Monterey Peninsula Orthopaedic & Sports Medicine Institute

Transcription

1 Monterey Peninsula Orthopaedic & Sports Medicine Institute 1

2 Sports Injuries MICHAEL KLASSEN, MD Monterey Peninsula Orthopaedic & Sports Medicine Institute Head Team Physician & Orthopaedic Surgeon California State University Monterey Bay Otters 2

3 Sports Injuries - Outline ζ Sports Injuries - an overview ψwhen to see the doctor ψtreatment options 3

4 Sports Injuries - Outline ζ Common Sports Related Injuries ψankle Sprain ψplantar Fasciitis ψtennis Elbow ψ ACL Injury & meniscus tear 4

5 Sports Injuries - Outline ψstress fractures ψoveruse Injuries ψshoulder rotator cuff tear ψsurgical options 5

6 Who is an orthopaedic surgeon? ζ A Medical Doctor with extensive training in helping you keep your bones, joints, ligaments, muscles, tendons, cartilage and spine in good working order 6

7 Educating an Orthopaedic Surgeon ζ College ζ Medical School ζ Internship ζ General Surgical Residency ζ Orthopaedic Surgical Residency ζ Years in Private Practice Total 29 years!

8 Who is an orthopaedic surgeon? ζ Greatest knowledge of wide range of conditions and treatment options available ζ Greatest experience in treating musculoskeletal health 8

9 Why Musculoskeletal Problems? ζ Musculoskeletal conditions affect hundreds of millions of people ζ $254 billion per year spent 9

10 Acute vs. Overuse Injuries ζ Acute - sudden trauma such as sprains, strains, bruises & fractures ζ Overuse - series of repeated small injuries 10

11 When to See the Doctor ζ Decreased ability to play ζ Visible deformity ζ Severe pain 11

12 Boomeritis ζ million sports related injuries in the U.S. ζ $18 Billion per year 12

13 Boomeritis tendinitis sprains 13 bursitis strains

14 When to See the Doctor Before you start an exercise or fitness program, talk to your doctor 14

15 Preventing Sports Injuries ζ Skilled instruction ζ Wear safety gear! 15

16 Stretching Warm- up: ζ Marching ζ Walk in place ζ Take a warm shower ζ Mimic the sport you are about to do 16

17 Stretching ζ You should NOT feel pain ζ Hold stretch 30 seconds ζ Relax into the stretch 17

18 Sports Injuries Prevention & Treatment 18

19 Treatment ζ R.I.C.E. ζ Alter or stop sports activities ζ Physical therapy & medication ζ Surgery may be warranted 19

20 Sports Injuries Common Sports Injuries 20

21 Ankle Sprain ζ Ligament injury ζ Ankle pain, tenderness, swelling 21

22 Ankle Sprain ζ R.I.C.E. ζ Rehabilitation ψrom ψstrengthening ψflexibility 22 ψbalance

23 Plantar Fasciitis ζ Microtears of plantar fascia ζ Painful heel 23

24 Plantar Fasciitis ζ Tape heel, arch ζ Stretch 24 ψagainst wall ψon a step ζ Heel cup, horseshoe pad

25 Plantar Fasciitis ζ Warm up well before stretching ζ Ice heel, minutes ζ Anti-inflammatories ζ Night splints 25

26 Plantar Fasciitis ζ Wear good, supporting shoes ζ Arch support may help ζ Avoid activities that cause heel pain 26

27 Tennis Elbow Lateral epicondyle 27

28 Tennis Elbow ζ Warm up, stretch before play ζ Correct, maintained equipment ζ Condition beforehand ζ Evaluate play techniques to minimize irritation 28

29 ACL Injuries ζ Twisting injury to knee ζ Non-contact injury ζ Landing on straight leg ζ Making abrupt stops 29

30 ACL Tear Normal ACL Chronic ACL tear Reconstructed ACL Probe 30

31 Meniscus Tear Normal meniscus Torn meniscus 31

32 Stress Fractures ζ Imbalance bone loss vs. replacement ζ Micro-cracks ζ Pain 32

33 Overuse Injuries Training errors Improper technique Less-than than-optimal environment 33

34 Overuse Injuries 34 10% Rule Don t Increase Activity by More Than 10% Per Week

35 Sports Injuries Prevention & Treatment 35

36 Asking Questions About Surgery ζ Why? ζ Alternatives ζ Benefits and for how long? 36

37 Asking Questions About Surgery ζ Risks and any other options? ζ What is procedure called? ζ How many have you done? ζ How do you do the procedure? ζ Results? 37

38 Asking Questions About Surgery ζ Duration of recovery? ζ Assistance at home and how long? ζ Disability after surgery? ζ Physical therapy? ζ Return to normal activity? 38

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42 Rotator Cuff Tear Geometry Large - retracted

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44 Surgery

45 Portals for RCR

46 Impingement ψ Outlet Impingement ψ Microinstability ψ Cuff Dysfunction

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50 Sports Injuries Sports are fun! The goal is a pain and injury free balanced fitness program for all ages. 50

51 Sports Injuries Prevention & Treatment ψthank you for your attention 51

52 Monterey Peninsula Orthopaedic & Sports Medicine Institute 52