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Soccer Players With Hypermobile Joints Have Higher Risk of Injury

January 12, 2012 By Leave a Comment

The football players with joints which are hypermobile have a higher risk of injury than those who do not have hypermobility, reports a study by Konopinski et al published in The American Journal Of Sports Medicine.

That means football players with more flexible joints have higher risk of injury.

Hypermobile joints are not as stable as less-flexible joints, so in theory they could be more vulnerable to injuries like sprains. But researchers have come to conflicting conclusions on whether hypermobile athletes do sustain more injuries.

In the present study, a cohort study, 54 players from an English Premier League soccer club were assessed for hypermobility, using the 9-point Beighton scale. [Read more...]

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Filed Under: Sports Injuries

How To Calculate Constant Score For Shoulder

January 7, 2011 By Leave a Comment

Constant score is used to measure outcome of shoulder treatment. Constant Score For Shoulder can be calculated on out patient basis. Before moving on to calculation patient details are noted and each side is evaluated separately.

First subjective variables [Pain and limitation of activities of daily living] are calculated.

A. Pain

Maximum score is 15.

Score for pain is calculated in two ways. One is asking the patient to rate the severity of the pain and other is to mark the pain level on the linear scale. Final score is average of the two.
1. In the first method the patient is asked to put his shoulder pain in one of following categories [Read more...]

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Constant-Murley Shoulder Outcome Score

January 7, 2011 By 1 Comment

Constant-Murley Shoulder Outcome Score [Also known as Constant Score] is used for assessing the outcomes of the treatment of shoulder disorders.

It is the recommended scoring system of the European Society of Shoulder & Elbow Surgery.

First published in 1987,  it offers the benefits of including

  • Pain score
  • Functional assessment
  • Range of motion
  • Strength measures.

Note: The score is  not suitable for Shoulder Instability

Scoring System

The score consists of four variables that are used to assess the function of the shoulder. The right and left shoulders are assessed separately. [Read more...]

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Platelet Rich Plasma Augumentation Does Not Hasten Healing Of Small and Medium Rotator Cuff Tears

January 6, 2011 By Leave a Comment

A new study  published in does not support the use of platelet rich plasma augmentation for arthroscopic rotator cuff repair. This randomized controlled trial conducted by Roberto Castricinia and colleagues, and has been published online in American Journal of Sports Medicine.

Growth factor augmentation has been proposed to boost the healing the rotator cuff after its reinsertion on the humerus and researchers wanted to assess the efficacy and safety of growth factor augmentation during rotator cuff repair. [Read more...]

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Filed Under: News, Sports Injuries Tagged With: , ,

Combined Anterior and Posterior Surgery For Thoracolumbar Fractures

January 1, 2011 By Leave a Comment

In most cases of thoracolumbar burst fractures,  either anterior or posterior surgery alone is adequate. However, there are a number of situations where combined anterior and posterior approaches may be needed.

Most of the combined surgeries are performed in a staged fashion.

When primary surgery is posterior, anterior surgery may be indicated where a neural deficit, either new or persistent, is present and which has been found to be associated with residual canal compromise from retropulsed bony fragments. It may also be done if there  is progressive loss of correction that is related to continued collapse of the fractured vertebral body. [Read more...]

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Filed Under: Spine Injuries, Sports Injuries, Thoracic-Lumbar Spine Tagged With: , , ,

Study Indicates That Early Reconstruction of Anterior Cruciate Ligament Tear In Children Shows Better Results

August 11, 2010 By Leave a Comment

A new srudy has indicated that in athletes 14 years of age and younger with anterior cruciate ligament (ACL) tears, early reconstruction results in significantly improved outcomes without growth disturbance. A reconstruction done within 12 weeks of injury is defined as early reconstruction. In addition to better function the early intervention also saves money. [Read more...]

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Filed Under: News, Pediatric Trauma, Sports Injuries Tagged With: , ,

Acute Anterior Dislocation of Shoulder – Treatment

September 20, 2008 By Leave a Comment

Like any other dislocation acute dislocations of the glenohumeral  or shoulder joint should be reduced as quickly and gently as possible. There are many advantages of early reduction of shoulder dislocation.

  • Eliminates the stretch and compression of neurovascular structures
  • Reduces amount of muscle spasm that must be overcome to effect reduction
  • Prevents further insult to  humeral head  and glenoid labrum

If patient reports within short time, some dislocations can be reduced without medication especially in thinly built patients. Reduction is difficult without medications if patient is very muscular , dislocation is of a long standing duration, the dislocation is locked in soft tissue. [Read more...]

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Filed Under: Fractures-Dislocations, Shoulder Girdle Injuries, Sports Injuries Tagged With: , , , , ,

Acute Dislocation of Shoulder – Clinical Presentation

September 19, 2008 By Leave a Comment

There would be history of trauma to shoulder and patient would present with severe pain in the shoulder.
The shoulder would be held in position of typical attitude depending on direction of dislocation.

Anterior Dislocation

The physical examination is almost diagnostic.

Muscles are in spasm because there is an attempt to  stabilize the joint. The head of humerus may be palpable anteriorly especially in case of thin patients. The glenoid area appears  hollow. The attitude of uper limb is abduction and external rotation at the shoulder.

Patient is unable to perform adduction and internal rotation (Duga’s Test).

A detailed examinaton to look for neural and vascular injury should be done. Axillary nerve is a commonly injured nerve in anterior dislocaion of shoulder, therefore should be always looked for.

Posterior Dislocation

The shoulder is held in the traditional sling position of adduction and internal rotation. The classic features of a posterior dislocation include:

  • Limited external rotation of the shoulder
  • Limited elevation of the arm – often to less than 90 degrees
  • Posterior prominence and rounding of the shoulde
  • Flattening of the anterior aspect of the shoulder
  • Prominence of the coracoid process

In both kind of injuries treatment is reduction of the dislocation preferably closed

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Filed Under: Shoulder Girdle Injuries, Sports Injuries Tagged With: , , , , ,