the common knee injuries experience by professional sportsmen
TRANSCRIPT
![Page 1: The Common Knee Injuries Experience by Professional Sportsmen](https://reader036.vdocument.in/reader036/viewer/2022062905/5a6705057f8b9a91298b557f/html5/thumbnails/1.jpg)
![Page 2: The Common Knee Injuries Experience by Professional Sportsmen](https://reader036.vdocument.in/reader036/viewer/2022062905/5a6705057f8b9a91298b557f/html5/thumbnails/2.jpg)
Why is this topic important? The common knee injuries and management
Some anatomy Epidemiology Meniscal injuries ACL injuries PCL injuries Medial Collateral
Conclusions (Visual!) Quiz
![Page 3: The Common Knee Injuries Experience by Professional Sportsmen](https://reader036.vdocument.in/reader036/viewer/2022062905/5a6705057f8b9a91298b557f/html5/thumbnails/3.jpg)
To the group: Sports injuries 10-20% of ED acute injuries Most commonly knee and ankle Impact on health, life, economy Chance to consider kneeanatomy & examination
To me: Personal interest
![Page 4: The Common Knee Injuries Experience by Professional Sportsmen](https://reader036.vdocument.in/reader036/viewer/2022062905/5a6705057f8b9a91298b557f/html5/thumbnails/4.jpg)
![Page 5: The Common Knee Injuries Experience by Professional Sportsmen](https://reader036.vdocument.in/reader036/viewer/2022062905/5a6705057f8b9a91298b557f/html5/thumbnails/5.jpg)
Few studies BUT UK professional rugby players:
Part of knee injured Prevalence (%)
Meniscal 18.5
ACL 4.3
PCL 3
Medial collateral 28.9
Patellofemoral 12.3
Other (minor) 33
Adapted from Dallana et al 2007
![Page 6: The Common Knee Injuries Experience by Professional Sportsmen](https://reader036.vdocument.in/reader036/viewer/2022062905/5a6705057f8b9a91298b557f/html5/thumbnails/6.jpg)
Presentation: Immediate vs.longer duration
Symptoms: Pain, locking, clicking
O/E: locking (McMurray’s test), effusion, joint line tenderness, palpable meniscal cyst
Diagnosis: clinical, (MRI, arthroscopy)
![Page 7: The Common Knee Injuries Experience by Professional Sportsmen](https://reader036.vdocument.in/reader036/viewer/2022062905/5a6705057f8b9a91298b557f/html5/thumbnails/7.jpg)
Mechanism of injury:Landing/twisting withknee flexed (associatedwith ACL tear)
Management : Conservative – RICE & early physio Surgical – Arthroscopic repair, resection
![Page 8: The Common Knee Injuries Experience by Professional Sportsmen](https://reader036.vdocument.in/reader036/viewer/2022062905/5a6705057f8b9a91298b557f/html5/thumbnails/8.jpg)
Presentation: Acute traumatic vs. present long after with unstable knee
Symptoms: ‘pop’, ‘something goes’, pain,instability O/E: swelling (hours), tense effusion, +ve
anterior drawer, Lachmann’s, pivot shift Diagnosis: clinical, (MRI, EUA, arthoscopy)
![Page 9: The Common Knee Injuries Experience by Professional Sportsmen](https://reader036.vdocument.in/reader036/viewer/2022062905/5a6705057f8b9a91298b557f/html5/thumbnails/9.jpg)
Mechanism of injury: twisting/valgus strain with foot fixed (medial collateral, meniscal association)
Management: Conservative - RICE and physio Surgical – unstable knee/sportsmen – arthroscopic
hamstring tendon graft
![Page 10: The Common Knee Injuries Experience by Professional Sportsmen](https://reader036.vdocument.in/reader036/viewer/2022062905/5a6705057f8b9a91298b557f/html5/thumbnails/10.jpg)
Usually rare & less common than ACL Symptoms: ‘pop’, ‘something goes’, pain, less
instability O/E: swelling (less than ACL), posterior sag, +ve posterior drawer Diagnosis: clinical,(MRI, arthoscopy)
![Page 11: The Common Knee Injuries Experience by Professional Sportsmen](https://reader036.vdocument.in/reader036/viewer/2022062905/5a6705057f8b9a91298b557f/html5/thumbnails/11.jpg)
Mechanism of injury – front on impact forcing tibia backwards/hyperextension
Management: Conservative – RICE and physio – almost all Surgical – if combined injuries/knee unstable
![Page 12: The Common Knee Injuries Experience by Professional Sportsmen](https://reader036.vdocument.in/reader036/viewer/2022062905/5a6705057f8b9a91298b557f/html5/thumbnails/12.jpg)
Common – isolation or with ACL Symptoms – ‘something goes’, pain, instability O/E – NO effusion (extra-articular), tender over MCL, joint opening on valgus stress
![Page 13: The Common Knee Injuries Experience by Professional Sportsmen](https://reader036.vdocument.in/reader036/viewer/2022062905/5a6705057f8b9a91298b557f/html5/thumbnails/13.jpg)
Mechanism of injury – valgus strain (hence commonly with ACL)
Management: Conservative – brace and physio 6/52 Surgical - other injuries or chronic unstable MCL
![Page 14: The Common Knee Injuries Experience by Professional Sportsmen](https://reader036.vdocument.in/reader036/viewer/2022062905/5a6705057f8b9a91298b557f/html5/thumbnails/14.jpg)
Knee injuries common in sportsmen and ED injury admissions
Diagnosis predominantly clinical – history (mechanism of injury) and examination
More than one ligament often injured
Treatment – surgery usually required for sportsmen
![Page 16: The Common Knee Injuries Experience by Professional Sportsmen](https://reader036.vdocument.in/reader036/viewer/2022062905/5a6705057f8b9a91298b557f/html5/thumbnails/16.jpg)
![Page 17: The Common Knee Injuries Experience by Professional Sportsmen](https://reader036.vdocument.in/reader036/viewer/2022062905/5a6705057f8b9a91298b557f/html5/thumbnails/17.jpg)
![Page 18: The Common Knee Injuries Experience by Professional Sportsmen](https://reader036.vdocument.in/reader036/viewer/2022062905/5a6705057f8b9a91298b557f/html5/thumbnails/18.jpg)
Gray’s Anatomy for students Dallalana, R.J., Brooks, J.H., Kemp, S.P., and Williams, A.M. The epidemiology of
knee injuries in English professional rugby union. American Journal of Sports Medicine 2007. 35(5) :p818-830.
http://www.orthopedicsurgerybook.com/Images/knee-menisucus-tear-surgery.jpg http://www.empowher.com/condition/anterior-cruciate-ligament-injury ACL pic http://www.kneejointsurgery.com/html/ligament/acl.html http://bestpractice.bmj.com/best-practice/monograph/575.html http://www.sportsdoc.umn.edu/Patients_Folder/Knee/pcl%20recon/PCLreconstruction.htm http://www.wheelessonline.com/image6/pcl2.jpg http://www.easyfizzy.co.il/image/users/46789/ftp/my_files/medollig.gif http://blog.oregonlive.com/pac10/2007/10/large_Patcowan.jpg http://seanlaceystrengthandconditioning.wordpress.com/ http://www.kneejointsurgery.com/html/ligament/acl.html http://www.mountsinai.org/patient-care/service-areas/bone-joint-and-
spine/areas-of-care/orthopaedic-knee