Br J Sports Med 2005;39:307–308                                                                                                                          307
                        PostScript..............................................................................................
                                BOOKREVIEWS                                  advice is to read them because they contain           fromGPstorheumatologistsandorthopaedic
                                                                             priceless nuggets of information that are             surgeons. Muscle injections into myofascial
                                                                             normally only shared with colleagues or are           trigger points are also gaining favour, with
                                                                             offered in answer to questions at the end of          many practitioners now utilising both injec-
                        Sports nutrition (handbook of sports                 lectures given by these two distinguished             tions and dry needling techniques. This book
                        medicine and science)                                scientists.                                           therefore had great potential.
                                                                                Section three of the Handbook gets to grips           One major change in current practice with
                                                                             withmorepractical questions. The chapter on           regard to injection techniques is that many
                        Edited by R J Maughan, L M Burke. London:            assessing the nutritional status and needs of         are now ‘‘guided’’. Ultrasound, fluoroscopy,
                        Published   by Blackwell Publishing,       2002,     athletes should be read by everyone who               andcomputedtomographyareallusedtoaid
                        £25.95, softcover, pp 187. ISBN 063205814            intends to report information on the energy           the physician in the accurate placement of
                        At first glance, this book could be mistaken         and food composition of subjects in their             theneedle,withtheresultthatwemoreoften
                        as the abridged version of Nutrition in sport,       studies on food intake and performance. It            refer a patient to a radiology department for a
                        which is the latest publication in the IOC           will not only change the way you undertake            guided injection, which many of us used to
                        Medical Commission’s Encyclopaedia in sports         dietary assessments, but it will also change          do blindly.
                        medicine and science series. Nutrition in sport is   the way you interpret dietary information in             The introduction, giving us an overview of
                        the definitive text on sports nutrition because      the literature on human nutrition. This is also       the current thinking on pain transmission, is
                        all the relevant topics are covered by inter-        particularly relevant because probably the            fairly in depth, but it cites no references to
                        nationally recognised experts in the field. It is    most often asked questions in sports nutri-           support many of its statements. If our
                        adelightfor researchers and teachers because         tion are ‘‘how much should I eat?’’ and ‘‘how         understanding      of   pain   has    moved on
                        it provides authoritative, well written com-         do I lose weight?’’ The chapter on this topic         recently, we ought to have access to the
                        prehensive reviews of the current literature         along with the case studies and expert                evidence base for the interested reader to
                        on all the relevant topics in sports nutrition.      comment provide clear guidance on how to              follow up.
                        Sowhybringoutanothertextsoquicklyafter               answer these questions. If you were thinking             Unfortunately, for the majority of readers,
                        the publication of Nutrition in sport? The           of trying a high fat diet to improve your             this book will not be what they were
                        answer is to help bridge the gap between             performance, then read John Hawley’s com-             expecting. Its stated aim was to provide a
                        principles and practice. This Handbook suc-          ments on the latest research on this topic            description of many of the basic regional
                        ceeds because it not only provides the reader        before you make the change. If I could                anaesthetic tools and the common joint and
                        with the essential background on the nutri-          recommend an additional chapter or even a             muscle injections that may be of benefit to
                        tional preparation for, the participation in,        series of additional case studies to be added         patients with persistent or severe pain. It does
                        and the recovery from training and competi-          to the next edition of the Handbook, then they        cover regional anaesthesia fairly well, parti-
                        tion but also because it is written by two of        would be on the topics of nutritional strate-         cularly the chapter on autonomic blocks, but
                        the most accomplished scientists in sport and        gies for athletes recovering from injury and          it really skims over the two chapters that
                        exercise nutrition. They present the back-           for athletes retiring from professional sports.       most readers of this journal would open it
                        ground to each topic and then follow this               Notwithstanding the contribution that              for: joint injections and muscle injections.
                        with a series of ‘‘expert comment’’ and a            Nutrition in sport makes in providing such a             The chapter on joint injection only
                        series of ‘‘case studies’’ on the topic under        definitive text for those of us researching and       addresses three joints, and all should now
                        consideration. The authors of the expert             teaching sports nutrition, in my opinion the          be carried out under radiographic guidance,
                        comments and case studies are internation-           Handbook will have a greater impact on the            so they are of academic interest only. The
                        ally acclaimed experts in their respective           understanding and practice in sports nutri-           chapter on muscle injection also lacks any
                        fields. This format works well, so much so           tion because it will reach a much wider               real detail and is essentially a summary of
                        that I would recommend this text as required         readership    than its larger sibling. Ron            someofthemyofascialtriggerpointsthatcan
                        reading for all courses on sport and exercise        Maughan and Louise Burke are to be                    be injected with local anaesthetic. The vast
                        nutrition. In the first of the three sections,       congratulated for giving us this essential            majority of soft tissue injections, most of
                        the authors present well balanced informa-           guide to the principles and practice of sports        which are performed for pain management,
                        tion on the contributions of the macronu-            nutrition.                                            have been omitted, so the book lacks balance
                        trients   and    micronutrients      to   energy                                                           and the general appeal that the title sug-
                                                                                                                                   gested it may attract.
