Revista de Medicina Desportiva (English) July 2018 - Page 3

This edition is sponsored by : revista de

Medicina

DESPORTIVA

Bimonthly Year 9 Numebr 04

Editorial

Another sports season starts , hundreds of thousands of athletes move around , new expectations are created , and this season is the one . The teams are very busy to get the players . The transferences are made and let ’ s enroll them . “ Is just to put the stamp and sign ” that ’ s one can hear around . “ And about the preparticipation medical exam ( PME )?”, the conscious and responsible doctors are asking , a bit stupefying and unbelieving . “ We ’ ll see that later ”, “ They are good !”, “ But do you doctor have any doubt about the player …?”. Yes , until any evidence to the contrary , “ I do not trust ”. It ’ s needed go sensitive all sports agents , athletes and parents for the importance of those “ 10 minutes ”. They must realize that is the first step for sports practice and , sometimes , a ( unique ) moment for the athlete to be with a doctor . We don ’ t need to scare the parents about sudden death , but we have to say that , although rare , sometimes it can occur . They must be aware that this medical exam can save lives , but also it can detect any changes that can interfere with sports , or if they are managed the sports performance can increase . The parents should give all relevant and not information to the doctor . He will know to select the relevant . By the way , all the athletes should have at least one EKG . The PME is not just an administrative act . It is a passport that allows to go on a journey safer . Parents ! Be aware . See if your kids have a valid passport . Basil Ribeiro , director

