|
|
- Daniela Parker
- 5 years ago
- Views:
Transcription
1 GROIN DISRUPTION 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 7273 MALE 7030 (97%) FEMALE 273 (3%)
5 PATIENT REFERRAL ( ) INCIDENCE of OPERATION CASES REFERRED 7273 OPERATIONS 4227 (58%)
6 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
7
8 DIRECT TRAUMA FALL KICK PUNCH IMPACT SQUEESE
9
10 REFERRED PAIN
11
12 GROIN DISRUPTION SPORTSMEN GROIN GILMORE S GROIN
13 GILMORE S GROIN TYPICAL PATIENT YOUNG MALE ACTIVE SPORTSMEN RARE OVER 45 RARE IN FEMALES (1%)
14 GROIN PAIN: SITE IMPLICATIONS ABOVE INGUINAL LIGAMENT Gilmore Groin. BELOW INGUINAL LIGAMENT Mid Inguinal Point HIP Adductor Insertion ADDUCTOR
15 GROIN DISRUPTION MUSCULO TENDINOUS INJURY ALL LAYERS GROIN INGUINAL REGION MUSCLE DISLOCATION
16 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
17 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
18 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
19
20 GROIN DISRUPTION: PATHOLOGY Found at Operation TORN EXTERNAL OBLIQUE DILATED SUPERFICIAL INGUINAL RING TORN CONJOINED TENDON CONJOINED TENDON INGUINAL LIGAMENT } DEHISCENCE
21 GROIN DISRUPTION (GILMORE S GROIN) 29 YEARS
22 PATIENT REFERRAL RELATED TO SPORT CASES % ASSOCIATION FOOTBALL RUGBY UNION & LEAGUE RACQUET GAMES ATHLETES CRICKET HOCKEY OTHER SPORTS/GENERAL FITNESS TOTAL 7273
23 OPERATIONS TOTAL 4227 MALE 4185 (99%) FEMALE 42 (1%)
24 INCIDENCE OF OPERATION RELATED TO SPORT CASES OPN % ASSOCIATION FOOTBALL RUGBY UNION + LEAGUE RACQUET GAMES ATHLETES CRICKET HOCKEY OTHER SPORTS/GENERAL FITNESS TOTAL
25 INCIDENCE OF OPERATIONS ASSOCIATION FOOTBALL TOTAL OPN % PROFESSIONAL SEMI PRO AMATEUR TOTAL
26
27 PROFESSIONAL FOOTBALLERS CASES 1515 OPERATIONS 1246 (82%)
28 ENGLISH FOOTBALL LEAGUE CLUBS (92 CLUBS) PATIENTS REFERRED BY 87 CLUBS
29
30 AETIOLOGY:MUSCLE IMBALANCE 1. STRONG HIP FLEXORS (QUADS) 2. TILTED PELVIS PULL PELVIS DOWN STRETCH ABDO MUSCLES 3. STRETCHED ABDO MUSCLES BECOME WEAK (OBLIQUES) FAIL TO STABILIZE PELVIS 4. OVERUSE 5. MALE > FEMALE (99%) RECURRENT TEARS GROIN DISRUPTION
31
32 ARSENAL F.C.: GILMORE S GROIN OPERATION P.A (GRAHAM) (WENGER) 10 1 Gary Lewin 2007
33 ONSET OF SYMPTOMS INSIDIOUS 72% SPECIFIC INJURY 28% OVERSTRETCHING MISKICKING ABDUCTION EVERSION
34
35 SYMPTOMS DURING EXERCISE PAIN IN GROIN INCREASES WITH RUNNING STRIDING SPRINTING SUDDEN MOVEMENT TWISTING & TURNING SIDE STEPPING JUMPING DEAD BALL KICKING LONG BALL KICKING
36 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
37
38 EXAMINATION
39
40
41 GROIN DISRUPTION: PHYSICAL SIGNS (ALL ELICITED VIA SCROTUM) S.I.R: DILATED (+/-) COUGH IMPULSE TENDER (PALPABLE TEAR) TENDERNESS: MAY BE EXQUISITE DIMINISHES WITH REST
42
43 INDICATION FOR SURGERY: PROFESSIONALS GAME INHIBITED TRAINING INHIBITED LOSS OF SPEED LOSS OF FITNESS
44 INDICATION FOR SURGERY: AMATEURS SYMPTOMS AFFECT EVERYDAY LIFE LOSS OF SPORT AFFECTS QUALITY OF LIFE
45
46 Torn external oblique Groin Disruption: Pathology found at operation Dilated superficial inguinal ring Torn conjoined tendon Conjoined tendon Inguinal ligament } Dehiscence
47
48
49 Operation (1) Restore Normal Anatomy REPAIR EACH ELEMENT OF DISRUPTION Conjoined tendon repair ( 0 vicryl) Transversalis fascia plicated (0 vicryl) Rectus abdominis (if torn) repair (No.1 ethilon)
50
51 Operation (2) Conjoined tendon reattached to pubic tubercle with No.1 ethilon (Anchor Stitch) TENSION FREE NYLON DARN between ING LIG & CONJ. TENDON External oblique repair (0 vicryl) Scarpa s fascia closed (0 vicryl) Subcuticular skin closure (3/0 vicryl rapide)
52
53
54
55 RESULT - OPERATION SUCCESSFUL 97% AVERAGE RETURN TO PROFESSIONAL FOOTBALL 5 WEEKS 1209 OUT OF 1246 PLAYERS RANGE 3 9 WEEKS
56 INTERNATIONAL SOCCER FOOTBALLERS ENGLAND 61 SCOTLAND 34 NORTHERN IRELAND 18 EIRE 16 WALES 15 OTHERS
