Introduction and taking a history MSK Clinical Skills Introduction and taking a history July 27th 2010 Mark Ridgewell Mark Davies Iain Burns Hannah Stockham     

Introducing the APP’s Iain Burns Hannah Stockham

Prevalence of Sports Injury In the UK 18m people take part regularly in sport 22m sports-related injuries sustained by 13.4 m individuals Barclays Spaces for Sports survey (Aug ‘05) 10m days off work through sports injury 25 % receive treatment in NHS

Types of Sports Injury Acute (40-45%) Overuse (55-60%) Usually trauma Attract most publicity and research Contact sports Overuse (55-60%) Harder to diagnose and treat 25-50% of visits to sports med clinics Commoner in top athletes 80% in endurance sports

Future Plans Government paper “Game Plan” 2003 Aims to increase level of physical activity of all kinds in the UK from its present 30% to 70% by 2020. In Wales “Climbing Higher” 2005 Consequence will be a higher than ever number of sport and exercise related injuries.

History-taking

Current Symptoms Pain – site, associated symptoms, referred Aggravating and Easing Any swelling, stiffness, locking, giving way, crepitus, clicking or catching

Onset of symptoms Sport played, level Acute or insidious Mechanism of injury Able to continue or play on at time of injury? Treatment Able to train or compete now?

Behaviour/pattern of symptoms Did the injured area swell? Immediate or delayed? Initial neurological deficits? Immediate management RED FLAGS

Extrinsic Factors Playing surface Footwear Equipment Point of game, competition, training Any changes to normal routines/training

Past injury history Related to current injury Relevant other injuries Previous treatment or intervention On-going interventions i.e tape

Past medical history General health Family history Medications

Aspirations Next competition or game? Priorities Goals