                        metabolism during exercise. The study of               Analysis                                               As an atlas, it is clear and structured, with
                        the micronutrients is usually regarded as a                                                                good illustrations. The accompanying text is
                        Cinderella topic because of the less than                                                                  in bullet point format, so there is a lack of
                        obvious contributions they make to exercise            N Presentation                        18/20         detail in some areas, but it is very easy to
                        performance. However, the inclusion of                 N Comprehensiveness                   18/20         follow. I did like the appendix on derma-
                        expert opinion on, for example, whether                N Readability                         20/20         tomes, which is an excellent pictorial view of
                        athletes should consider iron injections, as           N Relevance                           20/20         human dermatomes in different anatomical
                        well as case studies on runners with low                   Evidence basis                    19/20         positions—a useful addition to any aide
                        calcium intake, help lift this topic above the         N                                                   memoir. Also, I was not sure why they
                        boredom threshold        for   most     students.      N Total                             95/100          needed to add a chapter on TENS in a book
                        Knowing the studies that Ron Maughan has                                                                   on pain injection techniques!
                        carried out on alcohol and rehydration, I was                                                                 This book is therefore pitched very much at
                        pleased to see a chapter on alcohol intake                                                                 the anaesthetist involved in pain manage-
                        because it is ignored in many texts on sports                                               C Williams     mentorperhapstheradiologist doing a lot of
                        nutrition. Had space been available, I am sure
                        that the authors would have explained in                                                                     Rating
                        more detail that alcohol ingestion has a fat         Atlas of pain injection techniques
                        storing effect because fat metabolism is
                        depressed in favour of the oxidation of              Edited by T O’Connor, S Abram. London:                  N Presentation                        16/20
                        alcohol, carbohydrate, and protein and so            Published by Harcourt Publishers Ltd, 2003,             N Comprehensiveness                   12/20
                        it is not simply about ingesting the extra           £49.99,      hardcover,      pp     141.     ISBN       N Readability                         15/20
                        7 kcal/g.                                            044306380X
                          Those who know the literature supporting                                                                   N Relevance                           12/20
                        the current recommendations on eating for            Injections have a well recognised role to play          N Evidence basis                      10/20
                        competition may think that they can skip the         in managing pain in many musculoskeletal                N Total                             65/100
                        second section of the Handbook because the           conditions. Joint injections are commonly
                        titles of the chapters are so familiar. My           usednowbyavarietyofmedicalpractitioners
                                                                                                                                                              www.bjsportmed.com
                           308                                                                                                                                                                       PostScript
                           guided injections. It does not offer much to                   heart rate, and perceived exertion, as well                   Expected attendance (conference and exhibi-
                           the generalist in sports medicine other than                   as submaximal exercise performance should                     tion): 4000
                           an overview of some of the more specialist                     also appeal to professionals in ergonomics                    Further details: UKRC 2005 Organisers, PO Box
                           regional     anaesthetic       techniques available            and human factors.                                            2895, London W1A 5RS, UK; Website:
                           today.                                                            Onbalance,Ibelievethistwovolumesetto                       www.ukrc.org.uk; Fax: +44 (0)20 7307
                                                                                          be of great use in the training of future                     1414; Conference tel: +44 (0)20 7307 1410,
                                                                            ANicol        professionals in the sports science field. Both               Email: conference@ukrc.org.uk; Exhibition
                                                                                          volumes are well priced and may be pur-                       tel: +44 (0)20 7307 1420, Email: exhibition@
                           Kinanthropometry and exercise                                  chased separately. They are easy to read,                     ukrc.org.uk
                           physiology laboratory manual, 2nd                              contain plenty of illustrations and figures to                1st World Congress on Sports Injury
                           edition. Volume 1: Anthropometry;                              support the text, and provide a useful
                           Volume 2: Exercise physiology                                  synopsis     of    current     assessment practice            Prevention
                                                                                          within the discipline. However, readers                       23225 June 2005, Oslo, Norway
                                                                                          should not expect this book to provide much                   This congress will provide the world’s leading
                           Edited by R Eston, T Reilly. UK: Published by                  information on strategies for modifying these                 sports medicine experts with an opportunity
                           Taylor and Francis Group, 2001, £27.99 each,                   biological capacities. These discussions are                  to present their work to an international
                           softcover, pp vol 1 302, vol 2 298. ISBN vol 1,                beyond the scope, and not necessarily the                     audience made up of physicians, therapists,
                           0415236134; vol 2, 0415251885                                  intent, of the publication.                                   scientists, and coaches. The congress will
                                                                                                                                                        present      scientific    information on sports
                           This two volume series is aimed squarely at                                                                                  injury     epidemiology,       risk    factors,    injury
                           lecturers and students of human movement                         Rating                                                      mechanisms and injury prevention methods
                           and sports science, although high level                                                                                      with a multidisciplinary perspective. Panel
                           coaches and those in the sports medicine                                                                                     discussions will conclude symposia in key
                           and fitness industries may also appreciate its                   N Presentation                              16/20           areas providing recommendations to address
                           contents. The two volumes are of equal size,                     N Comprehensiveness                         16/20           the prevention issue in relation to particular
                           and, although containing tests for capacities                        Readability                             18/20           injuries and sports.
