We begin this month’s Horizons with a sad farewell to a very good friend of SEMPRIS.

Mary O’Rourke was a leading KC who took silk in 2009 and became a notable name in defending medical malpractice claims, handling several high profile cases during her time. She also had a reputation within the world of sports having been involved in a number of high profile cases.

Prior to taking silk, Mary was part of the legal team involved in the West Bromwich Albion FC vs. El-Safty case, acting for Mr El-Safty. This was the very case that instigated the Defence Organisations restricting/amending coverage for doctors working within professional sport – with SEMPRIS eventually being created in response.

Mary acted for the doctor caught up in the Bloodgate scandal within Rugby, where the doctor received a warning from the GMC rather than being struck-off the register.

Since then, Mary assisted SEMPRIS on numerous occasions as a speaker at various meetings and conferences to doctors and surgeons around the unique risks within professional sport and medicine. Mary successfully defended a number of SEMPRIS Insureds at trial and was part of Dr Eva Carneiro’s legal team during her lawsuit against Chelsea FC & Jose Mourinho.

Mary was held in great esteem and was someone whom Neil sought advice from on numerous occasions. All of us at SEMPRIS are feeling her loss, and we’re sure you’ll join us in sending condolences to her family.

Research, Articles and Podcasts


Prevalence of Cardiovascular Conditions After Traumatic Brain Injury – A comparison between the traumatic brain injury model systems and the national health and nutrition examination survey https://www.ahajournals.org/doi/10.1161/JAHA.123.033673

Electroanatomical Mapping Data – A review of personalised cardiac computational modelling https://www.aerjournal.com/articles/review-personalised-cardiac-computational-modelling-using-electroanatomical-mapping-data

ALM/BMI – A clinically superior index for identifying skeletal muscle dysfunction in patients with heart failure https://www.ahajournals.org/doi/10.1161/JAHA.123.033571

Cardiovascular Disease Events – Translational Research of the Acute Effects of Negative Emotions on Vascular Endothelial Health: Findings from a randomized controlled study https://www.ahajournals.org/doi/10.1161/JAHA.123.032698

RTP and Arrhythmias – Athletes with heart problems can continue to play: Consensus statement https://www.medscape.co.uk/s/viewarticle/athletes-heart-problems-can-continue-play-2024a10009ny

Atherosclerosis – Physical fitness in male adolescents and atherosclerosis in middle age: a population-based cohort study https://bjsm.bmj.com/content/58/8/411

Moderate Aortic Valve Stenosis – Association with increased mortality rate and lifetime loss: systematic review and meta‐analysis of reconstructed time‐to‐event data https://www.ahajournals.org/doi/10.1161/JAHA.123.033872

Stress And Cardiovascular Disease – An update https://www.nature.com/articles/s41569-024-01024-y


CCTA – Inflammatory risk and cardiovascular events in patients without obstructive coronary artery disease: the ORFAN multicentre, longitudinal cohort study https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(24)00596-8/fulltext

ACL Reconstruction – Association between MRI signal intensity of the repaired lateral meniscus and residual anterolateral knee laxity https://journals.sagepub.com/doi/full/10.1177/23259671241241821

Reduce, Reuse, Recycle – The three R’s of sustainability https://appliedradiology.com/Articles/reduce-reuse-recycle-the-three-r-s-of-sustainability


RTP – Association between psychological readiness to return to sports at 3 months postoperatively and risk of second ACL injury https://journals.sagepub.com/doi/full/10.1177/23259671241239325

Anterior Cruciate Ligament – Four distinct patterns of injury in women’s professional football (soccer): a systematic video analysis https://bjsm.bmj.com/content/early/2024/05/08/bjsports-2023-107113

ACL Injury – Hip and calf muscle strength after https://blogs.bmj.com/bjsm/2024/05/20/hip-and-calf-muscle-strength-after-acl-injury/

Isolated Anterior Cruciate Ligament Injury – Nonoperative treatment as an option Systematic Review and Meta-analysis https://journals.sagepub.com/doi/full/10.1177/23259671241239665

