DEGENERATIVE INJURIES

Lesiones Deportivas

The majority of sports related injuries are found within the knee and shoulder units.

The following includes the most common sports injuries by joint:

 
 

Sprained Ankle

The most common injuries from plantar inversion (a sprained ankle from running) are characterized by pain in the ankle, swelling, and difficulty walking. They are usually benign in light cases and require rest along with physical therapy and analgesics.

Even though they may be benign, if repeatedly injured it may affect ligament tension that stabilizes the ankle, thus creating ankle instability.

Ankle instability is complex and may require surgical stabilization. In this case depending on the severity of the instability, the tension of the affected area must be reestablished or the ligaments that stabilize the ankle must be completely reconstructed.

 

Osteochondritis Dissecans or Chondral Injuries

Osteochondritis Dissecans is a condition in which the ankle cartilage begins to peel away, creating inflammation and pain, and limits the patient’s ability to perform both sports-related and everyday activities. Occasionally it may lead to a locking and frequent “popping” of the ankle.

Cartilage cannot regenerate itself, and for this type of injury the best approach is to offer an osteochondrol transplant. This is a procedure in which a healthy bone/cartilage cylinder is transfered to the affected area. The location of the site will determine if it can be performed arthroscopically or in open surgery.

This type of procedure hopes to avoid and prevent complications to the cartilage, above all treating the joint fundamental in performing basic movements. 

 

Aquilles Tendon Rupture

This injury occurs suddenly, generally when running or jumping, and is characterized by a sudden pain in the back part of the ankle accompanied by a feeling of being hit or even hearing something “pop”.

These injuries require an end-to-end repair, meaning the two extremes of the broken tendon must be sutured together. There are different methods and ways of doing this.

A prolonged period of rest and recuperation is needed, as well as intense physical therapy.

 

Peroneal or Anterior Tibial Tendinitis

These are problems of temporary inflammation affecting various tendons of the foot and ankle. They are associated with overuse in activities like track and field, marathons, and other running sports. They are problems that can usually be addressed with physical therapy, analgesics, and rest, although in cases that do not improve with these indications, more invasive procedures like infiltrations of anti-inflammatories or plasma-rich platelets may be needed.

 

Hamstring avulsion

Common among alpine and water skiers, these injuries are a rupture of the hamstring tendons where they attach to the gluteus. They normally occur after an injury with the knees extended and create intense pain in the gluteal region accompanied by bruising in the area.

An MRI must verify the diagnosis and treatment consists of an open repair of the injury, returning the broken tendon to its original site.

It is an uncommon injury in our population, although complex, and requires a prolonged period of rehabilitation.

 

Muscular Injuries

The biceps femoris, the quadriceps, and the adductors are muscles that are frequently injured, above all among professional athletes in sports like running, soccer, basketball, and cycling.

These are non-surgical injuries that require sufficient rest to heal. Infiltrations have not been proven effective in these types of injuries and therefore treatment consists of analgesics, physical therapy to reduce inflammation, and taking a break from participating in sports.

 
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