SPORTS INJURY #aclsurgeryjaipur #aclsurgeryhindia #aclsurgerytaekwondo Acl reconstruction in jaipur | Acl reconstruction in taekwondo | Acl injury in football player surgery | Acl reconstruction surgery in football | acl surgery | Acl surgery ke baad physiotherapy | Acl surgery in jaipur | acl surgery recovery | Best acl surgeon in jaipur | Best ligament doctor in hindi | Best acl surgeon in india | Meniscus repair surgery in jaipur | Sports injury doctor | Acl injury in football players | Acl injury in taekwondo | acl tear | Best knee surgeon in jaipur #allinsideacl #internalbrace #drrajatjangir #bestaclsurgeon #aclexpert #bestkneesurgeon To Know more about ACL Injury, Click the links below: 1. ACL surgery 7 different Techniques we do at our center - "Not single technique best for all" https://youtu.be/oWkIr8IXvr8 2. Everything about ACL Injury tear surgery in Hindi I https://youtu.be/bqpjkAkwZ14 3. Best Screw for ACL tear surgery in Hindi https://youtu.be/1LGpU1NHiIs 4. ACL Injury Tear Surgery Recovery : All your questions & queries solved by Dr.Rajat Jangir https://youtu.be/SIAPWiMbOqs 5. Partial ACL Tear Surgery or not ! ACL आधा टूटा हो तो क्या करें ? https://youtu.be/NEJRPKskJTI 6. 5 Symptoms of ACL Injury tear इंजरी के पांच लक्षण ? https://youtu.be/EXpgy19Jxzw 7. PRP injection therapy in Partial ACL TEARs https://youtu.be/qyG1EYgS87E Dr.RAJAT JANGIR(Asso Prof.) Senior Consultant Arthroscopy and Joint Replacement (Specialist in Shoulder Knee Hip Surgery) Ligament and Joints Clinic 67/34 Mansarovar Jaipur Whatsapp: shorturl.at/gnAEP Appointment: +91 8104855900 Email: ligamentsurgeon@gmail.com Google Page: https://g.page/KNEE-Shoulder-SURGERY?... Facebook: https://www.facebook.com/Ligamentandj... * Vast experience and specialisation in the field of Arthroscopy and sports surgery. * M.S. orthopaedics from BJ Medical College, Civil hospital, Ahmedabad * Fellowship in Arthroscopy and Sports injury with Prof Joon Ho Wang at Samsung Medical Center, South Korea * Diploma in Sports Medicine from InternationaI Olympic Committee * Invited as Athlete Medical Doctor at Rio Olympic 2016 * Done Rajasthan's first "All Inside Physeal Preserving ACL reconstruction" in 13 year old Athlete Dr.Rajat is rated as one of the best orthopedic surgeon with with excellence in Knee Shoulder Arthroscopy surgeries as replacements'

1. SPORTS INJURIES
Dr.RAJAT JANGIR
Consultant Arthroscopy and Sports Injury
Ligament and Joints Clinic, Mansarovar, Jaipur
MS Ortho (Ahmedabad)
Fellow Arthroscopy(S.Korea)
Dip Sports Med IOC

2. Sports for Health

3. But for some people—particularly those who overdo or who don’t
properly train or warm up—these benefits can come at a price:
sports injuries.

4. SPORT INJURIES are those which occur in
Athletic activities or while exercising
SPORT MEDICINE study and research of
injuries in sport in order to prevent or reduce
the severity of injury.

5. EPIDEMOLOGY
 Kids ages 5-14 are most likely to hurt themselves on a playground or engaged
in "general exercise,”
 For ages 15-24, high school and college, team sports become common-
basketball, soccer, and football injuries make their main appearance, especially
for males
 After age 25, those sports become less common and people become more
likely to hurt themselves generally working out, running, biking

6. Knee injuries (55%) >Shoulder> Ankle
The most common injuries are
 strains or sprains (41%),
 broken bones (20%),
 bruises or superficial injuries (19%)

7. India: Data Sparse
 Journal of Athletic Enhancement: Prevalence of Sports Injuries in
Adolescent Athletes Ieleni Sreekaarini, KMC Manipal

8. Sports injury pattern in school going children Chandigarh
Dr.Ravi Gupta

9. French gymnast Samir Ait Said snapped his leg during a pommel horse

10. Australian javelin thrower Kim Mickle dislocated her right shoulder

11. Ankle Sprain

12. German Gymnast Adreas TOBA

13. Acute sports injuries
The ‘immediate’ cause may seem obvious
 but sports medicine clinicians think beyond the ‘immediate cause’

