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Severe sport injuries
(Head and neck
injuries,Fracture and
dislocation)
Muhammad aliff hapipy bin azman
Sport medicine
Orthopedic
Hospital taiping
Ppp u29
Sports
Medicine
Hospital
Taiping
HEAD AND NECK INJURIES
Head injury
Definition
 Any trauma that leads To the injury of the scalp,skull or brain
 The injury can range From a minor scalp Laseration to Serious brain injury
Sports
Medicine
Hospital
Taiping
HEAD AND NECK INJURIES
Causes
 Motor vehicles accident
 Falls
 Assault
 Sport-Related injuries
 Firearm-related injuries
Sports
Medicine
Hospital
Taiping
HEAD AND NECK INJURIES
Neck injuries
Cervical injuries resulting from participation in sports can be divided into the following clinical syndromes:
 Cervical fractures and dislocations
 Nerve root or brachial plexus injuries
 Intervertebral disc lesions
 Cervical stenosis
 Acute cervical sprains/strains including whiplash injury
 Transient quadriplegia
Sports
Medicine
Hospital
Taiping
Neck injuries
Signs and Symptoms
 Localized neck pain, which may or may not be severe
 Neck stiffness
 Pain radiating from the neck down to the shoulders and/or arms
 Swelling and bruising
 Tenderness
 Decrease in sensation in the arms, legs or body
 Muscle weakness or paralysis of the arms or legs
 Difficulty breathing
Sports
Medicine
Hospital
Taiping
Head and neck injuries management
Resuscitation performed According to ATLS
guidelines
 A:Airway with cervical spine protection
 B:breathing And ventilation
 C:Circulation with haemorrhage control
 D: Disability (neurological status)
 E:Exposure (Completely undress the patient
and assesS for other injury)
 Transport to hospital for futher mx
Sports
Medicine
Hospital
Taiping
concussion
 Minor, moderate and severe head (traumatic brain) injuries
 Assess: AVPU, GCS, pupils
 Concussions
LOC occurs in less than 10% of
concussions
Remove player : Risk of Malignant
Cerebral Edema, post concussion
syndrome and Chronic Traumatic
Encephalopathy (CTE).
Sports
Medicine
Hospital
Taiping
GLASGOW COMA SCALE
Sports
Medicine
Hospital
Taiping
Sports
Medicine
Hospital
Taiping
Head and Neck injuries
Sports
Medicine
Hospital
Taiping
World Rugby: First Aid in Rugby
Head and Neck injuries
Sports
Medicine
Hospital
Taiping
Fractures
Definition
 A fracture is a break or crack in the bone.
 It is usually caused by trauma, osteoporosis, and overuse.
 Fractures caused by overuse or repetitive motion are known as stress fractures and are common in athletes.
Types
 Compound (open)
 A fracture is considered compound when the broken bone has pierced through the soft tissues and the skin, creating an
open wound.
 Simple (closed)
 A simple fracture, on the other hand, has little to no damage to the soft tissues surrounding the bone.
Sports
Medicine
Hospital
Taiping
Fractures
Symptoms
 painful and the pain gets worse with movement.
 swelling
 bruising
 deformity
 Compound or open fractures are easier to diagnose, as you can see the
broken bone protruding from the skin.
Sports
Medicine
Hospital
Taiping
First aid treatment for fracture
 According to a study in the World Journal of Orthopedics, the goal of treatment in sports medicine is to quickly restore the function of the injured
area to help the patient return to play at the soonest and safest possible time.
Rest.
 Rest and avoid moving the injured area unnecessarily, as this is very painful and can make the fracture worse.
Control the bleeding
 in case of a compound fracture. Using a sterile or a clean bandage or a piece of clothing, apply pressure to the wound.
Ice and immobilization.
 Apply an ice pack to the injured area to prevent further swelling and relieve pain. Do not apply the ice directly to the skin. Immobilize the injury
using a splint. You can use a hard splint, like a padded board or a cardboard box, for long bone fractures and a soft splint, like a folded blanket,
towels and a pillow for ankle, wrist, and collarbone fractures.
Compress
 Secure the splint in place using a bandage or a strip of cloth. Do not tie it too tightly, as this can impede blood flow. Do not place the ties directly
over the fractured area; they should be above and below the injury.
Elevate
 Once the splint is secured, elevating the injury can help control the bleeding and reduce the swelling.
Sports
Medicine
Hospital
Taiping
Fracture Immobilisation
Sports
Medicine
Hospital
Taiping
 Aims to achieve:
 Haemorrhage control
 Pain relief
 Prevent further soft tissue injury
 Reduce chance of fat embolism
 Principles
 Joint above & below
 Padding to bony prominences
 Box splint
 Vacuum splint
 SAM slings
 Traction splint (Kendrick)
Dislocation
Dislocation
 Dislocations are joint injuries that force the ends of your bones out of position.
 The cause is often a fall or a blow, sometimes from playing a contact sport.
 You can dislocate your ankles, knees, shoulders, hips, elbows and jaw.
 You can also dislocate your finger and toe joints.
 Dislocated joints often are swollen, very painful and visibly out of place. You may not be able to
move it.
Causes
 Trauma that forces a joint out of place causes a dislocation. Car accidents, falls, and contact sports such as football are
common causes of this injury.
