mechanism and prevention neil partain, m.d., mph&tm
TRANSCRIPT
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Mechanism and Prevention
Neil Partain, M.D., MPH&TM
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1. ACL Injury
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Prevention/1st Aid/Prognosis Stay off heels Quad strength Flexible Hamstrings
Audible “pop” or immediate joint failure.
Immediate swelling and pain.
If deformed, excruciating pain go to ER.
No deformity: Ice/Elevate, medical care within the week.
Recovery: Non-surgical: 6 wks; Surgical: 6 mo.
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2. Meniscus Tear
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Prevention/1st Aid/Prognosis Play golf
Immobilize to control pain.
Ice and Elevate Seek non-emergent
medical care unless pain not tolerable.
Recovery: 2-6 wk (after surgery)
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3. Rotator Cuff Injury
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Prevention/1st Aid
Shoulder Strength Shoulder Flexibility
Range of Injuries Non-emergent Shoulder ice wrap Rest Physical Therapy
Recovery: highly variable (3-12 wks)
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4. AC Separation
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Prevention
Proper ukemi Sling arm under
elbow to relieve effect of gravity.
Wrap Shoulder with ice and Saran Wrap
1st & 2nd Degree: Spontaneous healing
3rd Degree Surgical repair.
Healing time: 1st 6wks 2nd 10-12 wks 3rd up to 6 months
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5. Wrist Fracture
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Prevention/1st Aid/Prognosis Do not lock elbow
if bracing. Try to avoid
bracing with hand
If ignored, blood vessels to bone can die, as will the bone…permanently.
Point tenderness over “snuffbox”, loss of grip.
Hairline fracture may become displaced if ignored.
Splint in relaxed hand/wrist position seek medical care (non-emergent).
Recovery: 6-10 weeks
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6. Elbow Dislocation/Impingement or Fracture
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Prevention/1st Aid/Prognosis
Tap
Dislocation and fracture can pinch the artery feeding the arm.
Range of severity:1. Ligament sprain2. Joint sac injury3. Bone fracture with
dislocation.
Immobilize in straight position.
If deformed:ER. Not-deformed: Non-
emergent care/X-ray Recovery: IT DEPENDS
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7. Fibula Fracture
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Prevention/1st Aid/Prognosis Running program,
stay off heels.
Loose feeling/appearing foot, crunchy on outside: ER for pain Rx.
Check for spontaneous movement vs. immediate swelling/purpling, can’t move due to pain.
Splint foot straight with judogi jacket.
Recovery: 2 mo. (no surgery); 4-6 mo. (surgery)
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8. Neck Injuries
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Prevention/1st Aid/Prognosis Tuck neck Do not “bridge
ukemi” to avoid Ippon.
ANY loss of feeling, movement, difficulty breathing, pain in neck. (EMS)
Stabilize neck: straight “neck brace” position.
Scratch toes, fingertips for sensation, wiggling, ease of breathing.
If no signs of problems, can walk off mat.
Recovery: 4-6 wks(mild), ?? Months (mod-severe)
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9. Finger Sprain
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Prevention/1st Aid/Prognosis Play golf
ANY loss of feeling, cool to touch, shortening.
Do not attmept to reduce.
If deformed (esp. back/front), ER.
Spontaneous mov’t: tape and fight.
Cannot move and/or pain with passive mov’t: timekeeper.
Recovery: 2-6 wks
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10. Toe Fractures/Sprains
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Prevention/1st Aid/Prognosis Play golf
ANY loss of feeling, cool to touch, shortening.
Do not attmept to reduce.
If deformed (esp. back/front), ER.
Spontaneous mov’t: tape and fight.
Cannot move and/or pain with passive mov’t: timekeeper.
Recovery: 2-6 wks