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Compiled by V,. J()i1ll/�t.Jr.ermall.
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SportsllMeclicine QUiZl1 ,
(l'If,ft;/J/t I. ,'Ihlelk COIIII"1filion CUll.
dUCfcd it( .1rnhicnt lcltll'er:tlure.l; (lf
2rC.1lcr 111:\11 2R'C c:uric.'I" .,,, ,,":u::.:epl
.,1111' high ri,'ik of he:tl.inducctl injury.
TRUE or "ALSE?
fJ'UJlir", 1. With rC2ard ICl iron <tb
.,mr1iull rmlll [lIC gi1l;lf�,illlt:"sli"allr:lcl...
A. if i!' e:re:llcr <ts hacm 11I<t1l as 11(:11
/mcrn iro�l.fl II i.l; !!rc:1tcr ill Ihc rcn'ic lh.1/1 the rcr:
rDl:.C: ronll.
c. f' i ... inhibiled hv ';ilalllill C.
D. Jr i!: prfllllolcd ';y Il'a or cofrce.S. II is proportiunal Lt) the JIIIOi."lIt of
iron ingested.
Question J. A hyperprtJll:ltillg p:lticflt
willl whic!l o( Ihe followilUl: comlitiolls
i.c: likely to benefit (rom corrective orIllulics?
A Recurrenl :J.t1kle sprnill.'! .
O. r!alll:u f.1.'iciili.c:. .
C. �lediJllibi:J.l sUes:'i syndrullIe (.'!hin
.'iplillLS) .
D. Pale!lc[e:ncral pain.
E. Tibialis poste�ior tcndiniti ....
t,2fle!it;,m .1. rUf .'iuhjC:':Ic; i1!?.'::d l1lore
tllan 40 year.....l;uduell deaih durillg
.'il'mt i!: mo!:t commonly due 10 is
chilemic heart diseasc. TRUE orfALSE7
Qlltst;on 5. E:\crci.'ic ill I'rCtillt1l1CY ...
A. Should not � conductcd ill cO!uli
liulI.'! of hi2h he:tt :rlld InllllidilV !x7':;lU.'ie
of the dallgers of hypclthcnnia to the(oc!u.o;.
B. Is relatively COnUi1illUicated in prim
igr:1VicJa.
C. ShuulcJ be nOIl-wcj�ht-lJc:lrilJg:.
D. I H."oclllletl with a definite ill-
crc:1 cd illcide�ce of :nlvcr.'ie outcomc,:•
.'ifl(:h :1.'i low hiflhwciglll.
E. I.l; :l ll.'icful �IlC:1I1.'i of I'r('vClllillC c.'(.
cC.'i.l;ivc weight gni" :lIId IIl1lilll:lillilll:lhc JIIolhcr'� .sclf-c.IliICCfll. •
i:.:.
:. ..• �. ',-, ,', • ': i, _ ••
.-\nswers::qj:::l:f',.:
. �;�:_;. : Q:uslion 1. Heterolopic ossilic:uion
.�: of :,b: lnterosseous tr.e:nbrJI1e foilow.
',' . ing 1 syr.desmosis sprJ.in of tb: a.nk1e
" . ::U:-:::S J ?oor p�ognosis. T:\UE ar ..�::. F.J.l..SE? ' ,
.. :;.� � Q:usrion 2. With reguu to di:I�tes
<j/ me!litus :Ind sport,".which of the
';; fcilowing st.Jtements ar: correc:?
", ,�. '. A. Inte:lIIit:�i1t ac�vilY is Jcvisable
.' -:} to'minimise a.rl"'e� 'ef�ec:.s on blood..::::sugu contro!. ,�" •.�-i- ... ; . - " .
.'�'�: :.:."-;B. Wc:ight.lifung �_contraindic3led"I. ;;.in nuny diabetics. ';::�'.�;"<, I,. .'
l;':�'::: :�:C."An e:<.rra dose' of shorhlcling
("'[ insuli:' should be �s:e:ed :ll1 ho,,:.i' �.�. -ar so Defore exe:c�;',,-:;,.':' '�.,
i �:;�':'.:D. Spon :.s .ln unnecessary risk. with :\ r�a'few.:.c:1ef�. for diabetics. . ::, -:: .
; ':.;',�"::E._\!usC!e :.:ptake oi g!uc�� �1::::Z.i.::...;; es dt.:..."';.ng e;'ter::ise in,c..:ep-e:1ce:1t ol JIlY
(�y" dfe:� of insulin. -.
�.�):.':� Q�e!:ion 3. \Vhic:l of Ule followingI':..F Stale::;.:::llS cor:::r.Iing ruplur: �i tr.e ..
" , ;, .-\c:-.il.!es tendon ue tI'ue? .
/. ;:..��_' .!A<r:'e pat:::!! !nai feel :I.s if th�y _'t�. '-Ne:: ;ulon the leg by someuun:z.. ,:-•.
\t.{..::.�, .. :� .. Tn.e p�ti�.:t �..�_�e_�o s:i'1�.!J.�'-..�the:.r:ces.�' :"..... .,'_.:
I'.' ' c. .... def.::: Os, U5:t:.lJy palpabie in me...... te:ldcn.: " .... -�.� :,': -. .
I,:..:";'D' Squee:;ng meealf muse:e pra- ..:'�:�dl:c:s;:ainandcrejJitus:'�:'" '.' ::.
:��rl�_E;- �urge:,:/. is ��}...:��ia�ed fa� S�>7-2,_ W�K.S 3fte:- lIlJury.-', .1..,":-' . ';....
.'i�f};: QueslioIJ -I. An<1bolic sleroids im.':;'
I'.�, pro .... e x...fonn<lIlce in' e::dunnc: sports: .>:,;��.neE or F.... LSE? .li' H; ... " ..: '..1.��tf::}-Q:.Jtstion 5. Exe..•.dse.on 1 hee cay' .
.:-:.:... will ::l.�!y ..-esclt in sweatloss of more .
I.s [haro ,�ne .!il:.��,':':!!2ur.TReE or: ):::" �:W7.?'�':";' �,,'"��"����I�Q. .. ", :'.
.;:-tV-IU! ie.!O .(q ':0) p;ll�su;d
.u.:aJ .\(::l::(<1u.:O.:' � jouue= SSol'J;lle,� " '.
;0 ;j2J S!UJ. ';S;:J;X; SnOlaa!,�: 3u;.mp' t
ll:r:aw'C S�41 S;U;!l ;:..a.[1 ':0 OMI ;q .{(
'�S�;I UE.:' SSCI lE;,\\S ;0 �le(f ';s[e:f 'S
.p'4'!Iqe!
'); u;:.q ;,\cq si.:ods ;:UE.,mPU:l'U! sl!i I•;u;q u:;l"'old ON 'iĴU!lU�d5 Ol ,aU!II\OJ41 �.!
