LOWER EXTREMITY INJURIES
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Transcript LOWER EXTREMITY INJURIES
INJURIES IN
THE YOUNG ATHETE
INJURY PREVENTION SYMPOSIUM
“The heightened intensity of
training and competition
among young athletes places
them at increased risk for
both acute and chronic
injuries”
Why are children susceptible to
injury?
I. Developmental Factors
II. Varying athletic Ability
III. Unsupervised athletic activities
IV. Increase in intense training at younger ages and
participation in multiple sports.
THE MIRACLE OF PUBERTY
NEISS
National Electronic Injury Surveillance System
Primary Purpose: Provide timely data on consumer productrelated injuries occurring in the U.S.A
Data collected from 100 selected Emergency Departments
as a probability sample of all the 5,300 U.S. hospitals
By Groupings eg. Sports and Recreational Equipment, Yard
and Garden Equipment(59,155 hand garden tool injuries
2009), Home Furnishings & Fixtures(246,733 ladder or stool
injuries 2009)
NEISS 2009
SPORTS AND RECREATIONAL
EQUIPMENT
Basketball injuries: 501,251
Baseball and softball injuries: 286,708
Football injuries: 451,961
Soccer injuries: 208,214
Track and Field Activities, Equipment: 22,191
Racquet Sports: 32,529
Nonpowder Guns, BB’s Pellets: 22,630
KEY PLAYERS INJURY
PREVENTION
Medical staff- Team physician, athletic trainer, physical
therapist,
Coaches
Athlete
Parents
MEDICAL STAFF
Injury Management
Initial Diagnosis
Define Treatment Plan
Restore Normal Function after Healing of Injury
Prevent Future Problems
Education
Communication
MEDICAL STAFF
What is the goal?
Return to Play
Preserving the health of the athlete’s present and future
High rates of osteoarthritis after ACL reconstruction
Defining impact of injury on future medical problems
RETURNING TO SPORTS
Lengthen healing time if return from injury to soon
Never exercise the injured part if you have pain during rest
When pain stops at rest, start simple ROM exercises and
progress to strengthening
Return gradually to sports specific training altering progression
based on recurrent pain or swelling
Gradual increase sports intensity until back to preinjury level
COACHES
What is your role?
Educator
Role model
Encourager
Mother or father figure
PARENTS
INJURY PREVENTION
Always use proper body mechanics in sports involving
repetitive stress
Listen to your body. Pain is the Good Lord’s warning sign
Knee PWSMM
Train for your sport
Cross train for overall conditioning and to allow specific
muscles to rest
INJURY PREVENTION
Prepare for you sport, both physically and mentally
Weekend warrior syndrome eg. Summer before ninth grade
Balance training with rest
Wear and use proper gear for your sport
Understand the rules and follow them
Warm up slowly before activity esp in sports requiring quick ,
dynamic movements
LOWER EXTREMITY INJURIES
Ankle Injuries
Knee injuries
Lower Back Injuries
ANTERIOR CRUCIATE
LIGAMENT
ACL TEAR
Devastating injury to knee
Most long term studies show OA in 60-70% of patients down
the road after ACL injury despite “successful” surgical
treatment and return to sports
ACL tears occurring at all ages even as young as 6 years of
age
ACL PREVENTION
CONCUSSION
Definition: Traumatic injury to the brain that alters mental
status or causes other symptoms
CONCUSSION
Remember that a significant brain injury can occur
without losing consciousness.
CONCUSSION
SYMPTOMS
Balance problem
Difficulty communicating, concentrating
Drowsiness
Fatigue
Feeling emotional
Feeling mentally foggy
Headache
Vomiting
Dizziness
CONCUSSION
SYMPTOMS
Irritability
Memory difficulties
Nausea
Nervousness
Numbness or tingling
Sadness
Sensitivity to light or noise
Sleeping more than usual or difficulty falling asleep
CONCUSSION
How do we prevent concussions?
Better equipment eg. State of the Art Helmets
Better treatment
Avoid second impact syndrome
Neuropsychological Testing
PREVENTING HEAT ILLNESS
Ensure proper acclimatization at the beginning of the workout
session
Evaluate weather condition for temperature, humidity, and
sunlight
Schedule rest in the shade
Identify participants at particular risk
Hydrate before practice and competition
Have chilled fluids readily available at the practice site
PREVENTING HEAT ILLNESSES
Enforce periodic drinking
Never use water restriction as a form of discipline
Discourage deliberate dehydration for weight loss
Make appropriate clothing adjustments
Schedule events to avoid peak hours of heat and sun
Educate players and parents
Record daily weights to ensure adequate rehydration
between practices
THANKS FOR YOUR ATTENTION