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

This edition is supported by :
revista de

Medicina

DESPORTIVA

Bimonthly Year 9 Number 02

March 2018 www . revdesportiva . pt Price – 2,50 € informa

Editorial

We ' ve reached the issue number 50 ! We all are of congratulations . With more or less collaboration , participation and stimulus , we ' ve come this far . This edition deserves , then , a gift ... two gifts . Already from this issue on we have the reference by Crossref , that is , the articles are identified by the " Doi ". Just click or write the assigned " Doi " to each theme and we will enter the PDF we are looking for . It is an evolution , it is an update that Dr . José Pedro Marques helped in its development . Now , in this regard , we are equal to the other scientific publications . And there comes the other gift ! It has been a great ambition to publish the papers in english as well . During the year of 2018 this will happen in the Apps and thus the magazine can be read around the world . We ' ll show you who we are , what we know and what we do in medicine in general and in particular in sports medicine . This is possible because Santa Casa de Misericórdia of Lisbon ( SCML ) and the Foundation of Sport ( FoS ) used their generosity and vocation to help others ( See NEWS ). This Magazine thanks the Provider of SCML , Dr . Edward Martin , and the president of FoS , Dr . Carlos Marta , this huge support . However , it is not possible to forget Dr . Paulo Marcolino ( interviewed in this issue ), the executive director of the Foundation , the work developed in recent years to achieve this support . Everyone is grateful and renew the request for help . Basil Ribeiro , MD – Director
SPAT ’ s associates are receiving this edition free of charge . In order to continue to benefit from this shipment they must regulate their fees . The associates are also invited to submit their texts and their clinical cases in the section of SPAT . For further information please contact spat @ spat . pt

Summary

Interview : Dr . Paulo Marcolino – Portuguese Foundation of Sport 2 Oporto Medical School / Comment 4 The Effect of Postexercise Carbohydrate and Protein Ingestion on Bone Metabolism News 6 Photo reportage : Degenerative arthritis and Sports Medicine 8 Clinical case : Cyclist with Wolff-Parkinson-White Pattern – Risk Stratification and Therapeutic Approach 10
Topics : Carpal Tunnel Syndrome in Sports 12 Injury prevention in football : scientific bases and applicability 16 Mesotherapy in Musculoskeletal Pathology 20 Lisfranc Injuries in Athletes 23 Portuguese Society of Arthroscopy and Sports Traumatology ( SPAT ) Chronic exertional compartment syndrome of forearm – Arm Pump 26 Clinical case : Traumatic Knee Dislocation with Associated Neurovascular Injury 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 : Stock Images | 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 march 2018 · 1
Medicina DESPORTIVA in forma This edition is supported by: SPAT’s associates are receiving this edition free of charge. In order to continue to benefit from this ship- ment they must regulate their fees. The associates are also invited to submit their texts and their clinical cases in the section of SPAT. For further information please contact spat@spat.pt March 2018 www.revdesportiva.pt Price – 2,50€ We've reached the issue number 50! We all are of congratulations. With more or less collabora- tion, participation and stimulus, we've come this far. This edition deserves, then, a gift... two gifts. Already from this issue on we have the reference by Crossref, that is, the articles are identified by the "Doi". Just click or write the assigned "Doi" to each theme and we will enter the PDF we are looking for. It is an evolution, it is an update that Dr. José Pedro Marques helped in its development. Now, in this regard, we are equal to the other scientific publications. And there comes the other gift! It has been a great ambition to publish the papers in english as well. During the year of 2018 this will happen in the Apps and thus the magazine can be read around the world. We'll show you who we are, what we know and what we do in medicine in general and in particular in sports medi- cine. This is possible because Santa Casa de Misericórdia of Lisbon (SCML) and the Foundation of Sport (FoS) used their generosity and vocation to help others (See NEWS). This Magazine thanks the Provider of SCML, Dr. Edward Martin, and the president of FoS, Dr. Carlos Marta, this huge support. However, it is not possible to forget Dr. Paulo Marcolino (interviewed in this issue), the executive director of the Foundation, the work developed in recent years to achieve this support. Everyone is grateful and renew the request for help. Basil Ribeiro, MD – Director Bimonthly Year 9 Number 02 Interview: Dr. Paulo Marcolino – Portuguese Foundation of Sport 2 Oporto Medical School / Comment 4 The Effect of Postexercise Carbohydrate and Protein Ingestion on Bone Metabolism News 6 Photo reportage: Degenerative arthritis and Sports Medicine 8 Clinical case: Cyclist with Wolff-Parkinson-White Pattern – Risk Stratification and Therapeutic Approach 10 Topics: Carpal Tunnel Syndrome in Sports 12 Injury prevention in football: scientific bases and applicability 16 Mesotherapy in Musculoskeletal Pathology 20 Lisfranc Injuries in Athletes 23 Portuguese Society of Arthroscopy and Sports Traumatology (SPAT) Chronic exertional compartment syndrome of forearm – Arm Pump 26 Clinical case: Traumatic Knee Dislocation with Associated Neurovascular Injury 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 \YYZ\KSY[\8$[]\YYH“Z[\X܈s [XHs [XHYs 8$[]\YYHZ[s [Y[\8$\؛H8$X[YHHYs X\Ys YX\H\؛Hs H\ܛۚK8$ܝ8$ܙ[HH[YHX[“X\YK8$ܝ8$[HYYX[H\ܝ]HܝQPUP\Hs 8$ܝ8$[]]QܝˈX[YHHYYX[HHTUSSHؘ[ܙZ\8$[XH8$‘X[YHHYYX[HH[XHPHY [[\K8$\؛H8$X[YHH[XYYH[X[_TPSRPSUUSӈs \H[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\Έ[XY\[[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[ܛXHX\ N0