1 / 103

Sports Injuries Primary Care on-field دکتر باقری مقدم متخصص پزشکی ورزشی

Sports Injuries Primary Care on-field دکتر باقری مقدم متخصص پزشکی ورزشی. Injury Classification. ACUTE : rapid onset, traumatic event with a clearly identifiable cause. SUB-ACUTE : period between acute and chronic, usually 4-6 weeks post-injury.

sylvester-elliott
Download Presentation

Sports Injuries Primary Care on-field دکتر باقری مقدم متخصص پزشکی ورزشی

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. Sports Injuries • Primary Care on-field • دکتر باقری مقدم • متخصص پزشکی ورزشی

  2. Injury Classification • ACUTE: rapid onset, traumatic event with a clearly identifiable cause. • SUB-ACUTE:period between acute and chronic, usually 4-6 weeks post-injury. • CHRONIC:slow insidious onset, gradual development of structural damage.

  3. آسیبهای ورزشی حاد • پیچ خوردگی ها,دررفتگی ها,کبودی ها,خراشیدگی ها, کشیدگی عضلات , رباطها , شکستگی ها , آسیب مغزی , کمر درد حاد , زانو درد حاد و سر درد • معمولاً به دنبال ضربه و تروما رخ می دهند • شایعترین آسیب و صدمه ورزشی حاد را کبودی ها و خراشیدگی ها تشکیل می دهند • آسیب و درد مچ پا را شایع ترین آسیبهای ورزشی اسکلتی عضلانی محسوب می کنند و شایع ترین آسیب مچ پا هم پیچ خوردگی مچ پا می باشد که سبب درد پا می شود. 

  4. خصوصیات آسیب حاد ورزشی S.H.A.R.P: S: Swelling H: Heat A: Altered function R: Redness P: Pain

  5. آسیبهای ورزشی مزمن • معمولاً‌ ناشی از فعالیت بیش از حد و اعمال نیرو بر روی یک بخش خاص از بدن در هنگام ورزش رخ می دهد. • علایم و  نشانه های آسیبهای ورزشی مزمن عبارتند از :1- دردی که با انجام حرکات ورزشی تشدید و با استراحت بهبود می یابد.2- درد از نوع گنگ و مبهم است.3- تورم

  6. آسیب حاد(Acute injury) • آسيبهاي ناشي از استعمال مفرط (Overuse  Injuries)

  7. muscle & tendon

  8. Strain • Twisting, pulling or tearing of a muscle or tendon (connects muscle to bone) • Noncontact injury resulting from overstretching or overcontracting • Range from mild to severe • Signs and symptoms include: • Pain • Muscle spasm • Loss of strength • swelling

  9. Grade I: some fibers II: Significant fibers III: Complete tear

  10. Contusion • Result of sudden blow to body • Can be both deep and superficial • Hematoma results from blood and lymph flow into surrounding tissue • Minor bleeding results in discoloration of skin • May be painful to the touch and with active movement • Must be cautious and aware of more severe injuries associated with repeated blows • Calcium deposits may form with fibers of soft tissue

  11. Muscle Cramps and Spasms • Painful involuntary contraction • Attributed to dehydration/electrolyte imbalance • May lead to muscle or tendon injuries • Muscle Guarding • Following injury, muscles within an effected area contract to splint the area in an effort to minimize pain through limitation of motion • Involuntary muscle contraction in response to pain following injury • Not spasm which would indicate increased tone due to upper motor neuron lesion in the brain

  12. Compartment Syndrome • In many parts of the body, muscles (along with the nerves and blood vessels that run alongside and through them) are enclosed in a "compartment" formed of a tough membrane called fascia. • When muscles become swollen, they can fill the compartment to capacity, causing interference with nerves and blood vessels as well as damage to the muscles themselves.

  13. Tendon rupture A) Partial B) Complete

  14. ligament

  15. sprain A sprain is a stretch or tear of a ligament, the band of connective tissues that joins the end of one bone with another.

  16. Grade I: Some stretched fiber II: Proportion of fibers III: Complete tear Dr. taghavi

  17. Bone

  18. Fractures • A fracture is a break in the bone that can occur from either a quick, one-time injury to the bone (acute fracture) or from repeated stress to the bone over time (stress fracture).

  19. lower extremity injury

  20. Thigh injuries

  21. Compartment Syndrome • anterior • medial • posterior • Quadriceps contusion • blunt trauma • extensive hematoma • swelling • increase muscle weight • loss of strength • MyositisOssificans Ant. Medial Post.

  22. Knee

  23. Acute injuries • Anterior cruciate ligament rupture (ACL) • Posterior cruciate ligament rupture (PCL) • Medial collateral ligament tear (MCL) • Lateral collateral ligament tear (LCL) • Injuries to the menisci • Osteochondral problems • Patellofemoral instability

  24. Acute Traumatic Fractures Dislocations Tibio-femoral Patello-femoral

  25. Acute Traumatic Tendon Muscle

  26. Acute Traumatic Ligament Meniscus Bursitis

  27. Knee Ligament Injuries • ACL = Anterior Cruciate Ligament • Pivot/Twist …feel pop • Swelling, pain and instability • Surgery • MCL = Medial Collateral Ligament • Tackle • Swelling, pain and instability • No surgery

  28. Anterior Cruciate Ligament • Prevents tibia from moving forward on the femur • Involved in 40% of sprains • Usually injured by deceleration, flexion and rotation

  29. ACL

  30. Bad Mechanics = Inefficiency and Possible Injury • “Commonly, the athlete runs, suddenly stops, and then turns, thereby causing a deceleration of the lower limb, a forced hyperextension of the knee, or a forced tibial rotation, resulting in injury to the ACL (3).”

  31. Ligament Injuries Primary Care P R I C E

  32. Overuse injuries • Iliotibial band friction syndrome • Popliteus tendinitis • Patellofemoral joint pain syndrome • Patellofemoral synovial plica • Infrapatellar fat pad syndrome • Patellar tendinitis(jumper’s knee) • Pesanserinus bursitis

  33. Knee Injuries Non Traumatic Chronic Bursitis Tendonitis tendinopathy Patellofemoral pain syndrome PFPS

  34. Lower Leg

  35. Shin Splints • Medial Tibial Stress Syndrome(MTSS): • Inflammatory reaction of the deep fascia • Mechanism • chronic overload • can lead to periostitis • common in runners • multifactor

  36. Stress reaction: bone with evidence of remodeling but without actual fracture • Stress fracture: • 50% occur on the tibia • runners: middle and distal third • jumpers: proximal fractures • dancers midshaft

  37. High energy fractures: • car accidents: direct impact • skiing: torsional and boot fractures • Baseball bats

  38. Foot & Ankle

  39. Ankle sprains • most common injuries • 85 % inversion sprains • ATFL-CFL-PTFL • Sometime deltoid (taut in plantar flexion) • 5% eversion sprains • 10 % syndesmosissprains • Irregular talus & stability • plantar flexion: unstable • Involve ankle and subtalar joint

  40. Lateral ankle sprain (inversion sprain). Ligaments shown: ant. TFL, CFL, post TFL Department of Kinesiology and Applied Physiology

  41. Mechanism of ankle sprain • Bony stability in plantarflexed and internally rotated ankle will be reduced

  42. Acute stage: goal is to prevent swelling,bleeding,edema around the capsule of the ankle that will result in loss of motion • RICE protocol: • Rest-NWB • Ice 20 `/2 hours • Focal compression device • Elevation • Ankle pump • NSAID`s+us

More Related