1.

Record Nr.

UNINA9910495346603321

Titolo

Fractures in sport / / edited by Greg A. J. Robertson and Nicola Maffulli

Pubbl/distr/stampa

Cham, Switzerland : , : Springer, , [2021]

©2021

ISBN

3-030-72036-5

Descrizione fisica

1 online resource (515 pages)

Disciplina

617.1027

Soggetti

Sports injuries

Fractures

Lesions esportives

Medicina esportiva

Llibres electrònics

Lingua di pubblicazione

Inglese

Formato

Materiale a stampa

Livello bibliografico

Monografia

Note generali

Includes index.

Nota di contenuto

Intro -- Preface -- Contents -- Part I: Epidemiology and Basic Sciences -- 1: The Epidemiology of Acute Fractures in Sport -- 1.1  Overall Epidemiology -- 1.2  Types of Sport -- 1.3  Open Fractures -- 1.4  Multiple Fractures -- 1.5  The Changing Epidemiology of Sports Fractures -- 1.6  Sports Fractures in the Older Population -- 1.7  Sports Fractures -- 1.8  Soccer -- 1.8.1  Upper Limb Fractures -- 1.8.2  Lower Limb Fractures -- 1.9  Rugby -- 1.9.1  Upper Limb Fractures -- 1.9.2  Lower Limb Fractures -- 1.9.3  Axial Skeleton Fractures -- 1.10  Cycling -- 1.10.1  Upper Limb Fractures -- 1.10.2  Lower Limb Fractures -- 1.10.3  Axial Skeleton Fractures -- 1.11  Skiing and Snowboarding -- 1.11.1  Upper Limb Fractures -- 1.11.2  Lower Limb Fractures -- 1.11.3  Axial Skeleton Fractures -- 1.12  Basketball -- 1.12.1  Upper Limb Fractures -- 1.12.2  Lower Limb Fractures -- 1.13  Horse Riding -- 1.13.1  Upper Limb Fractures -- 1.13.2  Lower Limb Fractures -- 1.13.3  Axial Skeleton Fractures -- 1.14  Ice Skating -- 1.15  Martial Arts -- 1.16  Cricket -- 1.17  Hockey -- 1.18  Skateboarding -- 1.19  Sledging -- 1.20  Roller Skating -- 1.21  Boxing -- 1.22  Motor Sports -- 1.23  Golf -- 1.24  Trampolining -- 1.25  Athletics -- 1.26  Badminton, Tennis and Squash -- 1.27  



Gymnastics -- 1.28  Other Fractures -- 1.29  American Football -- 1.30  Baseball -- 1.31  Ice Hockey -- Review -- Questions -- Answers -- References -- 2: The Epidemiology of Stress Fractures in Sport -- 2.1  Stress Fracture Epidemiology -- 2.1.1  Stress Fractures: Military -- 2.1.2  Stress Fractures: Running -- 2.1.3  Stress Fractures: Tennis -- 2.1.4  Stress Fractures: Basketball -- 2.1.5  Stress Fracture: Pediatric and Adolescent Athletes -- 2.1.6  Stress Fractures: Other Sports and Sites -- 2.2  Conclusion -- Review -- Questions -- Answers -- References.

