Groin Disruption
|
|
|
- Anna Lizbeth Newman
- 5 years ago
- Views:
Transcription
1 Groin Disruption (30 Years) MR O J A GILMORE MS FRCS FRCS (ED) F. INST. SPORTS MED.
2
3 5% ALL SPORTS INJURIES AFFECT GROIN
4 PATIENT S REFERRED with GROIN PAIN TOTAL 7535 MALE 7284 (97%) FEMALE 252 (3%)
5 INCIDENCE OF OPERATION Referred Ops 58% 7535 pts 4351 pts
6 Management Groin Pain Experience Team Approach Imaging Top class Accurate Diagnosis Specific Treatment Conservative Operative Rapid Return Minimum Recurrence
7 Basketball OTHER SPORTS GROIN PAIN GROIN Fencing PAIN Handball Equestrian MANY CAUSES Gaelic football Martial Arts American ORTHOPAEDIC Football Dancers Hurling Gymnasts SOFT TISSUE INJURY Waterpolo Kick Boxing Ice Hockey CO-EXISTENT PATHOLOGY Skiing & Snowboarding
8 Team Approach Groin Surgeon Jerry Gilmore Simon Marsh Musculo-Skeletal Radiologist (MRI/Ultrasound/CT) David Connell Orthopaedic Surgeon (HIP) Simon Jennings Sports Physician Ralph Rogers
9 The Team Approach Physiotherapist GP / Club Doctor Patient Groin Surgeon Sports Physician Musculo-Skeletal Radiologist Orthopaedic Surgeon (HIP) Physiotherapist
10
11 Groin Pain: Orthopaedic Causes Perthes Slipped Epiphysis Fractures Stress Avulsion Bursitis Labral Tear FAI Osteoarthritis
12
13 DIRECT TRAUMA FALL KICK PUNCH IMPACT SQUEEZE
14
15 REFERRED PAIN
16
17 GROIN DISRUPTION SPORTSMEN GROIN GILMORE S GROIN
18 GROIN DISRUPTION TYPICAL PATIENT YOUNG MALE ACTIVE SPORTSMEN RARE OVER 45 RARE IN FEMALES (1%)
19 GROIN PAIN: SITE IMPLICATIONS ABOVE INGUINAL LIGAMENT, LAT to PUB TUB Gilmore Groin. BELOW INGUINAL LIGAMENT Mid Inguinal Point HIP PATHOLOGY Adductor Insertion ADDUCTOR TEAR
20
21
22
23 GROIN DISRUPTION MUSCULO TENDINOUS INJURY ALL LAYERS GROIN INGUINAL REGION MUSCLE DISLOCATION
24 CASE 1 D.M. 27 FULL BACK: TOTTENHAM HOTSPUR FC PRESENTED: SYMPTOMS: LAST GAME: PAIN INCREASED: 17 WEEKS PAIN RIGHT GROIN AFTER EVERSION INJURY 17 WEEKS SPRINTING KICKING TWISTING & TURNING COUGHING SNEEZING
25 CASE 1 D.M. PREVIOUS INVESTIGATIONS: 3 ORTHOPAEDIC OPINIONS X-RAY CT SCAN: IRREGULARITY - NO INSTABILITY U/S SCAN PREVIOUS TREATMENT: COMPLETE REST PHYSIOTHERAPY MANIPULATION LOCAL STEROIDS
26 CASE 1 D.M. PHYSICAL SIGNS INSPECTION: PALPATION: N.A.D. N.A.D. PALPATION VIA SCROTUM: - RIGHT SUPERFICIAL INGUINAL RING DILATED - COUGH IMPULSE - TENDER INSERTION OF FINGER PAIN COMPARED TO OPPOSITE SIDE
27 Presented (Eversion / Overstretching Injury) 15 wks Groin Pain R>L No Training / Game Post Op: Training with Aberdeen 3 wks In Scotland Squad 7 wks
28 GROIN DISRUPTION: PATHOLOGY Found at Operation TORN EXTERNAL OBLIQUE DILATED SUPERFICIAL INGUINAL RING TORN CONJOINED TENDON CONJOINED TENDON INGUINAL LIGAMENT } DEHISCENCE
29 GROIN DISRUPTION (GILMORE S GROIN) 30 YEARS
30 PATIENT REFERRAL RELATED TO SPORT CASES % ASSOCIATION FOOTBALL RUGBY UNION & LEAGUE ATHLETES RACQUET GAMES CRICKET HOCKEY OTHER SPORTS NO SPORT TOTAL
31 OPERATIONS TOTAL 4351 MALE 4309 (99%) FEMALE 42 (1%)
32 INCIDENCE OF OPERATION RELATED TO SPORT CASES OPN % ASSOCIATION FOOTBALL RUGBY UNION + LEAGUE CRICKET ATHLETES RACQUET GAMES HOCKEY OTHER SPORTS NO SPORT TOTAL
33 INCIDENCE OF OPERATIONS ASSOCIATION FOOTBALL TOTAL OPN % PROFESSIONAL SEMI PRO AMATEUR TOTAL
34
35 PROFESSIONAL FOOTBALLERS CASES 1528 OPERATIONS 1258 (82%)
36 ENGLISH FOOTBALL LEAGUE CLUBS 92 CLUBS PATIENTS REFERRED BY ALL ( Except 5)
37
38 AETIOLOGY:MUSCLE IMBALANCE ( Recurrent Microtrauma ) 1. STRONG HIP FLEXORS PULL PELVIS DOWN (QUADS) 2. TILTED PELVIS STRETCH ABDO MUSCLES 3. STRETCHED ABDO MUSCLES BECOME WEAK (OBLIQUES) FAIL TO STABILIZE PELVIS 4. OVERUSE RECURRENT TEARS GROIN DISRUPTION 5. MALE > FEMALE (99%)
39
40 ARSENAL F.C.: GILMORE S GROIN OPERATION P.A (GRAHAM) (WENGER) 10 1 Gary Lewin 2007
41 ONSET OF SYMPTOMS INSIDIOUS 72% SPECIFIC INJURY 28% OVERSTRETCHING MISKICKING ABDUCTION EVERSION
42