Lateral Elbow Pain – Manual therapy and exercise https://pubmed.ncbi.nlm.nih.gov/38802121/

Cross-country Skiers – Associations between objective measures of performance-related characteristics and perceived stress during pre-season training https://www.tandfonline.com/doi/full/10.1080/02640414.2024.2304499

9 Tendinopathy Truths you MUST know https://www.physio-network.com/blog/9-tendinopathy-truths-you-must-know

Golf-Related Fractures – A scoping review of the epidemiology, management, and outcomes https://journals.lww.com/acsm-csmr/abstract/2024/05000/a_scoping_review_of_the_epidemiology,_management,.6.aspx

Posterolateral Tibial Plateau Fractures – Incidence and characteristics of knee ligament and meniscal injuries in patients with https://journals.sagepub.com/doi/full/10.1177/23259671241238023

Distal Femoral Derotational Osteotomies – Hinge screw or no hinge stabilisation provides decreased stability compared to hinge plate in a biomechanical evaluation https://esskajournals.onlinelibrary.wiley.com/doi/10.1002/ksa.12251

Femoral Fractures – Health status after periprosthetic proximal femoral fractures https://boneandjoint.org.uk/Article/10.1302/0301-620X.106B5.BJJ-2023-1062.R1

Femoral Torsion – Significant difference between coronal plane alignment of the knee type 1 and 4 https://esskajournals.onlinelibrary.wiley.com/doi/10.1002/ksa.12149

Patellofemoral Pain – Consensus methods in: how rigorous are they? A scoping review https://bjsm.bmj.com/content/early/2024/05/21/bjsports-2023-107552

AI – Artificial intelligence‐based analyses of varus leg alignment and after high tibial osteotomy show high accuracy and reproducibility https://esskajournals.onlinelibrary.wiley.com/doi/10.1007/s00167-023-07644-0

ACLR – 10+1 clinical tips for vertical jump testing https://blogs.bmj.com/bjsm/2024/04/05/101-clinical-tips-for-vertical-jump-testing-after-aclr/

Tibial Plateau Fractures – Associated with poor functional outcomes and a low conversion rate to total knee arthroplasty https://esskajournals.onlinelibrary.wiley.com/doi/10.1002/ksa.12153


Cyberattacks on health care—a growing threat https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(24)01074-2/fulltext

Orthopaedic History – Neandertals made the first specialised bone tools in Europe https://www.pnas.org/doi/10.1073/pnas.1302730110

Women’s Rugby Union – Are we tackle ready? Cross-sectional video analysis of match tackle characteristics https://onlinelibrary.wiley.com/doi/10.1002/ejsc.12120

PHE – Comprehensive periodic health evaluations of 454 Norwegian Paralympic and Olympic athletes over 8 years: what did we learn? https://bjsm.bmj.com/content/early/2024/05/13/bjsports-2023-107942

Injuries In Athletics – The origin of the “vicious circle” (track and field) https://blogs.bmj.com/bjsm/2024/04/08/the-origin-of-the-vicious-circle-of-injuries-in-athletics-track-and-field/

Mental Health – Issues among doctors on the rise https://www.medscape.co.uk/viewarticle/mental-health-issues-among-doctors-rise-2024a10008ul

Mental Health in student-athletes in Norwegian lower secondary sport schools https://bmjopensem.bmj.com/content/10/2/e001955

RTP – Examination of the validity of the Injury-Psychological Readiness to Return to Sport (I-PRRS) scale in male professional football players https://www.tandfonline.com/doi/full/10.1080/02640414.2024.2307764

Concussion – ‘Subconcussive’ is a dangerous misnomer: hits of greater magnitude than concussive impacts may not cause symptoms https://bjsm.bmj.com/content/early/2024/04/11/bjsports-2023-107413

Sport and Brain Injuries – What do we know now? https://www.medscape.co.uk/viewarticle/sport-and-brain-injuries-what-do-we-know-now-2024a10007hh

Anti-doping – Applying a systems thinking lens: A systematic review identifying the contributory factors to doping in sport https://www.tandfonline.com/doi/full/10.1080/02640414.2024.2306056