                           including body composition, proportion, size,                    N                                                           Further details: Oslo Sports Trauma Research
                           growth, and somatotype, the title of volume                      N Relevance                                 15/20           Centre and Department of Sports Medicine,
                           1, ‘‘Anthropometry’’, masks some important                       N Evidence basis                            18/20           University of Sport and Physical Education,
                           information contained therein.                                   N Total                                   83/100            Sognsveien 220, 0806 Oslo, Norway. Email:
                              Having reviewed the literature on each                                                                                    2005congress@nih.no; website: www.ostrc.no
                           topic, chapter authors generally describe and
                           critique current assessment techniques for                                                                                   Osteosynthese International 2005
                           each of the capacities mentioned above, then                                                                T Ackland        15217September2005,Curiohaus,Hamburg
                           provide step by step procedures for the                                                                                      Congress-Chairman: Johannes M. Rueger,
                           accurate and reliable acquisition of data.                                                                                   M.D., Professor and Chair
                           The reader is also provided with normal or                                                                                   Topics:
                           comparison data so that the application of
                           these tests and measures can be discussed. I                                                                                 N Innovationsinintramedullaryosteosynth-
                           was particularly pleased to read the chapters                                                                                    esis
                           in part 4 of this volume, which is entitled
                           ‘‘Special considerations’’. This section con-                     CALENDAROFEVENTS N Newfrontiersinosteoporosisandfracture
                           tained chapters on body image, basic statis-                                                                                     treatment
                           tical treatment of data, and adjusting for                                                                                   N Current trauma research
                           differences in body size through dimensional                   UK Radiological Congress 2005                                 N Special topic: Recent development in
                           scaling.                                                                                                                          pelvic and acetabular fractures
                              I did, however, find one or two problems in                 (UKRC 2005)
                           the early part of this volume. This second                     628 June 2005, Manchester, UK                                 Abstract submission deadline: 31 March 2005
                           edition was published in 2001, so it is                        The UK Radiological Congress (UKRC) meet-                     Further     details:   INTERCONGRESS GmbH,
                           understandable that the work does not                          ing will encompass the medical, scientific,                   Martin Berndt, Du¨sseldorfer Str. 101, 40545
                           contain some of the changes to standard                        educational, and management issues that are                   Du¨sseldorf-Germany. Tel: +49 211 585897-80;
                           landmarks and techniques published by the                      of interest and relevance to all those involved               fax:    +49 211 585897-99; email: martin.
                           International Society for Advancement of                       in the diverse fields of radiological sciences                berndt@intercongress.de;             website:      www.
                           Kinanthropometry (ISAK) in recent years.                       and oncology.                                                 osteoint2005.de
                           Of greater concern though was the credence
                           given to the outdated and highly question-                     TheUKRCprovidesaforuminwhichtobring                           4th European Sports Medicine
                           able use of skinfold regression equations for                  together clinicians, scientists, radiographers,               Congress
                           the prediction of % body fat in the practical                  technicians, and other professionals to pre-
                           section of chapter 1.                                          sent and discuss the latest developments and                  13215 October 2005, Lemesos, Cyprus
                              The second volume contains assessment                       challenges in diagnostic imaging, radiother-                  Further details: Email: pyrgos.com@cytanet.
                           tools for neuromuscular function, pulmonary                    apy, and allied radiological sciences.                        com.cy
                           and cardiovascular function, the efficiency of                 Keysubjects to be covered include: diagnostic                 BASEM Conference 2005
                           energy systems, and regulation of energy                       radiology;      ultrasound;      nuclear      medicine;
                           expenditure and exercise intensity. The chap-                  interventional radiology; veterinary radiol-                  10212 November 2005, Edinburgh, Scotland
                           ters generally follow the same format as for                   ogy; emerging technologies; image analysis;                   Further details: Email: BASEMinfo@aol.com
                           volume 1, with many examples of real data                      computer applications; PACS; radiobiology;                    BASEM Conference 2006
                           for students to appreciate the quantum of                      radiological physics; management & audit;
                           each measure. Several parts of this volume,                    computed tomography; magnetic resonance;                      527 October 2006, Oxford, UK
                           including      chapters      on thermoregulation,              equipment development.                                        Further details: Email: BASEMinfo@aol.com
                           www.bjsportmed.com