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Erschienen in: Current Reviews in Musculoskeletal Medicine 4/2014

01.12.2014 | Field Management of Sports Injuries (J Kinderknecht, Section Editor)

Extremity trauma: field management of sports injuries

verfasst von: Daniel C. Wascher, Luke Bulthuis

Erschienen in: Current Reviews in Musculoskeletal Medicine | Ausgabe 4/2014

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Abstract

Traumatic injuries to the extremities are common in athletic competitions. The practitioner providing coverage of sporting events must be prepared to diagnose and provide initial treatment of these injuries. A thorough history and physical examination should result in a provisional diagnosis. Many injuries will require subsequent radiographs or orthopedic consultation. Limb threatening emergencies are rare but must be promptly recognized and referred to a hospital. Early treatment can protect athletes from further injury and may hasten their return to competition. Some athletes with extremity trauma can return to the contest, but this decision must be made on an individual basis.
Literatur
1.
Zurück zum Zitat Toth C, McNeil S, Feasby T. Central nervous system injuries in sport and recreation: a systematic review. Sports Med. 2005;35:685–715.PubMedCrossRef Toth C, McNeil S, Feasby T. Central nervous system injuries in sport and recreation: a systematic review. Sports Med. 2005;35:685–715.PubMedCrossRef
2.
Zurück zum Zitat Toth C. Peripheral nerve injuries attributable to sport and recreation. Neurol Clin. 2008;26:89–113, viii–ix.PubMedCrossRef Toth C. Peripheral nerve injuries attributable to sport and recreation. Neurol Clin. 2008;26:89–113, viii–ix.PubMedCrossRef
3.
Zurück zum Zitat Wani ML, Ahangar AG, Ganie FA, Wani SN, Wani NU, et al. Vascular injuries: trends in management. Trauma Mon. 2012;17:266–9. Wani ML, Ahangar AG, Ganie FA, Wani SN, Wani NU, et al. Vascular injuries: trends in management. Trauma Mon. 2012;17:266–9.
4.
Zurück zum Zitat Green DP. Green’s operative hand surgery. 5th ed. Philadelphia: Elsevier/Churchill Livingstone; 2005. Green DP. Green’s operative hand surgery. 5th ed. Philadelphia: Elsevier/Churchill Livingstone; 2005.
5.
Zurück zum Zitat Olson SA, Glasgow RR. Acute compartment syndrome in lower extremity musculoskeletal trauma. J Am Acad Orthop Surg. 2005;13:436–44.PubMed Olson SA, Glasgow RR. Acute compartment syndrome in lower extremity musculoskeletal trauma. J Am Acad Orthop Surg. 2005;13:436–44.PubMed
6.
Zurück zum Zitat Murdock M, Murdoch MM. Compartment syndrome: a review of the literature. Clin Podiatr Med Surg. 2012;29:301–10, viii.PubMedCrossRef Murdock M, Murdoch MM. Compartment syndrome: a review of the literature. Clin Podiatr Med Surg. 2012;29:301–10, viii.PubMedCrossRef
7.
Zurück zum Zitat Stiell IG, Greenberg GH, Wells GA, McKnight RD, Cwinn AA, Cacciotti T, et al. Derivation of a decision rule for the use of radiography in acute knee injuries. Ann Emerg Med. 1995;26:405–13. Stiell IG, Greenberg GH, Wells GA, McKnight RD, Cwinn AA, Cacciotti T, et al. Derivation of a decision rule for the use of radiography in acute knee injuries. Ann Emerg Med. 1995;26:405–13.
8.
Zurück zum Zitat Stiell IG, Greenberg GH, McKnight RD, Nair RC, McDowell I, Worthington JR. A study to develop clinical decision rules for the use of radiography in acute ankle injuries. Ann Emerg Med. 1992;21:384–90. Stiell IG, Greenberg GH, McKnight RD, Nair RC, McDowell I, Worthington JR. A study to develop clinical decision rules for the use of radiography in acute ankle injuries. Ann Emerg Med. 1992;21:384–90.
