Puntodewo Puntodewo Dept. of Dept. of Orthopaedi Orthopaedi cs cs & & Traumatolog Traumatolog y y F F aculty of Medicine, U aculty of Medicine, U GM/ R GM/ R S S D D r r Sardjito Sardjito , , YOGYAKARTA YOGYAKARTA MUSCULOSKELETAL MUSCULOSKELETAL INJURY INJURY
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musculoskeletal injury-english ver 16 Feb 2011.ppt
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PuntodewoPuntodewoDept. of Dept. of OrthopaediOrthopaedicscs & Traumatolog & Traumatologyy
FFaculty of Medicine, Uaculty of Medicine, UGM/ RGM/ RSS D Drr SardjitoSardjito, , YOGYAKARTAYOGYAKARTA
MUSCULOSKELETAMUSCULOSKELETAL INJURYL INJURY
Background
Swelling number of vehicles and increased speed of vehicles
No concomitant increase in traffic management system
Sports: lifestyle, hobby risk of injury
High incidence of RTA High incidence of RTA
ExtremityExtremity
Upper extremitUpper extremityyShoulderShoulder
Upper ArmUpper Arm
Lower ArmLower Arm
HandHand
Lower extremitLower extremityyHipHip
Upper legUpper leg
Lower legLower leg
FootFoot
Musculoskeletal InjuryMusculoskeletal Injury
Muscle contusionMuscle contusion Sprain, strainSprain, strain Open & closed fractureOpen & closed fracture DisloDislocation and fracture-dislocationcation and fracture-dislocation Fracture with nerve injury and/or Fracture with nerve injury and/or
Wilson, NA. (2009). In Vivo Noninvasive Evaluation of Abnormal Patellar Tracking During Squatting in Patients with Patellofemoral Pain. J Bone Joint Surg Am. 2009 March 1; 91(3): 558–566.
Patella tendinitisPatella tendinitis
Activity modification
Bracing Abate M, et al. (2009). Pathogenesis of tendinopathies: inflammation or degeneration?Arthritis Res Ther. 2009; 11(3): 235.
Meniscus injuryMeniscus injury Bracing Bracing Surgery: repair or Surgery: repair or
excisionexcision Open or ArthroscopyOpen or Arthroscopy
Suter LG et al (2009). Medical Decision Making in Patients With Knee Pain, Meniscal Tear, and Osteoarthritis. Arthritis Rheum. 2009 November 15; 61(11): 1531–1538.
Runner’s kneeRunner’s knee
-Splinting
Fairclough J et al. (2006). The functional anatomy of the iliotibial band during flexion and extension of the knee: implications for understanding iliotibial band syndrome. J Anat. 2006 March; 208(3): 309–316.
THOMPSON LR et al (2009). The Knee Pain Map: Reliability of a Method to Identify Knee Pain Location and Pattern. Arthritis Rheum. 2009 June 15; 61(6): 725–731.
Knee Knee ligamentligamentss rupture rupture
Bracing/ Bracing/ CastingCasting
Surgery: Surgery: Repair Repair
Phisitkul P. et al. (2006). MCL Injuries of the Knee: Current Concepts Review. Iowa Orthop J. 2006; 26: 77–90.
van Gent RN et al. (2007)., Incidence and determinants of lower extremity running injuries in long distance runners: a systematic review. Br J Sports Med. 2007 August; 41(8): 469–480.
Ankle sprainAnkle sprain
N. Kofotolis (2007). Ankle Sprain Injuries: A 2-Year Prospective Cohort Study in Female Greek Professional Basketball Players. Journal of Athletic Training 2007;42(3):388–394
N. Kofotolis (2007). Ankle Sprain Injuries: A 2-Year Prospective Cohort Study in Female Greek Professional Basketball Players. Journal of Athletic Training 2007;42(3):388–394
Munteanu SE (2009). Efficacy of customised foot orthoses in the treatment of Achilles tendinopathy: study protocol for a randomised trial. J Foot Ankle Res. 2009; 2: 27.
Radford JA et al. (2007). Effectiveness of calf muscle stretching for the short-term treatment of plantar heel pain: a randomised trial. BMC Musculoskelet Disord. 2007; 8: 36.