A mother brings her 15 year old son in for evaluation of curvature of the back noted by the Athletic Trainer at his school. He has no complaints about back pain and a normal neurological exam. After your evaluation, to include a scoliosis radiographic evaluation, you identify that he has dextroscoliosis with a Cobb angle of 15 deg. His Risser classification is Risser 3. On further exam his leg lengths are equal.
Appropriate recommendations for follow-up evaluation include:
A. Follow up evaluation in 6 months
B. Refer for Physical Therapy
C. Refer to a Pediatric Spine Surgeon
D. Order a lumbar MRI
E. Only follow up as needed if symptomatic
Scott E Rand, MD FAAFP CAQSM
Director, Primary Care Sports Medicine Fellowship
Co Director of Sports Medicine, Houston Methodist Orthopedics and Sports Medicine Willowbrook
Assistant Professor of Clinical Family Medicine Houston Methodist Academic Institute
Adjunct Assistant Professor of Family and Community Medicine, Texas A&M University
Assistant Professor of Family Medicine in Clinical Medicine Weill Cornell Medical College.
13802 Centerfield Dr Suite 300
Houston, TX 77070
A 23 year old professional snowboarder falls while making a jump. He lays on the snow and does not get up. When ski patrol reaches him, he is conscious and complaining of back pain. He is boarded and collared and transported to the nearest hospital. He is neurologically intact. A plain film radiograph shows a compression fracture of T12. What is the appropriate course of treatment?
A. Obtain a CT scan to further assess the fracture.
B. Place the patient in a TLSO brace and perform follow-up x-rays in 2 weeks.
C. Consult the neurosurgeon for surgical correction of the fracture.
D. Consult interventional radiology for kyphoplasty of the fracture.
What factor has most contributed to the dramatic decrease in catastrophic cervical spine injuries since 1976?
A. Improved pre-participation physical exam screening
B. Mental conditioning prior to games
C. Improvement in helmet design
D. Banning of spear tackling or primarily striking with the crown of one’s head
1. What moves will score points in intercollegiate and high school freestyle wrestling
1. In soccer, what is the difference between a goal kick, a corner kick and a throw in?
1. Describe a snowboarder’s ankle or snowboarder’s fracture
1. With respect to boxing, what are some of the Queensbury rules?
1. What are the phases of the baseball pitch?
1. What are the pitch limits according to Little League baseball by age
1. A volleyball player presents with presents with decreased sensation and paresthesias over the dorsoradial hand. What is the most likely etiology?
1. What are some ways to optimize speed in swimming?
1. What are the events in mens and womens artistic gymnastics?
1. What are the events in the heptathlon?
What are the events in the pentathlon?
What are the events in the decathalon?
Has the marathon always been 26.2 miles?
What are the different distances in triathlon racing?
1. The banked track used in cycling is called a ___________________
1. What is the minimal allowed body fat percentage in NCAA wrestling
1. What are the events in diving competition?