Contents

Interview : Dr . Hélder Dores – Lisboa
2
News
3
FMUP : Summaries and Comments
Sun Allergy
4
Clinical case : Distal Avulsion of the Bicipital Tendon Associated with Prolonged use
of Anabolic Androgenic Steroids
7
Research : Extracorporeal shock wave : an Effective therapeutic approach for the treatment of
Chronic Plantar Fasciitis
11
Tests :
Disc Arthroplasty and Sports practice
15
Protein supplementation
19
Summaries : XXVII Course of Rehabilitation and Traumatology of Sport – Part 2
22
SPAT :
Outside-In Meniscal Repair for Anterior Horn Tears
27
Photo gallery
30
Agenda
32
The Revista de Medicina Desportiva informa is a scientific Portuguese national and international publication , published every two months . It aims to disclose sports medical contents through review and research topics , as well as to publish clinical cases related to the practice of sports medicine . It also discloses scientific meetings held in Portugal and abroad , and news as well . This magazine respects the Portuguese Law and is guided by criteria of exemption and scientific accuracy , ethical commitment and deontological respect .
SCIENTIFIC COMMITTEE : CARDIOLOGY | António Freitas , Dr – Lisboa – Centro de Medicina Desportiva | Miguel Mendes , Dr – Lisboa – Hospital de Santa Cruz | Ovídio Costa , PhD – Porto – Faculdade de Medicina do Porto | Teles Martins , PhD – Lisboa – Departamento de Saúde Naval | Veloso Gomes , Dr – Faro – Hospital de Faro | DERMATOLOGY | Osvaldo Correia , PhD – Porto – Epidermis – Centro de Dermatologia | GASTRENTEROLOGY AND HEPATOLOGY | Rui Tato Marinho , PhD – Lisboa – Faculdade de Medicina de Lisboa | GENERAL SURGERY | Bernardo Vasconcelos , Dr – Lisboa – Serviços Clínicos da Portugal Telecom | IMUNOALLERGOLOGY | André Moreira , PhD – Porto – Hospital de S . João | INTERNAL MEDICINE | Teixeira Veríssimo , PhD – Coimbra – Faculdade de Medicina de Coimbra | MEDICAL PHILOSOPHY | Manuel Sérgio , PhD – Lisboa | NUTRITION | Vitor Hugo Teixeira , PhD – Porto – Faculdade de Ciências da Nutrição | ORTHOPAEDICS | Fernando Fonseca , PhD – Coimbra – Faculdade de Medicina de Coimbra | João Espregueira-Mendes , PhD – Universidade do Minho ; Director Clínico da Clínica do Dragão – Universidade do Minho | João Gamelas , PhD – Lisboa – Faculdade de Ciências Médicas de Lisboa | José Carlos Noronha , PhD – Porto – FPF ; Ordem da Trindade | Leandro Massada , PhD – Porto – Centro de Medicina Desportiva do Porto | PEDIATRICS | Carla Rêgo , PhD – Porto – Instituto CUF Porto . Faculdade de Medicina da UP | PNEUMOLOGY | Robalo Cordeiro , PhD – Coimbra – Faculdade de Medicina de Coimbra | PSICHOLOGY | Sidónio Serpa , PhD – Lisboa – Faculdade de Motricidade Humana | PHYSICAL REHABILITATION | Páscoa Pinheiro , PhD – Coimbra – Faculdade de Medicina de Coimbra | PHYSICAL REHABILITATION / CLINICAL HYDROLOGY | Pedro Cantista PhD – Porto – Centro Hospitlar do Porto | PHYSIOLOGY | Gomes Pereira , PhD – Lisboa – Faculdade de Motricidade Humana | José Alberto Duarte , PhD – Porto – Faculdade de Desporto do Porto | RHEUMATOLOGY | Carlos Vaz , PhD – Porto – Hospital de S . João SPORTS MEDICINE | J . L . Themudo Barata , PhD – Covilhã – Universidade Beira Interior | João Paulo de Almeida , PhD – Lisboa | Luís Horta , PhD – Lisboa – Hospital Curry Cabral | Maria João Cascais , PhD – Lisboa – Nova Faculty of Lisbon . COMMISSION OF COLABORATORS : GENERAL PRACTITIONER | José Maria Henriques , Dr – Vila Nova de Gaia – Unidade de Saúde Familiar de Santa Marinha | Marcos Agostinho II , Dr . – Torres Vedras – Unidade de Saúde Familiar | INTERNAL MEDICINE | Jorge