From January 30 till February 2nd 2019, more than 850 specialists in Sports Medicine from all over the world gathered in Copenhagen for the Scandinavian Sports Medicine Congress. Five parallel sessions and workshops provided food for everyone’s scientific or clinical hunger and for me as a shoulder-nerd, it was perfectly possible to select the more shoulder related topics throughout the congress.
Bill Vicenzino kicked off with the lecture: “Managing common tendinopathies with injection, exercise, education, or waiting it out: what works?” Key message: consider wait and see in some patients.
Key message: “consider wait and see in some patients with tendinopathy.”
During the session “Injury prevention works – how do we put it into action”, Merete Möller gathered scientific experts as well as athletes and coaches into one room for discussing injury prevention. Sheree Bekker highlighted that injury prevention should evolve from simple to complex models. All participants agreed that the gap between research and implementation should be overcome by motivating coaches and athletes to join a “performance enhancement training program” rather than focusing too much on the prevention of injuries. Positive communication is key!
After Michael Krogsgaard introduced the frozen shoulder session, I had the pleasure to update current literature and opinions, based on the clinical paper from Jeremy Lewis, on subclassification into a “more pain than stiff” versus a “more stiff than pain” phase. Check the blog for the clinical pearl on this topic! Main messages: “Muscle guarding as a contributing factor to stiffness” and “patient education in view of realistic but positive goals”.
Main messages: “Muscle guarding as a contributing factor to stiffness” and “patient education in view of realistic but positive goals”
During the workshop “The throwing shoulder – hands on diagnostics and treatment” dr Knut Beitzel demonstrated a quick but very structured clinical examination based upon 5 “checks”: (1) GIRD, (2) scapula, (3) stability, (4) rotator cuff (5) Biceps/SLAP lesions. He emphasized the importance of reducing the number of clinical tests and adding the scapular symptom reduction tests to the traditional orthopedic tests. Dr Klaus Bak divided the most common shoulder pathologies into 4 categories: (1) lateral shoulder pain (subacromial pain syndrome) (rotator cuff, no labral pathology), (2) postero-superior impingement (labral pathology), (3) antero-superior impingement (long head of biceps/SLAP lesions), (4) anterior minor instability (possibly SLAP, labral pathology, HAGL). During the physio talk, I presented a science based exercise progression for biceps loading. Check the upcoming clinical pearll for more details!
During the final session, Bill Vicenzino, Grethe Mycklebust and myself were forced “outside our comfort zone” and asked to share our failures/mistakes in research or the clinic. Most participants agreed we must learn from our mistakes, but we often make decisions based upon current evidence. Therefore, we could reflect upon the conclusion that we can only change opinions or decisions if evidence becomes stronger…
During the conference there was a poster-walk with too many excellent studies to summarize in this post. #Sportskongres is known for the high quality of digitally spreading all congress information, lecture and abstract contents, interviews and videos of the scientific as well as the social part. So check the website and the app!
I already marked the dates for 2020 in my agenda!
Written by: Ann Cools