14. R Bahr, T Krosshaug

15. Understanding injury mechanisms: key component of preventing injuries in sport

16. Acute sports injuries
▪ Acute ankle sprain
▪ Acute knee injury (ACL)
▪ Acute hamstring strain
▪ Acute low back injury

17. Take home message for causes of ‘acute
injuries
 The key is to think about the cause…but not just the immediate cause
 The ‘upstream’ cause may include
 overtraining
 suboptimal proprioception/neuromuscular control
 regional muscle imbalance
 previous injury not full rehabilitated
 lack of skill!
 impaired eyesight or poor vision

18. Chronic sports injuries
 The ‘immediate’ cause may seem obvious but sports medicine clinicians
think beyond the ‘immediate cause’
 Chronic’ injuries may be ‘recurrences’ or ‘overuse’ type injuries
 They provide an even larger array of ‘upstream causes’

19. Chronic sports injuries
 Stress fracture (of the tibia)
 Achilles tendinopathy
 Osteoarthritis

20. Chronic sports injuries
Stress fracture
• Biomechanics (technique)
• Overtraining
• Nutrition
• Footwear

21. Chronic sports injuries
Tendinopathy
• Biomechanics (technique)
• Overtraining
• Genetics

22. Chronic sports injuries
Osteoarthritis
• Previous ACL injury
• Obesity
• Meniscal surgery
• Genetics

23. Role of Physician
 Diagnosis and Treatment
 Team Leader
 Decision Maker Return to Play
 Educator, Advisor
 Advocate & Confidant

24. PREVENTION
Primary
• Avoidance of
injury ( eg-
safety
helmets)
Secondary
• Early
diagnosis and
treatment
once the injury
has occurred
Tertiary
• Rehabilitation-
to reduce and
correct any
deformity

25. PRIMARY PREVENTION-
 Warm up
 Stretching
 Taping and Bracing
 Protective Equipment
 Suitable Equipment
 Environmental factors
 Appropriate Training
 Psychology
 Nutrition

26.  >100,000 ACL Injuries/Year
 NonModifiable: Anatomical Environmental Hormonal
 No single risk factor
Mandelbaum, B.R., et. al. Effectiveness of neuromuscular and proprioceptive training programin
preventing the incidence of ACL injuries in females athletes. AJSM 2005
Griffin, L.Y. et al. Non-contact anterior ligament injuries:risk factors and preventative strategies. J
Amer Acad Orthop Surg 2000
ACL INJURY

27.  70% ACL injuries are non-contact
 Most common biomechanical factor straight hips and knees, as well as
flat feet during landing.

28. Injury prevention program focus on
 Balance
 Eccentric Strength
 Proper Mechanics
 Flexibility
overall reduction of severe ACL injuries from 72 –89%.

29. Assessment of injuries
ABC
TOTAPS
Treatment of injuries
PRICER
No HARM
Treatment

30. ABC
 Airway
 Breathing
 Circulation

31. TOTAPS
Talk
Observe
Touch
Active
Passive
Skills

32. Initial treatment of injuries
PRICER
 Protection
 Rest
 Ice
 Compression
 Elevation
 Referral

33. Protection
 Take player away from field to avoid further injury as soon as possible

34. Rest
 Remove player from field
 Rest injured area
 Immobilize area
 Why?
 Reduces further tissue damage
 Reduces blood flow
 Allows for full assessment of injury

35. Ice
 Ice bag, pack
 Ice water bath
 15 mins/ 5 times a day
 Why?
 Cool the area which constricts blood vessels, reduces blood flow and fluid
leakage, less swelling, pressures and pain

36. Compression
Compress injured area with
Elastic bandage
Cohesive bandage
Move distal to proximal
Why?
External pressure reduces fluid leakage and bleeding into tissues
Provide support the area

37. Elevation
 Elevate area above height
 Why?
 Reduces bleeding as blood has to flow up hill
 Gravity helps swelling to move towards lymph nodes

38. No HEAT
 Includes
 Hot packs
 Spas
 Saunas
 Why?
 Increases blood flow to area therefore increases swelling

39. No ALCOHOL
 Includes most things adults enjoy after a game of sports
 Why?
 Thins blood which increases swelling
 Less pain felt therefore more damage caused
 Adds toxins to already injured area

40. No RUNNING
 Includes running as well as any exercise that is painful
 Why?
 Increases in tissue damage
 Overload to other area as compensation

41. No MASSAGE
 Rub down
 Massage
 Mobilizations
 Why?
 May increases tissue damage
 Increases blood circulation to the injured area

42. Summary
 Diverse range of ‘causes’
 Understanding ‘cause’ may influence treatment and prevention
 No simple way to identify what the relative ‘mix’ of causes is for one
particular injury
 In clinical practice, think about the range of options and treat

43. THANK YOU
dr.rajatjangir@gmail.com
9461306495