David O. Hough

Preventing Cauliflower Ear With a Modified Tie-Through Technique.

In brief: Hematoma following trauma to the external ear is a common problem among wrestlers and boxers. If the hematoma is not treated promptly, infection, fibrosis, scarring, and calcification may develop, leading to the gross deformity known as cauliflower ear or wrestlers ear. Evacuation of the hematoma followed by compression of the auricle is commonly regarded as the treatment of choice. However, fluid frequently reaccumulates after this procedure. The authors describe a tie-through suture technique in which a collodion packing is secured to the auricle with two buttons. Multiple treatments for fluid reaccumulation are rarely necessary when this technique is used.

Inguinal mass in a college football player: a case study.

A 22-yr-old male college football player presented with a 3-wk history of a mass in his right inguinal area. Originally thought by the athlete to be a groin strain, evaluation revealed a large indirect inguinal hernia. Surgical evaluation was obtained to confirm the diagnosis of a 4-cm opening at the external inguinal ring. The hernia completely and spontaneously reduced in the supine position. The athlete was successfully allowed to participate with the use of a truss and underwent an uneventful surgical repair at the end of the season. The diagnosis and treatment of inguinal hernias are reviewed.

Primary Care Sports Medicine in the University Setting.

In brief: With sports and exercise participation increasing, there is a growing need for physicians with training in sports medicine. At Michigan State University in East Lansing, several programs have been established to give physicians, residents, and medical students training opportunities in sports medicine. As part of the sports medicine program, five physicians from two medical schools provide regular care to 25 intercollegiate teams. They also see patients with sports-related health concerns in the sports medicine clinic. These training and treatment programs add a number of diverse responsibilities to the work load of the MSU physicians.

Can residents be team physicians

Our experience shows that residents can be team physicians during their training years if they undertake independent study and have appropriate training, supervision, and a good working relationship with the staff of a local high school.