57 INTERNATIONALS SOCCER 251 RUGBY UNION 43 ATHLETES 24 CRICKET 21 RUGBY LEAGUE 16 HOCKEY 14 HANDBALL 4 RACQUET GAMES 3 SKIING 2 BASKETBALL 2 FENCING 2 LACROSSE 2 MARTIAL ARTS 2 SQUASH 1 GYMNASTICS 1 WATERPOLO 1 ROWING 1 VOLLEYBALL 1 "STRONGMAN" 1 WEIGHT LIFTING 1 ICE HOCKEY 1 TOTAL 391
58 Ulrike Muschaweck
59 D.N. Act 24. English International Jan 2008 Right Minimally Invasive Groin Repair Ulrike Mushaweck 2 weeks: Playing 3 1/2 weeks: Pain recurred Struggled for the rest of the season
60 DN Ulrike Mushaweck: TECHNIQUE According to operation report: Just the defect of the transverse fascia is opened reverse doubling fascia is made, achieving a tension free defect closure No mention of sutures used. No mention of ilio-inguinal nerve division
61 D.N. ( Repair in Jan 2008 ) : Increasing problems same groin:next Season Early Oct 08: Not played: Referred to: Symptoms & Signs: Right Groin Pain Severe 3 weeks OJAG Typical GG
62 D.N 7 Oct 2008: Re-Exploration Right Groin by OJAG Findings: Dense Scar Tissue No permanent sutures seen Dehiscence between Inguinal ligament and conjoined tendon Spermatic Cord bent in Inguinal canal Standard GG Repair with Nylon Darn
63 D.N Post op review: Running, sprinting: At 3 weeks 90% capacity Patient comment This Repair feels completely different, it feels more sound and more solid
64 D.N Missed no games following re-exploration & repair right groin with nylon darn Until developed Left Gilmores Groin 10 June 09 Left standard GG Repair with nylon darn 9July 09 Full involvement in pre-season training No problems either side since
65 CONCLUSION Reliable: Preferable to: Solid Repair Each Layer + Non Absorbable Nylon Darn Dissolvable Sutures + Division of Ilio inguinal nerve Allowing early pain free return but often recurrent symptoms
66
67
68 THANK YOU
Groin Disruption
Groin Disruption 1980-2009 (30 Years) 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 1980-2009 TOTAL 7535 MALE 7284 (97%)
More informationTier 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.
More informationProfessional 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
More informationDoc, 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
More informationDIAGNOSIS 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
More informationMedial Groin and Hernia: Sonographic Evaluation. Adam M. Pourcho DO Swedish Sports Medicine
Medial Groin and Hernia: Sonographic Evaluation Adam M. Pourcho DO Swedish Sports Medicine Disclosures Hernia Eval Takes Practice: Fake it till you make it Objectives Understand anatomy of medial hip and
More informationSports 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
More informationDr 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,
More informationThe 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
More informationPhysical 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
More informationInguinal-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
More informationProtocol 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
More informationProtocol 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
More informationNETWORK 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
More informationOrthopaedic 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
More informationThe 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
More informationKS4 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
More informationHip 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
More informationWhat 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.
More informationImaging 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
More informationHybrid mesh for sports hernia repair
Baptist Health South Florida Scholarly Commons @ Baptist Health South Florida All Publications 2017 David Edelman Baptist Health South Florida; Center for Robotic Surgery, dedelmanmd@aol.com Follow this
More informationPrevention 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.
