1 / 36

ACUTE MANAGEMENT OF TRAUMATIC SPORTS INJURIES

ACUTE MANAGEMENT OF TRAUMATIC SPORTS INJURIES. HENRY T. GOITZ, MD Academic Chief – Sports Medicine Institute Director – Education, Research, Injury Prevention Center Co-Director – Orthopaedic Sports Medicine Fellowship DETROIT MEDICAL CENTER DETROIT, MICHIGAN.

terri
Download Presentation

ACUTE MANAGEMENT OF TRAUMATIC SPORTS INJURIES

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript


  1. ACUTE MANAGEMENT OF TRAUMATIC SPORTS INJURIES HENRY T. GOITZ, MD Academic Chief – Sports Medicine Institute Director – Education, Research, Injury Prevention Center Co-Director – Orthopaedic Sports Medicine Fellowship DETROIT MEDICAL CENTER DETROIT, MICHIGAN

  2. EXTREMITY “DON’T MISS” LESIONS* TENDON (Rupture/ Tears) LIGAMENT (Joint Dislocations) BONE *MISSED EXTREMITY INJURIES THAT WILL GET YOU SUED…..

  3. TENDON RUPTURE Quadriceps/ Patella Acute Rotator Cuff Distal Biceps Achilles

  4. QUADRICEPS/PATELLAR TENDON RUPTURE HISTORY: Forceful Thigh Contraction/Push Off EXAM: Palpable Defect/ Extension Lag X-RAY: Patella Alta/Baja Management: Brace, Surgery (2 weeks)

  5. ACUTE ROTATOR CUFF RUPTURE History: Fall, Age >40 Exam: “Drop Arm” Sign (Can’t Abduct Arm), Weak External Rotation (Massive) X-ray: Negative MRI, U/S: Positive Management: Sling, Surgery (2 weeks)

  6. DISTAL BICEPS TENDON RUPTURE HISTORY: Lift Object, Painful Pop EXAM: Ecchymosis, +/- Popeye Muscle X-RAY: Negative MRI, U/S: Positive Management: Sling, Surgery (2 weeks)

  7. ACHILLES TENDON RUPTURE HISTORY: Push Off, Tear, Kicked EXAM: Palpable Defect, Thompson Sign NO Plantar Flexion* X-RAY: Negative Management: Splint, Surgery (2 weeks)

  8. “DON’T MISS” JOINT DISLOCATIONS’ASSOCIATED CONDITIONS Deformity Obvious +/- Fracture Neuro Vascular Involvement

  9. LIGAMENT INJURY—JOINT DISLOCATIONS SHOULDER KNEE ELBOW HIP

  10. ANTERIOR SHOULDER DISLOCATION HISTORY: Fall, Arm Abducted, Externally Rotated, Painful EXAM: “Squared Off” Shoulder X-RAY: AP/ Axillary KEY TREATMENT: ED Reduction

  11. POSTERIOR SHOULDER DISLOCATION HISTORY: Seizure, Electrical Burns EXAM: Can’t Externally Rotate X-RAY: AP, AxillaryKEY TREATMENT: ED Reduction

  12. KNEE DISLOCATION History: High Velocity/ Load Exam: Gross Deformity; Popliteal Artery Injury Peroneal Nerve Injury X-ray: Gross Deformity, MRI: 3 of 4 Ligament Tear Management: Reduce, Evaluate Vascular Status, Evaluate Neuro, Splint

  13. ELBOW DISLOCATION History: Fall Exam: Gross Deformity X-ray: Gross Deformity, RadioCapitellar Line Management: Reduce, Check Stability via ROM, Splint vs. Sling vs. Brace

  14. HIP DISLOCATION History: MVA Knee-Dash (Subluxation* in Sport) Exam: Limb Shortened, Externally Rotated X-ray: Dislocation* Management: Reduce, Crutch * AVN risk

  15. AC (AcromioClavicular) Separation History: Fall Exam: Range—Pain to Prominence Xray: Range—Normal to Prominance Management: Sling

  16. PATELLA DISLOCATION History: Twist Knee Exam: Lateral, Painful Prominance X-ray: Dislocation Management: Extend Knee, Reduce Patella

  17. …..this does NOT feel good……

  18. PATTERNS OF REFERRED PAIN SHOULDER—NECK 1. Pain: Deltoid vs. Radicular KNEE—HIP 1. Pain: Focal Knee vs. Groin

More Related