Ruivo , Dr – Lisboa – Hospital de Santa Maria | ORTHOPAEDICS | Diogo Moura , Dr – Coimbra – HUC | Hélder Pereira , Dr – Vila do Conde – Hospital da Póvoa do Varzim | Henrique Jones , Dr – Setúbal – Clínica Dr . Henrique Jones | José Lourenço , Dr . – Porto | Paulo Amado , Dr – Rio Tinto – Hospital Lusídas Porto | Pereira de Castro , Dr – Lisboa – SPAT ; Desporsano , Clínica de Desporto | PHYSICAL REHABILITATION | Gonçalo Borges , Dr – Porto – Hospital da Prelada | Jorge Lains , Dr – Coimbra – Hospital Rovisco Pais | Pedro Lemos Pereira , Dr – Coimbra – Hospital Universitário de Coimbra | Raul Maia e Silva , Dr – Porto | RADIOLOGY | Joaquim Agostinho , Dr – Viseu – Hospital São Teotónio | SPORTS MEDICINE | Domingos Gomes , Dr – Porto – CESPU | João Beckert , PhD – Lisboa – Centro de Medicina Desportiva de Lisboa | José Pedro Marques , Dr – Coimbra – FPF | José Ramos , Dr – Porto – Clínica de Gondomar | Nelson Puga , Dr – Porto – Futebol Clube do Porto | Paulo Beckert , Dr – Lisboa – FPF – Clínica Cuf Alvalade | Pedro Saraiva , Dr – Coimbra – Associação Académica de Coimbra .
Technical Record | Director and Editor BASIL VALENTE RIBEIRO | Associate diretor PEDRO LEMOS PEREIRA | Sub-diretor JOSÉ RAMOS | Assistant editor HENRIQUE JONES | Production REVDESPORTIVA , LDA | Design e Pagination JOSÉ TEIXEIRA | Cover photo : ZTX DESIGN | Printing MULTITEMA – Porto | Property REVDESPORTIVA , LDA . Rua do Sobreiro 225 , Canidelo 4400- 590 V N Gaia . | Telephone / Fax – 227810869 | E-mail : basil @ sapo . pt | WWW . REVDESPORTIVA . PT | Bimonthly periodicity | 6200 copies | Legal Deposit 304182 / 09 | ISSN 1647-5534 | This publication is registered at Instituto da Comunicação Social under the n . 125758 | The partial or integral reproduction of text or illustrations of Revista de Medicina Desportiva Informa is prohibited .
Revista de Medicina Desportiva informa july 2018 · 1
Medicina DESPORTIVA in forma This edition is sponsored by: July 2018 www.revdesportiva.pt Price – 2,50€ Another sports season starts, hundreds of thousands of athletes move around, new expectations are created, and this season is the one. The teams are very busy to get the players. The transfer- ences are made and let’s enroll them. “Is just to put the stamp and sign” that’s one can hear around. “And about the preparticipation medical exam (PME)?”, the conscious and responsible doctors are asking, a bit stupefying and unbelieving. “We’ll see that later”, “They are good!”, “But do you doctor have any doubt about the player …?”. Yes, until any evidence to the contrary, “I do not trust”. It’s needed go sensitive all sports agents, athletes and parents for the importance of those “10 min- utes”. They must realize that is the first step for sports practice and, sometimes, a (unique) moment for the athlete to be with a doctor. We don’t need to scare the parents about sudden death, but we have to say that, although rare, sometimes it can occur. They must be aware that this medical exam can save lives, but also it can detect any changes that can interfere with sports, or if they are man- aged the sports performance can increase. The parents should give all relevant and not information to the doctor. He will know to select the relevant. By the way, all the athletes should have at least one EKG. The PME is not just an administrative act. It is a passport that allows to go on a journey safer. Parents! Be aware. See if your kids have a valid passport. Basil Ribeiro, director Bimonthly Year 9 Numebr 04 Interview: Dr. Hélder Dores – Lisboa 2 News 3 FMUP: Summaries and Comments Sun