01 jU!I)!1 WOJ) 's:.:ads ':;/rtod u! :;lJuew: I
.;aJ.I;d :lM)Jdw! tJ1 p:IO:JJ1J ,{UIU;U;j' I;
'l't.C'U 'J2 SP!OJ;lS :l!l0q2Uv' '��i�d. '7;' �"I.,' 'uap '.
'�;l '4: JO �!E'c.:;1 ;m:e WOJ) ?:u!,B':qo
;;;: lllns;.: IS;S: '(lS;1 .spuowwlS) x;U
_",;::..o:;d m.\\ :ooJ i�:XCU e ;l1!1..[/'1\ '�suOOs .,
. ;; ou ;:r.pOJC m." SIl.[1 ;Jntcru e uL. i
':s;llel!.\ � S! J{l:: =41 JU!2;;nbs ;ll!tL-"(\ ,,:
':..:rndru JO IS:ll 12:�U![J Jood il 5! s�.l�; I
=�l uo ;'IUE:S Ol .�!I!q1J :lU ':J 'v" 'f
T'S':!Zalo�w:P!d; ;11..[1 01j?:-!30I0I.P.\sd :1.11 lUOJ} 3'U!3UlU 'J!1:;q-g
.1p'UOU ;lil1.I! � :l!l;qe!p =41 U! Sl!J�U�
£�� uodS ';S!:.l;X; 3u!Jnp p;S'S':lJJ;p
;;2 sp;;u U�[I1SUI '=�l;.qe!p :ll.[l u; mOJ;a
'!';!P � .{ew :lS�:l;X:l =�.Jl;was! J;:4IO
;JU;!, 3U!1)!I.14.5'!;.� ;ju!Jnp S;lSp ;:Jns
.�;Jd poom 'O!I;q'l!�p It U! :l3eucul Ol
.!;!se; S! ;lS!:U;X; ;lq2IJ!p�d 'l1JIna;�
';SIC) :.It! SIU;W;n?1S J:1..[lO II ..... '3 'r
.0>1""'1.1
:c;: '''Uplp��''l !i1.JodS 10 I.wnor UIJ!.J�tUV
'lu;Wt!'3!{ S;10;SSOJ:lIU! :ql ja UO!l
.?;V�sso";o :U:U:::!OI:"':P =41,(q p;:IJ;)
-.:11 1!J�!P_l:.'i:�'��H��X? S! �oollno WJ:l1'3UOr"'J;lAOJ�()J':'.¥.0[S �; .(IlU;nb;lJJ
\C!eJCs "sows;pu.(, 'I'u'" ."'l':l 'l ,',;": ..��I """r........."Aib-�.:� ..�_v�•. \:4.-; "l'
... ..-...;\c"."L••;.:...-c�" �''''''''''''•.''.'W'II�
:S?r�Rj�e�.?x.Er��2�� �F��E!��.;� !
k"-;�''''''''7T'' �._----
Qluslian J, R:Jpture of the reet us
iemoris in the :hi2h of .l!1 JLhle�c should
nermJJly be :reJ(Cd ccnser'Jlively ..... ilhslte�ching and slIengrhe:ting of :he re�
mJining qUJdricei's muscle, TRUE or
f..\LSE?
Question 2. The athlere wilh heat
suok:: '00 (choose one or more comple�
(ions)
A. May have skin whieh feels eool
Jnd dr.'
B. Has a eore lemperalure of 39.
�O.5'C
C. HJ5 Jn lXiIIou:' temperJ1Ure of
gre:lter than 38"C
0, Is usu:lIly alen Jnd (hirsty
E, Is usually pJle Jnd swe:lty Answer,:
Qlustiall J. An :tnkfe ,�pr:tin Ihree
mOnlhs previously. followed by severaJ
minor episodes of inst3bility in rhe in.
tervening months, is like!)' to require
lre:lfmenl wilh.,.
1\, ReSI <llolle
il. P�ly�iollle:':lpy. with -:mphasis 011
u!tr;t�oulld :tnd :ncbili!';:[ion!'
C. Physicthe:'Jpy. with emph:lsis on
proJ:rioc�pri'le ��ex:ses JI1d 13ping fer
sport
D, Surgic:\l recons:ructioll of the lat�
eral lig:\1T1enl eomple.'C
E, Bone se:ln for a probable lalar
dcme fl.lcrure
'UOWUIOJlln �! ,umqr.S!p "1Il�
�JnllhlJ UOPU::l1 ;I/1.I! u!!:!d JO J;)�I"J ll!1':1
-qu !:1r!J U! slU;�It=d ,(U'E!�� '3S1'v.,'i .S'
'J.II!:!I ;l'1I OI
b'1 ;"11 )! .(lmqr.Jr.Ir.d 'lu:W;:P.ld;;J ."UIl
.1°11..1° ;;;:IUr.UWIU! �41 411"'" �Jr.d'II(l�'\'uo�wJnp S!41 )0 ;;�pJ;l,(;;l ':01 ::I:""Ir. ..
�;!;::J .':11111 JO ;JT: S;,\!:r�'p,,;' 'Snal, 't
';lrH:e.!j �"!llr
Jr!!r.l • JO \lI!Fq!S'S'cd ;UI iS;jSuS PlI"I,,,"
;UIIl JO pO�J::::d illlI ;0; '{lI!!qeo:SU! "r.�11
J;ll/It'J ',s;uJ;ps pu� u!cd JO ,.wOl�I'1 7.
.umIs 10J au!dm pill! jU�U!l!ll;l dhp,r.lXl
.pdOJU jU!S�S;:lIdltl; );'1.:'l;X; JO tlll:.:5
-{)JU l'" OI 11;1,.... puotl<;';;J 1I!''r\ Sl:�..:J�' :'1 itr.lU::lJJlI:'�J ;0 ,,(I!1ofr.w 1S'tt.\ ;�.!. ,I 'f
el/Its/ian 4, In choosing a nuid re�
plJcemen[ for �:tercise o( less Ih:111 two
hours duration. lhe ,theoretical differ�
e:lC� tx'[wee:1 plain W:ller Jnd sports
drinks :lre o( little irnporl:lllce: the JIlI.
Icte's personal 1:Lllile preferc:u;e is IlIe
best eriterion, Ti\UE OI' FALSE?
',;::'Jul!Iswn:JI;':" .llJJ
U! ::JJlIIr!J::dW;lJ ;./OJ JO JU;w;>�Il"",�I;1i!' ,,;: ::lIQr.!I::1Jun .(pl;ldlUO� ;Jr. "aul
-pr.;lJ ;Jnlp..:;dw.l ,{Jr.mxe rtm IC.!( I 'J
o!)°t)r ueql nUl'?"i ,!
