sports injuries i.m. doctor, m.d. my office my city, state
TRANSCRIPT
SPORTS INJURIESI.M. Doctor, M.D.
My Office
My City, State
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Sports Injuries - Outline
Sports Injuries - an overview Children and Sports
When to see the doctor Treatment options
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Sports Injuries - Outline
Boomeritis Preventing Sports Injuries
Children Adults
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What is an orthopaedic surgeon?
MD or a DO who specializes in treatment and health maintenance of musculoskeletal system (bones, joints, ligaments, muscles, tendons, cartilage and spine)
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What is an orthopaedic surgeon?
The expert in treating the musculoskeletal system
The expert in maintaining musculoskeletal health
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Educating an Orthopaedic Surgeon
College Medical School Internship Orthopaedic
Residency Fellowship (optional) 2 Years Practice
TOTAL
4414(1)2
16 years!16 years!
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What do orthopaedic surgeons do?
Diagnose Treat
Medication Physical Therapy Exercise Brace Surgery
Prevent
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Sports Injuries
Simple precautions keep sports fun!
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Acute vs. Overuse Injuries
Acute - sudden trauma such as sprains, strains, bruises & fractures
Overuse - series of repeated small injuries
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Children & Sports
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Children’s Sports Injuries, 2007
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
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Children & Sports
Young athletes are NOT small adults!
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Children & Sports
Growth plates are weaker than ligaments.
Child Adult
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Children & Sports
Youths of same age can differ tremendously in size and physical maturity.
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When to See the Physician
Inability to play Decreased ability to play Limp, loss of motion or
swelling Visible deformity Severe pain
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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
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When to See the Physician
1. Expect what from treatment?
2. Treatment effect on daily activities?
3. How to prevent further disability?
During Your Appointment
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Treatment
R.I.C.E. – Rest, Ice, Compression and Elevation
Modify athletic activity Cooperation and communication
between patient, parents, coaches and physician
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Boomeritis®
Born 1946 - 1964
More than 1 million sports-related injuries each year
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Boomeritis®
Exercise - key, but . . .
Bike accidents prevail
Mortality > children
< 50% wear helmets
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tendinitis
bursitis
sprains
strains
Boomeritis®
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Treatment
R.I.C.E. Alter or stop sports activities Physical therapy & medication Surgery may be warranted
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Kids should be well coached & Kids should be well coached & supervisedsupervised
Play on safe surfacesPlay on safe surfaces
Wear properly fitted, maintained Wear properly fitted, maintained & appropriate protective gear& appropriate protective gear
Children should train for their Children should train for their sport prior to playingsport prior to playing
Preventing Sports Injuries
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Preventing Sports Injuries
Know and abide by rules Wear appropriate protective gear Know how to use equipment Never “play through pain”
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Preventing Sports Injuries
Be sure your child’s coach is qualified to supervise the sport
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Make Sure Your Young AthletesAlways Warm Up First!
Preventing Sports Injuries
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Preventing Sports Injuries
Skilled instruction
Wear safety gear!
Year-round conditioning
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Stretching
Break a sweat Marching Walk in place Jumping jacks Mimic the sport you
are about to do
Warm- up:
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Stretching
You should NOT feel pain
Hold stretch 30 seconds
Relax into the stretch
Stretching:
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Breathe deeply & slowly
Avoid bouncing
Stretch both right & left sides
Stretching
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Sports Injuries
Common Sports Injuries
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Ankle Sprain
Ligament injury Ankle pain, tenderness, swelling
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Growth Plate Fractures in Children
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Ankle Sprain
R.I.C.E. Rehabilitation
Range of motion Strengthening Flexibility Balance
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Plantar Fasciitis
Microtears of plantar fascia
Painful heel
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Plantar Fasciitis
Tape heel, arch Orthotics Stretch (calf and plantar
fascia) Against wall On a step Plantar fascia stretch
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Plantar Fasciitis
Massage may be helpful Warm up well before stretching Ice heel, 20-30 minutes Anti-inflammatories Night splint
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Plantar Fasciitis
Wear good, supporting shoes Arch support Avoid activities that cause heel
pain See your physician if pain persists
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Tennis Elbow & Golfer’s Elbow
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Tennis Elbow & Golfer’s Elbow
Warm up, stretch before play Correct, maintained equipment Condition beforehand Evaluate play techniques to
minimize irritation Take a lesson
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ACL Injury
Direct blow to knee Non-contact injury,
with foot plant Landing on straight
leg Making abrupt
stops “Back seat” skiing
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Name: Chris KlugAge: 28
Injury: ACL
Getting You Back In The Game
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ACL Tear
Normal anatomy Hyperextension
Femur
Anteriorcruciateligament
AnteriorcruciateligamenttearsPatella
Tibia
Fibula
Femur slips
Illustration reproduced with permission from The Body Almanac, Rosemont, IL American Academy of Orthopaedic Surgeons, 2003
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ACL Tear - Women Athletes
Incidence of ACL much higher among female athletes
Combination of causal factors
Neuromuscular prevention programs
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Meniscus Tear
Helps knee joint carry weight, glide, and turn
Twisting injury Football and
other contact sports
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Meniscus Tear
Pain Giving way Locking Clicking Swelling
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Traumatic Shoulder Dislocation
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Traumatic Shoulder Dislocation
Closed grip pull downs Rotation exercises Resistance exercises Surgery
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Shoulder Overuse Injuries
Tendonitis Throwing sports Weight lifting Use proper
technique, good supervision
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Rotator Cuff Tears
Acute injury Overuse injury Sports and occupations that
involve repetitive overhead motions
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Stress Fractures
Imbalance bone loss vs. replacement
“Micro-cracks” Pain
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Overuse Injuries
Thorough history & physical exam
X-rays, MRI might be needed
Specialists in sports medicine can be particularly helpful
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Overuse Injuries
Reduce intensity
Warm up before
Ice afterwards
Work with a coach
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10% RuleDon’t Increase Activity
by More Than 10% Per Week
Overuse Injuries
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Asking Questions About Surgery
Why? Alternatives Benefits and for how long?
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Asking Questions About Surgery
Risks? What is procedure called? How is it performed? Results?
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Asking Questions About Surgery
Duration of recovery? Assistance at home and how long? Disability after surgery? Physical therapy? Return to normal activity?
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Sports Injuries
Sports are fun!
The goal is a pain and injury free balanced fitnessprogram for all ages.
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American Academy of Orthopaedic Surgeons
6300 North River RoadRosemont, IL 60018 www.orthoinfo.org
American Orthopaedic Society for Sports Medicine(847) 292-4900
www.sportsmed.org
Resources
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What are your questions and concerns?
Sports Injuries: Prevention & Treatment
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Sports Injuries: Prevention & Treatment
Thank you for participating today Remember, your orthopaedic surgeon can
help get you back in the game