Announcements

Bruno Zaouli June 17-18 2006 Thessaloniki - Monday, 19 Jun 2006

Bruno Zaouli June 17-18 2006 Thessaloniki

In the European Athletics Cup, Bruno Zaouli , that took place at Thessaloniki from 17 to 18 June 2006, Doc. N.G.Malliaropoulos was the chief medical officer of the medical services.

10th sports medicine seninar 4/12/2005 - Monday, 28 Mar 2005

10th sports medicine seninar 4/12/2005

The national sports injuries clinic Track and Field organize the 10th sports medicine seninar at 4/12/2005.The topic will be Ankle ligament injuries in sports

For more informations please contact ikakthess@hol.gr or www.diaskepsis.gr/seminario

Dear Colleagues,

The Medical Center of Sports Injuries S.E.G.A.S of Northern Greece, during its 20 year operation, has been contributing in two of the most important social goods, health and sports; at the same time it promotes the development and progress of new sciences, such as Sports Medicine that are necessity in our country.

The organization of the Annual Sports Medical Training Seminar is a part of its work. Clinical experience, new data, new implementations of Sports Medicine are debated in the context of this seminar.

Speakers come from high Scientific level institutions such as the Medical School of A.U.Th, the Sports Medicine Association of Greece, T.E.FA.A of A.U.Th and the A.I.E.IO of Physiotherapy.

The 10th Annual Sports Medicine Training Seminar will deal with Safe Exercise and the Ligamentous Lesions of the Ankle in Athletes. Firmly believing in continuous education and ongoing training, I consider that this seminar will be very useful to all participants, especially professional and amateur athletes.

N. G. Malliaropoulos

Skills course in musculoskeletal ultrasound - Friday, 07 Jan 2005

Skills course in musculoskeletal ultrasound

Dr. Malliaropoulos, will take part in a course regarding muscluloskeletal ultrasound, from 10 to 15 January 2005. The course is organized by the Oxford University, and will take place in the NUFFIELD CENTER Hospital in Oxford.

Recent Articles

Acute Lateral Ankle Sprains In Track & Field Athletes: A Proposal Of An Expanded Classification

We present a longitudinal observational study on classification of acute lateral ankle ligament injuries in track & field athletes, based on objective criteria. These very common and sometimes troublesome sports injuries are treated functionally but there is a lack in international literature in predicting the time needed for full recovery.

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Ten year follow-up study comparing conservative versus operative treatment of anterior cruciate ligament ruptures. A matched-pair analysis of high level athletes

Objective: To compare long term outcome of highly active patients with anterior cruciate ligament ruptures treated operatively versus non-operatively.

Design: We reviewed high level athletes with an anterior cruciate ligament rupture on either MRI or arthroscopic evaluation more than 10 years previously, who were treated conservatively. They were pair-matched with patients who had had an anterior cruciate ligament reconstruction with bone-patella-tendon-bone, with respect to age, gender and Tegner activity score before injury.Participants: In total 50 patients were pair-matched.

Results: We found no statistical difference between the patients treated conservatively or operatively with respect to osteoarthritis or meniscal lesions of the knee, as well as activity level, objective and subjective functional outcome. The patients who were treated operatively had a significantly better stability of the knee at examination.

Conclusion: We conclude that the instability repair using

a bone-patella-tendon-bone anterior cruciate ligament reconstruction is a good knee stabilising operation. Both treatment options however show similar patient outcome at 10 year follow up.

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ACL injuries. Diagnosis, treatment and rehabilitation

The ability to recognize the ACL deficient knee is lacking, even among orthopaedic surgeons. The history of an acute ACL tear is remarkably constant, because the injury is often non contact, and patients usually report a twist on the flexed knee, turning to the same side as the injured knee, although hyperextension or direct injury is the cause in some sports. Patients often remember a loud pop, but, because there are no nociceptors in the ACL, pain is not an immediate feature in the isolated lesion. Players may attempt to continue to play, but they usually stop because the knee feels insecure. Pain ensues in association with a hemarthrosis: 70% of acute hemarthroses of the knee are associated with a tear of the ACL. The diagnosis must be confirmed before treatment is offered.

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