9.
Zurück zum Zitat Cheung TC, Tank Y, Breederveld RS, Tuinebreijer WE, de Lange-deKlerk ES, Derksen RJ. Diagnostic accuracy and reproducibility of the Ottawa Knee Rule vs the Pittsburgh Decision Rule. Am J Emerg Med. 2013;31:641–5. Cheung TC, Tank Y, Breederveld RS, Tuinebreijer WE, de Lange-deKlerk ES, Derksen RJ. Diagnostic accuracy and reproducibility of the Ottawa Knee Rule vs the Pittsburgh Decision Rule. Am J Emerg Med. 2013;31:641–5.
10.•
Zurück zum Zitat Gould SJ, Cardone DA, Munyak J, Underwood PJ, Gould SA. Sideline coverage: when to get radiographs? A review of clinical decision tools. Sports Health. 2014;6:274–8. An excellent summary of current criteria regarding radiographic imaging. Gould SJ, Cardone DA, Munyak J, Underwood PJ, Gould SA. Sideline coverage: when to get radiographs? A review of clinical decision tools. Sports Health. 2014;6:274–8. An excellent summary of current criteria regarding radiographic imaging.
11.
Zurück zum Zitat Hutchinson M, Tansey J. Sideline management of fractures. Curr Sports Med Rep. 2003;2:125–35.PubMedCrossRef Hutchinson M, Tansey J. Sideline management of fractures. Curr Sports Med Rep. 2003;2:125–35.PubMedCrossRef
12.
Zurück zum Zitat Schupp CM. Sideline evaluation and treatment of bone and joint injury. Curr Sports Med Rep. 2009;8:119–24.PubMedCrossRef Schupp CM. Sideline evaluation and treatment of bone and joint injury. Curr Sports Med Rep. 2009;8:119–24.PubMedCrossRef
13.••
Zurück zum Zitat Skelley NW, McCormick JJ, Smith MV. In-game management of common joint dislocations. Sports Health. 2014;6:246–55. A review of criteria and methods for common joint dislocation reduction.PubMedCrossRef Skelley NW, McCormick JJ, Smith MV. In-game management of common joint dislocations. Sports Health. 2014;6:246–55. A review of criteria and methods for common joint dislocation reduction.PubMedCrossRef
14.
Zurück zum Zitat Creighton DW, Shrier I, Shultz R, Meeuwisse WH, Matheson GO. Return-to-play in sport: a decision-based model. Clin J Sport Med. 2010;20:379–85. Creighton DW, Shrier I, Shultz R, Meeuwisse WH, Matheson GO. Return-to-play in sport: a decision-based model. Clin J Sport Med. 2010;20:379–85.
15.
Zurück zum Zitat Matheson GO, Schultz R, Bido J, Mitten MJ, Meeuwisse H, Shrier I. Return-to-play decisions: are they the team physician's responsibility? Clin J Sport Med. 2011;21:25–30. Matheson GO, Schultz R, Bido J, Mitten MJ, Meeuwisse H, Shrier I. Return-to-play decisions: are they the team physician's responsibility? Clin J Sport Med. 2011;21:25–30.
16.
Zurück zum Zitat Melvin JS, Dombroski DG, Torbert JT, Kovach SJ, Esterhai JL, Mehta S. Open tibial shaft fractures: I. Evaluation and initial wound management. J Am Acad Orthop Surg. 2010;18:10–9. Melvin JS, Dombroski DG, Torbert JT, Kovach SJ, Esterhai JL, Mehta S. Open tibial shaft fractures: I. Evaluation and initial wound management. J Am Acad Orthop Surg. 2010;18:10–9.
17.
Zurück zum Zitat Talan DA, Abrahamian FM, Moran GJ, Citron DM, Tan JO, Goldstein EJ; Emergency Medicine Human Bite Infection Study Group. Clinical presentation and bacteriologic analysis of infected human bites in patients presenting to emergency departments. Clin Infect Dis. 2003;37:1481–9. Talan DA, Abrahamian FM, Moran GJ, Citron DM, Tan JO, Goldstein EJ; Emergency Medicine Human Bite Infection Study Group. Clinical presentation and bacteriologic analysis of infected human bites in patients presenting to emergency departments. Clin Infect Dis. 2003;37:1481–9.
18.
