Transcript Document
SPORTS INJURIES I.M. Doctor, M.D. My Office My City, State Sports Injuries - Outline Sports Injuries - an overview Children and Sports When to see the doctor Treatment options 2 Sports Injuries - Outline Boomeritis Preventing Sports Injuries Children Adults 3 What is an orthopaedic surgeon? 4 MD or a DO who specializes in treatment and health maintenance of musculoskeletal system (bones, joints, ligaments, muscles, tendons, cartilage and spine) What is an orthopaedic surgeon? 5 The expert in treating the musculoskeletal system The expert in maintaining musculoskeletal health Educating an Orthopaedic Surgeon College Medical School Internship Orthopaedic Residency Fellowship (optional) 2 Years Practice TOTAL 6 4 4 1 4 (1) 2 16 years! What do orthopaedic surgeons do? Diagnose Treat Medication Physical Therapy Exercise Brace Surgery 7 Prevent Sports Injuries Simple precautions keep sports fun! 8 Acute vs. Overuse Injuries 9 Acute - sudden trauma such as sprains, strains, bruises & fractures Overuse - series of repeated small injuries Children & Sports 10 Children’s Sports Injuries, 2007 11 Sport Number of Injuries Requiring Treatment Per Year Football 556,928 Basketball 412,075 Baseball/Softball 276,733 Soccer 220,162 Playground Injuries 410,634 Children & Sports Young athletes are NOT small adults! 12 Children & Sports Child Adult Growth plates are weaker than ligaments. 13 Children & Sports Youths of same age can differ tremendously in size and physical maturity. 14 When to See the Physician Inability to play Decreased ability to play Limp, loss of motion or swelling Visible deformity Severe pain 15 When to See the Physician Before Your Appointment Prepare to describe your symptoms Gather medical history Make list of medications Write down concerns and questions and bring them 16 When to See the Physician During Your Appointment 17 1. Expect what from treatment? 2. Treatment effect on daily activities? 3. How to prevent further disability? Treatment R.I.C.E. – Rest, Ice, Compression and Elevation Modify athletic activity Cooperation and communication between patient, parents, coaches and physician 18 ® Boomeritis 19 Born 1946 - 1964 More than 1 million sportsrelated injuries each year ® Boomeritis Exercise - key, but . . . Bike accidents prevail Mortality > children < 50% wear helmets 20 ® Boomeritis tendinitis bursitis 21 sprains strains Treatment 22 R.I.C.E. Alter or stop sports activities Physical therapy & medication Surgery may be warranted Preventing Sports Injuries Kids should be well coached & supervised Wear properly fitted, maintained & appropriate protective gear Play on safe surfaces Children should train for their sport prior to playing 23 Preventing Sports Injuries Know and abide by rules Wear appropriate protective gear Know how to use equipment Never “play through pain” 24 Preventing Sports Injuries 25 Be sure your child’s coach is qualified to supervise the sport Preventing Sports Injuries 26 Make Sure Your Young Athletes Always Warm Up First! Preventing Sports Injuries 27 Skilled instruction Wear safety gear! Year-round conditioning Stretching Warm- up: Break a sweat Marching Walk in place Jumping jacks Mimic the sport you are about to do 28 Stretching Stretching: 29 You should NOT feel pain Hold stretch 30 seconds Relax into the stretch Stretching Breathe deeply & slowly Avoid bouncing Stretch both right & left sides 30 Sports Injuries 31 Common Sports Injuries Ankle Sprain 32 Ligament injury Ankle pain, tenderness, swelling Growth Plate Fractures in Children 33 Ankle Sprain R.I.C.E. Rehabilitation Range of motion Strengthening Flexibility Balance 34 Plantar Fasciitis 35 Microtears of plantar fascia Painful heel Plantar Fasciitis Tape heel, arch Orthotics Stretch (calf and plantar fascia) Against wall On a step Plantar fascia stretch 36 Plantar Fasciitis Massage may be helpful Warm up well before stretching Ice heel, 20-30 minutes Anti-inflammatories Night splint 37 Plantar Fasciitis 38 Wear good, supporting shoes Arch support Avoid activities that cause heel pain See your physician if pain persists Tennis Elbow & Golfer’s Elbow 39 Tennis Elbow & Golfer’s Elbow Warm up, stretch before play Correct, maintained equipment Condition beforehand Evaluate play techniques to minimize irritation Take a lesson 40 ACL Injury Direct blow to knee Non-contact injury, with foot plant Landing on straight leg Making abrupt stops “Back seat” skiing 41 Getting You Back In The Game Name: Chris Klug Age: 28 Injury: ACL 42 ACL Tear Normal anatomy Anterior cruciate ligament Hyperextension Femur Patella Anterior cruciate ligament tears Tibia Fibula 43 Illustration reproduced with permission from The Body Almanac, Rosemont, IL American Academy of Orthopaedic Surgeons, 2003 Femur slips ACL Tear - Women Athletes Incidence of ACL much higher among female athletes Combination of causal factors Neuromuscular prevention programs 44 Meniscus Tear Helps knee joint carry weight, glide, and turn Twisting injury Football and other contact sports 45 Meniscus Tear 46 Pain Giving way Locking Clicking Swelling Traumatic Shoulder Dislocation 47 Traumatic Shoulder Dislocation 48 Closed grip pull downs Rotation exercises Resistance exercises Surgery Shoulder Overuse Injuries 49 Tendonitis Throwing sports Weight lifting Use proper technique, good supervision Rotator Cuff Tears 50 Acute injury Overuse injury Sports and occupations that involve repetitive overhead motions Stress Fractures 51 Imbalance bone loss vs. replacement “Micro-cracks” Pain Overuse Injuries Thorough history & physical exam X-rays, MRI might be needed Specialists in sports medicine can be particularly helpful 52 Overuse Injuries Reduce intensity Warm up before Ice afterwards Work with a coach 53 Overuse Injuries 10% Rule Don’t Increase Activity by More Than 10% Per Week 54 Asking Questions About Surgery 55 Why? Alternatives Benefits and for how long? Asking Questions About Surgery 56 Risks? What is procedure called? How is it performed? Results? Asking Questions About Surgery 57 Duration of recovery? Assistance at home and how long? Disability after surgery? Physical therapy? Return to normal activity? Sports Injuries Sports are fun! The goal is a pain and injury free balanced fitness program for all ages. 58 Resources American Academy of Orthopaedic Surgeons 6300 North River Road Rosemont, IL 60018 www.orthoinfo.org American Orthopaedic Society for Sports Medicine (847) 292-4900 www.sportsmed.org 59 Sports Injuries: Prevention & Treatment What are your questions and concerns? 60 Sports Injuries: Prevention & Treatment Thank you for participating today Remember, your orthopaedic surgeon can help get you back in the game 61