43 SYMPTOMS DURING EXERCISE PAIN IN GROIN INCREASES WITH RUNNING STRIDING SPRINTING SUDDEN MOVEMENT TWISTING & TURNING SIDE STEPPING JUMPING DEAD BALL KICKING LONG BALL KICKING
44 SYMPTOMS AFTER EXERCISE STIFF & SORE PAIN IN GROIN INCREASES WITH TURNING IN BED GETTING OUT OF BED GETTING OUT OF CAR SIT UPS COUGHING SNEEZING SUDDEN MOVEMENT
45
46 EXAMINATION
47
48
49 GROIN DISRUPTION: PHYSICAL SIGNS (ALL ELICITED VIA SCROTUM) S.I.R: DILATED (+/-) COUGH IMPULSE TENDER (PALPABLE TEAR) TENDERNESS: MAY BE EXQUISITE DIMINISHES WITH REST
50
51 INVESTIGATIONS
52 STORK VIEWS (FLAMINGO)
53 MRI in Groin Disruption MRI Poor in Abdomen Resolution insufficient for subtle changes But Inguinal ligament clearly visible Gaps Defects Significant Disruption Gross Scar Tissue Also visible MRI Good in Pelvis & Thigh Osteitis pubis HIP Pathology Adductor Tears clearly seen David Connell 2009
54 Ultrasound in Groin Disruption State of Art Ultrasound Equipment required Subtle changes in Inguinal ligament Conjoined Tendon maybe seen Dynamic assessment Essential Abdominal straining Sonopalpation Tender over Inguinal Canal David Connell 2009
55 INDICATIONS FOR SURGERY PROFESSIONAL AND AMATEUR FAILED CONSERVATIVE TREATMENT
56 INDICATION FOR SURGERY: PROFESSIONALS GAME INHIBITED TRAINING INHIBITED LOSS OF SPEED LOSS OF FITNESS
57 INDICATION FOR SURGERY: AMATEURS SYMPTOMS AFFECT EVERYDAY LIFE LOSS OF SPORT AFFECTS QUALITY OF LIFE
58 Groin Disruption Surgical Principles Normal Anatomy - Restored Each layer - Repaired Permanent Suture Essential Nylon Darn Preferable to Absorbable Sutures (Don t Last) Preferable to Mesh (May Restrict Mobility)
59 GROIN DISRUPTION & ADDUCTOR TEAR PRESENT IN 40%
60 GROIN DISRUPTION & ADDUCTOR TEAR TREATMENT MODERATE or ACUTE : REPAIR DISRUPTION + INTENSIVE ADDUCTOR PHYSIO SEVERE or CHRONIC : REPAIR DISRUPTION + ADDUCTOR TENOTOMY (20%)
61 GROIN REPAIR & ADDUCTOR TENOTOMY from 1896 (18%)
62 RESULT - OPERATION SUCCESSFUL 97% AVERAGE RETURN TO PROFESSIONAL FOOTBALL 4 WEEKS 1220 OUT OF 1258 PLAYERS RANGE 3-7 WEEKS
63 Recurrent Groin Disruption Ipsilateral Post Operative 3% Contralateral(non opd.)10% pain within 10 Years (Patients recognize the symptoms & request Operation)
64 INTERNATIONAL SOCCER FOOTBALLERS ENGLAND 59 SCOTLAND 34 NORTHERN IRELAND 18 EIRE 16 WALES 15 OTHER
65
66
67 RUGBY UNION REF. OPN. Op % (44 I NT) 62
68 RUGBY SYMPTOMS BACKS Sprinting Twisting and Turning Accelerating Striding out Side Stepping Dead Ball Kicking
69 RUGBY SYMPTOMS FORWARDS Sprinting Twisting and Turning Striding out Up after a tackle Jumping
70 RUGBY LEAGUE REF. OPN. % (17 INT) 79
71
72
73
74 CRICKET REF. OPN. % (23 INT) 68
75 INTERNATIONAL CRICKETERS FAST BOWLER 13 BATSMAN 6 ALL ROUNDER 4 TOTAL 23
76 SYMPTOMS IN CRICKETERS PAIN IN GROIN FAST BOWLERS: DRAG > LANDING BATSMAN: RUNNING BETWEEN WICKETS TWISTING & TURNING FIELDERS: SUDDEN MOVEMENT PUSHING OFF STRIDING OUT DIVING 20/20 Games: INCREASED INCIDENCE
77
78 ATHLETES REF. OPN. % (24 INT) 39
79 SYMPTOMS IN ATHLETICS PAIN IN GROIN MIDDLE & LONG DISTANCE RUNNERS HURDLERS TRIATHLETES SPRINTERS (UNUSUAL) PAIN INCREASES: WITH DISTANCE SPRINTING AT END OF RACE LOSS OF SPEED: REDUCED TIMES LOSS OF ENDURANCE: SLOW RECOVERY
80
81 FIELD HOCKEY REF. OPN. % (15 INT) 58
82 SYMPTOMS IN FIELD HOCKEY PAIN IN GROIN ELITE PLAYERS FREQUENT GAMES ON ASTROTURF SPRINTING TWISTING & TURNING LOSS OF SPEED (CORNER SPECIALISTS)
83 RACQUET GAMES PLAYERS REF. OPN. % (3 INT) 34
84 SYMPTOMS IN RACQUET GAMES PAIN IN GROIN CHANGE IN DIRECTION TWISTING & TURNING LUNGING SERVING NET PLAY
85 OTHER SPORTS REF. OPN. % (26 INT) 34
86 BASKETBALL HANDBALL
87 EQUESTRIAN POLO EVENTING
88 GOLF
89 FENCING
90 GAELIC FOOTBALL HURLING
91 GYMNASTICS
92 LACROSSE
93 MARTIAL ARTS KICK BOXING
94 WATERPOLO
95 WEIGHT LIFTING STRONGMEN
96 SKIING SNOW BOARDING
97