.(lIn"�J p:Jns\?;w ,'2 �JnteJ;dw:1 :"'llJ
'�"fn.\UOJ ,(ew pUll' ';:I!XE'II!' 'p::Jsn"10:'
.(/I'2n<:n �lJn ,(::IlU. .tu"tu�lI:;w 3UII!' "",
;1'11 jP ;)J11I!�J t!' OI ;:lnr ,'.lp PUr! 100:11.":11Ar.U! ünfUI l2;:q �J;'l ... ;s 1I11,'r\ S;ll:"flpr.
',{w;':,'<\S' pur. ::llr.d (nr.nsl1 ;I!tl/\\ ':t",' o(
QIltstion 5. Ruprure of the long: he:K1 of
Ihe biceps i� a debilit:lling complic3�
lion of shoulder fendinilis in an older
palienl. TRUE Dr FALSE?
'�unus :ilJltlum( III S'uwul:'lI11'd
�I!P JI'J Jlr.d:u ;;)In:m OI tl? ... Iä' ;q ppltlll"t1fl!Il'.l::JIHSlI0.:J 'llIl1ldtuü l,!T!tIl �I/I
:i'U!::t1 1I10lUOJ :lpSlllll "pr.nh ;ql JU �1!1lI
�JOFI' �1I1 'tuSI/S ,(lnul!'uwns Sl ..("I(ur
Sl,!1 tllO.1J{J!l!q.c�!P lW;I'�UO" '�11 '10., j
.1.0 ,\fJrll l'j'.J,J
Queslioo J. P,in 'lJIU liglllneso in U>e
i'J()SIc::"ior lhigh ar bullock lhal comc:s
'"'0 ..... ilh nlOning i� lI�u:llly due (0 an
'O:'.Jr� or -:!m":nic le:1r or Olle Or lhe ham.
,tmlg mw:dc�. TRUE nr r:,\l.5E7
C)lIe�liull 1. LJlc:r:l1 cl'ic.:olldvlilis ar
:Ilt: �i1:'fl'� (Jclll1i� clbow)... •". \1:11111:, in ... o/ve."lhc urigrn artile
':�Icr.,pr ::JIIII r:1diilli� hlevi.'l.
U. U"u;'lIy C:lU"C" 1111II/Iill,! Slirrllc�"
:lIllll1lJlI ":Iill ill the �"'O::IlI11C .•C: Is. a(ren .'ccUlnp:lllic�1 by jlarc.s.
lliC ... rae 1111ilt: rOrC:ll1ll or 'Nri."!.
D C:1u,e:-i rain \Alllen ... h:lk illll hamls
pr !Umin2 on l:lp�. •
E. \Vherc due In 1(,lIlli!;, i ... ortcn
c:Jusc:d hy �rr"r" or �Iylc nr equir;"lIIe:nl.
Que.o;tinn J. C:l<:C:.<: n( IIIV lr:'ill�,"i.<:.
"U)ll ill Cl .. IlaU .�pOlI ha,.c hecn úocu
l1lC!lled lII:lllY liHlc.".l RlIE nr FALSE"!
Cllle... liofl�. 'SkicT." tlll/mh' i�:
..\. All injury til lhe Ulll:lr coll:Her:l1
iig;Il11�:J1 or lhe thumb.
O. ;\ bw CUlIllllon ill ."flOII." such <:IS
roller."K:lrillg ,11llJ ic�sk;llillg.
C. All X'r:'w Jiíl211(l.',;i�.
D. USll:1l1y ire:llc:.J .I;llrgil.::l!ly.r:. 1\ bcni�ll cU/1úitiol1 c�cc:pt in elite
�k ier.".
f)lICo;lioll :. \villi rc,"pecllll the: diet
ni ,:Iil': �lIdtui111Ce :1lhlctc .. �UC� H
rri,1rhkle-;'
. '\ ..l'rr'lór1 il1t.lk�5 rcqllircd are up Io
[l .• e Inl1e� lllllo;e or seJelll:lry .mbjecl�.
B. Carhl.,hydr:lle� should 1IIú'C: up
(li)- JCY'''" or dnily ener�v ill(:1ke.
C. SI1:láing illlrai�lillg i.'l ullwi:-e.D Chronic ,1�liurn or 1'01:l1;l;:;lJIn de
picliol1 are "igniiic3nt �'.. sibililie:s.
E. O:lily ",,!"'i�hilla ;<11 :1 :lll erreC"tive
Cl':lle�:, III 1I11l11ih)r rehytfr:1lil'rl.
Answers:
.RlIlIl��:;''''' {prr ". tl=nc; l;::�;;'Ir.JIS
1:'1111" plJ� prp .�l.il:-:,:Jl;: ;lJlllh::J .(J!llI
CW:lI:"IPI' JO tlllllll;'l\."lHI pUr" 11?;'JMl;:
III {p"" 1c;1'1 ;'IJI'! ":I.(jOJIJ;Jp pu ... J:;lll'! ......
p', ":'1l1�lIl1!nh J;;Jlll .Ull�IJ!I'HII1J ;'JIll
nr.,!l J;'Jq;l�'1 (fltlr.::I.I!II;J�" lUll JIlr.lJ01ut"'11.oltl :'nT! "'lI:::U1�Jlnh;'JJ Ul:l1OJÚ 'lffnOlll
_p'! 'P'lItl:;'lC;C;;) tlOIlIl;::.<hlll1;'l I'U'If �Ultl!r.Jt
511�Jl1r �tlllr.;'I ;:I1�tlI (.(r.P/I'�J1COOI")
�;:II;:JlIIT' ;lC;;lljl JO li1U:ml::lJ!nh::lJ .(3J;I
-n;: qi1lq :;au•. ;:IF.J!".<qoqJr.J ll! 1f5!1l I;llr
I" l;:;'JJlllh:ll l;:lJOI$ tl�;inJ.(15 fi'u�qc;�u;llú�
JlIlC' RlIIUlf'IUlr.�� ':f(1'fi .S' 1I11!lqn{)1l�,tl�'1 \1:':.��1r.F'1;':1 ;1JnU!'1J
:'ll:'lldlllll.l :'! JO IlO'I" :l�r.Il11�(i ..\I!I!IP!
'''!P 1l1l�JlJ�uii!$ � �! plll"! Ilrl�;)J (r.1U 'd�l;j11:-111<1 I" ;l1l1'1l'!H1 !ll c:r. rl;'ln" '1;";'1)1" ll'':!''
