Everyday Sports Injuries: The Essential Step-by-Step Guide to Prevention, Diagnosis, and Treatment

274 Pages·2019·45.03 MB·English

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EVERYDAY
SPORTS

INJURIES
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CONTENTS
Senior Editors Gareth Jones, Ed Wilson
Editors Marcus Hardy,
David Summers, Joanna INTRODUCTION 6
Edwards, Nicola Munro
Medical Editor Martyn Page
US Editor Jill Hamilton BITTEN OR SWALLOWED 55
US Medical Consultant Eric N. Dubrow, MD TONGUE
Senior Art Editors Gillian Andrews,
Phil Gamble SPORTS IN PROFILE NECK STRAIN AND 56
Senior Designer Keith Davis WHIPLASH
Production CDoenstigronlelersr BJoeann nMea Crclaursk, Tim Lane NECK NERVE INJURIES 58
Jacket Designer Mark Cavanagh COLLISION TEAM SPORTS 16 LOW BACK PAIN AND SCIATICA 60
ManMaagninagg iAnrgt Editor LSetep Ghrainffieth Fsarrow CONTACT TEAM SPORTS 18 SACROILIAC JOINT 62
Illustrators Philip Wilson, Debbie NET-BASED SPORTS 20 INFLAMMATION
Maizels, Richard Tibbitts, BAT- AND CLUB-BASED 22 PIRIFORMIS SYNDROME 64
M
Waikleke Gr,a Drlarnrden, M Ra. rk SPORTS COLLARBONE FRACTURE 66
Awuah, Debajyoti RACKET-BASED SPORTS 24 COLLARBONE JOINT 68
Dutta, Phil Gamble RUNNING 26 INJURIES
This American Edition, 2019 WEIGHTLIFTING AND 28 ROTATOR CUFF INJURIES 70
First American Edition, 2010 POWERLIFTING SHOULDER JOINT 72
P
3u4b5l iHshueddso in tShtree Uetn, iNteedw S tYaotreks, bNye DwK Y Pourkb l1is0h0i1n4g COMBAT SPORTS 30 PAIN
BOARD-BASED SPORTS 32 SHOULDER JOINT INJURIES 74
Copyright © 2010, 2019 Dorling Kindersley Limited
DK, a Division of Penguin Random House LLC SKI-BASED SPORTS 34 SIMPLE RIB FRACTURE 76
19 20
02011 2–23 1234 1902 –9J a8n 7/2 60 159 4 3 2 1 SKATE-STYLE SPORTS 36 ELBOW BURSITIS 77
WATERCRAFT SPORTS 38 ELBOW TENDON INJURIES 78
All rights reserved.
Without limiting the rights under the copyright SWIMMING-BASED SPORTS 40 HUMERUS FRACTURE 80
repserorvdeudc eadb,o svteo,r endo ipna ortr oinf trhoids upcuebdli cinatoio an rmetaryie bvael BICYCLING 42 FOREARM FRACTURES 82
system, or transmitted, in any form, or by any means EQUESTRIAN SPORTS 44 WRIST FRACTURES 84
o(tehlecrwtroisnei)c, ,w mithecohuat nthicea lp, rpiohro wtorcitotpenyi npge,r mreicsosirodnin ogf, tohre EXTREME SPORTS 46 WRIST DISLOCATION AND 86
Published in Great Bcoriptayinri gbhyt Doowrnlinerg. Kindersley Limited SPRAIN
WRIST AND HAND TENDON 88
A catalog record for this book is available DISORDERS
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MAERTPAACLA TRUPANLN FERLA SCYTNUDRREOME 901
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tsoc lhaeimlp eyro:u T mhea kinef oinrfmoramtioend idne tchisisio bnoso akb iosu dte ysoigunre d HAND AND FINGER TENDON 92
health and ftness, and exercise/rehabilitation INJURY LOCATOR 50 INJURIES
prporfeosgsriaomna. lI ta idsv nicoet finrotemn deodc taosr sa asnudb/sotirtu pthe yfosirc al CONCUSSION 52 FINGER FRACTURE AND 94
th
meeradpicisatls p. Irfo yboleum su, sypoeuc st hyoul dh asvee ka nth ien jauprpy rorv oalt hoef r CHEEKBONE FRACTURE 53 DISLOCATION
your physician and physical therapist before JAW FRACTURE AND 54 HIP FRACTURES 96
nboerg tinhne ianugt hanoyr, fnoormr a noyf oexner ceilse. iTnhveo lpvuedb linsh tehre, DISLOCATION TROCHANTERIC BURSITIS 98
propfrespsaiorantaiol and ovfi cthe ios rb soeorvki caeres teon gthaeg eindd iinv irdeunadl erreiandge r. HIP LABRAL TEARS AND FAI 100
For further safety advice, see p.272.
