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The A B Cs of Playground Bone and Joint Injuries PowerPoint Presentation

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Description : Check out this medical presentation on Orthopaedics, which is titled "The A B C’s of Playground Bone and Joint Injuries", to know about Playground Bone and Joint Injuries (Emergencies, Fractures, Casts, Little League/overuse injuries, and Concussions, etc.).

Tags : Orthopaedics, Playground, Bone, Joint Injuries, sports injury

Published on : Aug 10, 2021 | Views : 2123 | Downloads : 3

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Slide 1-

The A B C’s of Playground Bone and Joint Injuries Brett Cascio, MD LTC, US Army Reserve Medical Director, Memorial Sports Medicine LSUHSC and McNeese St. Clinical faculty
Slide 2-

Topics Emergencies Fractures Casts Little League/overuse injuries Concussions
Slide 3-

Emergencies Dislocations Open fractures Supracondylar elbow fracture SCFE Septic joint Compartment Syndrome - cast
Slide 4-

Dislocation Should you reduce?
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Open Fracture
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Supracondylar elbow fracture 3 types Type 3 can be a vascular emergency
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SCFE Slipped Capitol Femoral Epiphysis Can worsen rapidly Can cause necrosis of femoral head Forced ext rot w/ flex
Slide 8-

Septic Joint Hip and knee Limping or will not bear weight Fever, effusion Sexually active teens http://www.rch.org.au/fracture-education/growth_plate_injuries/Physeal_growth_plate_injuries/
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Compartment syndrome Swollen, tight compartment Usually with trauma but can be exercise induced Tight cast Can lead to kidney failure and permanent disability
Slide 10-

Fractures Open (compound) or closed Displaced or nondisplaced
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Buckle or Greenstick FRACTURE
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Growth Plate Fracture Bones grow longer and wider Growth plates on ends of bones from femur to finger Periosteum – can get entrapped
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SALTER HARRIS
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SALTER HARRIS I
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SCFE – Slipped Capital Femoral Epiphysis
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SALTER HARRIS II
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SALTER HARRIS III
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SALTER HARRIS IV
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SALTER HARRIS V Very bad – growth arrest
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Triplane Happens because way growth plate fuses
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ACL avulsion Swollen painful stiff knee
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Tibial tubercle avulsion Patella tendon tears bone Its like Osgood Schlatter’s Disease on steroids Swollen painful stiff knee
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Ankle Sprain vs fracture Often it is hard for orthopaedic docs to decifer
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Toe/finger injuries Don’t underestimate
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5th Metatarsal Fracture Jone’s Fracture?
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Back Stress Fracture? Herniated disc
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SUSPICIOUS FRACTURES Recurrent injuries lethal in 10% First born, step, premature, learning disabled Over half of fxs in first year No predominant abuse pattern Chip fracture of distal femur metaphysis Multiple fractures of different stages of healing Femur fxs in pre-ambulatory children Skull rib scapula fxs Ulna nightstick fractures
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Splint vs Cast Splint safer Cast stronger Don’t get wet Don’t put anything in cast to scratch
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Splint vs Cast
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Slide 33-

STOP Sports Injuries Sports Trauma and Overuse Prevention Overuse injuries Epidemic “Little league” elbows and shoulders Coaches and PE teachers and PARENTS http://www.stopsportsinjuries.org/
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Little League Elbow, Shoulder Tommy John Salter 1 fract vs UCL tear Risk factors http://www.cincinnatichildrens.org/health/l/little-league-shoulder/?sa=X&ved=0ahUK EwjpwJib7KLLAhVHNSYKHVcfBo4Q9QEIGTAA
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Sever’s Disease osteochondritis
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Head bone - Concussions Huge increase in public awareness Memorial Sports Program IMPACT testing Find resources in your area
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Hip Bone Hip labrum tears Dancers, kickers, Fastest growing type of injury Repair vs. debride Psoas tendon Impingement
Slide 38-

Thank you Emergencies Fractures Dislocations Casts Little League/overuse injuries Concussions www.casciosportsmed.com