-T!J ni (lIl!qrn�tl� �1I1(lJlf,l .. (lI'!JllllClIr.llP.
lU;JllIljJf!IIf'!';U <:11 i1U!lU:).\;JJÚ '''!$OJ
.f1:1ll0dr. JOJJllpl'l" ;;Il1 ;lPIC;lllfl l'::dl.11!.l\R'lll!rlo;!�1 I'P(UI":1q :lql JO rll� ;:�.IJ :lIP
ul lI11PJ(r!ur ;lJnldru ;JP1UtllO: � 1l'!'1I
1.ll'!J :)qllJl l;:;q <l::ur.::ljHlfilS <:ll ':J��I" lC'l
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,\:l.<ln";<1II /Joet",. 77
---------.- ..• _ .. -
I . Sports /1
Medicine Quiz,
(lutSfio1l 1. Ulrtlllil: kllC'': puin in
J<.lolesc:nt� nlilY he due 10:
A. Osteochomlrilis dissecJ.ns.
8. Slipped c'piL:l1 femor:l1 epiphysis.
C. Brodie's Jbsce...s.
D. InflalTl1T1alory joinl dise:lSe.
E. Osteogenic �arcoma.
QUlstion Z. In patienU with �.ler
c:se.induced <lsthrn,]:
A Tnere is muc!! less physiologicJI
Jdapt:llion (0 Jercbic lrJining (ie. less
ir.cr�JSe in work cJpacity and o�ygen
uplake) ihan in non-asthmalics.
8. The threshold for .. «eise.jn.
duc:d .uthma is unaffecled by aerobic
training.
C. Onset af 3n altack is lypical!y
wiuun 60 seconds uf !larting exercise.
D. An illl;'lcK is rol!uweti hy.1 r,[r:le
lory periol1 of 3rt 110l/r or llIore. in
which e.te�ic;c is ulllikcfy !olrigger :1lI
Ol"er ;,11:ld.
E. Prcmedic<l'iull Wilh illil"led corti.
co.',lcrnid 15 minI/les !Jdnre cH:n:i.�e i.o;
:t userllf Slr:llegy to prC'lcnl ,111 :tlt:'lt:1(,.
e.'(eept UUrTng e.'(erci�e.
C. 1.0; suggesled by rccurn:nt 1;lIeml
knee pain accompanied by the de\'c1.
opmen! of � lump.
D. Is .o;uggestetf by poill( lcnucrncss
over the laICrtlllihi:'l! pl:JlCilU.
C. Frequcnlly re.'='�II1fI,= 10 modilic.1.
lion or Iraining. cOllplecl wilh lhe lil
ting ar on.hoties ir intfic:Jletf.Question J. Org;wic cnlllJ:'otlnt.h.
such as L-cJmiline anti brJlIc!Jed<hain
amino acids. have neen [ound 10 sig
nific3nlly boosr alhletic per[on"3nc�.
anu t1'leir 10 ..... eost amJ lack n( side ef.
fects make !hem illeJI. ell1ic:ll, tlielJry
supplemenlS. TRUE or FM...>E7
Question .J. Evcrl Ihirt1-Jegre�
Jcrornioc!aviculilr joiu! ,=prain.o; '..".. iil
u!'ually acllie\'e J relurn ta [ulJ aClivity
wilh conservalive lrealment. TRUE ar
FALSE7
Question 5. I1iolibial band [riction
syndrome ...
A. Is most common jn nJl1ner!i.
H. 15 [requenlly 8SYlllptomalic.
.tll:I<.lUJd ;141 l�lJU.J 01 p:lJ!nh�J '=! IVolfl
IfT� �1 ..(P.W �J:qwP., pUP. "II!I' ;P"P�:I
"1 'äU�U!t!J1 SU!,.(m:>ow pUB SJ!ur.q.J:llU
oQIl.l 100) l'11'UlJouQB 5upJ;.uo,) '�IU(lJP
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PIIlOM dwnl !! JO :;l;:,u;S;;IJd '41. .�.)::lrU'1
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S'PU�IX� ptn! �;X;U j;UJllIl'!X; ;;1111 J! ÅIIP.'1
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QUe3lion 1. ln the management of
rrostbile '"
A. The early development of large
bulla,: !fler l''l:warTning i.s a bad prog.
nostic sign.
8. The .ffected part should be �
wanned as soon as possible.
C. E:1rly ùebriùemenl i, indicaled for
lissue which c1inically i.s necrotic.
D, Mummilicalion and sponl.aneQus
,mpulalion of Ihe dead tissue DCcurs
o'lcr 1-2 monlh,�.
E. Rubbing Ù,e arfccled part is one
userul meJIl! of �wa.rrrting,
Question 2. In lesling the integrily of
the ulnar collateral ligament of the
thumb ('skier's thumb'), a radiaJ Slre.o;3
should be lpplied by the e.aminer witll
tlle met.carpophaJangeaJ joint in full
o."en,ion. TIl.UE or FALSE7
Question J. By vinue of Iheir cf
rct:1.c: on erylhnlpoie.e;i!>. plasma voillme
,1Jl1! cyl(}(:hrollle en7.yme�. anaholic
C:lt'Illiu.c; ill1pfllvC pcrronll:Ulcc in .C:l'ttrls
,"ch as IrÎ;llhloll. which require CIl
dllr:lllc:, ;le; lill/ch ;l.e: in powcr .e;porls
'llch ,1.C: 'Ncighl.liflillg.
'RUE or F.\UiE?
ILueslinn .1. fil delermilling whcn a
l'l'I�rfmllcr rn:ly,arely resllme p/:lying
1(lcr ."wrrcring .1 COllcw,sion, impOrlall1
f:1c:nr.> 10 cnlJ.',iucr are:
.'\. Dur:Hi(llI or Io.'\..'i ur cOI'lsciuu ... ncc:.'i.
n. Ili.,'ory or previf)us concu....c:ioll:'<.
C. Resolulion of abnormalilies un
j>�:••. hnl1lelric leqling,
::- ::EG
E. 1J�lr:uilll1 of jlIJ.<;l-lrnulII:uic ,1rHIlC.
� 1;1
C)ue.lôlÎll/l 5, /\ 'pUlIlp !JUlllp' i.e; Ille
C;Plnlllflll Il:lmc for:
i\. Ruplurctl long hc�ù of bicer.,.
n. RllplurCll pct:l(lf;lli.� lT1<1jor.
r:. IV,i.'l g'"gl;"" in a cycii.'l,/) nllllifll1.
E. SUI'I:Iliei,11 IClroc:J.!cane:li bur ... i.
'"
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Answers: 'slq3lOM
,(.\,,;q 41!," 3U:U!'!Jl {poq-r.>ddn 3U!Op<1.0'11 01 �I;'FJ� ,(1��Jlq S� ':I;JUVlp:msk, 10 ,(OU::::nI!JLlUJ )0 JU!!, .(WJ.X
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Ct1mpi1�d b, or )01tfl ,tc.unrUI'II.
SportsMedicine Ouiz
Que:stion 1. ln :1 palienl who has suf
fcrcd J. Ir:JUmalic k.nee disloc�lIiun. any
v:l�clll:Jr impainnent will u5u311y re .
..olve wilhin eight hours o( rt:cJucriul1
of Ihe joint JJ1d invesfigation is ooly
neces.<;aq if lhis ra.its to occur. TRUE
or FALSE?
