Dr Stéphane Kämpfen

Sports Elbow

Grundkurs SGSM-SSMS Sion 2014

Type of pathologies

n  Acute: n Fractures - dislocation n Sprain

n  Chronic: n Overload syndrome

Fractures - Radial head: Mason classification

Mason IV: III + elbow dislocation

Radial head fracture

Ct-scanner

Fractures - Humerus distal:

Fractures - Olecranon:

Dislocation

- Posterior - Postero-lateral

Fracture-dislocation

Strategy n  Postero-lateral n  Neurological and vascular evaluation n  Rapid transfer to the hospital

n  Reduction under local or loco-regional anesthesia

n  Ectopic bone n  Stiffness

Complications

28 % limitation in ROM 32 % ectopic bone Farron A & Menetrey J Swiss Surgery 1997

Early mobilisation under control

Elbow sprain n  Mechanism of injury n  Clinical examination n  Standard radiographs n  Suspicion bone lesion – Ct-scan n  Suspicion soft tissue - MRI

Elbow sprain investigation

Complete tear of lateral radial ligament

Elbow sprain treatment

Elbow sprain treatment

Lesions of the elbow in sports

n  Racket sports Lateral epicondylopathy with backhand

n  Golf Medial epicondylopathy on downswing with trailing arm Lateral epicondylitis at impact with leading arm

n  Basketball Posterior compartment with follow through on jump shot

n  Waterskiing Valgus extension overload of posterior compartment

Lesions of the elbow in sports

n  Bowling Flexor-pronator soreness n  Baseball Valgus stress of pitching   n  Volleyball Valgus stress at impact of

spiking n  Gymnastic Radiocapitellar overload

and posterior impingement n  Weight training Ulnar collateral ligament

sprain, ulnar nerve irritation

Lesions of the elbow in sports

n  Javelin Valgus-extension overload of throwing

n  Canoeing, kayaking Distal bicipital tendinopathy n  Archery Extensor muscle fatigue,

lateral epicondylopathy n  Rock climbing Brachialis or distal biceps

tendinopathy

Lesions of the elbow in sports

n Anterior: n Brachialis tendinopathy n Biceps tendinopathy n Anterior capsular tear n Distal rupture of the biceps n Ectopic bone n Loose body n Rond pronator muscle syndrome n Annular ligament tear

Pathologies and pain

n Posterior: n Traction apophysitis n Triceps tendinopathy n Rupture of the triceps n Valgus-extension overload syndrome n Olecranon osteophytes n Loose body n Stress fracture of the olecranon n Olecranon bursitis

Pathologies and pain