98 INTERNATIONALS SOCCER 254 RUGBY UNION 44 ATHLETES 24 CRICKET 23 RUGBY LEAGUE 17 HOCKEY 15 HANDBALL 4 RACQUET GAMES 4 SKIING 2 BASKETBALL 2 FENCING 2 LACROSSE 2 MARTIAL ARTS 2 ICE HOCKEY 2 GYMNASTICS 1 WATERPOLO 1 ROWING 1 "STRONGMAN" 1 WEIGHT LIFTING 1 TOTAL 402
99 NO SPORT REF. OPN. % BUILDERS. GARDENERS. DIY. POLICE and PORN STARS
100 SPORTSWOMEN
101
102 GILMORE S GROIN IN WOMEN: DIAGNOSIS DIFFICULT: BASED ON: NO SCROTUM HISTORY TENDER S.I.R. GROIN PAIN WITH RESISTED HIP FLEXION ELEVATION FROM SUPINE POSITION GRIMACE
103 FEMALES REF. OPN. % (5 INT ) 17
104 FUTURE
105
106
107
108
109
110 Thank You.
111
GROIN DISRUPTION MR O J A GILMORE MS FRCS FRCS (ED) F. INST. SPORTS MED. 5% ALL SPORTS INJURIES AFFECT GROIN PATIENT S REFERRED with GROIN PAIN 1980-2008 TOTAL 7273 MALE 7030 (97%) FEMALE 273 (3%) PATIENT
Tier 2 MSK Clinic GP Message of the Month June Sportsman s groin (inguinal disruption).
Tier 2 MSK Clinic GP Message of the Month June 2014 Sportsman s groin (inguinal disruption). This month s MoM presents a case of bilateral inguinal disruption (ID) presenting as chronic (right) groin pain.
Doc, I've done my groin. Groin Pain. Peter Brukner. Doc, I've done my groin 1. acute chronic
Doc, I've done my groin Peter Brukner Associate Professor in Sports Medicine Centre for Sports Medicine Research and Education School of Physiotherapy 9/22/2006 The University of Melbourne Groin Pain acute
Dr Sanjay Pandanaboyana
Dr Sanjay Pandanaboyana General and Laparoscopic Surgeon Specialist General Hepatobiliary and Pancreatic Surgeon Auckland 16:30-16:50 It's Just a Hernia! Its just a hernia! Mr. Sanjay Pandanaboyana MS,
Professional Baseball Chiropractic Society Workshop. January 18-20, 2018
Professional Baseball Chiropractic Society Workshop January 18-20, 2018 Dr. Craig Couillard Team Chiropractor and Soft Tissue Specialist for the St. Paul Saints What is a Sport s Hernia? What is the current
DIAGNOSIS AND TREATMENT OF INGUINAL CANAL DISRUPTION
DIAGNOSIS AND TREATMENT DIAGNOSIS AND TREATMENT OF INGUINAL CANAL DISRUPTION - A COMMON CAUSE OF GROIN PAIN IN ATHLETES By David Wales MCSP MSc INTRODUCTION Inguinal canal disruption occurs frequently
Sports Hernias. Matthew Gimre, MD ATC Conference, June 20, 2015
Sports Hernias Matthew Gimre, MD ATC Conference, June 20, 2015 Sports hernia: So what is it? An injury to the rectus abdominis-common adductor aponeurosis, at the anterior/inferior aspect of the pubic
APPROACH TO THE DIAGNOSIS OF GROIN PAIN. Alexandra Myers, D.O., M.S.H.S. February 22, 2018 OPSC Annual Convention
APPROACH TO THE DIAGNOSIS OF GROIN PAIN Alexandra Myers, D.O., M.S.H.S. February 22, 2018 OPSC Annual Convention OVERVIEW Review the entities that may contribute to groin pain Discuss the approach to making
Lower Limb. Hamstring Strains. Risk Factors. Dr. Peter Friis 27/04/15. 16% missed games AFL 6-15% injury in rugby 30% recurrent
Lower Limb Dr. Peter Friis MB BS FACSP Sports Physician Hamstring Strains 16% missed games AFL 6-15% injury in rugby 30% recurrent Risk Factors Modifiable Warm up Fatigue Strength Flexibility L/Spine Pelvic
11/11/2016. Hip FAI & Core Muscle Deficiency: Diagnosis and Treatment. Disclosures. Differential Diagnosis. Consultant, Smith and Nephew
Hip FAI & Core Muscle Deficiency: Diagnosis and Treatment FORE Baseball Sports Medicine Game-Changing Concepts November 4, 2016 T. Sean Lynch, MD Assistant Professor New York-Presbyterian/ Columbia University
Hip Pain in the Athlete: A Diagnostic Challenge
: A Diagnostic Challenge Matthew Gimre MD Sports Medicine 11 th Annual Sports Medicine Conference Presented June 17, 2017 on: Month day, Year Presented to: Insert relevant presenter information Calibri
Inguinal-related groin pain
Inguinal-related groin pain Adam Weir @adamweirsports Aspetar Sports Groin Pain Centre @Aspetar Talk structure Case Terminology Definition Pathology? Imaging Treatment Rehab protocol History 31 yr male
6/05/2018. Aspetar, Qatar. Why the Bermuda triangle of Sports Medicine?