.-
Questiun 2. Jn assessing whclhcr :t
�pon or e.tercise is c:lUsing ongoing
ú:un:lge 10 J pë1tienl's musculoskclefaJ
injury. whelher rhis be ostcoarthrilis of
Ille hip or lenJlis elbow, stiffnes... and
p:lin thc day aflcr is pmbably a heucr
illtlic3lur tJl:lI1 p:lill uurillg lJlC ;lc;livity.
TRUE or FALSE7
Question 3. F3C:Ors oflcn .1SS0daleú
wirh mcnstruaJ dysfunction in femaJc
alhlele.s indude:
A. Low body mass inde.t.
B. wfe menarche.
C. Ltrge weight fJuc:uation.
D. EJling disorders.
E. AJrilue.fe lr.lining.
Queslion 4. Fe:llures of Lyme di,
eze include:
A. Inrective ago:nt is a spirochete
lrJI1smilled by mosquito bite.
D. High rever.
c. Re!JtiveIy painJess :l1000-arthritis
in J weight.beJJing joi.nt
. D. Splenomeg3Jy.
E. Myoc:mlitis.
Question 5. OSleolysis of lhe disl.u
em.l o( thc cJavicle is mosf fikcly to be
IlCen in;
A. Di51ance swimmers.
O. Rc!imJ rugby rorwank
c. f,:brile orienleefS or backpackcrs.
D. Weighl-liflers.
E. SC'.Jba divers with hislory of de
compression sickness.
."n/l(J,J Y.Jt /lfl"l "Il .", ,.
Slr.' r .ff""l ':llIp
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-qcud UMOU�-lI;1M l! �� '.,ÂSlr.d Juq:;lIP
.U-rq •• �ql 'l"!JM 'ql Ir. uo,(na )0 Ir.Ur.:'I
;l41 U! ;IhJ:W .reUl" ;lqI JO lU:;llUdr.J1U3
'O 's
Wl
QUe:';tion I. In a patic:nt with bilatc:r.
al par� inlc:rarticularis dc:[ecrs of L5.
risk (actors (or the dc:velopmc:m of pro
gressivc: slipping, or spondylolisthc:sis.
indudc::
A. Adole�cent a2e,
B. Genc:ralised Ilgamentous l:uity.C. Thc: prc:sencc: of symptoms.
D. Antc:rior sacral oslc:ophyrc: on X
r3Y,
E, Blood group O,
Question 2, A footb311er who h3S
sustained a "burner" (neur:;.praxia of
the bnlchiaJ plexus or its l'OOts) will fre,
quently compJain of bilate."1l! 21m pain,
TRUE or FALSE?
'£L-99I:I:( '(661"UP
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'�u;.Jr.Jq ;;ltr.1. .JP.:lCIAqdOJd JO A:>t::lLl;P
::.p moqE UI'r\t'JP ;>q tre:l uo!snl:luo:l WJY
ou 's:;l!pnJs }O 'pm!llnw l! :l1!dS;lG
'3Sì\-':! 't
Question 3, Hypertrophic caroiomy
opalhy is the most common identiti
able cardiac abnormaIity associated
with sudden death in apparently fit ath
letes younger than 30.
TRlJE or FaJse?
'i:Q'6rr:(:£ '£6fi1 ';1111'
.!�I\: J,JodS JO rrtunOf 1'C'J!U!lJ :;'U::lJ::ll::l�
'3mU'£
Question 4. Epidemiol :l�;caJ stud.
ies in the US cJearly demo,':I:7!.[e ihe
efficacy of kne: braces in dinunishing
the incidence and sc:veritv of m:dial
coJlateral Iigamc:nt injuries in American fOOlb311,
TRUE or FALSE?.S=Tl� '£661 ':;mp
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'Al!l!q!�,od
':;:Il�l �tj: 01 Ut:F'!U!!=' �l.fl U:;lIC Plnot:[�
S��l ;l41 JO wre J;ll.l10 ;l41 U: 5W01dw";s
Je' ;;'U;lS;Jd ;q1 pue '..unfu! pJO;' I�:l!"
..:;� WOJ; p;qs�n5tl!IS!p � ol Sp:r.lu lr
'punoJ8 ;llfl JO lu:;luoddo ut:
l!=u�it! ;;Plnolfs ;;l(jdn :141 JO IJr.dw! ,(q
r;lU!T:1Sn, 5! S100J Sl! JO snx:lld IC!4='T:JQ
:;lq1 JO Â.mfu! UOP:JP.J1 UOWWO:> S!tU..
'3S1'o':! .Z
08 ;lllcd WOJJ SJ;)MSUY
Question S. A cyclisl whc com�
pJains O( paresthesiac: ovc:r the Jitl\e fin .
ger of onc: hand. is mosl likc:ly s;J(ic:ring
rrom:
A. A cervical di� lesion.
B. Thoracic outlel syndrome.
C. Ulnar ner\'e c:ntrapment 81 the
elbow,
D. Ulnar nerve entrapmenf al :he
wriSl.
E, A slIess fr3clure of the hook of
Lhe hamale.
.��.!.I�T�'
'�MI '�U!:')!P:'ll'\ SUOO!' "! S':t!lI!D :::l:ltl:'U:lJ;lM
.�U!4:l1r: ..... tSQW ;141
!::�u Slli:;l�ICd ;UnJr.UlW! ,(1lr.1;:l1;�S
'poog "! sllnrr. U!SUO�<:
.'1 P;It'I;lJ'�lJods JOJ �oOllno :;llf.L
'::J pur 8 ''0'"
ill z!nb 8U!81peW�J _.' .,,�.H9_9_S... :
Answers on page 68
'I( 23 July 199.'
