Skip to Main Content

++

Introduction

++

There are a lot of myths about my injuries. They say I have broken every bone in my body. Not true. But I have broken 35 bones. I had surgery 14 times to pin and plate. I shattered my pelvis. I forget all of the things that have broke.

Evel Knievel

++

Sports injuries can occur during any sporting activity, event, or training session. Injuries can affect a variety of musculoskeletal structures such as muscles, ligaments, and bones. They can be classified by location, type, body side, and injury event.

++

An injury may be categorized as being either an acute injury or an overuse injury depending on the mechanism of injury and the onset of symptoms (Table 4.1). This chapter will review acute injuries, while the subsequent chapter (Chapter 5) will describe overuse injuries.

++

Acute injuries may be due to extrinsic causes (such as a direct blow) as a result of contact with another player or equipment, or intrinsic causes (such as a ligament sprain or muscle tear). As shown in Table 4.1, acute injuries may be classified according to the particular site injured (e.g. bone, cartilage, joint, ligament, muscle, tendon, bursa, nerve, skin) and the type of injury (e.g. fracture, dislocation, sprain, or strain).

++
Table Graphic Jump Location
Table 4.1

Classification of sporting injuries

++

Bone

++

Fracture

++

Fractures may be due to direct trauma such as a blow, or indirect trauma such as a fall on the outstretched hand or a twisting injury. Fractures may be closed, or open (compound), where the bony fragment punctures the skin.

++

Fractures are classified as transverse, oblique, spiral, or comminuted (Fig. 4.1). Another type of fracture seen in athletes, particularly children, is the avulsion fracture, where a piece of bone attached to a tendon or ligament is torn away.

++
Figure 4.1

Types of fracture (a) transverse (b) oblique (c) spiral (d) comminuted

Graphic Jump Location
++

The clinical features of a fracture are pain, tenderness, localized bruising, swelling, and, in some cases, deformity and restriction of movement. Fractures are managed by ...

Pop-up div Successfully Displayed

This div only appears when the trigger link is hovered over. Otherwise it is hidden from view.