Why the Bermuda triangle of Sports Medicine? Complex anatomy Mul factorial ae ology diagnos c difficulty Variability in terminology/classification systems Clinical reasoning for hip and groin pain navigating
Hip Arthroscopy with Labral Repair and Osteoplasties PT Rehab Protocol
Matthew T. Mantell, MD 128 Medical Circle Winchester, VA 22601 Phone: 540-667-8975 Email: mattmantellmd@gmail.com Web: www.mattmantellmd.com Hip Arthroscopy with Labral Repair and Osteoplasties PT Rehab
Imaging in Groin Pain What the Team Physician Needs to Know
Imaging in Groin Pain What the Team Physician Needs to Know Üstün Aydıngöz, MD Professor of Radiology Hacettepe University School of Medicine Ankara, Turkey ustunaydingoz@yahoo.com No conflicts of interest
(Also known as a, Lateral Cartilage Tear,, Bucket Handle Tear of the Lateral Meniscus, Torn Cartilage)
Lateral Meniscus Tear (Also known as a, Lateral Cartilage Tear,, Bucket Handle Tear of the Lateral Meniscus, Torn Cartilage) What is a lateral meniscus tear? The knee joint comprises of the union of two
What we ll cover... Two types of hamstring injury! What type of athletes tear hamstrings!
What s'new'in'hamstring'strain' injury'prevention'&'rehabilitation? Craig Ranson PhD Programme Director MSc Sports & Exercise Medicine Cardiff Metropolitan University Wales Rugby Team Physiotherapist @craigarxl
FUNCTIONAL ANATOMY AND EXAM OF THE HIP, GROIN AND THIGH
FUNCTIONAL ANATOMY AND EXAM OF THE HIP, GROIN AND THIGH Peter G Gerbino, MD, FACSM Orthopedic Surgeon Monterey Joint Replacement and Sports Medicine Monterey, CA TPC, San Diego, 2017 The lecturer has no
What Are Bursitis and Tendinitis?
Shoulder Tendinitis, Bursitis, and Impingement Syndrome What Are Bursitis and Tendinitis? Two types of tendinitis can affect the shoulder. Biceps tendinitis causes pain in the front or side of the shoulder.
Mr Simon Jennings BSc, MB BS, FRCS, Dip Sports Med FRCS (Trauma & Orthopaedics)
Mr Simon Jennings BSc, MB BS, FRCS, Dip Sports Med FRCS (Trauma & Orthopaedics) Consultant Orthopaedic Surgeon Northwick Park Hospital 107 Harley Street RSM 16 th September 2010 Orthopaedic Surgeon Knee
NETWORK FITNESS FACTS THE PELVIS
NETWORK FITNESS FACTS THE PELVIS The Pelvis The pelvis has 3 joints connecting it together 2 sacro-iliac joints at the back (posterior) and the pubic symphysis joint which is at the front (anterior). A
THE HIP. Cooler than cool, the pinnacle of what is "it". Beyond all trends and conventional coolness.
THE HIP Cooler than cool, the pinnacle of what is "it". Beyond all trends and conventional coolness. Objectives Hip anatomy Causes of hip pain Hip exam Anatomy Bones Ilium Anterior Superior Iliac Spine
The relationship between hip internal rotation. and groin pain in elite Australian Rules Football. players. Ngaire McKay. Jenny Hynes.
