositis ossificans from other benign and malignant soft tissue lesions may require histological evaluation in addition to a comprehensive radiological workup. Successful treatment with the patient being able to return to a pain-free and active state is achievable. Extracorporeal shock-wave therapy can play an important role in the management of this condition and should be considered when presented with a case of MO.
oai:journals.assaf.org.za:article/15284
2023-06-30T12:14:38Z
sajsm:CS
v2
https://journals.assaf.org.za/index.php/sajsm/article/view/15284
2023-06-30T12:14:38Z
South African Sports Medicine Association
Vol. 35 No. 1 (2023)
Exercise intervention for post-acute COVID-19 syndrome – do FITT-VP principles apply? A case study
Torres, Georgia; University of the Witwatersrand
Rains, Nicola; N.H.C. Health Centre, Northcliff
Gradidge, Philippe; University of the Witwatersrand
Constantinou, Demitri; University of the Witwatersrand
2023-06-30
The South African Journal of Sports Medicine reserves copyright of the material published. The work is licensed under a Creative Commons Attribution 4.0 (CC BY 4.0) International License. Material submitted for publication in the South African Journal of Sports Medicine is accepted provided it has not been published elsewhere. The South African Journal of Sports Medicine does not hold itself responsible for statements made by the authors.
url:https://journals.assaf.org.za/index.php/sajsm/article/view/15284
en_US
The lack of standardisation of reporting exercise interventions hampers the development of best practice guidelines for long COVID patients. This case study on the effect of an exercise intervention in a long COVID patient applied the Consensus on Exercise Reporting Template (CERT) for reporting interventions. FITT-VP exercise prescription principles for long COVID rehabilitation are also suggested. A 58-year-old male, previously hospitalised for 14 days in the ward for the intensive care for the management of severe COVID-19 infection, joined an exercise rehabilitation programme. A medical history, anthropometric, biochemical, lung function, blood pressure, cardiorespiratory fitness and strength measures were all assessed before and after the eight week exercise intervention programme. Positive changes were found in all lung function test measures. Cardiorespiratory fitness, endurance capacity and muscle strength improved. However, the greatest improvements occurred in functional status, fatigue, dyspnoea and the state of depression levels. This case study suggested that in the absence of other instruments, the FITTVP principles may be used for long COVID patients, and CERT for reporting interventions, but these should be further researched.