Authors

In the midst of the coronovirus epidemic, managing diabetes is now more important - and perhaps more challenging -than ever. Even in the best of times, primary care physicians sometimes struggle to effectively treat patients with diabetes. However, patient fears, and restrictions in day-to-day life due to social distancing may make it more difficult for patients to get medications, arrive at appointments, or stay on track with physical activity and healthy eating.

Dee Rapposellli

Deepak K. Jain, MD

Deepak M. Kamat, MD, PhD

E. Michael Lewiecki, MD

Edgar L. Ross, MD

Edward J. Armbruster, DO

Edward J. Gutmanm, MD

Elena Losina, PhD

Elena M. Massarotti, MD

Elizabeth A. Schlenk, PhD, RN

Ellen M. Field, M.D.

Ellen M. Ginzler, MD, MPH

Felix H. Savoie III, MD

Therapy for elbow instability injuries

18 years ago

ABSTRACT: Elbow instability often results in chronic overuse injuries,especially with overhead throwing in athletes. Initial managementof medial collateral ligament (MCL) injuries often is conservative,but surgery may be required. In several studies, nearly half ofthrowing athletes with MCL injuries who were treated conservativelywere able to return to their previous level of competition. Surgicaltreatment for MCL tears has evolved. Eight to 12 weeks of functionalrehabilitation include advanced core-strengthening exercises, progressiveneuromuscular exercises, and plyometric upper extremitytraining. Athletes who present with valgus extension overloadshould be evaluated thoroughly and considered for MCL reconstruction.Many lateral collateral ligament (LCL) complex injuries do notrequire surgery. Surgical reconstruction is less well defined withrecurrent LCL instability. (J Musculoskel Med. 2008;25:342-344)

Filippo Del Grande, MD, MBA