Key points from today’s guests:
Morning Rounds
Dr. J.P. Darche, sports medicine specialist, The University of Kansas Health System
- A new article notes the importance of having athletic trainers and emergency action plans in high school sports.
- Having an emergency action plan means having a coordinated effort with the school athletic trainer, the medical staff, and the local hospital and being prepared for sudden cardiac arrest or other catastrophic injuries.
- A lot of evidence-based practices are integrated to help athletic trainers and the medical staff save lives.
- Trainers have a really important role at all levels of sports. For example, with athletic trainers in our school systems here are integrated in the school basically full-time, year-round.
- The article also points to a disparity in rural schools and schools in higher poverty areas who are less likely to have emergency action plans.
- This is because of a lack of resources that needs to be addressed. If you can afford to have an athletics program, you can afford to have athletic trainers. It's just basic safety for the kids.
Focus Topic
Salvador Del Cid
- About a year and a half ago, Salvador had some soreness in his right shoulder, where an MRI found he had arthritis in his AC joint – specifically an issue with cartilage.
- He had surgery to remove cartilage to help the bone from not protruding out of his shoulder.
- Recovery included being in a sling for only about a week and then into physical therapy for about eight weeks before doing some at-home rehab for a few weeks afterward.
- He feels great now and recommends that people understand they don’t have to live with pain. They can get things checked out by doctors who can help.
Dr. Bryan Vopat, orthopedic surgeon, sports medicine specialist, The University of Kansas Health System
- His rotator cuff was completely intact, but he had arthritis of his AC joint.
- So, the goal was to surgically go in there and clean out this joint and shave off part of it too so he doesn't have that pain from the arthritis. We took a scope inside and shaved off pieces of cartilage to eliminate the pain.
- There are other joints where we can actually replace the cartilage. We can grow the cartilage in a lab and you can replace it versus using cartilage from a cadaver to replace it.
- We see a lot more of that in the the knees and ankles. We can do that with areas of small cartilage defects, but you can't replace the entire area. That's when you're looking at it like a total joint replacement.
- It is all about pain management. A lot of the surgeries that we do are based on how people feel. If they're having issues with being active, we try to do things that allow them to get back to normal.
Monday, May 20 at 8 a.m. is the next Morning Medical Update. Proper pregnancy care includes mental health. Learn more about maternal mental health care, plus AI advances in mammograms as we celebrate Women’s Health Month.
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