3: Acute Fracture Injuries in Sport -- 3.1  Introduction -- 3.2  Fracture Healing -- 3.2.1  Primary Fracture Healing -- 3.2.2  Secondary Fracture Healing -- 3.2.3  Fracture Healing and Treatment -- 3.2.4  Non-union -- 3.3  Injury Patterns -- 3.3.1  Epidemiology and Classification -- 3.3.2  Injury Patterns -- 3.4  The Biomechanics of Fracture Injury -- 3.4.1  Force of Injury -- 3.4.2  Bone Resistance -- 3.4.3  Injury Stability -- 3.5  General Treatment Principles -- 3.5.1  Sport-Specific Principles -- 3.5.2  Conservative Management -- 3.5.3  Surgical Management -- 3.5.4  Open Fractures -- 3.6  The Biomechanics of Fracture Fixation -- 3.6.1  Conservative Treatment Methods -- 3.6.2  Surgical Treatment Methods -- 3.6.3  Plate Fixation -- 3.6.4  Screw Fixation -- 3.6.5  Intra-medullary Nail Fixation -- 3.6.6  K-Wire Fixation -- 3.7  Fracture Prevention -- 3.7.1  Injury Surveillance -- 3.7.2  Protective Practice -- 3.7.3  Protective Equipment -- 3.7.4  Modification of Technique -- 3.8  Summary -- Review -- Questions -- Answers -- References -- 4: Stress Fracture Injuries in Sport -- 4.1  Introduction -- 4.2  The Holistic Approach to Stress Fractures -- 4.3  Athletes at Risk for Stress Fractures -- 4.3.1  Vitamin D Insufficiency -- 4.3.2  The Female Athlete Triad and Caloric Insufficiency -- 4.3.3  The Male Endurance Athlete Tetrad -- 4.4  Pathophysiology -- 4.5  Clinical Presentation -- 4.6  Imaging Evaluation -- 4.6.1  Radiographs -- 4.6.2  Bone Scintigraphy -- 4.6.3  Computed Tomography (CT Scan) -- 4.6.4  Magnetic Resonance Imaging (MRI) -- 4.6.5  Ultrasound -- 4.6.6  Classification/Grading -- 4.7  Risk Assessment -- 4.7.1  High Risk, Intermediate Risk, and Low Risk Stress Fractures -- 4.7.2  Management of High-Risk Stress Fractures -- 4.7.3  Management of Low Risk Stress Fractures -- 4.7.4  Insufficiency Fractures -- 4.8  Return to Sports Participation.

4.9  Prevention of Stress Injuries to Bone -- 4.10  Biologic Healing Enhancement -- 4.10.1  Electrical Osseous Stimulation -- 4.10.2  Parathyroid Hormone Stimulation -- 4.10.3  Subchondroplasty and Intraosseous Bioplasty -- 4.10.4  Bone Marrow Aspirate Concentrate (BMAC) -- 4.11  Summary -- Review -- Questions -- Answers -- References -- 5: Models for Understanding and Preventing Fractures in Sport -- 5.1  Introduction -- 5.2  What Is the Problem That Needs Addressing? -- 5.3  Identifying Risk Factors That Lead to the Problem -- 5.3.1  Musculoskeletal Structure and Function -- 5.3.2  Skeletal Pathology -- 5.3.3  Children, Adolescence and Youth -- 5.3.4  Adults -- 5.4  From Understanding to Prevention -- 5.5  Determining What Interventions Can Best Address the Problem -- 5.6  Conclusions -- References -- 6: Orthobiologics for Fracture Healing in the Athlete -- 6.1  Introduction -- 6.2  Applications of Orthobiologics -- 6.3  Bone Grafts -- 6.3.1  Autologous Bone Grafts -- 6.3.2  Bone Allograft -- 6.3.3  Demineralised Bone Matrix (DBM) -- 6.3.4  Bone Graft Substitutes -- 6.3.4.1  Calcium Sulphate -- 6.3.4.2  Calcium Phosphate -- 6.3.4.3  Tricalcium Phosphate -- 6.3.4.4  Composite Grafts -- 6.3.5  Stem Cell Allografts -- 6.4  Cell Therapies -- 6.4.1  Bone Marrow Aspirate Concentrate -- 6.4.2  Platelet-Rich Plasma -- 6.5  Osteoinductive Growth Factors and Proteins -- 6.5.1  



Bone Morphogenetic Protein -- 6.5.2  Platelet-Derived Growth Factor -- 6.5.3  Parathyroid Hormone -- 6.5.4  Vitamin D and Calcium -- 6.5.5  Bioabsorbable Implants -- 6.5.6  miRNA -- 6.6  Influence of Systemic Factors -- 6.7  Conclusions -- References -- 7: Fracture Rehabilitation -- 7.1  Rehabilitation Principles for Acute Fractures -- 7.1.1  Fracture Alignment and Surgical Fixation -- 7.1.2  Immobilisation -- 7.1.3  Weight Bearing Status, Assistive Devices and Activity Modifications.

