sports conditions,injuries and prevention suzanne younger
TRANSCRIPT
![Page 1: Sports conditions,injuries and prevention Suzanne Younger](https://reader036.vdocuments.us/reader036/viewer/2022062423/56649ea95503460f94bad3d8/html5/thumbnails/1.jpg)
Sports conditions,injuries and prevention
Suzanne Younger
![Page 2: Sports conditions,injuries and prevention Suzanne Younger](https://reader036.vdocuments.us/reader036/viewer/2022062423/56649ea95503460f94bad3d8/html5/thumbnails/2.jpg)
![Page 3: Sports conditions,injuries and prevention Suzanne Younger](https://reader036.vdocuments.us/reader036/viewer/2022062423/56649ea95503460f94bad3d8/html5/thumbnails/3.jpg)
Who has had a fracture?.....
![Page 4: Sports conditions,injuries and prevention Suzanne Younger](https://reader036.vdocuments.us/reader036/viewer/2022062423/56649ea95503460f94bad3d8/html5/thumbnails/4.jpg)
What is a Fracture?
• A fracture is a break in the continuity of a bone or a loss of continuity in the substance of a bone
![Page 5: Sports conditions,injuries and prevention Suzanne Younger](https://reader036.vdocuments.us/reader036/viewer/2022062423/56649ea95503460f94bad3d8/html5/thumbnails/5.jpg)
Clinical sigFracturesf a fracture
• A deformity that can be seen or felt
• Pain on stressing the limb
• Abnormal movement in a limb due to movement at site
• Crepitus or grating between bone ends
• Impaired function
• Swelling at the fracture site
• Tenderness at site
![Page 6: Sports conditions,injuries and prevention Suzanne Younger](https://reader036.vdocuments.us/reader036/viewer/2022062423/56649ea95503460f94bad3d8/html5/thumbnails/6.jpg)
Fractures
![Page 7: Sports conditions,injuries and prevention Suzanne Younger](https://reader036.vdocuments.us/reader036/viewer/2022062423/56649ea95503460f94bad3d8/html5/thumbnails/7.jpg)
![Page 8: Sports conditions,injuries and prevention Suzanne Younger](https://reader036.vdocuments.us/reader036/viewer/2022062423/56649ea95503460f94bad3d8/html5/thumbnails/8.jpg)
Causes of fractures• Direct trauma– caused by external forces which exceed the
strength of the bone.
– direct violence e.g. RTA, a blow
![Page 9: Sports conditions,injuries and prevention Suzanne Younger](https://reader036.vdocuments.us/reader036/viewer/2022062423/56649ea95503460f94bad3d8/html5/thumbnails/9.jpg)
![Page 10: Sports conditions,injuries and prevention Suzanne Younger](https://reader036.vdocuments.us/reader036/viewer/2022062423/56649ea95503460f94bad3d8/html5/thumbnails/10.jpg)
![Page 11: Sports conditions,injuries and prevention Suzanne Younger](https://reader036.vdocuments.us/reader036/viewer/2022062423/56649ea95503460f94bad3d8/html5/thumbnails/11.jpg)
or
• Indirect trauma– Fracture results from twisting or rotational
forces being applied to the bone
–e.g football studs planted, rotation force applied to the limb resulting in spiral of the tibia
![Page 12: Sports conditions,injuries and prevention Suzanne Younger](https://reader036.vdocuments.us/reader036/viewer/2022062423/56649ea95503460f94bad3d8/html5/thumbnails/12.jpg)
or
• Pathological fracture– bone is already weakened or diseased
– fracture because the bone’s internal structure is weakened
• Stress fracture– Caused by repeated excessive loading of a bone, the
cumulative forces result in a break
![Page 13: Sports conditions,injuries and prevention Suzanne Younger](https://reader036.vdocuments.us/reader036/viewer/2022062423/56649ea95503460f94bad3d8/html5/thumbnails/13.jpg)
Types of fracture:
• Classified by skin damage• Or shape of fracture • Or displacement
![Page 14: Sports conditions,injuries and prevention Suzanne Younger](https://reader036.vdocuments.us/reader036/viewer/2022062423/56649ea95503460f94bad3d8/html5/thumbnails/14.jpg)
Classified by skin damage:
• Open: skin’s broken either by external force or internal one
• Closed: simple fracture
![Page 15: Sports conditions,injuries and prevention Suzanne Younger](https://reader036.vdocuments.us/reader036/viewer/2022062423/56649ea95503460f94bad3d8/html5/thumbnails/15.jpg)
Fractures
![Page 16: Sports conditions,injuries and prevention Suzanne Younger](https://reader036.vdocuments.us/reader036/viewer/2022062423/56649ea95503460f94bad3d8/html5/thumbnails/16.jpg)
Fractures
![Page 17: Sports conditions,injuries and prevention Suzanne Younger](https://reader036.vdocuments.us/reader036/viewer/2022062423/56649ea95503460f94bad3d8/html5/thumbnails/17.jpg)
Classified by shape
• Shape of the fracture– Transverse or Horizontal –Oblique / Spiral–Comminuted (many small parts)–Crush–Greenstick - • children, bend in immature bone with a break
in cortices
![Page 18: Sports conditions,injuries and prevention Suzanne Younger](https://reader036.vdocuments.us/reader036/viewer/2022062423/56649ea95503460f94bad3d8/html5/thumbnails/18.jpg)
![Page 19: Sports conditions,injuries and prevention Suzanne Younger](https://reader036.vdocuments.us/reader036/viewer/2022062423/56649ea95503460f94bad3d8/html5/thumbnails/19.jpg)
What picture shows and Oblique Fracture?What picture shows a Transverse Fracture?
