2024 AOSSM/NHL Hockey Summit-After the Buzzer: Upper and Lower Body with Return to Play Panel

Video Transcription

Video Summary

A professional conference included key discussions on various musculoskeletal injuries in hockey players, particularly focusing on shoulder, hip, ankle, and foot injuries.<br /><br />1. <strong>Shoulder Injuries</strong>:<br />   - An isolated distal MCL can usually be treated non-surgically, but some complications may arise necessitating surgical repair.<br />   - For first-time shoulder dislocations, the consensus leans towards non-operative management to get players back quickly but acknowledges that surgical intervention may provide better long-term stability. Surgery is often recommended post-season if multiple dislocations occur.<br />   - Once reduced in the training room without x-ray confirmation, there's a debate, especially for non-NHL athletes.<br />   - Return to play involves ensuring good strength, motion, and no pain.<br /><br />2. <strong>Clavicle Injuries</strong>:<br />   - While severely displaced fractures will usually require surgical fixation, non-displaced or minimally displaced fractures might be managed conservatively.<br />   - The healing process and potential setbacks were discussed, including the decision to return players under early protective measures.<br /><br />3. <strong>Hip Injuries</strong>:<br />   - The complexities of hip preservation surgery were highlighted, emphasizing a multidisciplinary approach.<br />   - Differentiation between athletes requiring only core muscle repair versus those needing combined hip arthroscopy was discussed.<br />   - The approach typically begins with core muscle repair for quicker recovery time, though some cases may necessitate both procedures.<br /><br />4. <strong>Ankle and Foot Injuries</strong>:<br />   - The importance of distinguishing between rotational injuries and direct blows in ankle fractures was stressed.<br />   - Outcomes and recovery can vary significantly based on the type and severity of the injury.<br />   - Syndesmotic injuries were underscored as complex, necessitating careful evaluation, often treated with surgical intervention if instability is present.<br />   - Emphasis was placed on the sensitive soft tissue environment in the ankle and foot, leading to debates on operative vs. non-operative treatments and re-operations.<br /><br />5. <strong>High-Technology Use</strong>:<br />   - Ultrasound-guided injections play a vital role in diagnosing and treating various joints and tendons.<br />   - The application of such injections, including PRP for different conditions (hip injuries, shoulder, foot), and managing non-displaced ankle fractures was covered.<br /><br />Overall, the discussion highlighted the need for a tailored, athlete-specific approach in managing sports injuries, factoring in the injury type, athlete’s career stage, and planned return to play. Surgery often offers definitive solutions, yet conservative management is equally emphasized per injury specifics and recovery potential.

Asset Caption

After the Buzzer: Upper Body Orthopaedics
Moderator: Dharmesh Vyas, MD

Clavicle/AC-Presenter: William Robertson, MD

Shoulder Instability-Presenter: Eric McCarty MD

Wrist-Presenter: Martin I. Boyer, MD, MSc, FRCSC

Discussion & Q&A

After the Buzzer: Lower Body

Core Muscle-Presenter: Michael Brunt, MD

Hip-Presenter: Anil Ranawat, MD

Knee Ligament-Presenter: Dharmesh Vyas, MD, PhD

Foot and Ankle-Presenter: Mark Drakos, MD

Return to Play Panel: Michael Brunt, MD, Anil Ranawat, MD, Dharmesh Vyas, MD, PhD, Eric McCarty MD, Mark Drakos, MD, Martin I. Boyer, MD, MSc, FRCSC, William Robertson, MD

Keywords

musculoskeletal injuries

hockey players

shoulder injuries

hip injuries

ankle injuries

foot injuries

shoulder dislocations

clavicle injuries

hip preservation surgery

core muscle repair

ankle fractures

syndesmotic injuries

ultrasound-guided injections

PRP injections

sports injury management