Evaluation and Management of Common Non-Shoulder/Knee/Elbow/Hip Athletic Injuries (Recording)-Evaluation and Management of Common Non-Shoulder/Knee/Elbow/Hip Athletic Injuries

Video Transcription

Video Summary

The webinar introduced a sports medicine panel focused on “non-typical” orthopedic injuries often seen in practice, with talks on foot/ankle, core/pelvis, hand/wrist, and hamstring injuries, plus discussion of diagnosis, imaging, treatment, rehab, and return-to-play decisions.<br /><br />In the foot and ankle segment, the speaker reviewed turf toe, Jones fractures, navicular stress fractures, Lisfranc injuries, and high ankle sprains. Key points included distinguishing turf toe from sesamoid problems, using weight-bearing comparison x-rays and fluoroscopy, and recognizing when instability or displacement requires surgery. Jones fractures in athletes were discussed as high-risk for nonunion and often treated operatively, while navicular stress fractures require early MRI/CT and sometimes slower, more cautious recovery. Lisfranc injuries were emphasized as often subtle and increasingly recognized in twisting sports mechanisms. High ankle sprains may involve more than the syndesmosis, including medial deltoid injury, and instability should lower the threshold for operative fixation.<br /><br />The core/pelvis talk highlighted the complexity of athletic groin and pelvic pain, emphasizing that injuries involve a broader “core unit” than just the adductors. The speaker focused on pubic plate/fibrocartilage pathology, insertional injuries, and the importance of understanding the anatomy and biomechanics of the entire mid-thigh-to-mid-chest region.<br /><br />The hand/wrist talk covered metacarpal and phalangeal fractures, mallet fingers, PIP joint dislocations, TFCC tears, hook of hamate fractures, and dorsal wrist impingement. Emphasis was placed on preserving motion, avoiding stiffness, and using surgery selectively when malrotation, instability, or displacement is present.<br /><br />Finally, the hamstring update reviewed proximal avulsions, common muscle-tendon injuries, and distal avulsions. Most hamstring injuries are treated nonoperatively, but proximal and distal avulsions may need surgery, especially in elite athletes.

Keywords

sports medicine

orthopedic injuries

foot and ankle

Lisfranc injury

Jones fracture

navicular stress fracture

core pelvis pain

hand wrist fractures

TFCC tear

hamstring avulsion