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Question 1

Recommended brace for Thumb UCL sprain

Answer 1

Hand-based thumb spica with IP free

Question 2

Jersey finger initial treatment - brace

Answer 2

Splint ASAP in neutral - custom made orthoplast or aluminum

• surgery ASAP to avoid tendon retraction

Question 3

Turf toe treatment using equipment

Answer 3

Increase stiffness of shoe plate or orthotic(custom or otc)

Question 4

How should mouthguards fit with high contact sports? Low contact sports?

Answer 4

• High = back of second molars
• Low = back of first molars
• 3mm thickness biting surface (2mm for other measures)

Question 5

Finger sprains - return to sport taping

Answer 5

Buddy taping

Figure 8 taping

Question 6

What is important consideration with Mallet finger bracing?

Answer 6

Compliance with brace wearing important

Don’t let finger fall into flexion when removing splint (will re injure tendon)

Question 7

Does post op ACL bracing change clinical outcomes after reconstruction?

Answer 7

NO

Ask no evidence it prevents ACL injury

Question 8

Brace/equipment for knee chondral/OCD lesion

Answer 8

Unloader brace

• either conservative or after post surgical

Question 9

Brace Options for high ankle sprain/syndesmotic sprain

Answer 9

CAM boot or Cast (per MD)
Air cast walking boot

• want full length boot to decrease rotational stress, immobilize and give complete support
• RTP= ankle brace - limit ER of talus (taller brace = can increase leverage of brace and encircle tib fib)

Question 10

When should a PRE PARTICIPATION PHYSICAL EXAMINATION be administered ?

Answer 10

At least 6 weeks prior to start of season/practice

*personal PCP should complete it due to familiarity with athlete

Question 11

How often should a PPE be administered?

Answer 11

Younger athletes every 2 years

Older athletes every 3 years

Question 12

What are the two most common problems identified during PPE?

Answer 12

• Cardiovascular (elevated blood pressure)

- vision problems

Question 13

What are the only types of PERFORMANCE TESTING that may be performed during a PPE?

Answer 13

Baseline cognitive and balance testing = for use in diagnosis of CONCUSSION MANAGEMENT

TESTS= visual and verbal memory, processing speed, reaction time, Sway Balance, King Devick

Question 14

What guide can physicians use to help make evidence based decisions to determine participation clearance for return to sport?

Answer 14

American Academy of Pediatrics - Medical Conditions Affecting Sports Participation

Question 15

Regarding athletes participation status due to a medical condition, can medical info be released without individuals consent?

Answer 15

Can release CLEARED vs NOT CLEARED decision (without other medical info for coaches, school admin)

Question 16

What is the “RIGHT TO PARTICIPATE”?

Answer 16

• athletes may seek another medical opinion OR legal intervention to allow participation
• may be best to have athlete or parents write handwritten letter vs “waiver” or “risk release”

Question 17

Are ECGs used in PPE testing in the US?

Answer 17

NO - non obligatory

• they can’t detect all causes of SCD
• show abnormal findings in 85-95% of ppl with cardiomyopathies
• chance for false negatives

Question 18

What is RELATIVE ENERGY DEFICIENCY IN SPORT?

Answer 18

• Syndrome resulting from energy deficiency that affects physiological function = metabolic rate, menstrual function, bone health, immunity, protein synthesis, CV and psychological health
• screen for it with athletes who show: disordered eating, weight loss, lack of normal growth and development, menstrual dysfunction, recurrent injuries and illness, decreased performance, mood changes