The team physician is responsible for the overall process through which athletes are cleared to play. This requires coordination of the various subspecialists who often assist in these evaluations as well as determining the setting and facility requirements to implement this important portion of the athlete's evaluation (Box 1-1).2 At different levels of participation, the requirements vary, as does the sophistication of the testing measures instituted. In the high school environment, the evaluations are often carried out in the school gymnasium, usually with a relatively minimal number of subspecialty providers available. The various different governing bodies in sports medicine, including the American Orthopaedic Society for Sports Medicine (AOSSM), the American Academy of Family Physicians, the American Academy of Pediatrics, the American College of Sports Medicine, the American Medical Society for Sports Medicine, and the American Osteopathic Academy of Sports Medicine have come together with a consensus document for what is required for preparticipation physical examinations (John Bergfeld, personal communication, 1996).
At the collegiate and professional levels, oftentimes more sophisticated measures and a more comprehensive array of consulting physicians are available to assist with the screening. In many scenarios, electrocardiograms and echocardiograms are a common part of the screening. The goal is to rule out conditions such as hypertrophic cardiomyopathy, which may predispose the participating athlete to significant risk or even death. The team physician's responsibility to the athlete generally begins with this preparticipation clearance. (Please see Chapter 2 for additional detail.)
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Everything you wanted to know about. How To Cure Tennis Elbow. Are you an athlete who suffers from tennis elbow? Contrary to popular opinion, most people who suffer from tennis elbow do not even play tennis. They get this condition, which is a torn tendon in the elbow, from the strain of using the same motions with the arm, repeatedly. If you have tennis elbow, you understand how the pain can disrupt your day.