More information11/11/2016. 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
More informationSHOULDER INJURIES Mr. McKay Athletic Training. References: BY. GA EUL JUNG
SHOULDER INJURIES Mr. McKay Athletic Training References: BY. GA EUL JUNG Shoulder Joint Bones of the Shoulder Ball & Socket joint consisting of: Scapula Humerus Clavicle Sternum Joints of the Shoulder
More informationThe 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
More informationMr. 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
More informationDr. Abigail R. Hamilton, MD
ACHILLES TENDINITIS Dr. Abigail R. Hamilton, MD ANATOMY The Achilles tendon is a strong tendon that connects the calf muscles to the heel. When the calf muscles contract, they pull on the Achilles tendon
More informationAll 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
More informationSurgery for Groin Pain in Athletes
Surgery for Groin Pain in Athletes Policy Number: 7.01.142 Last Review: 9/2018 Origination: 9/2014 Next Review: 9/2019 Policy Blue Cross and Blue Shield of Kansas City (Blue KC) will not provide coverage
More informationHip & 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
More informationAPPROACH 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
More informationElbow Injuries in the Throwing Athlete
Elbow Injuries in the Throwing Athlete Overhand throwing places extremely high stresses on the elbow. In baseball pitchers and other throwing athletes, these high stresses are repeated many times and can
More informationUltrapro Hernia System Bi Layer Dr Cosmas Gora T SpB-KBD. dffdfdfxxgfxgfxgffxgxgxg
Bi Layer Dr Cosmas Gora T SpB-KBD dffdfdfxxgfxgfxgffxgxgxg Why UHS? Lightweight Mesh Covering entire myopectineal orifices with underlay mesh in preperitoneal space (posterior repair) Covering the inguinal
More informationANTERIOR 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
More informationAnterior Cruciate Ligament (ACL)
Anterior Cruciate Ligament (ACL) The anterior cruciate ligament (ACL) is one of the 4 major ligament stabilizers of the knee. ACL tears are among the most common major knee injuries in active people of
More informationAnterior 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
More informationCase 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.
More information6/05/2018. 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
More informationemoryhealthcare.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
More informationUlnar Collateral Ligament Injuries of the Thumb Game Keeper s Thumb A Patient's Guide to Ulnar Collateral Ligament Injuries of the Thumb
Ulnar Collateral Ligament Injuries of the Thumb Game Keeper s Thumb A Patient's Guide to Ulnar Collateral Ligament Injuries of the Thumb 1 Introduction Injury to the ulnar collateral ligament of the thumb
More informationwww.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
More informationLower 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
More informationLower Back Pain. Sensory motor function. 1 Principles of Exercise Therapy. Global muscles vs Local muscles. Research in Spine Rehabilitation
1 Principles of Exercise Therapy Lower Back Pain 1. Facet joint pain 2. Spondylolysis & Spondylisthesis 1. Exercise Therapy turns the patient into an active participant and not just a passive recipient
More informationSurgery-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.
More informationPREVIEW 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
More informationHip 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.
More informationPrevention 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
More informationNon Surgical Hip Therapy Athletic Hip Injury: Therapist Information
Non Surgical Hip Therapy Athletic Hip Injury: Therapist Information Please read entire protocol prior to initiating therapy Please note: Individual hip injuries vary widely. This therapy protocol should
More informationInjury Recovery and Prevention. ~Joshua Bowen
Injury Recovery and Prevention ~Joshua Bowen Injury and Warming up Playing sports as an athlete competitively or just for fun can often lend itself to injuries, sometimes minor and sometimes serious. Like
More informationA 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
More informationUNIT 2.- SPORT INJURIES: SYMPTOMS AND TREATMENT
UNIT 2.- SPORT INJURIES: SYMPTOMS AND TREATMENT Every year, millions of teenagers participate in high school sports. An injury to a high school athlete can be a significant disappointment for the teen,
More informationCOMMON 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
More informationOverview. Overview. Introduction. Introduction Anatomy History Examination Common Disorders. Introduction Anatomy History Examination Common Disorders
Common Hip Disorders in Figure Skaters 14 th Annual Meeting of Sports Medicine and Science in Figure Skating January 25, 2009 8:15-8:45am Robert J. Dimeff, MD Medical Director of Sports Medicine Overview