The relationship between hip internal rotation and groin pain in elite Australian Rules Football players. Ngaire McKay Jenny Hynes Patrick McLaughlin 1 Abstract A prospective study was performed in order
Guide to Prevention of Sports Injuries
Guide to Prevention of Sports Injuries Maintaining an active lifestyle offers a number of benefits for your physical and mental health. While exercise and sports-related activities often have a positive
The Hip Joint. Exercises and Injuries
The Hip Joint Exercises and Injuries Pelvis Abnormalities To appreciate the abnormalities that may occur, picture a box around the pelvis. The two most common situations are: 1.the pelvis is tilted forward
The Footballers 7 Deadly Sins
The Footballers 7 Deadly Sins CONTENTS 1. Not enough core strength 2. Not enough balance retraining 3. Not enough hamstring strength 4. Too many ACL Injuries 5. Not enough flexibility/warming up 6. Not
Prevention and Treatment of Injuries. The Femur. Quadriceps 12/11/2017
Prevention and Treatment of Injuries The Thigh, Hip, Groin, and Pelvis Oak Ridge High School Conroe, Texas The Femur Is the longest and the second strongest bone in the body and is designed to permit maximum
Hip Injuries & Arthroscopy in Athletes
Hip Injuries & Arthroscopy in Athletes John P Salvo, MD Sports Medicine Rothman Institute Philadelphia, PA EATA Annual Meeting January, 2011 Hip Injuries & Arthroscopy in Anatomy History Physical Exam
Approaching the Irritable Hip antero-medial hip and groin pain
Approaching the Irritable Hip antero-medial hip and groin pain Dr John P Best, FACSP, FFSEM Sports and Exercise Medicine Conjoint Lecturer UNSW Antero-medial Hip and Groin Pain Incidence and Causes 5-10%
Common Low Back Injuries in Dancers
Common Low Back Injuries in Dancers Bones Anatomy of the Spine Ligaments & Discs Muscles Quadratus Lumborum (QL) Muscle Strain or Trigger Point The QL originates from the posterior iliac crest and inserts
Case Studies: Low Back Pain in the Athlete. Jim Messerly DO
Case Studies: Low Back Pain in the Athlete Jim Messerly DO Nothing to disclose Case #1 History 15 y/o male presents for evaluation of his low back pain. His pain has been present for several months. The
Burwood Road, Concord 160 Belmore Road, Randwick Dora Street, Hurstville
www.orthosports.com.au 47 49 Burwood Road, Concord 160 Belmore Road, Randwick 29 31 Dora Street, Hurstville WHEN SCIATICA IS NOT SCIATICA, WHAT DO YOU LOOK FOR? What do you look for, where? Low Back pain
ANTERIOR CRUCIATE LIGAMENT INJURY
ANTERIOR CRUCIATE LIGAMENT INJURY WHAT IS THE ANTERIOR CRUCIATE LIGAMENT? The anterior cruciate ligament (ACL) is one of four major ligaments that stabilizes the knee joint. A ligament is a tough band
PREVIEW ONLY 3/04/2013. Andrew Ellis. Dr John Read IMAGING OF GROIN PAIN. Click to minimize panel and see whole screen
Be sure to convert to your own time zone at Andrew Ellis BSc (Ex. Sci), M. Phty IMAGING OF GROIN PAIN World Health Webinars CEO World Health Webinars (Australia/NZ) Host Presented by: Dr John Read Will
Hip Injuries in the Workers Compensation Arena: Diagnosis and Treatment. Joshua S Hornstein, MD TOG Institute
Hip Injuries in the Workers Compensation Arena: Diagnosis and Treatment Joshua S Hornstein, MD TOG Orthopaedics@Rothman Institute Disclosures No Relevant Disclosures Objectives Basic Anatomy Pathology
Lower Limb. Hamstring Strains. Dr. Peter Friis. What are Hamstrings? 5/10/17. 16% missed games AFL 6-15% injury in rugby 30% recurrent
Lower Limb Hamstring Strains Dr. Peter Friis MB BS FACSP Sports Physician 16% missed games AFL 6-15% injury in rugby 30% recurrent What are Hamstrings? 1 Risk Factors Modifiable Warm up Fatigue Strength
Hip & Groin pain. M Hassabi (MD) Assistant professor Department of Sports & Exercise Medicine Shahid Beheshti University of Medical Sciences
Hip & Groin pain M Hassabi (MD) Assistant professor Department of Sports & Exercise Medicine Shahid Beheshti University of Medical Sciences EPIDEMIOLOGY Groin pain and injury is common with sports that
Unit 1 The Human Body in Motion AREA OF STUDY 1 - HOW DOES THE MUSCULOSKELETAL SYSTEM WORK TO PRODUCE MOVEMENT?
Unit 1 The Human Body in Motion AREA OF STUDY 1 - HOW DOES THE MUSCULOSKELETAL SYSTEM WORK TO PRODUCE MOVEMENT? Acute and Chronic Injuries of the Musculoskeletal System AREA OF STUDY 1 - HOW DOES THE MUSCULOSKELETAL
SHOULDER Highly mobile, so less stable. Abnormalities cloaked within extensive musculature, dx can be difficult Bony abnormalities less common than li
SPORTS MEDICINE CASES A quick tour of some local joints Featuring gco common o and unusual problems SHOULDER Highly mobile, so less stable. Abnormalities cloaked within extensive musculature, dx can be
Prevention and Treatment of Injuries. Anatomy. Anatomy. Tibia: the second longest bone in the body
Prevention and Treatment of Injuries The Ankle and Lower Leg Westfield High School Houston, Texas Anatomy Tibia: the second longest bone in the body Serves as the principle weight-bearing bone of the leg.
Football and netball season A review of the apophysis and the acute shoulder: assessment. Simon Locke Sport and Exercise Physician
Football and netball season A review of the apophysis and the acute shoulder: assessment Simon Locke Sport and Exercise Physician Apophyseal injuries; How to diagnose and manage? Goals for tonight Recognise
Case Report A Rare Case of Adductor Longus Muscle Rupture
Case Reports in Orthopedics Volume 2015, Article ID 840540, 4 pages http://dx.doi.org/10.1155/2015/840540 Case Report A Rare Case of Adductor Longus Muscle Rupture R. J. L. L. van de Kimmenade, 1 C. J.
Anterior Cruciate Ligament Injuries
Anterior Cruciate Ligament Injuries One of the most common knee injuries is an anterior cruciate ligament sprain or tear.athletes who participate in high demand sports like soccer, football, and basketball
Warm Up. What do you think the difference is between exercise and physical fitness?
