ABSTRACT
Vascular problems of the proximal upper extremity present with symptoms and signs of venous and arterial occlusion. They are rare, and sports medicine literature contains only case reports. Blunt trauma and activity requiring repetitive, overhead use of the arm are the usual mechanisms of injury. In athlete who perform repetitive upper-extremity activity, symptoms of easy fatigability of poorly localized pain and paresthesias should alert the treating physician to vascular occlusive disease. Published information suggests a good return-to-sport prognosis, but, because of the small number of cases, this information may be misleading.
Subject(s)
Arm/blood supply , Athletic Injuries/diagnosis , Blood Vessels/injuries , Vascular Diseases/diagnosis , Arterial Occlusive Diseases/diagnosis , Arterial Occlusive Diseases/therapy , Athletic Injuries/therapy , Cumulative Trauma Disorders/diagnosis , Cumulative Trauma Disorders/therapy , Humans , Thrombophlebitis/diagnosis , Thrombophlebitis/therapy , Vascular Diseases/therapy , Wounds, Nonpenetrating/diagnosis , Wounds, Nonpenetrating/therapyABSTRACT
In a review of fractures about the knee in sports, we have emphasized that these are uncommon but not unseen injuries. Within the spectrum of each fracture type, and excluding motor vehicle injuries, the fractures are usually of the more benign type. The athlete can anticipate participating at his or her desired level of play after appropriate treatment and rehabilitation in most instances. As in any fracture treatment, rehabilitation of the athlete is extremely important and enhanced, when feasible, by early motion. As the AO Group espouses "life is movement, movement is life."
Subject(s)
Athletic Injuries/therapy , Fractures, Bone/therapy , Knee Injuries/therapy , HumansABSTRACT
A 20-year-old man developed sinoatrial Wenckebach after moderate blunt chest and cardiac trauma from a motor vehicle accident. This unusual dysrhythmia is manifested by grouped beating, a constant PR interval, progressive shortening of the cycle length, and repetitive pauses. Sinoatrial Wenckebach has not previously been described in association with blunt cardiac injury.