7.1.4  Therapy: Restoring Range of Motion, Strength and Function -- 7.2  Rehabilitation of Stress Fractures -- 7.2.1  Fracture Alignment and Surgical Fixation -- 7.2.2  Immobilisation -- 7.2.3  Weight Bearing Status, Assistive Devices and Activity Restrictions -- 7.2.4  Therapy: Restoring Range of Motion, Strength and Function -- 7.3  Additional Factors Affecting Bone Healing -- Review -- Questions (and Answers in bold) -- References -- 8: Bone Health in Athletes -- 8.1  Introduction -- 8.2  Bone Physiology -- 8.3  Skeletal Loading -- 8.4  Bone Strength in Athletes -- 8.5  Low Energy Availability and Bone Health in Athletes -- 8.6  Bone Stress Injury and Fracture -- 8.7  Management of Bone Health in the Athlete -- 8.7.1  Bone Health Assessment -- 8.7.2  Nutrition -- 8.7.3  Resistance Exercise -- 8.7.4  Hormone Therapy -- 8.8  Summary -- References -- Part II: Acute Fractures in Sport: Upper Limb -- 9: Acute Fractures in Sport: Shoulder -- 9.1  Clavicle Fractures -- 9.1.1  Epidemiology -- 9.1.2  Classification -- 9.1.3  Diagnosis -- 9.1.4  Treatment -- 9.1.4.1  Emergency Department -- 9.1.4.2  Surgical Decision-Making -- 9.1.4.3  Midshaft Fractures -- 9.1.4.4  Lateral-Third Fractures -- 9.1.4.5  Medial-Third Fractures -- 9.1.5  Rehabilitation -- 9.1.5.1  Evidence for Return to Function -- 9.1.6  Complications -- 9.1.7  Preventative Measures -- 9.2  Acromioclavicular Joint Injuries -- 9.2.1  Epidemiology -- 9.2.2  Classification -- 9.2.3  Diagnosis -- 9.2.4  Treatment -- 9.2.4.1  Surgical Decision-Making -- 9.2.4.2  Surgical Techniques -- Mechanical Stability -- Biological Healing -- 9.2.4.3  Authors' Preferred Technique -- Acute Injury (Within 4 Weeks) -- Chronic Injury -- 9.2.5  Complications -- 9.2.6  Rehabilitation -- 9.2.7  Preventative Measures -- 9.3  Glenohumeral Instability -- 9.3.1  Epidemiology -- 9.3.1.1  Recurrent Instability.

9.3.2  Classification -- 9.3.3  Diagnosis -- 9.3.3.1  Emergency Department -- 9.3.3.2  Outpatient Department -- Glenoid Lesions -- Humeral Lesions -- 9.3.4  Treatment -- 9.3.4.1  Closed Treatment of Acute Dislocations -- 9.3.4.2  Conservative Management -- 9.3.4.3  Surgical Decision-Making -- 9.3.4.4  Surgical Techniques -- 9.3.4.5  Soft Tissue Procedures -- Labral (Bankart) Repair -- Bony Bankart Repair -- SLAP Repair -- Remplissage -- HAGL Repair -- 9.3.4.6  Bony Procedures -- Glenoid Augmentation: The Modified Bristow-Latarjet Procedure -- Humeral Osteoplasty -- Humeral Head Augmentation -- 9.3.5  Complications -- 9.3.5.1  Complications of Injury [102] -- 9.3.5.2  Complications of Surgery -- 9.3.6  Rehabilitation -- 9.3.7  Preventative Measures -- 9.4  Proximal Humerus Fractures -- 9.4.1  Epidemiology -- 9.4.2  Classification -- 9.4.3  Diagnosis -- 9.4.4  Treatment -- 9.4.5  Preventative Measures -- 9.5  Humeral Shaft Fractures -- 9.5.1  Epidemiology -- 9.5.2  Classification -- 9.5.2.1  Descriptive Classification -- 9.5.2.2  AO-OTA Classification [127] -- 9.5.2.3  Other Radiographic Features -- 9.5.3  Diagnosis -- 9.5.4  Management -- 9.5.4.1  Surgical Decision-Making -- 9.5.4.2  Non-operative Protocol -- 9.5.4.3  Surgical Techniques -- 9.5.4.4  Authors' Preferred Technique -- 9.5.5  Complications -- 9.5.5.1  Non-operative Management -- 9.5.5.2  Operative Management -- 9.5.6  Rehabilitation -- 9.5.7  Preventative Measures -- Review -- Questions



-- Answers -- Referrences -- 10: Acute Fractures in Sport: Elbow -- 10.1  Epidemiology of Elbow Fractures in Sport -- 10.2  Specific Elbow Fractures in Sport -- 10.2.1  Distal Humerus -- 10.2.1.1  Epidemiology -- 10.2.1.2  Diagnosis -- 10.2.1.3  Classification -- 10.2.1.4  Treatment -- 10.2.1.5  Rehabilitation -- 10.2.1.6  Complications -- 10.2.2  Medial Epicondyle Fractures -- 10.2.2.1  Epidemiology.

10.2.2.2  Diagnosis.