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BJSM Online case reports

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The following electronic only articles are published in conjunction with this issue of BJSM.

Aseptic bone necrosis in an amateur scuba diver

G D M Laden, P Grout

A case is reported that provides further evidence of an old occupational hazard, dysbaric osteonecrosis, presenting in a new population (sports scuba divers) who also appear to be at risk. It highlights the need for an accurate diagnosis of diving related illness.

(Br J Sports Med 2004;38:e19) http://bjsm.bmjjournals.com/cgi/content/full/38/5/e19

Abdominal coarctation in a hypertensive female collegiate basketball player

B Sloan, S Simons, A Stromwall

The purpose of the preparticipation examination is to identify health conditions that might adversely affect an athlete while participating in sport. Hypertension is the most common. This case report details a female basketball player found to be hypertensive, and complaining of fatigue, at her preparticipation physical examination. Presentation, diagnostics, treatment, and final outcome of coarctation involving the abdominal aorta are summarised.

(Br J Sports Med 2004;38:e20) http://bjsm.bmjjournals.com/cgi/content/full/38/5/e20

Clinical and magnetic resonance imaging features of cricket bowler’s side strain

D Humphries, M Jamison

The clinical features of 10 cases of lateral trunk muscle injury in first class cricket pace bowlers are described. Typically the injury occurs during a single delivery, is associated with considerable pain, and prevents the bowler from continuing.

The clinical picture is typical of a muscular or musculotendinous injury. The most consistent clinical tests were focal tenderness on palpation and pain with resisted side flexion towards the painful side. The magnetic resonance image in.

70% of cases was consistent with an injury to the internal oblique, the external oblique, or the transversalis muscles at or near their attachments to one or more of the lowest four ribs. The injury occurs on the non-bowling arm side. Recovery can be prolonged. The injury was a recurrence in six of the 10 cases. The biomechanics of the injury are not yet understood.

(Br J Sports Med 2004;38:e21) http://bjsm.bmjjournals.com/cgi/content/full/38/5/e21

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