![Page 20: Sports conditions,injuries and prevention Suzanne Younger](https://reader036.vdocuments.us/reader036/viewer/2022062423/56649ea95503460f94bad3d8/html5/thumbnails/20.jpg)
Classification by displacement:
–Undisplaced
–Displaced
– Impacted
– Stable
![Page 21: Sports conditions,injuries and prevention Suzanne Younger](https://reader036.vdocuments.us/reader036/viewer/2022062423/56649ea95503460f94bad3d8/html5/thumbnails/21.jpg)
Comminuted displaced fracture of a femur
![Page 22: Sports conditions,injuries and prevention Suzanne Younger](https://reader036.vdocuments.us/reader036/viewer/2022062423/56649ea95503460f94bad3d8/html5/thumbnails/22.jpg)
Stable undisplaced fracture of a radius:
![Page 23: Sports conditions,injuries and prevention Suzanne Younger](https://reader036.vdocuments.us/reader036/viewer/2022062423/56649ea95503460f94bad3d8/html5/thumbnails/23.jpg)
Stages of fracture healing:
• Stage 1: Haematoma (0–2 wks)
• Stage 2: Cellular proliferation (2-6 wks)
• Stage 3: Callus formation• Stage 4: Consolidation stage (6-12 wks)
Ossification occurs 12 -26 wk callus matures
• Stage 5: Stage of remodelling (1-2 yrs)
![Page 24: Sports conditions,injuries and prevention Suzanne Younger](https://reader036.vdocuments.us/reader036/viewer/2022062423/56649ea95503460f94bad3d8/html5/thumbnails/24.jpg)
Why do physios treat fractures?
• Aim to restore the patient to optimal functional state
• Prevent fracture and soft-tissue complications
• Get the fracture to heal, and in a position which will produce optimal functional recovery
• Rehabilitate the patient as early as possible
![Page 25: Sports conditions,injuries and prevention Suzanne Younger](https://reader036.vdocuments.us/reader036/viewer/2022062423/56649ea95503460f94bad3d8/html5/thumbnails/25.jpg)
Who has had concussion?
![Page 26: Sports conditions,injuries and prevention Suzanne Younger](https://reader036.vdocuments.us/reader036/viewer/2022062423/56649ea95503460f94bad3d8/html5/thumbnails/26.jpg)
Sports Concussion:
![Page 27: Sports conditions,injuries and prevention Suzanne Younger](https://reader036.vdocuments.us/reader036/viewer/2022062423/56649ea95503460f94bad3d8/html5/thumbnails/27.jpg)
• Head injuries in sport are common in all contact sports, the vast majority are minor
• Common sports for these are:– Football– Boxing– Gymnastics– Horse riding – Martial arts
![Page 28: Sports conditions,injuries and prevention Suzanne Younger](https://reader036.vdocuments.us/reader036/viewer/2022062423/56649ea95503460f94bad3d8/html5/thumbnails/28.jpg)
...impact from camogie stick
![Page 29: Sports conditions,injuries and prevention Suzanne Younger](https://reader036.vdocuments.us/reader036/viewer/2022062423/56649ea95503460f94bad3d8/html5/thumbnails/29.jpg)
![Page 30: Sports conditions,injuries and prevention Suzanne Younger](https://reader036.vdocuments.us/reader036/viewer/2022062423/56649ea95503460f94bad3d8/html5/thumbnails/30.jpg)
Causes:
• Direct blow to head, face, neck, or elsewhere on the body with force transmitted to the head
• Typically results in rapid onset of short-lived impairment of neurological function that resolves spontaneously
• May or may not involve loss of consciousness
![Page 31: Sports conditions,injuries and prevention Suzanne Younger](https://reader036.vdocuments.us/reader036/viewer/2022062423/56649ea95503460f94bad3d8/html5/thumbnails/31.jpg)
Symptoms:
• Headache• Dizziness• Unsteadiness• Feeling stunned or dazed• Seeing stars or flashing lights• Tinnitus• Double vision
![Page 32: Sports conditions,injuries and prevention Suzanne Younger](https://reader036.vdocuments.us/reader036/viewer/2022062423/56649ea95503460f94bad3d8/html5/thumbnails/32.jpg)
• Sleepiness, sleep disturbance, • Poor concentration• Nausea/vomiting• Slurred speech• Personality change• Impaired playing ability