Sport Physiotherapy Case Study: Difference between revisions
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== Athlete == | == Athlete == | ||
22 year old | Emma is a 22 year old, Female Under.23 National Team Football (Soccer) Player. | ||
Position: Striker | |||
Position: Striker | |||
== Past Medical History == | == Past Medical History == | ||
| Line 13: | Line 11: | ||
Left Grade 1 Ankle Sprain | Left Grade 1 Ankle Sprain | ||
*18 Months Ago | *18 Months Ago | ||
*Conservative Management | *Conservative Management | ||
*Return to Train 2 Weeks | *Return to Train 2 Weeks | ||
*Return to Competition 4 Weeks | *Return to Competition 4 Weeks | ||
Right Grade 2 Medial Collateral Ligament Tear | Right Grade 2 Medial Collateral Ligament Tear | ||
*8 Months Ago | *8 Months Ago | ||
*Conservative Management | *Conservative Management | ||
*Returned to Train 5 Weeks | *Returned to Train 5 Weeks | ||
*Return to Competition 8 Weeks | *Return to Competition 8 Weeks | ||
== Drug History == | == Drug History == | ||
Serotide Evohaler 125mg | Serotide Evohaler 125mg | ||
Ventolin Evohaler 100mg (As Required) | Ventolin Evohaler 100mg (As Required) | ||
== Social History == | == Social History == | ||
Full Time Student - Final Exams in 3 Months | Full Time Student - Final Exams in 3 Months | ||
== Sport History == | == Sport History == | ||
Played Mix Sports as Child - Athletics, Swimming and Football | Played Mix Sports as Child - Athletics, Swimming and Football | ||
Played Football since Age.12 | Played Football since Age.12 | ||
Specialised in Football from 16 years old | Specialised in Football from 16 years old | ||
Plays for University Team - Captain for past 2 years | Plays for University Team - Captain for past 2 years | ||
Under Age. National Team Member since U.16 | Under Age. National Team Member since U.16 | ||
*U.16 European Championships | *U.16 European Championships | ||
*U.18 European Championships | *U.18 European Championships | ||
*U.23 European Championships x 3 | *U.23 European Championships x 3 | ||
== Training History == | == Training History == | ||
8 to 10 Sessions per week including: | 8 to 10 Sessions per week including: | ||
*Field Based Team Sessions x 3 - 4 | *Field Based Team Sessions x 3 - 4 | ||
*Strength & Conditiong Gym Work x 3 | *Strength & Conditiong Gym Work x 3 | ||
*Cardiovascular Fitness x 2-3 | *Cardiovascular Fitness x 2-3 | ||
*Mobility & Stretching Daily | *Mobility & Stretching Daily | ||
*Video Analysis | *Video Analysis | ||
Has access to Nutrition Support, and Physiotherapy Support as member of National Team | Has access to Nutrition Support, and Physiotherapy Support as member of National Team | ||
== Presenting Condition == | == Presenting Condition == | ||
=== Conditions === | === Match Conditions === | ||
*League Semi-Final Match | *League Semi-Final Match | ||
*Second Half 15 Mins Left on Clock | *Second Half 15 Mins Left on Clock | ||
*Score 2-1 to Opposition | *Score 2-1 to Opposition | ||
*Intermitant Rain during Game - Soft Ground | *Intermitant Rain during Game - Soft Ground | ||
=== Mechanism of Injury === | === Mechanism of Injury === | ||
Athlete competed for ball in the air, headed ball towards Goal, landed and tried to pivot to get around defending player to move towards the goal and then went down on the ground. Play continued and was stopped about 45 seconds later when the ball went out of play. | |||
== On Field Assessment == | |||
=== See === | |||
Emma was on the ground where she fell in the fetal position, holding the knee and crying | |||
=== Ask === | |||
Reported an Audible 'Pop' and instability of the knee on landing | |||
Reported Severe Pain 9/10 initially, now 7/10 - Difficult ro pin point pain | |||
=== Look === | |||
Gross Effusion ++ | |||
No Discolouration | |||
No Obvious Deformity | |||
No Bony Abnormality | |||
=== Touch === | |||
Pain ++ Medial Joint Line | |||
Pain ++ Medial Coallateral Ligament | |||
=== Active === | |||
Apprehension with extensive guarding and spasm of the hamstring | |||
Knee Extension -10 Degress Pain 7/10 | |||
Knee Flexion 95 Degress Pain 6/10 | |||
=== Passive === | |||
Apprehension with extensive guarding and spasm of the hamstring | |||
Knee Extension -10 Degress Pain 7/10 | |||
Knee Flexion 105 Degress Pain 6/10 | |||
=== Special Tests === | |||
Lachmans - Inconsistent secondary to swelling and apprehension with extensive guarding and spasm of the hamstrings | |||
Pateall Apprehension -ve | |||
Varus -ve | |||
Valgus +ve | |||
=== Outcome === | |||
Unable to weightbear on affected lower limb | |||
Removed from the field of play by stretcher<br> | |||
== Imaging<br> == | |||
=== X-Ray - 1 Day Post Injury === | |||
Negative for any Bony Injury | |||
=== MRI - 7 Days Post Injury === | |||
Showed O’Donohue’s Triad Injury: | |||
*Ruptured ACL | |||
*Grade 2 MCL Sprain | |||
*Medial Meniscus Bucket Handle Tear | |||
Lateral Femoral Condyle Bone Contusion was also present | |||
== Treatment == | |||
== Rehabilitation == | |||
[[Category:Case Studies]] | |||
Latest revision as of 00:32, 12 March 2018
Athlete [edit | edit source]
Emma is a 22 year old, Female Under.23 National Team Football (Soccer) Player.
