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Title:

Sports Injuries

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... OATS allograft Ankle ... Management of acute knee injuries Rest Ice Compression Elevation Complete examination to diagnose structures damaged MRI or ... – PowerPoint PPT presentation

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Title: Sports Injuries


1
Sports Injuries
  • Dr Christopher Tong
  • Sports Medicine Specialists
  • 8/F AON China Building
  • 29 Queens Road Central
  • Hong Kong

2
Todays talk
  • Overview of sports medicine
  • Review of anatomy
  • General principles of sports injuries management
    including clinical examination
  • lower limb injuries

3
(No Transcript)
4
Anatomy and Function
5
Symptoms of Meniscal tear
  • Symptoms
  • Pain
  • Locking
  • Knee swelling
  • Signs
  • Knee effusion
  • Joint line tenderness
  • Apley grinding test
  • McMurray test

6
(No Transcript)
7
Finished Product
8
Acute Knee Injury
9
  • Clinical Problem
  • Clinical Examination (Anatomical Knowledge
    Needed)
  • Diagnosis

10
Common Structures Damaged
  • Cruciate ligaments
  • Collateral ligaments
  • Menisci
  • Nerve (common peroneal)

11
Knee Arthroscopy
12
Normal ACL
Ruptured ACL
13
Knee Arthroscopy
14
Management of acute knee injuries
  • Rest
  • Ice
  • Compression
  • Elevation
  • Complete examination to diagnose structures
    damaged
  • MRI or arthroscopy

15
Cartilage Injuries
16
(No Transcript)
17
The Challenge
18
Drilling
19
(No Transcript)
20
Replacement
  • Osteochondral graft
  • autograft, mosaicplasty, OATS
  • allograft

21
Ankle Sprains
22
Ankle Sprain
Ankle Sprain
23
(No Transcript)
24
Acute Management
?
C
C
I
?
E
R
?
25
(No Transcript)
26
Common Peroneal Nerve Function
  • Sensory
  • Motor
  • Anterior compartment (deep peroneal nerve)
  • Lateral compartment (superficial peroneal nerve)

27
My Work
  • PWH Orthopaedics Sports Team
  • Knee and shoulder surgery 80
  • Foot and Ankle surgery 20
  • Hong Kong Sports Institute
  • Honorary Sports Medicine Consultant
  • Care of HK elite athletes

28
Scope of Sports Medicine
  • Sports injuries and management
  • Sports psychology
  • Sports nutrition
  • Physical conditioning and training
  • Doping
  • Medical aspects of sports medicine
  • Rehabilitation
  • Sports physiology

29
Multidisciplinary Team
  • Sports physician
  • Orthopaedic surgeon
  • Sports psychologist
  • Sports nutritionist
  • Coaches
  • Physiotherapists
  • Sports physiologist

30
Sports physician
  • Overall care of athlete
  • Medical aspects
  • Non-operative aspects of sports injuries
  • Team doctor and travel medicine
  • Liaison role with other specialists

31
Sports psychology
  • Enhance performance
  • 100 m sprinter vs. Olympic archer
  • Injury prevention and rehabilitation
  • Tools
  • Relaxation techniques
  • Goal setting
  • Visualization

32
Sports nutritionist
  • Macronutrients
  • CHO, lipids, protein
  • Micronutrients
  • Vitamins, minerals, antioxidants
  • Fluid balance
  • Supplements
  • Creatine, bicarbonates, caffeine

33
Doping
  • Blood doping
  • Anabolic steroids
  • Erythropoietin
  • Growth hormone
  • Stimulants
  • e.g. amphetamines
  • Diuretics

34
Coaching
  • Fitness
  • Strength training
  • Speed
  • Endurance
  • Flexibility
  • Injury prevention

35
Principles of training
  • Progressive overload
  • Specificity
  • Periodization
  • Tapering

36
Progressive overload
  • Overuse injuries are often the result of training
    which is too much, too soon.
  • Training load
  • Frequency
  • Duration
  • Intensity

37
Sports physiology
  • Energy systems
  • Anaerobic
  • ATP phosphocreatine system
  • Glycolytic system
  • Aerobic
  • Carbohydrate oxidation
  • Fat oxidation
  • Muscle physiology
  • Training implications

38
Sports Medicine
  • Multidisciplinary business
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