Outrunning The Grim Reaper – Longevity of the first 200 sub-4 min mile male runners https://bjsm.bmj.com/content/early/2024/05/05/bjsports-2024-108386

Collagen – Supplements may help improve the health of tendons and bones https://theconversation.com/collagen-supplements-may-help-improve-the-health-of-your-tendons-and-bones-210501

Knee Pain – Can physical therapy reduce the use of opioids? https://blogs.bmj.com/bjsm/2023/06/12/can-physical-therapy-reduce-the-use-of-opioids-in-people-with-knee-pain/

Tennis – Epidemiology of musculoskeletal injuries in players during the French Open grand slam tournament from 2011 to 2022 https://journals.sagepub.com/doi/full/10.1177/23259671241241551

Field Hockey – Factors that influence footwear selection: An online survey https://onlinelibrary.wiley.com/doi/full/10.1002/jfa2.12019

The relationship of peak ankle dorsiflexion angle with lower extremity biomechanics during walking https://onlinelibrary.wiley.com/doi/full/10.1002/jfa2.12027

Champions League final 2024 – The romantic ideal of fan ownership meets the corporate reality of modern football https://theconversation.com/champions-league-final-2024-the-romantic-ideal-of-fan-ownership-meets-the-corporate-reality-of-modern-football-230889


Some websites, podcasts and resources you might find useful:

FAI May 2024 Podcast – Discrepancies between intraoperative and postoperative ankle motion measured for anterior-approach total ankle arthroplasty https://footandankle.libsyn.com/

ESC 365 – Atrial Fibrillation ablation in heart failure patients https://esc365.escardio.org/event/1630

TAVR Vs SAVR in younger low-risk patients with severe aortic valve stenosis: NOTION-2 https://www.icrjournal.com/video-index/europcr-24-tavr-vs-savr-younger-low-risk-patients-severe-aortic-valve-stenosis-notion-2

Heart Podcast – Exercise training in heart failure  https://heartbmj.podbean.com/e/exercise%C2%A0training-in-heart-failure/

“I” versus “the author” – The power of first-person voice when writing about science https://www.pnas.org/doi/10.1073/pnas.2316966121


RFL Medical CPD 2024 – Medical Matters from a Legal Perspective and Open Forum, 18th June 2024; Leeds Beckett University, Headingley Campus medical@rfl.co.uk

5th European Summit on Cardiology, June 20–21, 2024; Dublin, Ireland https://twitter.com/stellamerina/status/1739993042193641833

ESBiomech 2024: 29th Congress of the European Society of Biomechanics, 30th June – 3rd July 2024; Edinburgh https://esbiomech2024.org/

UK Collaborating Centre on Injury and Illness Prevention in Sport (UKCCIIS) Inaugural International Conference, 8th – 9th July 2024;Edinburgh, Scotland https://www.ed.ac.uk/education/rke/our-research/sport-related-research/esmrn/media-events/ioc-inaugural-conference

EAPC Sports Cardiology Course, 3rd September, 2024 – In person (London) & virtually https://www.c-r-y.org.uk/eapc-sports-cardiology-course-london/

Interventional Radiology Nurses and Radiographer Study Day, Saturday 26 October 2024; Cambridge https://www.mybir.org.uk/l/s/community-event

The Young Athlete’s Hip Conference and Workshops, 25th -26th September 2024; Worcester College, University of Oxford Sultan Nazrin Shah Centre Auditorium and online (live streamed) https://www.ndorms.ox.ac.uk/events/the-young-athletes-hip-conference-and-workshops

RISE @ESC Congress 2024 – A professional development conference for women in cardiology, Thursday, 29 August from 8:30 to 17:30; ExCeL London https://www.escardio.org/Congresses-Events/ESC-Congress/rise-esc-congress-2024

Do let us know your feedback, and any suggestions you have for websites, apps or networks for inclusion in future bulletins.

DISCLAIMER: Horizons is intended as a helpful round-up for members of potentially interesting articles/opinions that have been shared online. SEMPRIS are not qualified to make/infer any clinical judgements, and the inclusion of content, events and resources does not imply endorsement.

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