Zurück zum Zitat Honsik K, Boyd A, Rubin AL. Sideline splinting, bracing, and casting of extremity injuries. Curr Sports Med Rep. 2003;2:147–54.PubMedCrossRef Honsik K, Boyd A, Rubin AL. Sideline splinting, bracing, and casting of extremity injuries. Curr Sports Med Rep. 2003;2:147–54.PubMedCrossRef
19.
Zurück zum Zitat Gaston RG, Chadderdon C. Phalangeal fractures: displaced/nondisplaced. Hand Clin. 2012;28:395–401, x.PubMedCrossRef Gaston RG, Chadderdon C. Phalangeal fractures: displaced/nondisplaced. Hand Clin. 2012;28:395–401, x.PubMedCrossRef
20.
Zurück zum Zitat Hatch RL, Alsobrook JA, Clugston JR. Diagnosis and management of metatarsal fractures. Am Fam Physician. 2007;76:817–26.PubMed Hatch RL, Alsobrook JA, Clugston JR. Diagnosis and management of metatarsal fractures. Am Fam Physician. 2007;76:817–26.PubMed
21.
Zurück zum Zitat McKoy BE, Bensen CV, Hartsock LA. Fractures about the shoulder: conservative management. Orthop Clin N Am. 2000;31:205–16.CrossRef McKoy BE, Bensen CV, Hartsock LA. Fractures about the shoulder: conservative management. Orthop Clin N Am. 2000;31:205–16.CrossRef
22.
Zurück zum Zitat Rizzo M, Shin AY. Treatment of acute scaphoid fractures in the athlete. Curr Sports Med Rep. 2006;5:242–8.PubMedCrossRef Rizzo M, Shin AY. Treatment of acute scaphoid fractures in the athlete. Curr Sports Med Rep. 2006;5:242–8.PubMedCrossRef
23.
Zurück zum Zitat Mantas JP, Burks RT. Lisfranc injuries in the athlete. Clin Sports Med. 1994;13:719–30. Mantas JP, Burks RT. Lisfranc injuries in the athlete. Clin Sports Med. 1994;13:719–30.
24.
Zurück zum Zitat Myerson M. The diagnosis and treatment of injuries to the Lisfranc joint complex. Orthop Clin N Am. 1989;20:655–64. Myerson M. The diagnosis and treatment of injuries to the Lisfranc joint complex. Orthop Clin N Am. 1989;20:655–64.
25.
Zurück zum Zitat Walton J, Paxinos A, Tzannes A, Callanan M, Hayes K, Murrell GA. The unstable shoulder in the adolescent athlete. Am J Sports Med. 2002;30:758–67. Walton J, Paxinos A, Tzannes A, Callanan M, Hayes K, Murrell GA. The unstable shoulder in the adolescent athlete. Am J Sports Med. 2002;30:758–67.
26.
Zurück zum Zitat Tornetta P 3rd, Mostafavi HR. Hip dislocation: current treatment regimens. J Am Acad Orthop Surg. 1997;5:27–36. Tornetta P 3rd, Mostafavi HR. Hip dislocation: current treatment regimens. J Am Acad Orthop Surg. 1997;5:27–36.
27.
Zurück zum Zitat Wascher DC, Dvirnak PC, DeCoster TA. Knee dislocation: initial assessment and implications for treatment. J Orthop Trauma. 1997;11:525–9.PubMedCrossRef Wascher DC, Dvirnak PC, DeCoster TA. Knee dislocation: initial assessment and implications for treatment. J Orthop Trauma. 1997;11:525–9.PubMedCrossRef
28.
Zurück zum Zitat Chemama B, Bonnevialle N, Peter O, Mansat P, Bonnevialle P. Terrible triad injury of the elbow: how to improve outcomes? Orthop Traumatol Surg Res. 2010;96:147–54. Chemama B, Bonnevialle N, Peter O, Mansat P, Bonnevialle P. Terrible triad injury of the elbow: how to improve outcomes? Orthop Traumatol Surg Res. 2010;96:147–54.
29.
Zurück zum Zitat Kozin SH. Perilunate injuries: diagnosis and treatment. J Am Acad Orthop Surg. 1998;6:114–20.PubMed Kozin SH. Perilunate injuries: diagnosis and treatment. J Am Acad Orthop Surg. 1998;6:114–20.PubMed
30.
Zurück zum Zitat Mangine RE, Minning SJ, Eifert-Mangine M, Colosimo AJ, Donlin M. Management of the patient with an ACL/MCL injured knee. N Am J Sports Phys Ther. 2008;3:204–11. Mangine RE, Minning SJ, Eifert-Mangine M, Colosimo AJ, Donlin M. Management of the patient with an ACL/MCL injured knee. N Am J Sports Phys Ther. 2008;3:204–11.