�i*fí'iT¥'jrl-;��"I�l'; I
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,�;uql ::t¡1 JO �Sa';s;p i,UU1!'UU;n;q:JS
JO ,c5p; ¡e:J!aOIO!p�l ;41 JO ;UO ;18
i;:11011 i.POWtpS 'u;td lU;IS�SlxJ 41!''I\
P;:lT!!:::'fJSS1: ;� 4:�''l\ pl.Ie '.(,.mrt.'l :u;wd'�
IP-J;lI€¡ � 3U! ..... OIlOJ ;nlN ;'141 JO l�unã
12J:;¡RI ;tp U! dOI;";P \lllJ 40!�M. ;nSS�1
1P.�.,OUÁS la snOJq!.) JO iS"BW '2 i! UO!S;I
P!OJS!U-;W ;ttL 'tÚ!I!q?lSU! JO ;:JU;.UnO
';J 41!1I\ �l11!:-OSS'B puv j:p[nOlf9 ;ql JO
uupr.:O¡S!P JO�;]t.rn Áq p;sneo 'P!OU;l13
'lInq .ljl LUOl) wruq1!1 P!OU;IS lDU;)
•ur. :1lfl JO 3U!dd�S � S! UO!S;I Ui'=1tffiH
:ll/.L 'lU;W2âJl 5141 ;0 upuds 01 I;nb
-;s �J"I'U ! '�lr.1 ;lf1 JO :u;W'2'â![ [lU;'IIP.¡
-IOJ ¡C'!P;tU;41 jO U!ã�o ;14112 u0!1eolj
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uo�ss:;ldwoo ..(q ¡nSili!'J P�4 1�;Wnt{
"I' ja "o¡uod • ja (:;U!u,n.u) m¡;p
, sl UO,,'[ 'qo'S-II!H 'tU .3'a'a .�"tI!eu;Jun s! tm:s ;lUoq JO nil"l
"tj p�l=;l;p u:nJo Sl q:':!4M lt'!S�ruq\tro'l. �Rll jO �Otrn::lJlt:sPJ rtl::;'U¡:' �lU
'U0!l:MSUO�J lJV' rtnsn::41 lO) ;'.1;W
'�J!nb;;.l a S! ÁJ�ruew ¡E¡::!dlS )2 'dnoJâ
;58 S!l{1 U! ;urudru lJ ......mn trel{1 S!SOU
-JOJd J;n;.q i s;�: I! 'S:llt!{U l{1/I\OJâ
;'11 01 awnUl lnóql!M p-nnp;)J Á(
-!PC:.lJ .'IJ1l!J S! ;Jm:� S!l{1 sy 's1U;!ltd
�uno,( tn sm= l.JY 'l{l ,(q ,tn<!s re!q�
J0!J::IUit ;'n JO UO!S¡nA\{ '3'O'a "£
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-J:lU;¡'J 5! ;tU�X; ;l!scxldo;l{1 01 �U!O¡J
';US!l!!) '!UOltp )0 ;Jnre;J UOWWQJ
es! ,53U!41 SU!OpJ;,\o. Jl!4/n -;lOS!!
'P.J J!U0JttJ UI l1nS;J 10U s�p �OPJ;41'
II - s;s-ettd tÚ;hO::r..J ptrn Sll!peOI1.fl0q
5';"IOI\U1 8UM� IrtJss;:Y.)0S ':J'Y -¡'s!scu3v!p l::::uIO:J ;l{1 OI p;;t .(UllW
-lOU U!,¥>. 'lu::fJud "4110 ,ÚO¡S!4 3U!Uods
PUlI dS; ;li1l{1� SU!II;M9 pln Ss;w;p
'U;1 JO ;I!! ;tp JO U0!1'1fS�£ll'::<)( tOJ�:J
',!q!1 ¡;¡"P 'l{l ja Sllll',(wo;¡so o!"anp
P"' '!lIU!PU'¡ 'n�uol '!OOIl.q JOxoU
'(""'''P ',"AOS) '!1",(qdod. re'UBO.prJ 'S!l!SJnq �U;:Jli:<l.n�J d;;p .pnp
.UI '!1!U!PU:1 "lI!qoy J!uonjO O!W!W
,<ew 4J!q:"" 'U"P!puo:) .3nll� 'I
Question 1. Chronic Achilles ten
dinilis CJ11 re:Idily be confused with a
numbe:- of oUter chronic musc:.liosk�le
taJ condilions which occur in (he sarne
region. TRUE or FALSE?
Question 2. Chronic fat¡"'!ue in alh-le�es: •
A. H;lS generally simiiJr C:1Uses to
f:Higue in non-al1uetes.
B. Is usuaJly due to conditicns suc:t
JS J.!1aemia for which ¡ab lests 3J"'e diag
nostic.
C. U,uJlly responds 'o IifeSlyle
changes.
D Frequently requires total res[ to
ac;,ieve a cure.
Question 3. Anterior cruciat: lip
m;:n[ (ACL) rupture in the kne� ma...
be accompanied by X-ray changes.\Vith respec: [o these. which of !.he fcl
lowing st.1tements are correct?
A. A vulsion of the anterior [ibiJI
spine cJl":"ies J peor prognosis.
B ..-\vt;Jsion or J frJ'!me:lt af ia::::-:¡J
tibia! plJte:1U is palhognõmcnic ot" AC:"TUoture.
'e. Os:eochonc!rJI loase bodies arecommen sequelae of ACL ruprure.
D. Open epiphysis comraindicate
Jtalldard AeL recolUtI'Ucticll.
E. MRI :l.nd bone sean have sho\l,:n
osseous injur¡ with ACL rupture is
more common than is e ... ident on plain
X-ny.
Question 4. Which of ti,e follo",in.
is not JSsoci:ued with shoull!er lnsu:bilicy?
A. Hill.Sach, lesion.
B. PelJegrini-Stieda lesion.
C. Sankan ¡esion.
D. Meniscoid iesioll.
E. Schmorl', node.
Answers
Compiltd bI Dr John AcbrTn41f.
Australian Doctor 83
------- ------------
Quesllon l. The development of
;upr:lSpin:Hu-, lencJillilis. Of impinge
j mt:nt lynurome, of UIC shoulder i.s con
I triblJl�d 10 by:
I A. The shape of the 3cromion.i B. Recent Qveruse of lhe snoulder.
,!I C. Recent Irauma 10 the shoulder.)Uch -15 in .l fall from a Iree.
, D. A re-:enllayorr {rulO exercise.
! E. Rece�1 commencement of regu-l, lar s'''imming.
QlJestlon 2. To oblain her recom- .....
I menJed daiJy caJcium inL1ke of 800mg, '
3 ''','man of child-be:uing age would
neen 10 consurne:
A five glasscs of whole miJk.
B.llm:: gl�s�es of �kilTl milk.
C. 5Qg of chee'e.
D. lWO 2rxJg Illh!\ IIf fruit yoghun
�lltl a gla."" of wllflle lI1ilk.
E. 2511g nf ,";1rdjllc�.I. Ali of Ihe aoovc. \Vhiic ir1l..li .. idu:11
v�ri;lIiOIl,o; iII hOl1y ::111:\101":-' c:m prct.Ji ....
fX1<;� lu dCVc!I'PIllCf1( of l!li.., COIl1,"OIl
rn.1blern. :lhllomlilllllll�c.::JI:lr conlml of
:/1:.: �11t)uldcr i." prulmbly rh� ulIuedy
;ruZo C;lll�C iII 1110 .. 1 CO:-"C"". ilencc. ;1IIy
II1;ug '.vhich :c"tlll.<; ifl (;Ili;'.ll.: cr il1iril.,.
liplI ll( d,,'uldcr rI1u.":c1c". �r�diic:tll:.
!he rolalol' Ctllf. C:J..l1 CtJfll�:t'tlle.
()'le<;tifll1 J. \Vilh fC.C;PCt.:t 10 IlJe pre.
.,crtfloll nf 1i\ICf<l1 lig;mlcl1l injuries
I' -i'::lim') nf l.he <luklc iII �l'u115 .'iuch <l�
i{'o! hnll :'\ml IICI bnll:
.. \. T;lring reUllCc.<: the ri�k of spr:lin
h:.- 75':''''.