DK books are available at special discounts when
purchased in bulk for sales promotions, premiums,
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contact: DK Publishing Special Markets,
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MEDICAL EDITOR
Dr. Michael Peters is Consulting Medical
Editor to the British Medical Association
(BMA) and Director of the Doctors for
Doctors Unit at the BMA, having previously
worked as a General Practitioner.
PUBIC BONE STRESS INJURY 102 FOOT LIGAMENT SPRAINS 156
GROIN STRAIN 104 MORTON’S NEUROMA 157
CONSULTANT EDITORS
HERNIAS 106 METATARSAL FRACTURE 158
HAMSTRING INJURIES 108 TOE FRACTURE 159 Prof. Nicola Maffulli is the Center Lead and
QUADRICEPS INJURIES 110 PLANTAR FASCIOPATHY 160 Professor at the Centre for Sports and Exercise
PATELLA FRACTURE 112 Medicine at Queen Mary, University of
PATELLAR DISLOCATION 114 London, Barts and The London School of
PATELLOFEMORAL PAIN 116 Medicine and Dentistry, and was appointed
SYNDROME as an Orthopedic Consultant in 1996. He
TREATMENT & chairs the Scientifc Committee of the English
PATELLAR BURSITIS 118
Football Association, and is an editorial board
OSTEOCHONDRITIS 120 REHABILITATION
member of 10 sports medicine journals.
DISSECANS
KNEE TENDON INJURIES 122 Dr. Stephen Motto is a Sports and Musculo-
ANTERIOR CRUCIATE 124 FIRST AID skeletal Physician at London Bridge Hospital,
LIGAMENT INJURY FIRST AID ESSENTIALS 164 Honorary Lecturer at the Centre for Sports and
Exercise Medicine, Queen Mary, University of
COLLATERAL LIGAMENT 126 MINOR INJURIES 165
London, and Clinical Tutor for the MSc in Sports
INJURIES WOUNDS AND BLEEDING 166
and Exercise Medicine, University College,
POSTERIOR CRUCIATE 128 ENVIRONMENTAL INJURIES 168
London. In his 20-year career, he has worked
LIGAMENT INJURY BONES, JOINTS, AND MUSCLES 170
with the British International Rowing Team
MENISCUS TEAR 130 THE UNRESPONSIVE CASUALTY 172
and was on the 1996 Olympics medical team.
ILIOTIBIAL BAND SYNDROME 132
LOWER LEG FRACTURE 134 Mr. Panos Thomas is a Consultant Orthopedic
CALF INJURIES 136 REHABILITATION EXERCISES Surgeon at the Whittington Hospital, London,
SHIN SPLINTS 138 MOBILITY EXERCISES 174 Director of the MSc in Sports and Exercise
COMPARTMENT SYNDROME 139 STRENGTH-TRAINING EXERCISES 192 Medicine at University College, London, and
on the Executive of the British Orthopedic
ACHILLES TENDON RUPTURE 140 STATIC-STRETCHING EXERCISES 240
Sports Trauma and Arthroscopy Association.
ACHILLES TENDINOPATHY 142 PROPRIOCEPTION EXERCISES 246
He advises several professional soccer clubs
ANKLE FRACTURE 144 PLYOMETRIC EXERCISES 254
and sports associations, and is editor of the sports
ANKLE SPRAIN 146 TESTING EXERCISES 260
orthopedic section of the electronic NHS Library.
HEEL BONE FRACTURE 148
RETROCALCANEAL BURSITIS 150 Scott Tindal is a physiotherapist and nutritionist
TIBIALIS POSTERIOR 152 with 18 years of experience of working with
TENDINOPATHY GLOSSARY 264 private clients and elite athletes, across a range of
SINUS TARSI SYNDROME 153 INDEX 266 sports, including sailing, rowing, cricket, and
rugby union at both club and national level.
