Program Schedule: Day 3

Friday, June 13th




Learning Objective

7:00AM - 7:30AM Registration    
7:30AM - 8:00AM

Thoracic Injuries & Conditions

  • Anatomy
  • Epidemiology, Diagnosis, Treatment
    • Fractures
      • Rib
      • Sternum
      • Thoracic vertebra
    • Stress fractures
      • Ribs
    • Dislocations
      • Sternoclavicular
    • Penetrating trauma
    • Pneumothorax (spontaneous and traumatic)
    • Hemothorax
    • Pulmonary embolus
    • Cardiac contusions
    • Breast contusion
    • Costochondritis
    • Sternoclavicular fractures/dislocations
Irfan Asif, MD
  1. Identify key anatomical landmarks important the chest physical examination.
  2. Recognize common injury patterns, diagnostic evaluation, and treatment of chest wall injuries as they relate to the athlete.
  3. Discuss return to play criteria following a thoracic injury.
8:00AM - 9:00AM

Neurovascular Injuries of the Upper & Lower Extremities

  • Principles of nerve injury evaluation and management
  • Peripheral nerve entrapments and injuries (excluding stingers/burners)
    • Neurogenic thoracic outlet syndrome
    • Axillary nerve injury (include quadrilateral space syndrome)
    • Long thoracic nerve injury
    • Radial nerve injury
    • Suprascapular nerve injury
    • Parsonage-turner syndrome
    • Radial tunnel
    • Cubital tunnel
    • Pronator syndrome
    • Posterior interosseous nerve entrapment
    • Carpal tunnel
    • Guyon’s canal
    • Hypothenar hammer syndrome
    • Handlebar palsy
    • Obturator nerve
    • Meralgia paresthetica
    • Common peroneal nerve
    • Deep peroneal nerve
    • Superficial peroneal nerve
    • Saphenous nerve
    • Tarsal tunnel
    • Morton’s neuroma
  • Principles of vascular injury evaluation and management
  • Peripheral venous entrapments and injuries
    • Effort thrombosis
  • Peripheral arterial entrapments and injuries
    • Quadrilateral space syndrome
    • Vascular Thoracic Outlet Syndrome
    • Hypothenar hammer syndrome
    • Subclavian steal syndrome
    • Iliofemoral endofibrosis
    • Popliteal artery entrapment
Chris Visco, MD
  1. Summarize the grades of nerve injury.
  2. List the common upper and lower extremity nerve entrapment syndromes.
  3. Identify the most common location for an effort thrombosis.
  4. Perform a diagnostic evaluation of an athlete with a suspected peripheral arterial entrapment.
9:00AM - 9:30AM

Sports Pulmonology

  • Epidemiology, Diagnosis, Treatment
    • Acute airway management
    • Asthma/exercise induced bronchospasm
    • COPD
    • Cystic fibrosis
    • Vocal cord dysfunction

Chad Asplund, MD

  1. Differentiate between asthma and exercise induced bronchospasm.
  2. Summarize the response to exercise the patient with COPD will experience.
  3. Explain the specific needs, precautions and benefits the athlete with cystic fibrosis will need and acquire.
  4. Discuss the signs and symptoms potential treatment options of vocal cord dysfunction.
9:30AM - 10:00AM

Lumbar Spine Injuries & Conditions

  • Anatomy
  • Epidemiology, Diagnosis, Treatment
    • Degenerative disease
    • Facet syndrome
    • Fractures
      • Burst
      • Compression
      • Spinous process
      • Pars interarticularis (spondylolysis)
      • Transverse process
    • Lumbar strain
    • Sacroiliac dysfunction
    • Scoliosis
    • Spinal stenosis
    • Spondylolisthesis
Chris Visco, MD
  1. Summarize anatomical structures commonly involved in spine injuries in the athlete.
  2. Explain common injury patterns, diagnostic evaluation, and treatment of spine injuries as they relate to the athlete.
  3. Categorize the different types of vertebral fractures.
10:00AM - 10:15AM Question & Answer

Irfan Asif, MD

Chris Visco, MD

Chad Asplund, MD

10:30AM - 11:10AM

Sports Neurology

  • Anatomy
  • Epidemiology, Diagnosis, Treatment
    • Complex regional pain syndrome
    • Seizure disorders
    • Concussions and Traumatic Brain Injury
    • Headache
      • Exertional
      • Post-Traumatic
      • Seizure disorders
Chad Asplund, MD
  1. Summarize neurologic structures pertinent to sports related injury.
  2. Discuss the epidemiology of sports related neurologic injuries.
  3. Criticize concussion severity grading systems.
  4. Describe the various types of sports related headaches.
  5. Counsel athlete’s with seizure disorders on sports participation.
11:10AM - 11:50AM

Cervical Spine Injuries & Conditions

  • Anatomy
  • Epidemiology, Diagnosis, Treatment
    • Stingers/burners
    • Cervical neurapraxia/transient quadriparesis
    • Disc injuries/radiculopathy
    • Fractures, non-emergent
    • Instability
    • Spinal stenosis
    • Strains/Sprains
    • Congenital anomalies (including issues with Down’s Syndrome)
  • Principles of cervical spine injury evaluation and management on the field and in the Emergency Department
  • Sports specific protective equipment considerations (ie: helmets, shoulder pads, etc) including when not to remove equipment and when and how to remove equipment
  • Airway management (Only as it pertains to cervical spine injuries)
Chris Visco, MD
  1. Categorize the types of cervical spine nerve injuries.
  2. Differentiate between a central nervous system and peripheral nerve injury.
  3. Summarize the reasons for increased cervical spine injury risk in athletes with Down’s Syndrome
  4. Create a sideline cervical spine injury evaluation and management algorithm.
  5. Identify common protective equipment used to prevent cervical spine injuries.
  6. Describe how and when protective equipment should be removed in case of a cervical spine injury.
11:50AM - 12:00PM

