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Robert Carter III, Samuel N. Cheuvront and Michael N. Sawka


We report our observations on one soldier with abnormal hyperthermia during exercise in the heat compared with prior exercise and following acute local (non-febrile) infection. Also, we report on 994 heat stroke hospitalizations in the U.S. Army. It is known that prior infection is a risk factor for heat illness and some of the 37 heat stroke deaths cited infections (eg, pneumonia, influenza) in the medical records.


This case report illustrates complete recovery from abnormal hyperthermia, which occurred in a laboratory setting during mild, low intensity exercise. In a field setting, this case may have resulted in serious heat illness. As with most of the heat stroke cases, rapid medical attention (ie, cooling and rehydration) and the age group (19 to 26) that represents majority of the heatstroke cases in U.S. Army are likely factors that contribute successful treatment of heatstroke in the field environment.


We conclude that acute inflammatory response can augment the hyperthermia of exercise and possibly increase heat illness susceptibility. Furthermore, it is important for health care providers of soldiers and athletes to monitor acute local infections due to the potential thermoregulatory consequences during exercise in the heat.

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Nicole L. Hoffman, Hannes Devos and Julianne D. Schmidt

preinjury levels of driving performance. Our outcomes suggest that there may be lingering cognitive deficits that are not fully known or understood following symptom resolution. A major strength of our case report is that our preliminary comparisons of pre- and postinjury driving and cognitive performance

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Michael Girdwood, Liam West, David Connell and Peter Brukner

previously unreported case of a contact-related strain of QF, OE, and inferior gemellus in an amateur ARF athlete. Case Report A male amateur Australian rules footballer (age: 21 y; height: 178 cm; weight: 74 kg) was injured during match play after being tackled and slung into the ground (informed consent

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Kelly L. Adler, P. Christopher Cook and Brian D. Giordano

Injury to the rectus femoris (RF) myotendinous complex is the most common location of quadriceps injury, due to combined loads of stretch and eccentric muscular activation. To our knowledge, open proximal RF repair has been reported, but a thorough description of postoperative rehabilitation and functional progression of athletic activity has not been described. This case report outlines the rehabilitation of a 30-year-old female following open proximal RF repair after 15 months of failed conservative treatment. Six months postoperatively she returned to competitive recreational soccer with no complaints.

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William L. Wang and Aaron V. Mares

Bilateral epidural hematoma is a rare complication of blunt head trauma. Few cases of bilateral epidural hematomas have been described in the literature and there have been no cases that have been described in a college or professional athlete. This case report presents an unusual case of a Division I collegiate football athlete who sustained a bilateral epidural hematoma with parietal skull fracture after falling down a flight of stairs. It highlights the initial presentation to rehabilitation up until eventual return-to-play 4 months later. There were no setbacks or complications in rehabilitation process.

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Kristina Amrani, Andrew Gallucci and Marshall Magnusen

Interval hitting programs (IHP) exist for many overhead sports. Due to the paucity of tennis IHPs, we determined the need for a data-based approach. This case report describes a pilot approach to an IHP for a 21-year-old female tennis player following rotator cuff surgery. Recorded matches were used to acquire necessary data. We approximated the athlete’s workload by calculating total match volume. The athlete completed a 6-week IHP, progressing toward total match volume, before successfully returning to competition. A sport-specific IHP, based on an individual’s preinjury performance, can play a key role in rehabilitating common musculoskeletal injuries among tennis players.

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Kyle Southall, Matt Price and Courtney Wisler

reported. Signs and symptoms included elbow tenderness with normal ROM and posterior swelling. 7 The MLL was aspirated but the fluid soon returned. With this, a diagnostic ultrasound and MRI were both performed and confirmed a MLL at the posterior elbow. Until this point, this case and the case reported

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Aaron Turner

for three sets of 15 repetitions. After 2 weeks of conservative treatment, the physical therapist noted the patient did not experience any improvements in pain, sleep quality, or activities of daily living, at which point the patient was referred to the author of the present case report. Table 1

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Kelley D. Henderson, Sarah A. Manspeaker and Zevon Stubblefield

I , Binkley H . Dehydration, cramping, and exertional rhabdomyolysis: a case report with suggestions for recover . J Sport Rehabil . 2007 ; 16 : 244 – 259 . PubMed ID: 17923731 doi:10.1123/jsr.16.3.244 10.1123/jsr.16.3.244 9. Schleich K , Slayman T , West D . Return to play after

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Jin Hyuck Lee, Ji Soon Park and Woong Kyo Jeong

months of rehabilitation. After improvement of strength and motor control of the medial scapular stabilizer muscles [middle and lower fibers of the trapezius and the lower serratus anterior], scapular kinematics improved). Discussion Until now, most of the scapular dyskinesis case reports were associated