FOOT TENDON INJURIES 154 ACKNOWLEDGMENTS 272
Scott holds an MSc in Sports and Exercise
Medicine from Queen Mary, University of
London, a BSc in Physiotherapy from the
University of Sydney, Australia, and a
postgraduate diploma in Sports Performance
Nutrition from the International Society of
Sports Nutrition (ISSN).
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6 I N T R O D U C T I O N
WHAT IS A SPORTS INJURY?
Whether you are eager to boost your fitness, play What is a sports injury?
competitively, or simply increase your general well-being, A sports injury is any form of stress placed upon your body
there are many good reasons to take part in sports. While during athletic activity that prevents it from functioning to
the benefits of any form of exercise should outweigh the the full, and which requires a period of recovery to allow
risks, at some point most people will experience an injury your body to heal. It usually affects your musculoskeletal
of some kind, ranging from minor strains and sprains to system—your bones, muscles, tendons, and cartilage—
more serious injuries, such as dislocations and fractures. and often results in pain, swelling, tenderness, and the
inability to use, or place weight on, the affected area.
Identifying the problem
Many minor injuries can be treated simply and effectively at Sports injuries can be divided into two types: acute, or
home, while more serious injuries may require professional “traumatic,” injuries, which occur as the result of a specific
help. Learning how to recognize the symptoms and identify impact or traumatic event; and chronic, or “overuse,” injuries,
your injury will guide you toward the most appropriate which result from wear and tear on the body and occur over
treatment, and, in turn, help you return to your chosen an extended period of time. Acute injuries include bone
activity more quickly. fractures, muscle and tendon strains, ligament sprains, and
bruising. They are common among players of collision or
contact sports, such as football, soccer, and ice hockey. Chronic
MOST COMMON SPORTS INJURIES injuries include tendinopathy, bursitis, and stress fractures;
■ G roin strains ■ Rotator cuff tendinopathy they are more common among participants in endurance
sports, such as long-distance running, and in people who
■ S hin splints ■ T ennis elbow play individual sports involving repetitive movements, such as
swimming, tennis, gymnastics, and weight lifting.
■ N eck strain ■ A nkle sprain
■ Lower back injury ■ R unner’s knee Understanding the causes
There are a number of common risk factors that can lead to
■ P ulled muscles ■ A chilles tendinopathy sports injuries, ranging from the continual repetition of an
action using a poor technique to wearing inappropriate
■ F ractured bones ■ K nee ligament rupture
footwear. While accidents do happen, there are numerous
ways that you can reduce your risk of sustaining an injury.
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W H A T I S A S P O R T S I N J U R Y ? 7
MOST COMMON CAUSES OF INJURY ANATOMY OF A SPORTS INJURY
■ F ailure to warm up, ■ P oor exercise technique, Muscles are tissues that can be contracted to produce force
resulting in your muscles leading to overloading on and create motion. The skeletal muscle, which is attached to
being less responsive and body tissues—especially and covers the skeleton, is prone to being strained or “pulled”—
prone to strain. if carried out repeatedly. an injury that involves the tearing of the muscle fbers.
■ O vertraining, which ■ R ecurring injury, which Bones protect your internal organs and are connected
increases the risk of can weaken your body and together by ligaments to form the skeleton. Bone fractures
chronic injury by putting make it more susceptible and breakages often damage surrounding soft tissue.
continuous pressure on to other injuries.
your body. Joints are capsules—made of cartilage, bursae, ligaments, and
■ G enetic factors, which are tendons—that hold together two or more bones and facilitate
■ E xcessive loading on intrinsic (belonging to you) movement. Partial or full dislocation of the joints can occur.
the body, which applies and infuence the shape
forces to your tissues for and structure of your joints. Cartilage is a fbrous connective tissue that forms smooth
which they are unprepared. surfaces over the ends of bones where they meet the joints,
■ M uscle weakness or allowing movement and absorbing impact and friction. Worn
■ N ot taking safety imbalance, which can or torn cartilage is a common side effect of joint injuries, and
precautions, or ignoring lead to a loss of strength is commonly caused by trauma.
the rules of a sports in your body.
activity, increasing the Bursae are small sacs of fuid that reduce friction within some
risk of an accident. ■ L ack of fexibility, which joints, and are usually located where muscles and tendons slide
will decrease your range across bones. Bursitis is infammation due to overuse or infection.