£3. Br;H"::S ;ue yer y crrective bu( e;\
pcn�ive.
C. t' npropriale rchnhililntion "ner a
�pri1'" ': the mo.,l fl11Pfll1l\11( rll:ctor III
pr-,;.,-t:l"i�:: a rccurrCIl(;c.
D. T;\ping is frcc of ,'iii/c effcct.c;.
E. rhy<:ic:'ll e.'C:Hllilli1lioll C;ln c3.'iily
llk:lllfy tlio!,e iUlklt-" 'alli.<:k',
2. B.D.E. Skim rnilk conlain.<: ;1<::
tlIuch cnkiUlI\ J.'i whuie mrlk.:mu thrc'"
!!Il't�.�e' i.'1 CI1t'tll:!.h. 111i, i.'1 ::quivnlellt II'
il'.()� .,[ dlc:::se�
J. C ollly, T"pillg pn.I';\hly rcduL.....;
Ihe ri,.. k of .<:I'rai". hUI 11,,1 111 the t!cc.rc"
�I.IlCU. 11 t,;:m "I�o c:H1.<:e �lill irrit.lIipII
,mu lheorelic:llly lII:1y prctlispu�c I"
(}ther il1iuric!i: lJy lill1ilill!: mlJvemcnll,r
the �lIkic and mlll;tl;lr jl';1l15. Oraccs :II"
l.:he.:Jp COIl1I':ucIIIO rcg."i:tr I:lp;ng. h"I
1'( IIllrrl'V('!l cr(Ct.:l;\'C:1C�". SIl:"ccp,il.i f
itv 10 :ll1klc: (!'r:lin,,, ;<: l'u,h:1bly JctL".
,,;iltcd lII11tC hv IIItl(clc :111.1 1'(l'l'ri'''l(,;I'I'.live (:II.:lp, � 11.,;:111 II\' liL:'1I11e"loll<: (:11
tor.�. :lnd thc.<:c C:l;,fllll c:'I!i:ily bc :1
5essr.:-L1.
flue.'ililln .t. Willl rC'g:ml 10 ','ikicr',l
Ihl/mh' (uhl:1r coll:J1craJ Jig::lJncl1( in
jllry), :'111 X.r:'ly i.'i :'III illll'tJrlilfll par111f
ac;<:c<::-',11l2 :'III bUlllliwlf C:l�e� because:
,\. "l1;c ptC.O:CIlt:C of c:llcilic:lrioll iIIIhc fic:uf1CIlI"llgcc<:IS a dlfOllic tJegcn
("1:lIi.;,: It',1r v.;hidl i!i: 11111 RIIICIl:1hle ltl
'illrgit::11 :cjmir.
B. Thc jl()(ilioll o( :1l1y hony (rng
ItICllt :1\'IlI.c;CtI fnJl1l litI: hn,<:c of 11le "(0'-::
irn:1ll'lJnl:1ru C:111 hC:1II irnpor1n"t ifl(li�
catl'r nf the rJegrcc of tli!i:I"nccll1cnl of
lhc ji\:?:lll1Cf11.
C. ..\(.<:ocinlcd fr:1ClUrC :'II Ihe h35C of
the pro.1.:irnal phiJlall;( may involve
e:1Ough of Uu: joinl .'iurface 10 wafrnnt
open reuuction il!1tf inlemallix3tion.
D. Stress yiews are vil31 in assessing
LJlis injury. . ..
E. Fraclure of IIIe IIook of lhe ha.
matc is a cornlt1OI1 accompaniment.
.t. n.e. "'[0<:1 ."ur1.:':""O: do nul fi, .. 1
mC.<:!i: vicw� tl.c;eflll. :1:" ll;cy ;}uu rUJlhi,":10 the c1ink:ll c'(;'lllllllaril'll.
Th(' rhycici:1n :lut1 Sfl""�I1,,'dicinf'. llj" '.
:U:): (,9.7R.
:SJa,rtSu\"
TI
Ii
I
\l,
r!r,
i
i
Question 1. In iliIIed lwlds. diag'
nastie wtr:lSOWld i.s verj successfuJ in
de:nenstr:lting pathology in ehronie
tcndinous !esicns such 3S Achilles te.'1.
dinitis md rol3tor euff leus cf the
shoulder. 1RUE or FALSE1
Question 2. The low �e:lC"j wilh
which posterior cruci3.tc ligament
(PeL) reconsrructive suroe=)' is carried
out �t1ects:
A. The relative inmquenc-j of !'CLinjury. ..
B. Relatively goad prognosis for
eontinued sport participation afu:r !'CL
injUrj. .:
c. The ll:Clmieal dülic-.lily of !'CL
. suroerj.
D. The dülicuity of diagnosing this
injury.
E. The !'CL's c::1pacity for spont:>
neous he.iling.
Questioo 3. Fae.ors �nsible for
mainl:lining tbe subility of tbe shoolder
(g!enohwoenJ) joint include:
A. Negative iotra:artic-.liat pr==
(the .S'jtinge' e!feet).
B. 1':=:0: of an iIolxt c:util:l;i::ous
labrwo.
C. Compr=ive dfec: or :ct:ller::-.lif
ar:d long h=l or biceps. .
D. Ligaments and c::1psule.
E. Progressive in= in tltie!<nc:ss
of articular e:utilage from the= to
the rim of the glCloid foss:>. .
Q,�..•stiOD 4.Thc golfer who com
pl3iJ,' o,';>ain d=;> in tbe wrist er ulnarside of _,e h.wl afu:r • poorly timed
strake. ind who !los teoderness d""p in
the hypolhenar emincnce. roquires x
rays includiog more !han standard
views. 1RUE er FALSE1
.JOJ�Oa uOf/o.JJsnv OL
Questioo S.Wearing • mouthguanl
in collision sports significantly reduCd
Ibe risk of eoru:ussion .. well .. dent:>l
injury. TRUE or FAl.S�7
".
,.. �:;�r.-:S ΡΟrtsΠ: ; .:, ,
MedicineQuiz /1 ..(2ueslion Ι. Ob"IJc/cs 10 Illc i"Iro
(JIICtiUI1. οΓ :f[e:::i,l,; IC$IiIIg proc:uurcs
fur doI'Ing ιιι .oφQrt incIuιlc:
Λ. L.1Ck ο( irI(omI:1IioII ref!rιrιJillg
IIOnl1aI IdJ1gc.s σΓ ωαχJ /C'/c:Is ΓΟΓ 50111: ;ιJnIgs. . Ι :
il. De!a),'cd στ ρrΟ/Οt1gι:u efΓec!s οΓ ι50111(: ιJrug'i. 1
c. Corιlinuing uc';eJopIncnt ο[ IIew i(JrJgs. '
1). '.lIe Γ:ιc: [/1.11 tfIc IfIIcrnaIiOII.llOI):mpIc CnmπιίΙΙe::: C!lartc:- prc-.:!UUC.!m:::1U:](Ory tesIinιz.
