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

Medicina DESPORTIVA in forma This issue is supported by: November 2018 Price – 2,50€ The sports medical examination (SME) is a unique moment in the relationship between the doctor and the athlete. It is the first moment to get in the practice of a sport that is loved so much. It must be methodic, exhaustive, and so time-consuming. It is needed to talk with the athlete, to know the eventual complains and the medical antecedents, personal and of the family. It is required to see the athlete, to undress him and to check for asymmetries. It is necessary the auscultation and the palpation, of the arterial pulses and other sites. The curves are checked, and the asymmetries are identified. And some measurements are made, like the blood pressure, body weight, height (at least). The EKG is red and then a decision came out. At the end, the athlete has clearance … or not, this is, there are physical conditions for sports practice on that moment or there are temporary or definitive circumstances that deserve further attention. It is a methodic, exhaustive, and for this reason a time-consuming exam, done by the one that is able to do it. It is not an administrative act, it is not a business. It is a medical act, is an act of dignity and respect. Of responsibility. I just receive some advertisement. It is written that a SME costs 7.50€. And they write that it includes “medical evaluation, EKG, blood pressure, weight and height”, and “it can be done at the club facilities after advance booking”. I was astonished for so a such generous offer. To make a SME at this cost, and taking into consideration the dimen- sion of its content, it can only be an act of generosity and of great altruism. I should congratulate these doc- tors that dispose their competence at the service of sport. They are generous, no doubt about that, because, with such price, they perform a methodic, exhaustive and time-consuming SME. But do they really do? I’m going to call and find out about in a minute, because I just received a better offer: 7.00€! Basil Ribeiro, director Bimonthly Year 9 Number 06 Interview: Inês Henriques – World champion of the 50 km athletic march 2 News 4 FMUP: Summaries and comments Female Athlete Issues for the Team Physician: A Consensus Statement – 2017 Update 6 Physical activity and the risk of preterm birth: a systematic review and meta-analysis of epidemiological studies, 2017 7 Clinical case 1: Hard Work, Soft Swelling – Muscle hernia 9 Clinical case 2: An athlete with a positive doping control after taking a “cough syrup” 12 The expert answers: The Therapeutic Use Exemption (TUE) 14 Reporting: 25 years of the Brugada Syndrome 16 Texts: Injuries to the Posterior-Lateral Corner of the Knee 18 Osgood-Schlatter Syndrome 23 Patellar Instability in Children and Adolescents 26 Summary: Mortality Benefits for Replacing Sitting Time with Different Physical Activities 29 Comment: The new world record of the Marathon 31 Agenda 32 A Revista de Medicina Desportiva informa é uma publicação de âmbito nacional, de publicação bimestral e de caráter médico-científico. Tem como objetivo divulgar conteúdos médico-des- portivos através de temas de revisão e de investigação, assim como publicar “Casos Clínicos” relacionados com a prática da Medicina Desportiva. Divulga ainda reuniões científicas reali- zados em Portugal e no estrangeiro. Esta Revista respeita a Constituição Portuguesa e orienta-se por critérios de isenção e de rigor científico, compromisso ético e respeito deontológico. SCIENTIFIC COMMISSION: CARDIOLOGIA | 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 | CIRURGIA GERAL | Bernardo Vasconcelos, Dr – Lisboa – Serviços Clínicos da Portugal Telecom | DERMATOLOGIA | Osvaldo Correia, PhD – Porto – Epidermis – Centro de Dermatologia | FILOSOFIA DA MEDICINA | Manuel Sérgio, PhD – Lisboa | FISIATRIA | Páscoa Pinheiro, PhD – Coimbra – Faculdade de Medicina de Coimbra | FISIATRIA/HIDROLOGIA CLÍNICA | Pedro Cantista PhD – Porto – Centro Hospitlar do Porto | FISIOLOGIA | Gomes Pereira, PhD – Lisboa – Faculdade de Motricidade Humana | José Alberto Duarte, PhD – Porto – Faculdade de Desporto do Porto | GASTRENTEROLOGISTA E HEPATOLOGISTA | Rui Tato Marinho, PhD – Lisboa – Faculdade de Medicina de Lisboa | IMUNOALERGOLOGIA | André Moreira, PhD – Porto – Hospital de S. João | MEDICINA DESPORTIVA | 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 | MEDICINA INTERNA | Teixeira Veríssimo, PhD – Coimbra – Faculdade de Medicina de Coimbra | NUTRIÇÃO | Vitor Hugo Teixeira, PhD – Porto – Faculdade de Ciências da Nutrição | ORTOPEDIA | 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 | PEDIATRIA | Carla Rêgo, PhD – Porto – Instituto CUF Porto. Faculdade de Medicina da UP. | PNEUMOLOGIA | Robalo Cordeiro, PhD – Coimbra – Faculdade de Medicina de Coimbra | PSICOLOGIA | Sidónio Serpa, PhD – Lisboa – Faculdade de Motricidade Humana | REUMATOLOGIA | Carlos Vaz, PhD – Porto – Hospital de S. João. | COLABORATORS' COMMITTEE: FISIATRIA | 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 | MEDICINA DESPORTIVA | 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 – Clinica 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 | MEDICINA GERAL E FAMILIAR | 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 | MEDICINA INTERNA | Jorge Ruivo, Dr –Lisboa – Hospital de Santa Maria | ORTOPEDIA | Diogo Moura, Dr. – Coimbra – CHUC, FMUC | 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, PhD – Rio Tinto – Hospital Lusídas Porto | Pereira de Castro, Dr – Lisboa – SPAT; Desporsano, Clínica de Desporto | RADIOLOGIA | Joaquim Agostinho, Dr – Viseu – Hospital São Teotónio | Sérgio Gomes, Dr – Porto – SMIC TECHNICAL INFORMATION | Director, Editor and Manager BASIL VALENTE RIBEIRO | Associate Director PEDRO LEMOS PEREIRA | Deputy Director JOSÉ RAMOS | Assistante Editor HENRIQUE JONES | Production REVDESPORTIVA,LDA | Design and Pagination JOSÉ TEIXEIRA | Printing MULTITEMA; Head Office – Rua do Cerco do Porto, 365 – 4300-119 Porto | Office of the editor, magazine and property REVDESPORTIVA, LDA. Rua do Sobreiro 225, Canidelo 4400-590 V N Gaia. | Telephone/Fax – 227810869 | E-mail: | | NIPC 507 952 146 | Owners of more than 5% of the company: Basil Valente Ribeiro e Ana Paula Garfejo Pinto Ribeiro | Frequency – By-monthy | Circulation – 6000 exemplars | Legal deposit 304182/09 | ISSN 1647-5534 | Publication registered at Instituto da Comunicação Social sob o n.º 125758 | Partial or full reproduction of the texts or of the photos of this magazine is forbitten Revista de Medicina Desportiva informa november 2018 · 1