Warm Up What do you think the difference is between exercise and physical fitness? Physical Fitness Chapter 4 Lesson 1: The Parts of Fitness Physical Fitness vs. Exercise Physical Fitness is the ability
Welcome to the Royal Orthopaedic Hospital (ROH). For further information please visit
Produced: Feb2012 Ref: 011/02 Author: Directorate for Large Joints Review: Feb 2014 Royal Orthopaedic Hospital NHS Foundation Trust Patient Information Hip Arthroscopy Welcome to the Royal Orthopaedic
All students will follow the FULL course award worth one GCSE (Module 4892)
AQA GCSE PHYSICAL EDUCATION COURSE OUTLINE 2015-2017 All students will follow the FULL course award worth one GCSE (Module 4892) This is made up of TWO units: UNIT 3 KNOWLEDGE & UNDERSTANDING FOR THE ACTIVE
P h y s i o R o o m Injur TraDe Foo ITes ball GuIDe
Trade Football Injuries GUIDE Football AND Physical INJURY Football is not just the United Kingdom s national game, but the world s game. And with over 240million registered players worldwide, not to mention
Lumbar decompression or discectomy
Information and exercises Lumbar decompression or discectomy Introduction A lumbar decompression or discectomy is done to relieve pressure on the nerves in order to relieve pain and altered sensation.
Orthopaedic and Spine Institute 21 Spurs Lane, Suite 245, San Antonio, TX Tel#
Orthopaedic and Spine Institute 21 Spurs Lane, Suite 245, San Antonio, TX 78240 www.saspine.com Tel# 210-487-7463 PATIENT GUIDE TO SHOULDER INSTABILITY LABRAL (BANKART) REPAIR / CAPSULAR SHIFT WHAT IS
Mr. Siva Chandrasekaran Orthopaedic Surgeon MBBS MSpMed MPhil (surg) FRACS
Sprained Ankle An ankle sprain occurs when the strong ligaments that support the ankle stretch beyond their limits and tear. Ankle sprains are common injuries that occur among people of all ages. They
3/18/18. Adolescent Hip Injuries. Adolescents with Hip Injuries DISCLOSURES
Adolescent Hip Injuries Henry Bone Ellis, Jr., MD DFW Sports Medicine Symposium March 24, 2018 DISCLOSURES Royalties and stock options Consulting income Smith and Nephew Other support Research on Osteochondritis
Protocol D Arthroscopic Surgery: Therapist Information
Protocol D Arthroscopic Surgery: Therapist Information Please read entire protocol prior to initiating therapy Please do not hesitate to contact Dr. Wolff with questions or concerns. Rest is a vital component
Surgery-Ortho. Fractures of the tibia and fibula. Management. Treatment of low energy fractures. Fifth stage. Lec-6 د.
Fifth stage Lec-6 د. مثنى Surgery-Ortho 28/4/2016 Indirect force: (low energy) Fractures of the tibia and fibula Twisting: spiral fractures of both bones Angulatory: oblique fractures with butterfly segment.
Protocol A Arthroscopic Surgery: Therapist Information
Protocol A Arthroscopic Surgery: Therapist Information Please read entire protocol prior to initiating therapy Please do not hesitate to contact Dr. Wolff with questions or concerns. Rest is a vital component
www.leafsatschool.com Dear Phys Phys Ed Teachers, Ed Teachers, Welcome to the Leafs@School Fitness Challenge. In 2003, we asked ourselves two questions: What can we do to help in the development of our
KS4 Physical Education
KS4 Physical Education Prevention of Injury These icons indicate that teacher s notes or useful web addresses are available in the Notes Page. This icon indicates that the slide contains activities created
Physical Education A Level OCR Syllabus
Physical Education A Level OCR Syllabus Why study Physical Education? Studying A Level Physical Education will give you a fantastic insight into the amazing world of sports performance. Not only will you
What causes it? Sports experts believe that groin strains can be caused by a variety of different factors, including:
Groin Strains A strain is often a bruise, stretching, or tearing of muscle fibres, which run from the front of the hip bone to the inside of the thigh. These 'hip-adductor' muscles, namely the adductor
emoryhealthcare.org/ortho
COMMON SOCCER INJURIES Oluseun A. Olufade, MD Assistant Professor, Department of Orthopedics and PM&R 1/7/18 GOALS Discuss top soccer injuries and treatment strategies Simplify hip and groin injuries in
2017 OMA Sport and Exercise Medicine RADIOLOGY QUIZ. Dr. Ali Rendely Resident Representative PGY2
2017 OMA Sport and Exercise Medicine RADIOLOGY QUIZ Dr. Ali Rendely Resident Representative PGY2 Acknowledgement Dr. R. Bleakney Assistant Professor Department of Medical Imaging, University of Toronto
MR: Finger and Thumb Injuries
MR: Finger and Thumb Injuries Laura W. Bancroft, M.D. Professor of Radiology University of Central Florida Florida State University Outline Normal anatomy of the fingers and thumb MR imaging protocols
What s Hip: Common Hip Problems and Kids and Adults
What s Hip: Common Hip Problems and Kids and Adults Alan Zhang MD Assistant Professor Sports Medicine and Hip Arthroscopy UCSF Department of Orthopaedic Surgery I have no relevant disclosures. 2 1 Most
STAIRS. What s Hip: Top 5 Hip Problems in Primary Care. I have no relevant disclosures. Top 5 (or 6) Pathologies. Big 3- Questions to Ask
I have no relevant disclosures. What s Hip: Top 5 Hip Problems in Primary Care Alan Zhang MD Assistant Professor Sports Medicine and Hip Arthroscopy UCSF Department of Orthopaedic Surgery December, 2015
Soccer Injuries. Dr. John Greco 927 Franklin Street, Huntsville, AL /
Soccer Injuries Soccer is one of the most popular sports in the world and the fastest-growing team sport in the United States. Although soccer provides an enjoyable form of aerobic exercise and helps develop
HIP ARTHROSCOPY. A Patient s Guide. Guidance prepared on behalf of the International Society for Hip Arthroscopy (
HIP ARTHROSCOPY A Patient s Guide Guidance prepared on behalf of the International Society for Hip Arthroscopy (www.isha.net) Authors: Singh PJ *, O Donnell JM **, Pritchard MG ** * Nuffield Orthopaedic
A Patient s Guide to Femoroacetabular Impingement (FAI) of the Hip
A Patient s Guide to Femoroacetabular Impingement (FAI) of the Hip 651 Old Country Road Plainview, NY 11803 Phone: 5166818822 Fax: 5166813332 p.lettieri@aol.com DISCLAIMER: The information in this booklet
Anterior Shoulder Instability
Anterior Shoulder Instability Anterior shoulder instability typically results from a dislocation injury to the shoulder joint when the humeral head (ball) of the humerus (upper arm bone) is displaced from
THEORY OF FIRST TERM. PHYSICAL EDUCATION: 2nd E.S.O.