Ε. L1Ck ο[ ca,;se:ISU5 15 Ιο ιlι: ίdeafSCrccIling j'!mgram.
fllleslίun !. ΙVυιrr.Ρ:υkίllsυπ.WI,ίι.syndrCIne:
" Α. CJΠ be rulcιl ου! υΥ] IIOm\aJ �I- ΙIlIg [CG. Ι
Ο. C,1USe� laC!ΙΥc:ιrdί;ι �"IliCJI C:t11 bcIJfCvcrncι.J ...... ί'll <ligu.,iII.
C I� ,1η ]I'.�olυιι: COnlf3irIιliC3tiLIIl 10SIrCIIUOIJ.'i �'terci.'i�.
υ. ι.. ιIυ� {Q I/re rr:.'iC�lCe οΓ :ιπ ,1C.
cC.'i,')ory aIr:oVC:1Iric:JΙar cοπuucιiοn
Ρί1III\.... ί1Υ.
[Ξ. DυΓίπ; �;:ιi.ι:;c(jcs cΓ ίί1c!lνCί1nJi:ι\\,ίιl IJ!;uall:: �roJι;c: J QHS c�"ψle\οΓ ιlοπη.11 '.\. ίιίιΙι.
'lIIe.'iIilln J. ηΗ: )OI1C.O:; (racΙUrc i.'i:
Λ. ι\ fr:1c:ure οΓ 111ι: base U( IlIc tίfιllItιeΙ;:ιt:\1.Ι:;"'Ι
Ο. r\ (rat';'JΓc ..JisIOCJIiCΙI οΓ ΙΙIΙ: (υ�.an!l.
C. Λ cοlιψrcs.ι:;iοl1 fr;ιcωre οΓ ι/ιι::IΙΙJlI1ι:r:ιΙ IIC:1II.
Ο. Λπ avulsioll (r;ιcιure of ιllc aIlIC.ΓίΟΓ ιίΙlίί1Ι oψillC.
ε. Λιι aνΙJωοn fr;ιcιure of tJle iUllcriΟΓ il1Cerior ilinc .φίπι:.
(}lJestiυn 4. OSleOCll0l1cJriIis cJίs.ι:;c.C:1II!; ί.ι::::
Λ. Λ bcnign gro\\l111 <1isonJcr arfccI.iI11; Ιccη;ιi& RI/I/Clc.oι.
D. Λ corIιJition \\lllicJI occtJrs only ϊllU1C: k,l1ce.
C. Ιn 111ι: kIIC: ΙΙ:; rc!;ιιί\'c!γ bcnign ίlltlK'''e yυunger ΙΙΙΜ 15. .
Ο. ι\ CQlnInon C:Ιusc σΓ lυose lxxIic,o:;ίιι 111ι: kllee.
Ε. Μαι:;ι COllllnOfl 011 111Ι: lnleral ίI�
rc�f οΓ Ι'ΙΙ: πl�ιJί3' fCfllcrnJ conιJyIe υΓΙΙιc knc::.
Ι. Λ.IJ,Ι:.�,
2. Ιλ£Ξ. lJigO.'till. like ver:lpaInii .111<1
Ilίl:ί;Ιlcrη. i!; corΙIΓ:ιίπιJicaιed in WP\Vr.eC:1u.';c it nffct:l.'I: IIUnlIaI ΛV conιJuc.
11011 l11nre 111:111 ίι ιJucs COl\dUctiOl1 ίll
ΙΙ1Ι: ;ΙCCC!;SΙΗ)' ι};lιll\ν;ΙΥ. 11le premaιure
νe:ltΓicul;ιr eχcίι;ιιίuπ c3u�eιJ by IΙιι:
r:ιιfιwaΥ ΙΠ<ΙΥ πο! ;ιrrecΙ l11e restingECG. ηπι! (111)' 1:ιe ιJetcctι:.J 011 e!e-.:tro-
rIIysiolog.ic sItIιJie5. eg. in ::ιs:S οΓ ιτ.ίr:ιctnry p;ιγu�YΙ:;IΠ:11 Iilch)'c�rdl:1.
Tht rll!�ici:ιn Alld SpIιrI'1mtdlc:nr. 1992.
�ΙΙ�7:ΙI:Ί.19
λ Λ. I1 Ιι:ι.c; .1 ίZ-rc:1I IerlιJeηcy 10 11011
υl1ίοll aIIιJ ί� CIuiIe ιJiStillCt (Γο/η ιΙιι:
mure COll1/II(1I1 :ινΙΙI!'ίίυιι οΓ ιΙIι: .ι;ιylυίιJ
prL'C!:.'I.' οΓ ΙΙΗ: rιfιlι I1lelaι:ιτs:ι1'
.( C.Ο.£Ξ. O�IcoclloII(lrili.� ιJίs.c;ec:ιlls
Ι, IIIc I!<HI1C g;vcl1 Ι" a coIIιJition οΓ ΙIII
ccrι;ιίll ;ιeιj0l"�y wllcreiII :ι COiII-Iςi7.eι.J
I1ic:.:e οΓ :ιrιίΙ;IΙ!:lΓ C:lr1il:1�e willt ίl 5111:111
ιιι:ιrgίll ο( III1tlcrlyiog bul1e UCCUIIIC:\
lοοι:;e :11111 111:IΥ eVCIII4:1I1Y ure:ιk (rce
ίιιιυ tlle juilII. Uy (;ΙΓ 111Ι: joint IIIΟ!'ίΙ
COII1/1101l1)' ;ι((ct.:lcIΙ is ιΙιe knee. but IΙIΙ:
corHJiIiOII m.IY occur ίπ ΟΙΙΙΙ:Γ jυi/IIS
�ιtt.:JI .1S IIIC e!llo"v. 11le (WQ mο!'ίΙ cretJί.hle (Ileoric'i ΓΟΓ ίι." ;,ctiology blaιlle ν:ι.'i
cular and trJlIlnilIiC c:ιuses. Ιη aιJulI5 ίι
cause5 signifίcant mοrbidίΙΥ a5 e:ven
with earIy deIcction. n:.sulU οΓ .surgic31
replaceJl1ent οΓ ιJIι: fragment ΜΙ:: poor.
,nd th. d.fecI I.ft ίη 111. >ιtίoυl" ,ur.
face: is l::ιrge ίΓ ιhc fngmenI is ποl re.pIaced. LΠ yuunger ροιί.ηι, Iher. ί,mllc/, grealcr ροl.ηιί./ for ,ροηιοηουυ,
heaJing υΓ lu1ee, Ι..,ίυη, befure ,epara.
ιίοη OCCUΓ:\.
C""',, Ιη SporL! M<dkIn,. 1991. 10:3:569.
93.
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