31.
Zurück zum Zitat Gardiner JR, Madaleno JA, Johnson DL. Sideline management of acute knee injuries. Orthopedics. 2004;27:1250–4.PubMed Gardiner JR, Madaleno JA, Johnson DL. Sideline management of acute knee injuries. Orthopedics. 2004;27:1250–4.PubMed
33.
Zurück zum Zitat Chalmer J, Blakeway M, Adams Z, Milan SJ. Conservative interventions for treating hyperextension injuries of the proximal interphalangeal joints of the fingers. Cochrane Database Syst Rev. 2013;2:CD009030. Chalmer J, Blakeway M, Adams Z, Milan SJ. Conservative interventions for treating hyperextension injuries of the proximal interphalangeal joints of the fingers. Cochrane Database Syst Rev. 2013;2:CD009030.
34.
Zurück zum Zitat Lemos MJ. The evaluation and treatment of the injured acromioclavicular joint in athletes. Am J Sports Med. 1998;26:137–44.PubMed Lemos MJ. The evaluation and treatment of the injured acromioclavicular joint in athletes. Am J Sports Med. 1998;26:137–44.PubMed
35.
Zurück zum Zitat Boublik M, Schlegel T, Koonce R, Genuario J, Lind C, Hamming D. Patellar tendon ruptures in National Football League players. Am J Sports Med. 2011;39:2436–40. Boublik M, Schlegel T, Koonce R, Genuario J, Lind C, Hamming D. Patellar tendon ruptures in National Football League players. Am J Sports Med. 2011;39:2436–40.
36.
Zurück zum Zitat Iannotti JP. Full-thickness rotator cuff tears: factors affecting surgical outcome. J Am Acad Orthop Surg. 1994;2:87–95.PubMed Iannotti JP. Full-thickness rotator cuff tears: factors affecting surgical outcome. J Am Acad Orthop Surg. 1994;2:87–95.PubMed
37.
Zurück zum Zitat Sutton KM, Dodds SD, Ahmad CS, Sethi PM. Surgical treatment of distal biceps rupture. J Am Acad Orthop Surg. 2010;18:139–48. Sutton KM, Dodds SD, Ahmad CS, Sethi PM. Surgical treatment of distal biceps rupture. J Am Acad Orthop Surg. 2010;18:139–48.
38.
Zurück zum Zitat Beiner JM, Jokl P. Muscle contusion injuries: current treatment options. J Am Acad Orthop Surg. 2001;9:227–37.PubMed Beiner JM, Jokl P. Muscle contusion injuries: current treatment options. J Am Acad Orthop Surg. 2001;9:227–37.PubMed
39.
Zurück zum Zitat Cushner FD, Morwessel RM. Myositis ossificans traumatica. Orthop Rev. 1992;21:1319–26.PubMed Cushner FD, Morwessel RM. Myositis ossificans traumatica. Orthop Rev. 1992;21:1319–26.PubMed
40.
Zurück zum Zitat Greis PE, Bardana DD, Holmstrom MC, Burks RT. Meniscal injury: I. Basic science and evaluation. J Am Acad Orthop Surg. 2002;10:168–76. Greis PE, Bardana DD, Holmstrom MC, Burks RT. Meniscal injury: I. Basic science and evaluation. J Am Acad Orthop Surg. 2002;10:168–76.
41.
Zurück zum Zitat Burns TC, Owens BD. Management of shoulder instability in in-season athletes. Phys Sportsmed. 2010;38:55–60. Burns TC, Owens BD. Management of shoulder instability in in-season athletes. Phys Sportsmed. 2010;38:55–60.
42.
Zurück zum Zitat Buss DD, Lynch GP, Meyer CP, Huber SM, Freehill MQ. Nonoperative management for in-season athletes with anterior shoulder instability. Am J Sports Med. 2004;32:1430–3. Buss DD, Lynch GP, Meyer CP, Huber SM, Freehill MQ. Nonoperative management for in-season athletes with anterior shoulder instability. Am J Sports Med. 2004;32:1430–3.
Metadaten
Titel
Extremity trauma: field management of sports injuries
verfasst von
Daniel C. Wascher
Luke Bulthuis
Publikationsdatum
01.12.2014
Verlag
Springer US
Erschienen in
Current Reviews in Musculoskeletal Medicine / Ausgabe 4/2014
Elektronische ISSN: 1935-9748
DOI
https://doi.org/10.1007/s12178-014-9242-y

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