THEORY OF FIRST TERM. PHYSICAL EDUCATION: 2nd E.S.O. 1.- WHAT IS THE WARM-UP? It is a set of exercises for muscles and joints which prepare the body for the physical activity, reducing the risk of suffering
Hamstring strains and prevention
Research Center of Movement Science Department of Physiotherapy University of Iceland UIVERSITY OF ICELAD DEPARTMET OF PHYSIOTHERAPY Hamstring strains and prevention Árni Árnason PT, PhD University of
The Shoulder Complex. Anatomy. Articulations 12/11/2017. Oak Ridge High School Conroe, Texas. Clavicle Collar Bone Scapula Shoulder Blade Humerus
The Shoulder Complex Oak Ridge High School Conroe, Texas Anatomy Clavicle Collar Bone Scapula Shoulder Blade Humerus Articulations Sternoclavicular SC joint. Sternum and Clavicle. Acromioclavicular AC
COMMON KNEE AND SHOULDER INJURIES IN THE YOUNG ATHLETE. Outline 5/11/2017
COMMON KNEE AND SHOULDER INJURIES IN THE YOUNG ATHLETE IRVING RAPHAEL MD Syracuse Orthopedic Specialists Former S.U. Head Team Physician May 19, 2017 Meniscal Injuries anatomy Exam Treatment ACL Injuries
a) Maximum Strength:- It is the ability to overcome or to act against resistance. It is the maximum force which is applied by the muscles to perform any certain activity. For developing maximum strength
A Patient s Guide to Ulnar Collateral Ligament Injuries
A Patient s Guide to Ulnar Collateral Ligament Injuries 20295 NE 29th Place, Ste 300 Aventura, FL 33180 Phone: (786) 629-0910 Fax: (786) 629-0920 admin@instituteofsports.com DISCLAIMER: The information
The Hows and Whys of Back Pain in Young People. Alex Levchenko, DO Interventional Physiatrist October 22, 2017
The Hows and Whys of Back Pain in Young People Alex Levchenko, DO Interventional Physiatrist October 22, 2017 Basics of back pain Relatively common Acute (2-4 weeks duration) Chronic (>13 weeks) Less
Physical Fitness. Chapter 4
Physical Fitness Chapter 4 Lesson 1: The Parts of Fitness The Parts of Fitness Physical Fitness is the ability to do everyday activities without becoming short of breath, sore, or tired. There are four
Anterior Impingement
Anterior Impingement Ziali Sivardeen BMedSci, (MRCS), AFRCS, FRCS (Tr & Orth) Consultant Trauma and Orthopaedic Surgeon (Shoulder, Knee and Sports Injuries) Aims Causes of Anterior Ankle Pain Ankle Impingement
INJURIES IN SKELETALLY IMMATURE ATHLETES
INJURIES IN SKELETALLY IMMATURE ATHLETES PETER GERBINO, MD, FASCM Orthopedic Surgeon Monterey Joint Replacement and Sports Medicine Monterey, CA TPC, San Diego 2017 The presenter has no financial relationship
Anterior Cruciate Ligament (ACL) Injuries
Anterior Cruciate Ligament (ACL) Injuries Mark L. Wood, MD The anterior cruciate ligament (ACL) is one of the most commonly injured ligaments of the knee. The incidence of ACL injuries is currently estimated
MR findings in patients with athletic pubalgia: our experience
MR findings in patients with athletic pubalgia: our experience Poster No.: C-0727 Congress: ECR 2015 Type: Scientific Exhibit Authors: P. Schvartzman, A. Fernandez Viña, F. Olmos Cantarero, J. 1 2 1 1
Hip Strains. Anyone can experience a hip strain just doing everyday tasks, but strains most often occur during sports activities.
Hip Strains A hip strain occurs when one of the muscles supporting the hip joint is stretched beyond its limit or torn. Strains may be mild, moderate, or severe, depending on the extent of the injury.
