Alex Diamond
Vanderbilt University, Orthopaedics, Faculty Member
As our schools and children struggle to meet ever-changing and mandated academic standards, challenges in the time spent on physical activity continue to arise. On the other hand, however, we continue to face a global climate mired in the... more
As our schools and children struggle to meet ever-changing and mandated academic standards, challenges in the time spent on physical activity continue to arise. On the other hand, however, we continue to face a global climate mired in the midst of an obesity epidemic. It is widely accepted that the health benefits of exercise are wide-ranging and powerful. It appears that cognitive function and academic achievement are additional realms beyond the physical where exercise is beneficial. The school setting presents a unique public health opportunity to enact change on a variety of levels. As sports medicine and exercise specialists, we need to support efforts that increase access to quality physical fitness across the board for all children.
Traumatic glenohumeral instability represents a commonly encountered clinical scenario. Two case vignettes are presented along with an evidence-based review of epidemiology, pathophysiology, diagnosis, and treatment options.
Research Interests:
Traumatic glenohumeral instability represents a commonly encountered clinical scenario. Two case vignettes are presented along with an evidence-based review of epidemiology, pathophysiology, diagnosis, and treatment options.
Research Interests:
In its third iteration, the Concussion in Sport Group identified 10 modifying factors that were presumed clinically to influence the investigation and management of concussions in sports. "Dangerous style of play" was delineated... more
In its third iteration, the Concussion in Sport Group identified 10 modifying factors that were presumed clinically to influence the investigation and management of concussions in sports. "Dangerous style of play" was delineated as one of these factors, most likely based on clinical lore. These modifying factors were retained in a more recent Concussion in Sport Group statement. To date, there has been no concerted effort to support or refute the inclusion of this constellation of behaviors as a modifying factor in sports-related concussion. This article reviews and summarizes the limited evidence related to a dangerous style of play in sports-related concussion, offers a preliminary assessment of its relevance as a modifying factor, and provides additional information on other aspects of player, coach, and governing body behavior and their potential effect(s) on reducing concussive injuries.
Research Interests:
Achilles tendon ruptures commonly affect middle-aged athletes and can result in considerable functional impairment. While the cause is multifactorial, the greatest risk is present for athletes involved in sports that involve sudden... more
Achilles tendon ruptures commonly affect middle-aged athletes and can result in considerable functional impairment. While the cause is multifactorial, the greatest risk is present for athletes involved in sports that involve sudden acceleration and deceleration. A thorough history and physical examination can accurately yield a diagnosis, but when question remains, magnetic resonance imaging is superior to ultrasound-guided evaluation. The best evidence available suggests that operative treatment has a lower rate of rerupture, a higher rate of return to the same level of sport participation, and a higher complication rate, if an open technique is used. Percutaneous methods of fixation have lower complication rates without an increase in the rate of rerupture when compared with open methods. Augmentation of an Achilles tendon repair has demonstrated no clinical benefit. Rehabilitation with early mobilization leads to improved patient-reported outcomes.
Research Interests: Humans, Female, Braces, Male, Rupture, and 4 moreMiddle Aged, Adult, Achilles tendon, and Orthopedic Procedures
1. Pediatr Ann. 2007 Nov;36(11):730-1, 735-7. The male adolescent athlete: specific concerns. Diamond A, Gregory A. Vanderbilt University School of Medicine, USA. PMID: 18074989 [PubMed - indexed for MEDLINE]. Publication Types: Case... more
1. Pediatr Ann. 2007 Nov;36(11):730-1, 735-7. The male adolescent athlete: specific concerns. Diamond A, Gregory A. Vanderbilt University School of Medicine, USA. PMID: 18074989 [PubMed - indexed for MEDLINE]. Publication Types: Case Reports. MeSH Terms: ...
Research Interests:
As participation in athletics continues to increase, so too will the occurrence of on-field injuries and medical emergencies. The field of sports medicine continues to advance and many events will have on-site medical staff present. This... more
As participation in athletics continues to increase, so too will the occurrence of on-field injuries and medical emergencies. The field of sports medicine continues to advance and many events will have on-site medical staff present. This article reviews the most catastrophic injuries and medical emergencies that are encountered in sports and presents the highest level evidence in regards to on-field approach and management of the athlete.