Position: Striker
Past Medical History[edit | edit source]
Asthma Controlled with Medication
Left Grade 1 Ankle Sprain
- 18 Months Ago
- Conservative Management
- Return to Train 2 Weeks
- Return to Competition 4 Weeks
Right Grade 2 Medial Collateral Ligament Tear
- 8 Months Ago
- Conservative Management
- Returned to Train 5 Weeks
- Return to Competition 8 Weeks
Drug History[edit | edit source]
Serotide Evohaler 125mg
Ventolin Evohaler 100mg (As Required)
Social History[edit | edit source]
Full Time Student - Final Exams in 3 Months
Sport History[edit | edit source]
Played Mix Sports as Child - Athletics, Swimming and Football
Played Football since Age.12
Specialised in Football from 16 years old
Plays for University Team - Captain for past 2 years
Under Age. National Team Member since U.16
- U.16 European Championships
- U.18 European Championships
- U.23 European Championships x 3
Training History[edit | edit source]
8 to 10 Sessions per week including:
- Field Based Team Sessions x 3 - 4
- Strength & Conditiong Gym Work x 3
- Cardiovascular Fitness x 2-3
- Mobility & Stretching Daily
- Video Analysis
Has access to Nutrition Support, and Physiotherapy Support as member of National Team
Presenting Condition[edit | edit source]
Match Conditions[edit | edit source]
- League Semi-Final Match
- Second Half 15 Mins Left on Clock
- Score 2-1 to Opposition
- Intermitant Rain during Game - Soft Ground
Mechanism of Injury[edit | edit source]
Athlete competed for ball in the air, headed ball towards Goal, landed and tried to pivot to get around defending player to move towards the goal and then went down on the ground. Play continued and was stopped about 45 seconds later when the ball went out of play.
On Field Assessment[edit | edit source]
See[edit | edit source]
Emma was on the ground where she fell in the fetal position, holding the knee and crying
Ask[edit | edit source]
Reported an Audible 'Pop' and instability of the knee on landing
Reported Severe Pain 9/10 initially, now 7/10 - Difficult ro pin point pain
Look[edit | edit source]
Gross Effusion ++
No Discolouration
No Obvious Deformity
No Bony Abnormality
Touch[edit | edit source]
Pain ++ Medial Joint Line
Pain ++ Medial Coallateral Ligament
Active[edit | edit source]
Apprehension with extensive guarding and spasm of the hamstring
Knee Extension -10 Degress Pain 7/10
Knee Flexion 95 Degress Pain 6/10
Passive[edit | edit source]
Apprehension with extensive guarding and spasm of the hamstring
Knee Extension -10 Degress Pain 7/10
Knee Flexion 105 Degress Pain 6/10
Special Tests[edit | edit source]
Lachmans - Inconsistent secondary to swelling and apprehension with extensive guarding and spasm of the hamstrings
Pateall Apprehension -ve
Varus -ve
Valgus +ve
Outcome[edit | edit source]
Unable to weightbear on affected lower limb
Removed from the field of play by stretcher
Imaging
[edit | edit source]
X-Ray - 1 Day Post Injury[edit | edit source]
Negative for any Bony Injury
MRI - 7 Days Post Injury[edit | edit source]
Showed O’Donohue’s Triad Injury:
- Ruptured ACL
- Grade 2 MCL Sprain
- Medial Meniscus Bucket Handle Tear
Lateral Femoral Condyle Bone Contusion was also present
