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Published byEleanor Walton Modified over 8 years ago
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Sports conditions,injuries and prevention Suzanne Younger
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Sports Injuries and Conditions FracturesConcussionBleedingJoint Injuries Soft Tissue Injuries Skin DamageDehydration Hypo/Hyper thermia
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Who has had a fracture?.....
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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
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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
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Fractures
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4 Causes of Fractures DIRECT INDIRECT PATHOLOGICAL STRESS
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Causes of fractures Direct trauma – caused by external forces which exceed the strength of the bone. – direct violence e.g. RTA, a blow
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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
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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
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Types of fracture: Classified by skin damage Or shape of fracture Or displacement
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Classified by skin damage: Open: skin’s broken either by external force or internal one Closed: simple fracture
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Fractures
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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
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What picture shows and Oblique Fracture? What picture shows a Transverse Fracture?
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Classification by displacement: – Undisplaced – Displaced – Impacted – Stable
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Comminuted displaced fracture of a femur
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Stable undisplaced fracture of a radius:
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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)
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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
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Who has had concussion?
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Sports Concussion:
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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
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...impact from camogie stick
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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
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Symptoms: Headache Dizziness Unsteadiness Feeling stunned or dazed Seeing stars or flashing lights Tinnitus Double vision
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Sleepiness, sleep disturbance, Poor concentration Nausea/vomiting Slurred speech Personality change Impaired playing ability
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