Sports ElbowLesions of the elbow in sports ! Javelin Valgus-extension overload of throwing !...
Transcript of Sports ElbowLesions of the elbow in sports ! Javelin Valgus-extension overload of throwing !...
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Dr Stéphane Kämpfen
Sports Elbow
Grundkurs SGSM-SSMS Sion 2014
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Type of pathologies
n Acute: n Fractures - dislocation n Sprain
n Chronic: n Overload syndrome
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Fractures - Radial head: Mason classification
Mason IV: III + elbow dislocation
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Radial head fracture
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Ct-scanner
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Fractures - Humerus distal:
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Fractures - Olecranon:
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Dislocation
- Posterior - Postero-lateral
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Fracture-dislocation
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Strategy n Postero-lateral n Neurological and vascular evaluation n Rapid transfer to the hospital
n Reduction under local or loco-regional anesthesia
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n Ectopic bone n Stiffness
Complications
28 % limitation in ROM 32 % ectopic bone Farron A & Menetrey J Swiss Surgery 1997
Early mobilisation under control
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Elbow sprain n Mechanism of injury n Clinical examination n Standard radiographs n Suspicion bone lesion – Ct-scan n Suspicion soft tissue - MRI
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Elbow sprain investigation
Complete tear of lateral radial ligament
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Elbow sprain treatment
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Elbow sprain treatment
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Lesions of the elbow in sports
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n Racket sports Lateral epicondylopathy with backhand
n Golf Medial epicondylopathy on downswing with trailing arm Lateral epicondylitis at impact with leading arm
n Basketball Posterior compartment with follow through on jump shot
n Waterskiing Valgus extension overload of posterior compartment
Lesions of the elbow in sports
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n Bowling Flexor-pronator soreness n Baseball Valgus stress of pitching n Volleyball Valgus stress at impact of
spiking n Gymnastic Radiocapitellar overload
and posterior impingement n Weight training Ulnar collateral ligament
sprain, ulnar nerve irritation
Lesions of the elbow in sports
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n Javelin Valgus-extension overload of throwing
n Canoeing, kayaking Distal bicipital tendinopathy n Archery Extensor muscle fatigue,
lateral epicondylopathy n Rock climbing Brachialis or distal biceps
tendinopathy
Lesions of the elbow in sports
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n Anterior: n Brachialis tendinopathy n Biceps tendinopathy n Anterior capsular tear n Distal rupture of the biceps n Ectopic bone n Loose body n Rond pronator muscle syndrome n Annular ligament tear
Pathologies and pain
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n Posterior: n Traction apophysitis n Triceps tendinopathy n Rupture of the triceps n Valgus-extension overload syndrome n Olecranon osteophytes n Loose body n Stress fracture of the olecranon n Olecranon bursitis
Pathologies and pain