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OnlyacompleteACJ-separation,withthestress-radiogramsshowingaboutoneormorethanoneclavi...
Only a complete ACJ-separation, with the stress-radiograms showing about one or more than one clavicular-bone-diameter of separation from the scapular-spine lead to surgical procedures: the ACJ will be reflxed and ligaments have to be sutured. Afterwards, 3-6 weeks of tape-stabilization must be applied and elevation of the arm over 60% is prohibited.
Clavicular-bone-fracture occurs, when the patient falls on his shoulder or his clavicular-bone is hit Almost all of them should be treated conservatively with well-fitting backpack-tubular-bandage.
Ruptures and degeneration of the Rotator-Cuff are mostly not the result of acute traumas: the rotator-cuff, a common tendon-plate of most of the rotating and abducting muscles of the shoulder, is mostly affected by numbers of microtraumas, happening over years and decades of sports- activities. The rotator-cuff needs to move through only a small space between shoulder- and acromio-clavicular joint. This causes mechanical irritations induced by elevations of the arm, and leads to degeneration of the tendon-tissue. Chronic pani, caused by swelling and inflammation of the rotator-cuff and its pouch, makes conservative treatment necessary, which should always started as early as possible with ice and electrotherapy as well as ultrasound and gymnastics. Analgetics are also necessary, sometimes local injections can be helpful. In our days, high-dose ultrasound can be applied and is often very successful.
Greater holes in the rotator-cuff can be discovered by arthrography or MRT, and lead to surgical treatment.
Other common sports injuries
Two more common injuries should be mentioned, before, last but not least, fractures in sports will be discussed:
Muscle-fiber-ruptures are very common, especially if athletes are not physically well prepared before starting training or competition. Typical case-history always leads to exact diagnosis. The patient complaints about a sudden pain, occurring right during his sports-activity, such as running. He is unable to continue and must rest imediately. Is seems, that a “knife has cut his muscles”. The muscle-fiber-rupture should be treated with well-fitting, the muscle-fibers approximating. tapes for at least one week. Then, physiotherapy such as electrotherdpy, ultrasound and careful gymnastics 展开
Clavicular-bone-fracture occurs, when the patient falls on his shoulder or his clavicular-bone is hit Almost all of them should be treated conservatively with well-fitting backpack-tubular-bandage.
Ruptures and degeneration of the Rotator-Cuff are mostly not the result of acute traumas: the rotator-cuff, a common tendon-plate of most of the rotating and abducting muscles of the shoulder, is mostly affected by numbers of microtraumas, happening over years and decades of sports- activities. The rotator-cuff needs to move through only a small space between shoulder- and acromio-clavicular joint. This causes mechanical irritations induced by elevations of the arm, and leads to degeneration of the tendon-tissue. Chronic pani, caused by swelling and inflammation of the rotator-cuff and its pouch, makes conservative treatment necessary, which should always started as early as possible with ice and electrotherapy as well as ultrasound and gymnastics. Analgetics are also necessary, sometimes local injections can be helpful. In our days, high-dose ultrasound can be applied and is often very successful.
Greater holes in the rotator-cuff can be discovered by arthrography or MRT, and lead to surgical treatment.