Allergy 4 Clinical case: Distal Avulsion of the Bicipital Tendon Associated with Prolonged use of Anabolic Androgenic Steroids 7 Research: Extracorporeal shock wave: an Effective therapeutic approach for the treatment of Chronic Plantar Fasciitis 11 Tests: Disc Arthroplasty and Sports practice 15 Protein supplementation 19 Summaries: XXVII Course of Rehabilitation and Traumatology of Sport – Part 2 22 SPAT: Outside-In Meniscal Repair for Anterior Horn Tears 27 Photo gallery 30 Agenda 32 The Revista de Medicina Desportiva informa is a scientific Portuguese national and international publication, published every two months. It aims to disclose sports medical con- tents through review and research topics, as well as to publish clinical cases related to the practice of sports medicine. It also discloses scientific meetings held in Portugal and abroad, and news as well. This magazine respects the Portuguese Law and is guided by criteria of exemption and scientific accuracy, ethical commitment and deontological respect. SCIENTIFIC COMMITTEE: CARDIOLOGY | António Freitas, Dr – Lisboa – Centro de Medicina Desportiva | Miguel Mendes, Dr – Lisboa – Hospital de Santa Cruz | Ovídio Costa, PhD – Porto – Faculdade de Medicina do Porto | Teles Martins, PhD – Lisboa – Departamento de Saúde Naval | Veloso Gomes, Dr – Faro – Hospital de Faro | DERMATOLOGY | Osvaldo Correia, PhD – Porto – Epidermis – Centro de Dermatologia| GASTRENTEROLOGY AND HEPATOLOGY | Rui Tato Marinho, PhD – Lisboa – Faculdade de Medicina de Lisboa | GENERAL SURGERY | Bernardo Vasconcelos, Dr – Lisboa – Serviços Clínicos da Portugal Telecom | IMUNOALLERGOLOGY | André Moreira, PhD – Porto – Hospital de S. João | INTERNAL MEDICINE | Teixeira Veríssimo, PhD – Coimbra – Faculdade de Medicina de Coimbra | MEDICAL PHILOSOPHY | Manuel Sérgio, PhD – Lisboa | NUTRITION | Vitor Hugo Teixeira, PhD – Porto – Faculdade de Ciências da Nutrição | ORTHOPAEDICS | Fernando Fonseca, PhD – Coimbra – Faculdade de Medicina de Coimbra | João Espregueira-Mendes, PhD – Universidade do Minho; Director Clínico da Clínica do Dragão – Universidade do Minho | João Gamelas, PhD – Lisboa – Faculdade de Ciências Médicas de Lisboa | José Carlos Noronha, PhD – Porto – FPF; Ordem da Trindade | Leandro Massada, PhD – Porto – Centro de Medicina Desportiva do Porto | PEDIATRICS | Carla Rêgo, PhD – Porto – Instituto CUF Porto. Faculdade de Medicina da UP | PNEUMOLOGY | Robalo Cordeiro, PhD – Coimbra – Faculdade de Medicina de Coimbra | PSICHOLOGY | Sidónio Serpa, PhD – Lisboa – Faculdade de Motricidade Humana| PHYSICAL REHABILITATION | Páscoa [Z\8$[XH8$X[YHHYYX[HB[XHTPSRPSUUSӈ SPSQHY[\H8$ܝ8$[]\ܝTSHY\\Z\K8$\؛H8$X[YHH[XYYH[X[Hs B[\X\K8$ܝ8$X[YHH\ܝܝUSPUH\^8$ܝ8$][Hˈs ԕQQPSH []Y\]K8$ݚ[s 8$[]\YYHZ\H[\[܂s ][H[YZYK8$\؛HZs \ܝK8$\؛H8$][\HX[X\XHs \Z\8$\؛H8$ݘHX[Hو\؛ۋSRTSӈшPԐUԔΈSTSPUSӑTs HX\XH[\]Y\8$[HݘHHZXH8$[YYHH]s YH[Z[X\H[HX\[HX\Y[RK8$ܜ\Y\8$[YYHH]s YH[Z[X\STSQQPSHܙHZ]8$\؛B$][H[HX\XHԕQQP[[\K8$[XH8$Ps [\\Z\K8$[HۙH8$][H ]H\[H[\]YHۙ\8$]s X[8$s [XH[\]YHۙ\s B\[)8$ܝ][[XY8$[[8$][\s Y\ܝ\Z\HH\8$\؛H8$U\ܜ[s [XHH\ܝTPSRPSUUSӈۘ)[ܙ\8$ܝ8$’][H[YHܙHZ[8$[XH8$][ݚ\Z\Y[[\Z\K8$[XH8$][[]\]s \[H[XH][XZXHH[K8$ܝQSH\]Z[HY[$\]H8$][s [ [[ԕQQPSHZ[Y\$ܝ$THs X\ 8$\؛H8$[HYYX[H\ܝ]HH\؛Hs HYX\]Y\8$[XH8$s H[[8$ܝ8$0[XHHۙX\[ۈYK8$ܝ8$]XXHܝ][X\ 8$\؛H8$8$s [XHY[[YHY\Z]K8$[XH8$\XX)s XYs [ZXHH[XKXX[Xܙ\X܈[Y]܈TSSSHPRT\X]H\]܈QSSTRTHXY\]܈s HSS\\[Y]܈STUQHӑTX[ۂUTԕUKH\YۈHY[][ۈs HRVRTHݙ\ΈTQӈ[[USUSPH8$ܝ\HUTԕUKKXH؜Z\ K[Y[ BNLZXK[\ۙKј^8$ L HK[XZ[\[\˜˔UTԕUK[[۝H\[X]H Y\Y[\] N HTӈ M MML\XX][ۂ\Y\\Y][]]H][XX)s X[[\H LMNH\X[܈[Yܘ[\X[ۈو^܈[\][ۜو]\HHYYX[H\ܝ]H[ܛXH\X]Y ]\HHYYX[H\ܝ]H[ܛXH[H N0