■ A n accident, often the of motion and limit some
result of an impact or of your body’s capabilities. Ligaments are fbrous, connective tissues that connect bones,
collision, and usually providing stability within joints and limiting movement of the
occuring suddenly. ■ J oint laxity (a condition limbs. An overstretched or torn ligament is known as a sprain.
which, if you have it, you
■ I nappropriate equipment, should already be aware Tendons are fbrous, connective tissues that connect muscles
so your body may not be of), which can make it to bones, and help produce movement by enabling force to be
adequately supported or diffcult for you to control exerted on the bones. Tendons can be strained or ruptured, and
protected from shock. and stabilize your joints. tendinopathy is pain caused by overuse or repetitive motion.
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8 I N T R O D U C T I O N
AVOIDING INJURY
Depending on your age and basic level of health, CHOOSING THE RIGHT GEAR
you should be able to enjoy exercise and sports to a fun
and rewarding degree. The benefits of exercise are well Ill-ftting or unsuitable equipment increases the chances
documented: improved cardiovascular health leads to of injury. Consider the following tips when buying your gear:
a greater sense of psychological well-being and reduces Footwear should be suited to your chosen sport and must
the risk of heart disease, high blood pressure, and high provide suffcient support and cushioning for your feet and
cholesterol. However, regular exercise does carry the risk ankles. Seek a specialist’s advice regarding footwear that is
of injury, so take steps to reduce the chances of suffering specifc to your sport, and always try before you buy.
one in the first place, and familiarize yourself with first
Clothing should be constructed from a material suited to
aid in case injury strikes you or your teammates. the purpose, such as breathable fabric for warm-weather
sports or insulated fabric for cold- and wet-weather sports.
Assessing your fitness and tailoring your exercise
You should always visit a physician for a medical checkup Sport-specifc equipment, such as rackets, skis, and bicycles,
to assess how fit you are before you begin playing a new sahnodu sludi tbeed c tuos ytoomur- lfetvteld o tfo a yboiluitry b. ody’s dimensions and weight,
sport. Starting from a low level of fitness, being overweight
for your height, or having a preexisting medical condition
or injury all increase the likelihood of your injuring yourself.
Get in shape before starting a new sport and talk to strength—so different physiques and attributes may be
a professional about the appropriate intensity, duration, suited to different sports. Seek professional advice on
and frequency of activity for your level of fitness. the best activities for your sport, such as strength training,
plyometric exercises, and circuit training, and learn the
To maximize your performance, formulate a training correct technique for each exercise. Build up your
regimen suited to the demands of your chosen sport. Each strength and stamina gradually.
sport calls for certain fitness requirements—for example,
long-distance running requires stamina and endurance, Resting and fueling your body
while weight lifting necessitates a high level of muscle Allowing time for rest and recovery in your training
program is just as important as the exercise itself. Any type
KEY TRAINING TERMS of strenuous activity places physical stress upon the body,
leading to minor tissue damage. When enough time is
Weight: The weight to be lifted. allowed for your body’s natural repair processes to take
place, these stresses actually stimulate the body to adapt
Set: Groups of repetitions are organized into sets. You could, and recover, resulting in increased fitness. However, training
for example, perform three sets of ten repetitions.
too often prevents your body from recovering sufficiently,
One-rep max (one-repetition maximum): The most impairing your fitness and increasing the likelihood of injury.
weight you can lift in a single repetition of a given exercise. Avoid exercise altogether if you are already injured, or
unwell or tired—or you may in fact delay your recovery.
% one-rep max: The percentage of your one-rep max that
a weight represents—if the maximum weight you can lift in
one repetition is 220 lb (100 kg), a weight of 175 lb (80 kg) The final element of an effective exercise regimen is diet
represents 80% of one-rep max. and nutrition, which should be tailored to the requirements
of your training program. Glycogen is the fuel that your
ROM (range of motion): The distance and angle a joint can body burns during exercise, so you should eat food rich
be moved to reach its full potential.
in complex carbohydrates, such as whole grain bread and
pasta, in the hours prior to exercise. Small quantities of
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