Currently, the 16th Guangdong Provincial Games is being held as scheduled, and sports-related topics have become the focus of attention. Tennis, badminton, weightlifting, swimming, gymnastics...these sports make people excited, but improper exercise can easily cause upper limb injuries. Xia Xiaodan, MD, director of the Third District of the Department of Orthopedics of Qingyuan People's Hospital , reminded that if a sports injury occurs, avoid handling it on your own, seek help from professional doctors in a timely manner, and actively cooperate with treatment and rehabilitation.
Improper or excessive exercise can easily induce upper limb injuries
Recently, a 32-year-old male patient, A Yong (pseudonym), came to Qingyuan Peopleโs Hospital for treatment because he injured his right elbow joint after falling from a height. When he was admitted to the hospital, doctors examined his injuries and found that the affected limb was swollen, blisters formed, the joints were elastically fixed, and movement was limited.
Ayong was admitted to the hospital and was diagnosed with: the horrific triad of the right elbow joint, that is, elbow joint dislocation combined with coronoid process fracture and radial head fracture . "After repeated discussions, we determined the surgical plan, including open reduction of the elbow joint, wire fixation of coronoid process , medial collateral ligament repair, partial resection of the radial head, hinged external elbow brace fixation, and early postoperative function. Training." Xia Xiaodan said that on the fourth day after the operation, Ayong recovered better and could move his elbow in a small range under the fixation of the hinged external brace.
"In clinical practice, elbow joint dislocation caused by falling like A Yong is very common in sports, and is mainly caused by indirect violence, such as using hands to support a fall during sports." Xia Xiaodan said that after an elbow dislocation occurs, the correct manual reduction method should be used to reduce the elbow joint in time; after successful manual reduction, use a plaster to immobilize the joint for 3 weeks, and then remove the plaster to perform functional exercises of the affected limb; if the manual reduction fails, surgical treatment is required .
According to reports, similar ones include shoulder joint dislocation commonly known as dislocation. Trauma is the main cause of shoulder joint dislocation, which can be caused by direct violence or indirect violence, with indirect violence being more common. Dislocation can be reduced manually first. After reduction, the upper limb can be suspended using triangular towel , with the elbow joint bent at 90 degrees. Generally, it needs to be immobilized for about 3 weeks before starting joint function exercises.
In addition, lateral epicondylitis, commonly known as "tennis elbow", is also a common upper limb sports injury. Xia Xiaodan explained that "tennis elbow" refers to pain caused by inflammation of the tendons at the origin of the forearm extensor muscles on the outside of the elbow joint. It is an aseptic inflammation caused by long-term and repeated excessive use of the forearm extensor muscles. It is a chronic inflammatory inflammation.
"Tennis elbow" is easy to relapse. In terms of treatment, the main thing is to get enough rest and avoid excessive activity of the forearm muscles. Local sealing is a more effective treatment. If conservative treatment is ineffective, surgical treatment can be considered.
Protect yourself during scientific exercise, and diagnose and treat symptoms as soon as possible
"Due to the lack of sports knowledge, some cases of sports injuries are very common." Xia Xiaodan said that every year, hospital outpatient clinics treat many patients with sports injuries. Tennis elbow, shoulder turns in gymnastics, sudden excessive shoulder extension during weightlifting, throwing movements, and powerful smashes in badminton are all typical causes of injuries.
In addition to injuries caused by inappropriate violence and excessive stretching during exercise, injuries caused by overexertion cannot be ignored. During repeated extraordinary movements, the constant friction between the rotator cuff tendons and bones and ligaments, or the repeated pulling of muscles, will cause micro-damage, strain and even tearing of tendons and bursae.
Scientific physical activities can prevent diseases, delight the body and mind, and promote health. Xia Xiaodan reminded that sports enthusiasts should choose the exercise method, intensity and amount of exercise that suits them to reduce exercise risks.
On the one hand, arrange the amount of exercise reasonably, avoid excessive exercise, and do warm-up exercises before exercise. At the same time, strengthen muscle strength training in easily injured parts. Racket-holding sports such as table tennis, badminton, and tennis should focus on muscle training around the shoulder joint, as well as strength training on the lower limbs and muscles around the spine. Balance training can help with joint stability and prevent sprains and dislocations.
On the other hand, we must pay attention to self-protection and master scientific exercise methods, as well as common injuries in sports, prevention knowledge and first aid methods. "During exercise, try to protect your wrists and elbows with strong supporting wrist guards and elbow pads; limit the turning and straightening of your wrists and elbows." Xia Xiaodan reminded that you should take good protection during exercise, such as in collisions Wear protective gear during sexual activities.
In addition, children's bones are more fragile than adults and they cannot express their symptoms. If the injury cannot be ignored, it is recommended that parents take their children to see a doctor in time. Do not ignore the symptoms and do not go into battle with injuries. Only early diagnosis and treatment can return to the game as soon as possible.
[Reporter] Huang Jianqin Liu Qiuyi
[Correspondent] Peng Keming
[Author] Huang Jianqin; Liu Qiuyi
[Source] Southern Newspaper Media Group Southern + Client
