Sports injuries and their treatment

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Sports accident usually occurs during the maximum performance of the human body. Usually the musculoskeletal system is obviously injured, but at the same time the psyche of the injured person is affected to another degree.

The following is information regarding sports injuries and should in no way be construed as medical instructions for dealing with them. In case of injury, consult your doctor only.

Sports Medicine is the branch that includes departments of basic sciences and medicine that research and study the effect of exercise and practice or their lack, both on healthy people and on people with physical illness, mental illness or disabilities.

Sport, both in its amateur form, which is very widespread at all ages, and in its professional form, is an activity of a large part of the population of our country. Unfortunately, during this activity, important accidents may also occur.

These accidents are dealt by orthopedic surgeons and doctors of any specialty dealing with sports.

Sports injuries include hematoma, fracture, abrasion, sprain and rupture of the ligament, hemorrhage, hydrothorax, and dislocation in the case of joints, fracture, and recurrent injuries leading to aseptic inflammation, known as asymptomatic inflammation. stress or overuse.

Clinical condition

The clinical condition depends on the severity of the injury and the part of the musculoskeletal system that is injured. The usual manifestations are pain, edema (swelling-tumescence) of the area, hematoma, difficulty walking (lameness) or difficulty in using the hands, or finally inability to move in case of fracture.

The clinical condition depends on the area in which the injury is located. If it concerns tendons or muscles then the corresponding movement is difficult, there is swelling in the area or an impression if it is a rupture, and of course the movement is difficult or impossible, while the injured person is in pain.

In the event of an injury on the joint, the joint swells due to fluid or blood collection and movement is difficult while the injured person is in pain. In the case of a fracture, there is swelling and deformity in the area. Movement is usually difficult or impossible and painful.

Symptoms

The symptoms depend on the type and extent of the injury. Pain is found in all injuries as well as swelling-swelling. Abrasion and hematoma are among the most common symptoms of sports injury. Deformation of the limb or deviation from the normal axis follows.

All the above result in the inability to exercise or even the reduction of daily activity.

Laboratory findings

Laboratory findings regard the various hematological and biochemical tests, which allow the confirmation or exclusion of the injury, as well as the imaging methods. The latter are the ones that complete the history and the clinical examination and help to make the diagnosis.

In the case of sports injury, a plain x-ray to confirm or rule out a bone injury is essential. Computed tomography gives important details of bone texture, while magnetic resonance imaging (MRI) helps to identify soft tissue injuries (ligaments, menisci, tendons, etc.).

Ultrasound also gives positive help in case of soft tissue injuries.

Diagnosis

Diagnosis will be made with the help of the record and especially the description of the way in which the accident took place. The clinical condition of the patient as well as the hematological and biochemical examinations will provide substantial help, if this is deemed necessary.

Confirmation of the diagnosis canbe given by the imaging methods, as well as the arthroscopy.

Arthroscopy

In the case of joints and in case the diagnosis is not possible, according to the above, then the arthroscopy is called to give the solution. Arthroscopy is one of the endoscopes and was first used in Japan in 1912.

Today it is an established diagnostic and surgical method for treating joint lesions. Allows complete control of the inside of the joint, diagnosis and execution of a series of surgical operations with special tools, through small incisions, which allow the immediate mobilization, inmost occasions, of the injured.

Treatment

Treatment, depending on the severity of the injury and the age of the injured, is divided into conservative and surgical. Conservative treatment includes a series of measures aimed at minimizing the extent of the injury and helping the body to repair the damage.

These measures are:

  • the immediate placement of ice to prevent or reduce hematoma
  • the immobilization of the injured member
  • placing the limb in a suction position to reduce hematoma
  • resting
  • the repair of the fracture and the immobilization with a plaster bandage, splint, or guardian
  • taking anti-inflammatory drugs and guided physiotherapy

Surgical treatment includes a series of surgeries aiming at restoring the injured person to their pre-injury condition.

