Sports and orthopaedic emergencies Flashcards
What should be the approach to an injured athlete ?
First Priority: -‐ Immediate threat to life
Second Priority: -‐ Urgent Injury which are potential threat to life
Third Priorty: -‐ Most common mild injuries, cuts and bruises.
What should be the Approach to the unconscious player/ Suspected C-‐spine injury?
- MILS
- ABCD
What is the indication for MILS ?
Cervical spine protection is indicated in the following trauma settings:
(i) Neck pain or neurological symptoms
(ii) Altered level of consciousness
(iii) Significant blunt injury above the level of the clavicles
What is the clinical presentation of mild TBI or concussion ?
Rapid onset of transient neurologic impairment that
Resolves spontaneously.
Acute clinical symptoms seen largely reflect a functional disturbance
rather than structural injury.
What is the clinical presentation of mTBI or concussion ?
- Vacant stare
*Attention deficit. - Delayed verbal expression and slurred speech.
- Incoordination
- Transient memory and conciseness deficit.
what should be the on-field management of C-Spine injury ?
- MILS & ABCD
- Do not move the player unless necessary/appropriate support
present - Transfer to Hospital with full spinal immobilisation
What should be the management of acromio-clavicular disruption ?
Remove from play and Broad Arm Sling.
What are the static stabilisers of shoulder joint ?
- Glenoid labrum
- Glenohumeral ligaments
What are the dynamic stabilisers of shoulder joint ?
- Rotator cuff muscles
- long head of the Biceps brachialis.
what are the most common types of shoulder dislocations ?
95% anterior dislocation and 5% posterior dislocation.
What are the clinical signs of shoulder dislocation ?
- Abducted & externally rotated arm position
- Squaring of shoulder
- Axillary nerve injury: Loss of sensation over
regimental badge area - +/- Positive rotator cuff provocative tests
What is the management of shoulder dislocation ?
*Non-operative management is for acute dislocation consist of closed reduction and sling.
* For recurrent dislocations management through Bankart repair for stability.
What are the signs of ACL injury ?
- Effusion
- Quadriceps avoidance gait
- Positive Lachman/Anterior Drawer Test
What is the pattern of traumatic force in pelvic injury ?
– AP compression 60-70%
– Lateral compression 15-20%
– Vertical shear 5-15%
– Complex (or combination) pattern
What should be the approach to crush syndromes ?
It is Usually seen in patients trapped for long time periods. ICU management under nephrology care is essential. Check renal function and creatinine kinase for rhabdomyolysis and related kidney injury.