Sports
Medicine
Hospital
Taiping
Dislocation
Symptoms
 Pain
 Swelling
 Bruising
 Instability of the joint
 Loss of ability to move the joint
 Visibly deformed joint (bone looks out of place)
Sports
Medicine
Hospital
Taiping
Dislocation Management
Sports
Medicine
Hospital
Taiping
Careful assessment
Check neurovascular status
Immediate reduction if possible
No prolonged attempts
Recheck & document neurovascular status
All need further assessment including radiology
Sports
Medicine
Hospital
Taiping
Sports
Medicine
Hospital
Taiping

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sport APM.pptx

  • 1. Severe sport injuries (Head and neck injuries,Fracture and dislocation) Muhammad aliff hapipy bin azman Sport medicine Orthopedic Hospital taiping Ppp u29 Sports Medicine Hospital Taiping
  • 2. HEAD AND NECK INJURIES Head injury Definition  Any trauma that leads To the injury of the scalp,skull or brain  The injury can range From a minor scalp Laseration to Serious brain injury Sports Medicine Hospital Taiping
  • 3. HEAD AND NECK INJURIES Causes  Motor vehicles accident  Falls  Assault  Sport-Related injuries  Firearm-related injuries Sports Medicine Hospital Taiping
  • 4. HEAD AND NECK INJURIES Neck injuries Cervical injuries resulting from participation in sports can be divided into the following clinical syndromes:  Cervical fractures and dislocations  Nerve root or brachial plexus injuries  Intervertebral disc lesions  Cervical stenosis  Acute cervical sprains/strains including whiplash injury  Transient quadriplegia Sports Medicine Hospital Taiping
  • 5. Neck injuries Signs and Symptoms  Localized neck pain, which may or may not be severe  Neck stiffness  Pain radiating from the neck down to the shoulders and/or arms  Swelling and bruising  Tenderness  Decrease in sensation in the arms, legs or body  Muscle weakness or paralysis of the arms or legs  Difficulty breathing Sports Medicine Hospital Taiping
  • 6. Head and neck injuries management Resuscitation performed According to ATLS guidelines  A:Airway with cervical spine protection  B:breathing And ventilation  C:Circulation with haemorrhage control  D: Disability (neurological status)  E:Exposure (Completely undress the patient and assesS for other injury)  Transport to hospital for futher mx Sports Medicine Hospital Taiping
  • 7. concussion  Minor, moderate and severe head (traumatic brain) injuries  Assess: AVPU, GCS, pupils  Concussions LOC occurs in less than 10% of concussions Remove player : Risk of Malignant Cerebral Edema, post concussion syndrome and Chronic Traumatic Encephalopathy (CTE). Sports Medicine Hospital Taiping
  • 10. Head and Neck injuries Sports Medicine Hospital Taiping World Rugby: First Aid in Rugby
  • 11. Head and Neck injuries Sports Medicine Hospital Taiping
  • 12. Fractures Definition  A fracture is a break or crack in the bone.  It is usually caused by trauma, osteoporosis, and overuse.  Fractures caused by overuse or repetitive motion are known as stress fractures and are common in athletes. Types  Compound (open)  A fracture is considered compound when the broken bone has pierced through the soft tissues and the skin, creating an open wound.  Simple (closed)  A simple fracture, on the other hand, has little to no damage to the soft tissues surrounding the bone. Sports Medicine Hospital Taiping
  • 13. Fractures Symptoms  painful and the pain gets worse with movement.  swelling  bruising  deformity  Compound or open fractures are easier to diagnose, as you can see the broken bone protruding from the skin. Sports Medicine Hospital Taiping
  • 14. First aid treatment for fracture  According to a study in the World Journal of Orthopedics, the goal of treatment in sports medicine is to quickly restore the function of the injured area to help the patient return to play at the soonest and safest possible time. Rest.  Rest and avoid moving the injured area unnecessarily, as this is very painful and can make the fracture worse. Control the bleeding  in case of a compound fracture. Using a sterile or a clean bandage or a piece of clothing, apply pressure to the wound. Ice and immobilization.  Apply an ice pack to the injured area to prevent further swelling and relieve pain. Do not apply the ice directly to the skin. Immobilize the injury using a splint. You can use a hard splint, like a padded board or a cardboard box, for long bone fractures and a soft splint, like a folded blanket, towels and a pillow for ankle, wrist, and collarbone fractures. Compress  Secure the splint in place using a bandage or a strip of cloth. Do not tie it too tightly, as this can impede blood flow. Do not place the ties directly over the fractured area; they should be above and below the injury. Elevate  Once the splint is secured, elevating the injury can help control the bleeding and reduce the swelling. Sports Medicine Hospital Taiping
  • 15. Fracture Immobilisation Sports Medicine Hospital Taiping  Aims to achieve:  Haemorrhage control  Pain relief  Prevent further soft tissue injury  Reduce chance of fat embolism  Principles  Joint above & below  Padding to bony prominences  Box splint  Vacuum splint  SAM slings  Traction splint (Kendrick)
  • 16. Dislocation Dislocation  Dislocations are joint injuries that force the ends of your bones out of position.  The cause is often a fall or a blow, sometimes from playing a contact sport.  You can dislocate your ankles, knees, shoulders, hips, elbows and jaw.  You can also dislocate your finger and toe joints.  Dislocated joints often are swollen, very painful and visibly out of place. You may not be able to move it. Causes  Trauma that forces a joint out of place causes a dislocation. Car accidents, falls, and contact sports such as football are common causes of this injury. Sports Medicine Hospital Taiping
  • 17. Dislocation Symptoms  Pain  Swelling  Bruising  Instability of the joint  Loss of ability to move the joint  Visibly deformed joint (bone looks out of place) Sports Medicine Hospital Taiping
  • 18. Dislocation Management Sports Medicine Hospital Taiping Careful assessment Check neurovascular status Immediate reduction if possible No prolonged attempts Recheck & document neurovascular status All need further assessment including radiology