Other common sports injuries
Two more common injuries should be mentioned, before, last but not least, fractures in sports will be discussed:
Muscle-fiber-ruptures are very common, especially if athletes are not physically well prepared before starting training or competition. Typical case-history always leads to exact diagnosis. The patient complaints about a sudden pain, occurring right during his sports-activity, such as running. He is unable to continue and must rest imediately. Is seems, that a “knife has cut his muscles”. The muscle-fiber-rupture should be treated with well-fitting, the muscle-fibers approximating. tapes for at least one week. Then, physiotherapy such as electrotherdpy, ultrasound and careful gymnastics 展开
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只有完全的 ACJ-分离, 藉由压迫力-无线电报的成绩大约一或较多的超过一锁骨的-与骨头-直径的分离的对外科的程序 scapular-背骨的领引: ACJ 将会是 reflxed ，而且结带必须被缝合。 然后， 3-6个星期的音带-安定一定被应用和超过 60% 被禁止的手臂的海拔。
锁骨的-骨头-破碎发生, 当病人落在他的肩的时候或者他的锁骨-骨头是击中几乎他们全部应该保守地被对待与很好地-适宜的背包-管状的-绷带。
破裂和回转的人-袖口的退化大概不敏锐外伤的结果: 回转的人袖口, 一个通常的腱-大部份的替换镀金而且绑架肩的肌肉, 大概被 microtraumas 的数量影响, 发生过了运动-活动的数年和十年。 回转的人-袖口需要移动过只有小的空间在肩之间- 和 acromio-锁骨的关节。 这引起藉着对腱-薄的纱织品的退化的手臂的海拔、和领引感应的机械的刺激。 慢性的 pani,根据膨胀和回转的人袖口和它的小袋的怒火引起,使保守的治疗必需，这应该总是尽快地从冰和电疗法和超声波和体操开始了。 Analgetics 也是必需的，有时当地的注入可能是有帮助的。 在我们的数天内，高剂量超声波能被应用而且时常非常成功。
在回转的人-袖口的包括市区及郊区的洞能被对外科的治疗 arthrography 或捷运系统、和领引发现。
其他的通常运动受伤
另外二个以前,常见的受伤应该被提到, 最后但是不是最少, 在运动的破碎将会被讨论:
肌肉-纤维-破裂非常通常，尤其如果运动员不身体上被很好地在开始训练或竞争之前准备。 典型的情形-历史总是导致精确的诊断。 关于一种突然的痛苦忍耐的诉苦, 在他的运动期间正确地发生-活动, 像是流动的。 他不能够继续而且一定让 imediately 休息。 是似乎, 一 " 刀已经切割他的肌肉 ". 肌肉-纤维-破裂应该一起对待得好-适宜的, 肌肉纤维接近。 以带子绑起至少一个星期。 然后, 物理疗法，像是 electrotherdpy 、超声波和小心的体操
锁骨的-骨头-破碎发生, 当病人落在他的肩的时候或者他的锁骨-骨头是击中几乎他们全部应该保守地被对待与很好地-适宜的背包-管状的-绷带。
破裂和回转的人-袖口的退化大概不敏锐外伤的结果: 回转的人袖口, 一个通常的腱-大部份的替换镀金而且绑架肩的肌肉, 大概被 microtraumas 的数量影响, 发生过了运动-活动的数年和十年。 回转的人-袖口需要移动过只有小的空间在肩之间- 和 acromio-锁骨的关节。 这引起藉着对腱-薄的纱织品的退化的手臂的海拔、和领引感应的机械的刺激。 慢性的 pani,根据膨胀和回转的人袖口和它的小袋的怒火引起,使保守的治疗必需，这应该总是尽快地从冰和电疗法和超声波和体操开始了。 Analgetics 也是必需的，有时当地的注入可能是有帮助的。 在我们的数天内，高剂量超声波能被应用而且时常非常成功。
在回转的人-袖口的包括市区及郊区的洞能被对外科的治疗 arthrography 或捷运系统、和领引发现。
其他的通常运动受伤
另外二个以前,常见的受伤应该被提到, 最后但是不是最少, 在运动的破碎将会被讨论:
肌肉-纤维-破裂非常通常，尤其如果运动员不身体上被很好地在开始训练或竞争之前准备。 典型的情形-历史总是导致精确的诊断。 关于一种突然的痛苦忍耐的诉苦, 在他的运动期间正确地发生-活动, 像是流动的。 他不能够继续而且一定让 imediately 休息。 是似乎, 一 " 刀已经切割他的肌肉 ". 肌肉-纤维-破裂应该一起对待得好-适宜的, 肌肉纤维接近。 以带子绑起至少一个星期。 然后, 物理疗法，像是 electrotherdpy 、超声波和小心的体操
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