5.classification of Sports Injuries
5.classification of Sports Injuries
5.classification of Sports Injuries
/ Traumatic
Overuse
Chronic
direct blow, collision, impact
extrinsic causes:
SYAHRUL RIDHWAN BIN MORAZUKI SPORTS SCIENCE, UTM
intrinsic causes:
ligament sprain, muscle strain
3 2 1
TENDON
0 2 4 6 8 10
Strain (%)
Normal Physiological Range Grade I Tear Grade II Tear Grade III Tear
Grade I Sprain
I
Overstretching Few Ruptured Fibres Conservative
II
Significant No. Ruptured Fibres Active Treatment
III
Complete Rupture Surgery
Grade II Sprain
may / may not painful on stressing gross joint laxity without a firm end point
Muscle fibres fail to cope with imposed demands Among most common sporting injuries Recurrent (particularly hamstrings) Sudden acceleration or deceleration are common injury mechanisms Eccentric action mode Elasticity
MUSCLE STRAIN
Grade I Strain
Grade II Strain
Overstretching
Large number muscle fibres ruptured Pain and swelling Reduced strength Pain limited movement
Localised pain
No strength loss
Complete tear of muscle Often seen at musculo-tendinous junction Significant strength loss Obvious visual defect
HARM
Heat Alcohol Rest Massage
Chondral & osteochondral fractures more common than previously thought Better detection - MRI, CT, arthroscopy Fragments sheared from articular surfaces especially with subluxation or dislocation High index of suspicion if apparently simple joint sprain does not resolve continuing to be painful and swollen Damage to articular cartilage may be an important factor in premature osteoarthritis
ARTICULAR CARTILAGE
JOINT
less stable joints (shoulder / fingers) more likely to dislocate all dislocations and subluxations result in injury to the surrounding joint capsule and ligaments
Dislocation
Trauma produces complete dissociation of the articulating joint surfaces
Bone Fractures
Common sporting injury Direct trauma (blow) Indirect trauma (twisting) Closed vs open fracture
BONE FRACTURES
Complex
Simple
Transverse
Oblique
Spiral
Comminuted
Avulsion