Question & Answer

Chad Asplund, MD

Chris Visco, MD

1:00PM - 2:00PM

Sports Cardiology

  • Epidemiology, Diagnosis, Treatment
    • Acquired
      • Arteriosclerotic coronary artery disease
      • Myocarditis
      • Pericarditis
      • Valvular
    • Arrhythmias
    • Athletic heart syndrome
    • Congenital
      • Anomalous coronary artery
      • Arrhythmogenic right ventricular dysplasia
      • Hypertrophic cardiomyopathy
      • Marfan’s syndrome
      • Pre-excitation syndromes
      • Prolonged QT
      • Valvular
    • EKG interpretation
    • Hypertension
    • Basic life support/CPR Guidelines
    • Sudden Cardiac Death
Irfan Asif, MD
  1. Categorize the types of acquired arrhythmias and cardiac disorders and describe how they relate to athletes.
  2. Classify the different types of congenital cardiac conditions and how they relate to the athlete.
  3. Explain EKG changes that occur with cardiac conditions in the athlete.
  4. Discuss the athletic heart syndrome.
2:00PM - 2:30PM

Sports Dermatology

  • Epidemiology, Diagnosis, Treatment
    • Blisters/corns/warts
    • Contact dermatitis
    • Fungal infection
    • Herpes simplex/viral infection
    • Impetigo/bacterial infection (MRSA)
    • Nail disorders
    • Lacerations
Chad Asplund, MD
  1. Compare the differences and similarities of blisters, corns, and warts.
  2. Evaluate an athlete with contact dermatitis.
  3. Formulate an appropriate treatment program for an athlete with a fungal, viral, or bacterial infection of the skin.
2:30PM - 3:00PM

Sports Gastroenterology

  • Anatomy
  • Epidemiology, Diagnosis, Treatment
    • Ischemic colitis
    • Gastrointestinal bleeding/Peptic ulcer disease
    • Gastroesophageal reflux disease
    • Motility disorders
      • Diarrhea
      • Constipation
Irfan Asif, MD
  1. Summarize the epidemiology, diagnosis and treatment GI bleeding.
  2. Discuss the signs and symptoms and treatment options of the athlete with gastroesophageal reflux disease.
  3. Explain the diagnosis and treatment options for the athlete with motility disorders
3:00PM - 3:15PM Question & Answer Chad Asplund, MD

Irfan Asif, MD
3:30PM - 4:00PM

Abdominal Injuries & Conditions

  • Anatomy
  • Epidemiology, Dianogsis, Treatment
    • Liver laceration and contusion
    • Spleen laceration and contusion
    • Rectus hematoma
    • Abdominal strains
Irfan Asif, MD
  1. Summarize the key anatomical landmarks important to the abdominal physical examination.
  2. Discuss the potential etiologies and treatment for liver, kidney, and testicular injuries as they relate to the injured athlete.
  3. Explain appropriate diagnostic evaluation and treatment of sports hernias, abdominal muscle hematomas and abdominal strains.
4:00PM - 4:30PM

Sports Nephrology and Urology

  • Epidemiology, Diagnosis, Treatment
    • Exertional rhabdomyolysis
    • Hematuria / hemoglobinuria / myoglobinuria / proteinuria
    • Nephrolithiasis
    • Pudendal nerve injury
    • Testicular trauma
    • Testicular torsion
    • Renal trauma
Chad Asplund, MD
  1. Differentiate between exercise induced abnormalities on urine laboratory studies and those related to a non-benign process.
  2. Summarize the predisposing factors to athletic rhabdomyolysis.
  3. Discuss the sport(s) that predispose to pudendal nerve injury.
4:30PM - 5:00PM

The Disabled Athlete

  • International Paralympic Committee/Paralympics
    • Categories
    • Classification system
  • Injuries/conditions specific to disabled athletes
    • Autonomic dysreflexia
    • Thermoregulation
    • Injury-specific issues
Francis O’Connor, MD
  1. Describe the categories and classification system for the Paralympics.
  2. Summarize the initial treatment for an athlete with autonomic dysreflexia.
  3. Explain the physiologic basis and presenting symptoms for autonomic hyperreflexia.
5:00PM - 5:30PM

Head, Ears, Nose and Throat Injuries & Conditions

  • Anatomy
  • Epidemiology, Diagnosis, Treatment
    • Facial
      • Auricular hematoma
      • Dental injuries
      • Epistaxis
      • Fractures
      • Lacerations
      • Septal hematoma
      • Tympanic membrane rupture
    • Skull fractures

Brian Romaneschi, MD

  1. Analyze the visceral, neurovascular and musculoskeletal structures of the head and neck as they relate to athletic injuries.
  2. Advise athletes on the initial treatment of dental injuries.
  3. Differentiate between emergent and non-emergent facial injuries.
5:30PM - 5:40PM Question & Answer Francis O’Connor, MD

Brian Romaneschi, MD

Chad Asplund, MD

Irfan Asif, MD
5:40PM - 5:55PM Test Questions from the Day’s Topics