Simpo&Workshop Okt 2013 Sports Inj

7/23/2019 Simpo&Workshop Okt 2013 Sports Inj

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Punto DewoPunto Dewo



Injuries that occur to anyone

who is participating in sporting

events.Benefit versus risk of injury

Soligard T, Myklebust G, Steffen K, et al. (2008). "Co!reensi#e $ar%u! !rograe to !re#ent in&uries in young feale

footballers' luster randoised ontrolled trial". M* 337 ' a2+-.

orld /ealt rgani1ation. Mo#e for ealt' benefits of !ysial ati#ity. Gene#a, S$it1erland' orld /ealt rgani1ation 200.

Gots K, 3nnest *4, /olgreen 5, Gilrist *. 6onfatal s!orts% and rereation%related in&uries treated in eergeny

de!artents%%%7nited States, *uly 2000%%*une 200. MM9 2002:';<%%+0.

Conn *M, 3nnest *4, Gilrist *. S!orts and rereation%related in&ury e!isodes in te 7.S. !o!ulation, --;%%---. =n& 5re#

200<-';%%2<.



Epidemiology

Type of Sports Percent (%)

Soccer Futsal (indoor soccer)

Basketall!artial "rtsBadminton#olleyall$annon Ball %hrust

&ump 'ope'ugyymnastic

*.+*.+

,.,,.,-.-./.*

/.*/.*/.*

Total 100

0ata otained from 'S Sardjito 122 3 12/2



Epidemiology

Injury (Top 10) Percent (%)

Forearm fracture0istal end radius fracture

$lavicle fracture4umeral fracture!etacarpal fracture!etatarsal fracture5halan6 fracture of the foot

5I5 joint dislocation of the foot7nee joint sprain "nkle joint sprain

1+.*/*.1

,.+,.+-.-.-.

-.-.-.

Total 100




Epidemiology

Mechanism of Injury (Top 10) Percent (%)

Fall on outstretched handFall on shoulder

Fall on forearm5ain in foot after kicking a all0irect trauma to the handFall on dorsal part of the hand4ard landing on foot

Fall on an inverted footSlipped and fall while running0irect trauma to the knee

-2.,.,

.-.-.-.-.

-.-.-.

Total 100




Spectrum of injury

8 0islocation

8 Fracture8 9igament rupture

8 Strain3Sprain

8 $ontusion8 Inflammation

' 0ick: et al. (122,) 0escriptive Epidemiology of $ollegiate !en;s Footall Injuries< =ational $ollegiate "thletic

"ssociation Injury Surveillance System: /*>/** %hrough 122->122?. *ournal of 3tleti Training @?1(1)<11/>

1--

!&. 'auh: et al. (122,) SuseAuent Injury 5atterns in irls; 4igh School Sports. *ournal of 3tleti

Training @?1(?)<?+>?*?



5rinciples of !anagement

0iagnosis ($linical Investigations)

ImmoiliCation and "nalgesics0efinitive treatment

'ehailitation and "nalgesics

" Buvanendran and S S 'euen. COX inhi!itors in sports me"icine# utility an" contro$ersy‐

r * S!orts Med. 122+ =ovemer@ ?2(//)# &'&*



Injuries y 'egions



"$ joint injury

Sling Surgery< %BD

screw

0ocimo S &r. et al. (122). Surgical treatment for

acromioclavicular joint osteoarthritis< patient

selection: surgical options: complications: andoutcome. Curr 9e# Musuloskelet Med. 122

&une@ /(1)< /?>/+2.



'otator cuff impingement

Surgery<'elease:

acromioplasty

pen or "rthroscopy

# 5hadke: 5' $amargo: and 5!

9udewig. (122*). Scapular and

rotator cuff muscle activity during arm

elevation< " review of normal function

and alterations with shoulderimpingement. 'ev Bras Fisioter. 122*

Feruary /@ /-(/)< />*.



0islocated shoulder

$losed

reduction

Surgery for

neglected

cases



+IS,OC-T.+ .,/O8

Fall on an outstretched han8 $losed reduction and cast



O2.-2M 2-CT32.S

8 Fall on an

outstretched hand or

direct trauma

8 =eeds 'IF



9ateral epicondylitis

(%ennis elow)

"ctivity modification

"nalgesics

Injection

'& 5etrella et al (12/2). Mana4ement of Tennis .l!o5 5ithso"ium hyaluronate periarticular injections S!orts Med

3rtros 9eabil Ter Tenol. 12/2@ 1# 6*



!edial epicondylitis

(olfer;s elow) "ctivity

modification



0istal3end radius fracture

8 Fall on an outstreched hand

8 $losed reduction and cast or

'IF



0e Guervain syndrome

"ctivitymodification

Surgery< release

= Barton (/**,). Sports injuries of the hand and wrist.

r * S!orts Med. /**, Septemer@ -/(-)< /*/>/*+.