These surgeries are:

  • the drainage of hematoma or blood clot
  • the suturing of injured soft tissues
  • the plastic surgery of injured soft tissues that cannot be restored otherwise
  • the osteosynthesis of the fracture

Complications

Both during conservative treatment and during surgery it is possible to observe various complications that may be due to ignorance, but also to unknown reasons, or even to non-compliance of the patient with the instructions of the treating physician.

Many of these complications, if diagnosed early, can be treated, while others may not lead to complete cure.

Prevention

The quickest possible return to the sports activities of the amateur or professional injured athlete, is the desired goal, not only of himself, but also of all kinds of agents and fans of his team.

This desire can lead to wrong decisions, when those who will make them, ignore the nature, extent, type of treatment, but also the duration of recovery required to return the injured athlete to the same as before the injury of the level of sporting activity.

Prevention

The quickest possible return to the sports activities of the amateur or professional injured athlete, is the desired goal, not only of himself, but also of all kinds of agents and fans of his team.

This desire can lead to wrong decisions, when those who will make them, ignore the nature, extent, type of treatment, but also the duration of recovery required for the injured athlete to return to the same as before injury, level of sporting activity.

Protective equipment

Important help in the direction of prevention is:

  • Good physical condition
  • Good preparation
  • Correct diet
  • Use of appropriate footwear
  • use of guardians
  • avoidance of drugs to improve the performance of the athlete

In general, sports injuries have a negative effect on both physical and mental health. They interrupt an athlete’s exercise program and affect the team to which he belongs, while it often takes a long time for the athlete to return to the previous level of athletic activity.

The best way to deal with sports injury is prevention, as mentioned above.

Sources:

1.G. Chartofilakidi-GarofalidiG. Papachristou: Fractures of the spinous processes of the cervical spine due to muscular complexion in athletes. “Orthopedic Chronicles ” Asklipiion Voulas, Volume l8th, Issue 1,page. 75-78, 1968

2.A. Mitsou, P. Nikolaou, G. Papachristou: Meniscus Peripheral Rupture Staple. “Greek Surgical Orthopedic Traumatology”, ΤVolume33th, Issue.1,page.7-9,1982

3.G. Papachristou, S. Sourmelis, Z. Agoropoulos. Surgical Treatment of Orthopedic Ligament Rupture of the Ankle Joint. “Greek Surgical Orthopedic Traumatology” Volume 34thIssue 1,page.15-18, 1983

4.Papachristou, G. Priftis. Diagnostic and Surgical Arthroscopy. “Greek Surgical Orthopedic Traumatology”Volume 36, Issue.2 page. 87-93. 1985

5.Efstathopoulos, X. Pattas, G. Papachristou, Z. Agoropoulos. Bosworth Techniquein Acute Closed Traumatic Ruptures of the Achilles Tendon Medical Chronicles. Volume. ΙΕ Issue 9: 647-650. 1992

6.Papachristou. G. Priftis, Ν. Efstathopoulos, C. Levidiotis. Acute Rupture and Chronic Insufficiency of ACL (1993): Acta Orthop. Hellenica Vol.44 No 1:49-52

7.Papachristou. Restoration afterExercise Injuries. “Kinesiology” (supplement). volume 1, issue 1:47-48. 1994

8.Efstathopoulos Ν, Papachristou G, Karachalios G. G. Traumatic Dislocation of the Knee. III Congress of EFORT 24-27 April, Barcelona 1997. J.B.J.S. Vol. 79-B:p243, Supplement II, 1997

9.G.Papachristou, J. Mandrecas, G. Liapi, N. Efstathopoulos, V. Bouropoulou, K. Levidiotis. Healing of the meniscus in the avascular area. Lo Scalpello, V. 11, n. 1:57-60, 1997

10.G.Papachristou, C.Levidiotis, N.Efstathopoulos. Anterolateral Instability of the Ankle Joint. “Acta Orthop. Hellenica”, Τ.49, τ.1:60-62, 1998

11.Κ. Papachristou. Sports Injuries. “Medical Records” 15 (6) 1998

 

B.E Physio

Our experience allows us to help either in a precautionary or a therapeutical way. Our vision is that every patient will be able to be completely rehabilitated and able to enjoy his life without any pain or restrictions.