Iceland Sport injury 2

Sports Injury Systemic Pathology : 

Sports Injury Systemic Pathology Paula Esson 2006

Sports Stats : 

Sports Stats Prevention Recognition Management 7/100 injuries are back related 80% injuries occurred in practice 6% during competition 14 % pre-season training Muscle strains 59% 29% related to pre-existing conditions

Prevention : 

Prevention Reducing full contact in training Use of safety equipment. Pads on posts etc Eliminating dangerous play.

Ankle and FootLateral Ankle Sprain : 

Ankle and FootLateral Ankle Sprain 25% -50% injuries in running 90% lateral. 10%medial Anterior talofibular ligament. Most common. Calcaneo fibular if the foot is in dorsiflexion

Assessment : 

Assessment Palpate head of fibular Squeeze midfibular and tibia. Palpate tip of distal fibular Palpate posterior malleolus for peroneal collapse. Palpate anterior calcaneus for an avulsion fracture Palpate fifth metatarsal for a tuberosity fracture Anterior draw test will show ligament laxity.

Management : 

Management Reassurance Isolation Assessment Apple cider vinegar Elevation. Warm baths and re-application of apple cider for 48 hours. 2 hours on 1 hour off, re-apply. RICE is now RACE Grade one keep moving and walking Grade two non-weight bearing Grade 3 isolation

Rehabilitation : 

Rehabilitation Only start when swelling has reduced to 10% Active rest. Isolation builds collagen fibre and ground substance. Reduction of elastin. Weight bearing first. Walking Proprioception pad Walking up and down stairs Turning / Balancing Weight addition.

Other ankle presentations : 

Other ankle presentations Syndemosis strain Ankle instability Subtalar sprain Midfoot sprain Forefoot sprain Achilles tendonitis Achilles tendon rupture Peroneal tendonitis Peroneal subluxation ( usually skiing) Flexor hallicus longus tendonitis (dancers)

Common Knee Injuries : 

Common Knee Injuries Patello femoral pain. Dull pain deep in the knee. Flat pronated feet Overuse Maltracking Weak inner thigh muscles Tight outer thigh muscles Previous or repetitive trauma.

Symptoms and Solutions : 

Symptoms and Solutions Painful crepitus Tenderness under inferior to patella Uncomfortable kneeling Tight hamstrings. Sore at ischeal tuberosity Inability to crouch then stand without pain Bowen Assessment Static stretches for quads / hamstrings Range of movement pre and post treatment. Strapping in activity.

Knee ligament and menisci injuries : 

Knee ligament and menisci injuries Compression assessment for tender menisci Lachman’s test for anterior cruciate ligamant. Resistance tests for lateral and medial ligaments.

Treatment of acute knee injury : 

Treatment of acute knee injury Instability in the knee should be referred for Xray / MRI. See Ottowa rule. Any one of these presenting. Refer. Otherwise. Stabilise. Bowen treatment / Washing soda / ACV See eccentric exercise chart. The Ottowa knee rule. Both knees examined the same Age 55 + Isolated tenderness of patella Tenderness at head of fibula Inability to flex knee 90 degrees Inability to weight bear for two hours or more. Immediate X-ray.

Iliotibial exercises for knee strength : 

Iliotibial exercises for knee strength These exercises are no longer done as part of a warm up schedule. Specific cardiovascular warm up is applied instead. This prevents localised connective tissue damage.

Shoulder Presentations : 

Shoulder Presentations Complex interaction of four joint systems. Glenohumeral joint. Very unstable Rotator Cuff injuries Acute dislocation. Bound scapular Local fractures