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- Publisher
- American Medical Association
- Copyright
- Copyright © 2011 American Medical Association. All Rights Reserved.
- ISSN
- 0098-7484
- eISSN
- 1538-3598
- DOI
- 10.1001/jama.2011.1339
- Publisher site
- See Article on Publisher Site
Abstract
Edited by Mark D. Bracker 2nd ed, 768 pp, $89.95 Philadelphia, PA, Lippincott Williams & Wilkins, 2011 ISBN-13: 978-1-6054-7668-1 This second edition of The 5-Minute Sports Medicine Consult, published 8 years after the first edition, is significantly improved, revised, and expanded in scope and topics covered. As described in its preface, the basic concept for the book parallels a teaching technique used since 1991 at the University of California, San Diego, as part of the “How I Manage” series for residents in primary care sports medicine. During this weekly didactic program, sports medicine residents and faculty present a lecture on a single topic related to their sports medicine clinical practice. The didactic should review the essential elements in diagnosis and management of the clinical problem from the perspective of the primary care physician. The didactics and topics in The 5-Minute Sports Medicine Consult are organized similarly, with emphasis on evidence-based medicine. The book is intended for sports medicine clinicians who work with athletes at any level, including primary care physicians, sports medicine physicians, and orthopedists, as well as nurse practitioners, physician assistants, and athletic trainers. The editor in chief, 3 coeditors, 24 section editors (although the book is not organized in different sections), and more than 300 contributors are chosen from members of the American Medical Society for Sports Medicine. Founded in 1991, the society now has about 1800 primary care sports medicine physician members. The contributors represent the disciplines of primary care sports medicine, family medicine, pediatrics, orthopedic surgery, internal medicine, physical medicine and rehabilitation, and emergency medicine and include residents and fellows, academicians, and practicing physicians. The 768-page book covers 280 topics, arranged alphabetically. Each topic description is (with rare exceptions) organized in a consistent format: “Basics” (definition or description of the condition, epidemiology, risk factors, general prevention, etiology, and commonly associated conditions), “Diagnosis” (history, physical examination, diagnostic tests and interpretation, differential diagnosis), “Treatment” (immediate care, ongoing care), “Key References,” “Additional Reading,” “Coding,” and “Clinical Pearls.” The organizational format lends itself to easy access and reading as well as online and mobile applications for quick reference. Topics covered range from acute trauma, overuse musculoskeletal injuries, and medical conditions of relevance to sports medicine physicians. For some of the medical conditions (eg, seizures and epilepsy), the general principles of management presented assume that readers have basic knowledge of the condition. An excellent review of developmental dysplasia of the hips in the neonate and infant is presented; however, its relevance to sports participation (perhaps because of complications from missed or delayed diagnosis and treatment) later in childhood or for the adult is unclear from the discussion presented. Moreover, there is no discussion of an important condition—stress fractures of the femoral neck in young athletes. The book also includes 3 appendices. The appendix on musculoskeletal radiography is intended to describe “which images are obtained when a certain series is requested, and the advantages of each series and projection.” This section makes recommendations as to when computed tomography or magnetic resonance imaging is indicated. Although the application of musculoskeletal ultrasonography, now used increasingly in sports medicine office practice, is not covered, it is mentioned in the review of individual topics throughout the book. The value of this section could be greatly enhanced by including key abnormal radiographs and marking the radiographs to guide the reader. The appendix on office rehabilitation includes instructions and line drawing illustrations of some basic exercises useful to patients beginning a home exercise program. The appendix on joint and soft tissue injection is quite well done and provides concise instructions illustrated with excellent figures and photographs of the relevant anatomy, surface topography, and injection techniques. The book requires that readers have some basic knowledge of sports medicine. Inclusion of line drawings, figures or photographs, or abnormal imaging studies would enhance the value for the reader. Topic coverage is extensive, from the common to the not so common, and most topics (eg, scoliosis) provide detailed discussion appropriate for the intended readership. For most of the topics reviewed, the section on clinical pearls provides the most valuable information for the reader. Overall, The 5-Minute Sports Medicine Consult is an excellent, clinically relevant, thoughtfully conceived, and organized book that provides extensive topic coverage in a highly readable, accessible, and concise style. I highly recommend this book for all sports medicine professionals and primary care physicians as a quick reference to be used in daily practice. Back to top Article Information Conflict of Interest Disclosures: The author has completed and submitted the ICMJE Form for Disclosure of Potential Conflicts of Interest and none were reported.
Journal
JAMA – American Medical Association
Published: Sep 21, 2011