SPORTS INJURIESI.M. Doctor, M.D.

My Office

My City, State

2

Sports Injuries - Outline

Sports Injuries - an overview Children and Sports

When to see the doctor Treatment options

3

Sports Injuries - Outline

Boomeritis Preventing Sports Injuries

Children Adults

4

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)

5

What is an orthopaedic surgeon?

The expert in treating the musculoskeletal system

The expert in maintaining musculoskeletal health

6

Educating an Orthopaedic Surgeon

College Medical School Internship Orthopaedic

Residency Fellowship (optional) 2 Years Practice

TOTAL

4414(1)2

16 years!16 years!

7

What do orthopaedic surgeons do?

Diagnose Treat

Medication Physical Therapy Exercise Brace Surgery

Prevent

8

Sports Injuries

Simple precautions keep sports fun!

9

Acute vs. Overuse Injuries

Acute - sudden trauma such as sprains, strains, bruises & fractures

Overuse - series of repeated small injuries

10

Children & Sports

11

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

12

Children & Sports

Young athletes are NOT small adults!

13

Children & Sports

Growth plates are weaker than ligaments.

Child Adult

14

Children & Sports

Youths of same age can differ tremendously in size and physical maturity.

15

When to See the Physician

Inability to play Decreased ability to play Limp, loss of motion or

swelling Visible deformity Severe pain

16

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

17

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

18

Treatment

R.I.C.E. – Rest, Ice, Compression and Elevation

Modify athletic activity Cooperation and communication

between patient, parents, coaches and physician

19

Boomeritis®

Born 1946 - 1964

More than 1 million sports-related injuries each year

20

Boomeritis®

Exercise - key, but . . .

Bike accidents prevail

Mortality > children

< 50% wear helmets

21

tendinitis

bursitis

sprains

strains

Boomeritis®

22

Treatment

R.I.C.E. Alter or stop sports activities Physical therapy & medication Surgery may be warranted

23

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

24

Preventing Sports Injuries

Know and abide by rules Wear appropriate protective gear Know how to use equipment Never “play through pain”

25

Preventing Sports Injuries

Be sure your child’s coach is qualified to supervise the sport

26

Make Sure Your Young AthletesAlways Warm Up First!

Preventing Sports Injuries

27

Preventing Sports Injuries

Skilled instruction

Wear safety gear!

Year-round conditioning

28

Stretching

Break a sweat Marching Walk in place Jumping jacks Mimic the sport you

are about to do

Warm- up:

29

Stretching

You should NOT feel pain

Hold stretch 30 seconds

Relax into the stretch

Stretching:

30

Breathe deeply & slowly

Avoid bouncing

Stretch both right & left sides

Stretching

31

Sports Injuries

Common Sports Injuries

32

Ankle Sprain

Ligament injury Ankle pain, tenderness, swelling

33

Growth Plate Fractures in Children

34

Ankle Sprain

R.I.C.E. Rehabilitation

Range of motion Strengthening Flexibility Balance

35

Plantar Fasciitis

Microtears of plantar fascia

Painful heel

36

Plantar Fasciitis

Tape heel, arch Orthotics Stretch (calf and plantar

fascia) Against wall On a step Plantar fascia stretch

37

Plantar Fasciitis

Massage may be helpful Warm up well before stretching Ice heel, 20-30 minutes Anti-inflammatories Night splint

38

Plantar Fasciitis

Wear good, supporting shoes Arch support Avoid activities that cause heel

pain See your physician if pain persists

39

Tennis Elbow & Golfer’s Elbow

40

Tennis Elbow & Golfer’s Elbow

Warm up, stretch before play Correct, maintained equipment Condition beforehand Evaluate play techniques to

minimize irritation Take a lesson

41

ACL Injury

Direct blow to knee Non-contact injury,

with foot plant Landing on straight

leg Making abrupt

stops “Back seat” skiing

42

Name: Chris KlugAge: 28

Injury: ACL

Getting You Back In The Game

43

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

44

ACL Tear - Women Athletes

Incidence of ACL much higher among female athletes

Combination of causal factors

Neuromuscular prevention programs

45

Meniscus Tear

Helps knee joint carry weight, glide, and turn

Twisting injury Football and

other contact sports

46

Meniscus Tear

Pain Giving way Locking Clicking Swelling

47

Traumatic Shoulder Dislocation

48

Traumatic Shoulder Dislocation

Closed grip pull downs Rotation exercises Resistance exercises Surgery

49

Shoulder Overuse Injuries

Tendonitis Throwing sports Weight lifting Use proper

technique, good supervision

50

Rotator Cuff Tears

Acute injury Overuse injury Sports and occupations that

involve repetitive overhead motions

51

Stress Fractures

Imbalance bone loss vs. replacement

“Micro-cracks” Pain

52

Overuse Injuries

Thorough history & physical exam

X-rays, MRI might be needed

Specialists in sports medicine can be particularly helpful

53

Overuse Injuries

Reduce intensity

Warm up before

Ice afterwards

Work with a coach

54

10% RuleDon’t Increase Activity

by More Than 10% Per Week

Overuse Injuries

55

Asking Questions About Surgery

Why? Alternatives Benefits and for how long?

56

Asking Questions About Surgery

Risks? What is procedure called? How is it performed? Results?

57

Asking Questions About Surgery

Duration of recovery? Assistance at home and how long? Disability after surgery? Physical therapy? Return to normal activity?

58

Sports Injuries

Sports are fun!

The goal is a pain and injury free balanced fitnessprogram for all ages.

59

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

60

What are your questions and concerns?

Sports Injuries: Prevention & Treatment

61

Sports Injuries: Prevention & Treatment

Thank you for participating today Remember, your orthopaedic surgeon can

help get you back in the game