More informationChronic Shoulder Instability
Chronic Shoulder Instability The shoulder is the most moveable joint in your body. It helps you to lift your arm, to rotate it, and to reach up over your head. It is able to turn in many directions. This
More informationACL Patient Assessment and Progress Sheet. Patient Sticker
Patient Sticker Thank you for taking the time to answer these questions which should only take a few minutes. The answers you give are very useful as they will help us assess your progress following your
More informationOperative management of hockey groin syndrome : 12 years of experience in National Hockey League players
Operative management of hockey groin syndrome : 12 years of experience in National Hockey League players Kashif Irshad, MD, Liane S. Feldman, MD, Caroline Lavoie, PT, Vincent J. Lacroix, MD, David S. Mulder,
More informationApophysis. 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,
More informationUnit 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
More informationMr John Groom The Complete Guide to Hernia
Mr John Groom The Complete Guide to Hernia What Do They Have in Common? AA Both Subjects Controversial! Debate 1. Laparoscopic verses Open Hernia Repair Beautiful Big splash Debate 2. Use of Mesh in Hernia
More informationMR: 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
More informationHamstring strains and rehabilitation
Hamstring strains and rehabilitation In this series of articles I want to explore common hamstring injuries suffered by tri-athletes, their causes, and what you can do to avoid them. I also want to give
More informationCommon 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
More informationG roin pain is associated with many sports and
446 ORIGINAL ARTICLE Clinical examination of athletes with groin pain: an intraobserver and interobserver reliability study PHölmich, L R Hölmich, A M Bjerg... Br J Sports Med 2004;38:446 451. doi: 10.1136/bjsm.2003.004754
More informationMEDIAL HEAD GASTROCNEMIUS TEAR (Tennis Leg)
MEDIAL HEAD GASTROCNEMIUS TEAR (Tennis Leg) Description Expected Outcome Medial head gastrocnemius tear is a strain of the inner part (medial head) of the major calf muscle (gastrocnemius muscle). Muscle
More informationG roin pain is associated with many sports and
446 ORIGINAL ARTICLE Clinical examination of athletes with groin pain: an intraobserver and interobserver reliability study PHölmich, L R Hölmich, A M Bjerg... See end of article for authors affiliations...
More informationMeniscus Tears. Three bones meet to form your knee joint: your thighbone (femur), shinbone (tibia), and kneecap (patella).
Meniscus Tears Information on meniscus tears is also available in Spanish: Desgarros de los meniscus (topic.cfm?topic=a00470) and Portuguese: Rupturas do menisco (topic.cfm?topic=a00754). Meniscus tears
More informationTechnique Guide. Bard MK Hernia Repair. Featuring Modified Onflex Mesh SOFT TISSUE REPAIR. Anterior Approach to a Preperitoneal Inguinal Hernia Repair
Bard MK Hernia Repair Featuring Modified Onflex Mesh Technique Guide Anterior Approach to a Preperitoneal Inguinal Hernia Repair SOFT TISSUE REPAIR Right Procedure. Right Product. Right Outcome. The opinions
More informationSoccer 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
More informationTHE INS AND OUTS OF HERNIAS WHERE TO START? WHAT IS A HERNIA? CLINICAL INDICATIONS THE INGUINAL CANAL THE CLINICAL QUESTION 18/09/2018
THE INS AND OUTS OF HERNIAS Cassandra Harrison BA/BSc, MMRU, AMS WHERE TO START? The Clinical Question Essential anatomy Inguinal hernia Scanning technique Variations WHAT IS A HERNIA? CLINICAL INDICATIONS
More informationGI anatomy Lecture: 2 د. عصام طارق
GI anatomy Lecture: 2 د. عصام طارق Objectives: To define rectus sheath. To describe anatomy of inguinal canal. To relates types of inguinal hernia to the region. To explore spermatic cord. Rectus Abdominis
More informationThe 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
More informationBiceps Tendon Tear at the Elbow
DISEASES & CONDITIONS Biceps Tendon Tear at the Elbow The biceps muscle is located in the front of your upper arm. It is attached to the bones of the shoulder and elbow by tendons strong cords of fibrous
More informationUse 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
More informationPART ONE Stretching Fundamentals
Contents Preface vii Acknowledgments xiii Reviewers xv PART ONE Stretching Fundamentals CHAPTER 1 Introduction to Stretching 3 WHY STRETCH: THE BENEFITS OF STRETCHING 3 Maintains and Improves Range of
More informationAnterior Cruciate Ligament (ACL) Injuries
Anterior Cruciate Ligament (ACL) Injuries This article is also available in Spanish: Lesiones del ligamento cruzado anterior (topic.cfm?topic=a00697) and Portuguese: Lesões do ligamento cruzado anterior
More informationIntroduction Facts you should know:
Introduction Facts you should know: - Mid inguinal point = ASIS to pubis symphysis (femoral artery) - Midpoint of inguinal ligament = ASIS to pubic tubercle (deep inguinal ring: 1 to 2cm above femoral
More informationReview relevant anatomy of the foot and ankle. Learn the approach to examining the foot and ankle
Objectives Review relevant anatomy of the foot and ankle Learn the approach to examining the foot and ankle Learn the basics of diagnosis and treatment of ankle sprains Overview of other common causes
More informationa) 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
More informationAAP Boot Camp KNEE AND ANKLE EXAM
AAP Boot Camp KNEE AND ANKLE EXAM Disclosures I have no relevant financial relationships with the manufacturers of any commercial products and or providers of commercial services discussed in this CME
More informationWRIST SPRAIN. Description
WRIST SPRAIN Description Other sports, such as skiing, bowling, pole vaulting Wrist sprain is a violent overstretching and tearing of one Poor physical conditioning (strength and flexibility) or more ligaments
More informationRM 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
More informationAnterior 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
More informationGuide 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
More informationFUNCTIONAL 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
More informationRehabilitation for Patellar Tendinitis (jumpers knee) and Patellofemoral Syndrome (chondromalacia patella)
Rehabilitation for Patellar Tendinitis (jumpers knee) and Patellofemoral Syndrome (chondromalacia patella) Patellar Tendinitis The most common tendinitis about the knee is irritation of the patellar tendon.
More informationBiceps Tendon Rupture
Disclaimer This movie is an educational resource only and should not be used to manage Orthopaedic Health. All decisions about Biceps Tendon Rupture must be made in conjunction with your Physician or a
More informationWhat 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
More informationMuscles of the Core. PSK 4U Mr. S. Kelly North Grenville DHS
Muscles of the Core PSK 4U Mr. S. Kelly North Grenville DHS Intercostal Muscles Run between the ribs Provide shape and movement for chest wall External intercostals: aid in both quiet (passive) and forced
More informationShoulder Labral Tear and Shoulder Dislocation
Shoulder Labral Tear and Shoulder Dislocation The shoulder joint is a ball and socket joint with tremendous flexibility and range of motion. The ball is the humeral head while the socket is the glenoid.
More informationREPETITIVE STRESS SYNDROME AND ITS EFFECTS ON THE LOWER PELVIS
REPETITIVE STRESS SYNDROME AND ITS EFFECTS ON THE LOWER PELVIS Kim Turney Body Arts and Science International Comprehensive Global Feb 2018 London, UK ABSTRACT In many lines of work people are subjected
More informationFootball 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
More informationCase 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
More informationFully Torn Rotator Cuff Repair
Fully Torn Rotator Cuff Repair A torn rotator cuff is a common condition that can cause shoulder pain, weakness, and loss of mobility. If the tear is severe enough, surgical intervention is often necessary
More informationBIOMECHANICAL 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
More informationConnecting the Core. Rationale. Physiology. Paul J. Goodman, MS, CSCS. Athletes have been inundated with terminology
Connecting the Core Paul J. Goodman, MS, CSCS Athletes have been inundated with terminology and references to core development in recent years. However, little has been conveyed to these athletes on what
More informationCompetetive sports in high risk patients
Competetive sports in high risk patients Marfan syndrome with a non (or mildly) dilated aortic root Maarten Groenink Academic Medical Center Amsterdam The Netherlands Marfan syndrome Autosomal dominant
More informationAnterior 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
More informationA Patient s Guide to Peroneal Tendon Subluxation. Foot and Ankle Center of Massachusetts, P.C.
A Patient s Guide to Peroneal Tendon Subluxation Welcome to Foot and Ankle Center of Massachusetts, where we believe in accelerating your learning curve with educational materials that are clearly written
More informationMUSCULOSKELETAL INJURIES
WHAT ARE THEY They are injuries to muscles, nerves, tendons ligaments, joints, cartilage and spinal discs. WHAT KIND OF INJURIES ARE MUSCULOSKELETAL INJURIES 1. Fractures- -Open -Closed 2. Dislocations
More informationA Patient s Guide. ACL Injury: Ø Frequently asked questions on injury, Ø Preoperative and postoperative. surgery and recovery.
ACL Injury: A Patient s Guide Ø Frequently asked questions on injury, surgery and recovery Ø Preoperative and postoperative guidelines Mia S. Hagen, M.D. Assistant Professor Department of Orthopaedics
More information