$arpal tunnel syndrome

"ctivitymodification

Bracing

Surgery<release

= Barton (/**,). Sports injuries of the hand and wrist.

r * S!orts Med. /**, Septemer@ -/(-)< /*/>/*+.



!allet finger



Back injuries Strain Bracing

& Browne (122+). $ervical spinal injury

in children;s community rugy footall Br

& Sports !ed 122+@?2<+>,/.



-,, 2OM

7.I87T



-,, 2OM 7.I87T8 #erteral compression fracture

8 $alcaneal fracture



4amstring Strain

'I$E

"nalgesics

4eiderscheit: B$. (12/2). 4amstring Strain Injuries<

'ecommendations for 0iagnosis: 'ehailitation and Injury

5revention. & rthop Sports 5hys %her. 12/2Feruary@ ?2(1)< +,>/.



5atellofemoral 5ain Syndrome

Activity modifcation

Bracing

Dilson: =". (122*). In 9i$o :onin$asi$e .$aluation of

-!normal Patellar Trac;in4 +urin4 S<uattin4 in Patients

5ith Patellofemoral Pain* * one *oint Surg 3. 122* !arch

/@ */(-)# '''*



5atellar tendinitis

Activitymodifcation

Bracing "ate !: et al. (122*). 5athogenesis of tendinopathies< inflammation or degenerationH

3rtritis 9es Ter. 122*@ //(-)< 1-.



!eniscal injury

Bracing Surgery< repair or

e6cision

pen or "rthroscopy

Suter 9 et al (122*). !edical 0ecision !aking

in 5atients Dith 7nee 5ain: !eniscal %ear: andsteoarthritis. "rthritis 'heum. 122* =ovemer

>



'unner;s knee

3Splinting

Fairclough & et al. (122+). %he functional anatomy of

the iliotiial and during fle6ion and e6tension of the

knee< implications for understanding iliotiial and

syndrome. * 3nat. 122+ !arch@ 12(-)< -2*>-/+.



7nee cartilage injury

Surgery<

micro3

fracturiCation:

implantation

%4!5S= 9' et al (122*). The =nee Pain Map# 2elia!ility

of a Metho" to I"entify =nee Pain ,ocation an" Pattern*

"rthritis 'heum. 122* &une /@ +/(+)< ,1>,-/.



7nee ligaments rupture

!$9: 9$9Bracing $asting

Surgery< 'epair

5hisitkul 5. et al. (122+). !$9 Injuries of the

7nee< $urrent $oncepts 'eview. =o$a rto!

*. 122+@ 1+< ,,>*2.



7nee 9igament 'upture (cont.)

4an: 4S et al. (122). "nterior

$ruciate 9igament

'econstruction< Guadriceps #ersus

5atellar "utograft. Clin rto! 9elat

9es. 122 &anuary@ ?++(/)< /*>12?.

8 "$9: 5$98 $asting:

racing8 Surgery



Shin splints

Activity

modifcation Bracing

van ent '= et al. (122,).: Incidence and

determinants of lower e6tremity running

injuries in long distance runners< a systematic

review. r * S!orts Med. 122, "ugust@ ?/()<

?+*>?2.



Stress fracture



"nkle sprain

=. 7ofotolis (122,). "nkle Sprain Injuries< " 13

Jear 5rospective $ohort Study in Female

reek 5rofessional Basketall 5layers. *ournal

of 3tleti Training 122,@?1(-)<->-*?



Footallers ankle Bracing Knloading

=. 7ofotolis (122,). "nkle Sprain Injuries< " 13

Jear 5rospective $ohort Study in Female

reek 5rofessional Basketall 5layers. *ournal

of 3tleti Training 122,@?1(-)<->-*?



"chilles %endinitis:

"chilles tendon rupture

Splinting

Surgery<

repair

!unteanu SE (122*). Efficacy of customised foot orthoses in the treatment of "chilles

tendinopathy< study protocol for a randomised trial. * >oot 3nkle 9es. 122*@ 1< 1,.



0ancer;s fracture



5lantar fasciitis Bracing Stretching

Shoe

modification

'adford &" et al. (122,). Effectiveness

of calf muscle stretching for the short3

term treatment of plantar heel pain< a

randomised trial. MC Musuloskelet?isord. 122,@ < -+.



!etatarsalgia Dear proper shoes $alf stretching



5reventive measures

5roper $onditioning

5roper warming upstretching

5roper cooling downstretching

Fair play

Dear proper safety gears

" Buvanendran and S S 'euen. COX inhi!itors in sports me"icine# utility an" contro$ersy‐

r * S!orts Med. 122+ =ovemer@ ?2(//)# &'&*



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Simpo&Workshop Okt 2013 Sports Inj