Skiing Injuries
According to the US Consumer Product Safety Commission, there were more than 144,000 snow skiing-related injuries treated in hospitals, doctor’s offices, and emergency rooms in 2010. Injuries associated with snowboarding were even greater: 148,000.
Cause
A wide range of injuries occur in snow skiing. Knee injuries are very common, particularly injuries of the anterior cruciate ligament. Because skiers frequently put their arms out to break a fall, shoulder injuries — such as dislocations and sprains — often occur. Fractures around the shoulder and lower leg are also common. Head injuries also occur in skiing, and can be especially serious.
Several strategies can help prevent ski injuries, such as having the appropriate equipment and choosing ski runs that match your level of experience. Taking ski lessons is especially important for new skiers — learning how to fall correctly and safely can reduce the risk for injury. Even experienced skiers can improve by taking a lesson.
Symptoms
Knee injuries
Ligament damage
Common symptoms include pain, swelling and a restricted range of movement around the affected ligament.
Shoulder injuries
Rotator cuff strains
The most common symptom is a sudden onset of pain in the shoulder; pain becomes heightened when the arms are raised or the shoulder is moved. Movement in the joint will usually be restricted.
Fractured clavicle (collarbone)
The collarbone is usually deformed when it is fractured; this is often visible immediately after the incident. This injury is very painful and will often swell and bruise. Pain will usually be felt around the site of the fracture and extend into the shoulder and arms.
Shoulder dislocation
The most common symptom is the sudden onset of extreme pain, which may extend into the back and arms as well as the shoulder joint. The shoulder joint may look deformed and the area will usually swell. Bruising may also be visible.
Diagnosis
Physical Examination & Patient History
During your first visit, your doctor will talk to you about your symptoms and medical history. During the physical examination, your doctor will check all the structures of your injury, and compare them to your non-injured anatomy. Most injuries can be diagnosed with a thorough physical examination.
Imaging Tests
Imaging Tests Other tests which may help your doctor confirm your diagnosis include:
X-rays. Although they will not show any injury, x-rays can show whether the injury is associated with a broken bone.
Magnetic resonance imaging (MRI) scan. If your injury requires an MRI, this study is utilized to create a better image of soft tissues injuries. However, an MRI may not be required for your particular injury circumstance and will be ordered based on a thorough examination by your Peninsula Bone & Joint Clinic Orthopedic physician.
Principles of Sports Medicine
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Timely Care
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Minimally Invasive Procedures
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Advanced Rehabilitation
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Injury Prevention
One of the main goals of sports medicine is to put off major orthopedic surgery (such as joint replacement) as long as possible or even remove the need altogether with physical therapy, minimally invasive arthroscopic surgery and timely care.
When everything is working well, you hardly give them a thought. But when a problem arises, it’s often impossible to ignore.
Treatment Options
Non-Surgical
Knee injuries
Ligament damage
Minor sprains can heal fairly quickly with the help of rest, ice and anti-inflammatory medication. More serious sprains and ruptures may take a long time to heal and recover; the knee will need to be rested for a long period of time; a person with a serious ligament injury may also be advised to use crutches to prevent the knee from having to bear weight; this will allow the joint time to heal and prevent further damage. Physiotherapy will help to speed up recovery and increase strength and flexibility around the affected ligament.
Knee dislocations
Dislocations can either affect the kneecap of the joint itself. Commonly, dislocations are caused by a sudden change of direction or the knee twisting while the foot is still planted on the ground.
Patella dislocation
This is commonly known as a dislocated kneecap. The kneecap becomes displaced and the area will generally swell and be very painful. Usually, the kneecap can be slipped back into place fairly easily. Once the kneecap has been returned to its original position, the area should be treated with rest, ice and anti-inflammatory medication. The knee joint should be given time to recover before the individual starts to exercise again.
Knee joint dislocation
This form of dislocation is rare and affects the whole of the knee joint. This condition occurs when the bottom of the femur loses contact with the top of the tibia. The ligaments in and around the knee joint will suffer significant damage if the knee is dislocated; often both the anterior and posterior cruciate ligaments are affected, which can be a very serious and debilitating injury. Knee dislocations are commonly caused by high impact contact or falls. This injury may require surgery to repair the ligaments and re-set the joint. Recovery from a knee dislocation will take several weeks and will require the knee being immobilized. Once the healing process has started, physiotherapy will help to gradually increase movement in the area and strengthen the muscles and tissues surrounding the knee joint.
Shoulder injuries
Rotator cuff strains
Rotator cuff strains can usually be treated with rest, ice and a combination of analgesic and anti-inflammatory medications. Minor strains will usually heal quickly if the shoulder is rested sufficiently. During the healing process, light exercises will help to build up strength in the shoulder and gradually increase movement in the joint.
Fractured clavicle (collarbone)
The affected arm will usually be placed in a sling to prevent movement in the shoulder joint which would apply pressure to the fractured collarbone; this will allow the fracture time to heal. Once the fracture has started to heal, physiotherapy and light exercises will help to gradually build strength around the affected area and increase the range of movement in the shoulder and neck. Ice and anti-inflammatory medication will help to reduce swelling.
Shoulder dislocation
The ball of the shoulder joint will first need to be inserted back into the socket. Once this has been done, the affected arm will usually be immobilized by using a sling; some dislocations will require a splint; this depends on the nature of the dislocation. Commonly, the connective tissue surrounding the joint will be damaged when the shoulder is dislocated; these injuries will take time to heal and will require a long period of rest. Physiotherapy will help to improve movement and strengthen the muscles and connective tissue in the shoulder joint.
Surgical
Knee injuries
Knee joint dislocation
This form of dislocation is rare and affects the whole of the knee joint. This condition occurs when the bottom of the femur loses contact with the top of the tibia. The ligaments in and around the knee joint will suffer significant damage if the knee is dislocated; often both the anterior and posterior cruciate ligaments are affected, which can be a very serious and debilitating injury. Knee dislocations are commonly caused by high impact contact or falls. This injury may require surgery to repair the ligaments and re-set the joint. Recovery from a knee dislocation will take several weeks and will require the knee being immobilized. Once the healing process has started, physiotherapy will help to gradually increase movement in the area and strengthen the muscles and tissues surrounding the knee joint.
Conservative Treatment Options
Treatment Highlights
FastFix 360 – Meniscus Repair