The sports hernia: a cause of chronic groin pain
Br J Sp Med 1993; 27(1) The sports hernia: a cause of chronic groin pain Roger G. Hackney FRCS, Dip Sports Med Princess Mary's Hospital, Royal Air Force Halton, Aylesbury, Bucks, UK The management of chronic
Young Adult Hip problems. Aresh Hashemi-Nejad FRCS(Orth)
Young Adult Hip problems Aresh Hashemi-Nejad FRCS(Orth) RNOH founded 1837 by William Little 14 year old presenting with limp Knee pain on and off 4 months Limps Aresh Hashemi-Nejad FRCS(Orth) The Royal
Apophysis. Apophyseal Avulsion. Apophyseal avulsion injuries 3/2/2017
Apophysis 0 Differentiate from Epiphysis: The end of long bones which undergo endochondral ossification to produce longitudinal growth of the bones. i.e. growth plates 0 Apophysis refers to any eminence,
Official reprint from UpToDate UpToDate
UpToDate L* & Official reprint from UpToDate www.uptodate.com 2012 UpToDate The content on the UpToDate website is not intended nor recommended as a substitute for medical advice, diagnosis, or treatment.
Lower Extremity Sports Injuries
Lower Extremity Sports Injuries AAP Musculoskeletal Boot Camp Sigrid F. Wolf, MD Pediatric Sports Medicine Fellow Northwestern University Lurie Children s Hospital Disclosure I have no relevant financial
P.O. Box Sierra Park Road Mammoth Lakes, CA Orthopedic Surgery & Sports Medicine
P.O. Box 660 85 Sierra Park Road Mammoth Lakes, CA 93546 SHOULDER: Instability Dislocation Labral Tears The shoulder is the most mobile joint in the body, but to have this amount of motion, it is also
Knee Injuries. PSK 4U Mr. S. Kelly North Grenville DHS. Medial Collateral Ligament Sprain
Knee Injuries PSK 4U Mr. S. Kelly North Grenville DHS Medial Collateral Ligament Sprain Result from either a direct blow from the lateral side in a medial direction or a severe outward twist Greater injury
Common Shoulder Problems and Treatment Options. Benjamin W. Szerlip D.O. Austin Shoulder Institute
Common Shoulder Problems and Treatment Options Benjamin W. Szerlip D.O. Austin Shoulder Institute Speaker Disclosure Dr. Szerlip has disclosed that he has no actual or potential conflict of interest in
BIOMECHANICAL INFLUENCES ON THE SOCCER PLAYER. Planes of Lumbar Pelvic Femoral (Back, Pelvic, Hip) Muscle Function
BIOMECHANICAL INFLUENCES ON THE SOCCER PLAYER Functional performance of the soccer player reflects functional capability of certain specific muscle and muscle groups of the back, pelvis and hip to work
CHAPTER 6 SPORTS INJURIES
A sports injury is any kind of injury, pain or physical damage that occurs as a result of sport, exercise or physical activity. figure 6.1 sports injuries prevention of injury Sports injuries are unfortunately
My shoulder popped out what now?
My shoulder popped out what now? Richard Dallalana Epworth Shoulder Symposium June 2017 Shoulder Dislocation First event Best approach? Manual Reduction Should it be put back on field? - YES Prone lying
RM 3 PA: Physical Activity Inventory
RM 3 PA: Physical Inventory This Physical Inventory is intended to assist students in identifying activities that they would like to include in their physical activity practicum. Students may choose physical
GCSE PE 1-9 SPEC. 9 Mark Questions
GCSE PE 1-9 SPEC 9 Mark Questions Example Question: At the end of both your exams there is a 9 mark essay question It should be 2 sides of A4 and only take 15-20 mins It is marked in bands: Half term 1
Evaluation of Hip Pain in Adults. Jerry Ahluwalia, M.D. November 13, 2015
Evaluation of Hip Pain in Adults Jerry Ahluwalia, M.D. November 13, 2015 Objectives Develop a better understanding of the differential diagnosis of hip pain in active young adults Appreciate key points
Urgent Cases and Foreign Bodies
Urgent Cases and Foreign Bodies Catherine J. Brandon, MD, MS University of Michigan Ann Arbor, MI, USA Introduction: Patients added on to the schedule from the emergency department or as urgent add-on
PiXL Independence: PE Answer Booklet KS4. Physical Training. Contents: Answers
PiXL Independence: PE Answer Booklet KS4 Physical Training Contents: Answers 1 I. Quizzes Multiple Choice Quiz 1. Which one of the following statements is false? a. Cardiovascular endurance and stamina
Common Knee Injuries
Common Knee Injuries In 2010, there were roughly 10.4 million patient visits to doctors' offices because of common knee injuries such as fractures, dislocations, sprains, and ligament tears. Knee injury
PE Assessment Point 2 Revision booklet
PE Assessment Point 2 Revision booklet Assessment point 2 PE assessment Theory Practical Theory Topics Locations of major bones Functions of the skeletal system Aerobic and anaerobic Warm ups and cool
Knee Pain Solutions. Assess Your Pain. Make a Plan. Take Action
Knee Pain Solutions Assess Your Pain Make a Plan Take Action By Jared Evans Certified Strength and Conditioning Specialist Giammalva Fitness Director There are many different causes of knee pain and understanding
Use this info if you're counting steps and want to convert activities that are not easily measured by the pedometer.
1 of 9 Use this info if you're counting steps and want to convert activities that are not easily measured by the pedometer. PLEASE NOTE: Activity Conversions are estimates; your actual steps may vary Bicycling