We mentioned in the last post how twisting movements involving ski poles may cause injury to the wrist. Given the positioning of the thumb with these implements, it is also a common area of injury. The most common injury we see in this region is a tear of the ulnar collateral ligament (UCL). So common is this injury that it is colloquially known as “skier’s thumb” (also “gamekeeper’s thumb in hockey). The ligament lies at the articulation between the thumb and the hand, and d

Concussion, also known as a traumatic brain injury (or TBI) is functional disturbance of the brain, typically caused by direct or indirect trauma. As with any injury, concussion needs to be assessed and treated in the correct manner to optimise recovery and avoid long-term disabilities. The acute evaluation involves questioning (using a specific tool such as the sport concussion assessment tool (SCAT)), to ascertain if the person has suffered a concussion. Acute symptoms of a

Another area that may be affected during a fall is the hand and wrist. This is usually the result of a fall onto an outstretched hand, or a falling mechanism involving twisting the hand and wrist around the ski pole. There are a number of different injuries that may occur to this region, but the two most common ones are a fracture of the scaphoid and an injury to the Triangular Fibrocartilage Complex (TFCC). A scaphoid fracture will result in pain on the thumb side of the wri

Musculoskeletal injury is a complicated, multi-faceted process, and the specific cause(s) of injury will be unique to the individual. However, in an effort to decrease the occurrence of injury, there is a general hierarchy of importance in terms of measures that can be taken. Health professionals often observe people over-emphasising some of the less important facets of injury prevention, in the process ignoring the “big rocks” Of primary importance is management of training

Less common than the clavicle fractures and AC joint injuries discussed in the previous posts, a fracture of the upper part of the arm (humerus) may occur with a direct fall onto the side of the arm, as well as with rapid twisting motions involving the shoulder.  These injuries may present similarly to other shoulder injuries such as rotator cuff strains (to be covered in a future post), but the telltale sign is significant bruising on the side of the arm. Any traumatic injur

We discussed in the previous post how a fall onto the side of the shoulder may cause damage to the AC joint. The same mechanism of injury may also cause a fracture to the clavicle (collarbone). Clavicle fractures are less commonly caused by a fall onto an outstretched hand or elbow.  The clavicle usually fractures in the middle third, the weakest part of the bone, and this will be indicated by the site of pain. There will often be a visual deformity caused by the fracture. An

With skiing and snowboarding, inevitably there is falling! The next few posts will discuss injuries that may occur during a fall. One common falling position is a onto the side of the shoulder. This mechanism will often cause damage to the Acromioclavicular (AC) joint; the joint between the collarbone and the tip of the shoulder blade. Injuries to this area will usually cause isolated pain on the tip of the shoulder, but many report pain down the side of the neck and the side

Last post we discussed ACL injuries, the granddaddy of knee pain. Equally common are medial collateral ligament (MCL) injuries. The MCL crosses the inside of the knee, and provides stability to prevent valgus stress, the stress that would occur to the knee if you were to push one knee in towards the other from the outside, and also contributes to rotational stability. Forceful movement into valgus or rotation can cause ligament failure, and, unlike the ACL, we have more varie

The 3 letters of doom! ACL injuries are very common in sports, including winter sports. The Anterior Cruciate Ligament (ACL) is one of 4 main ligaments that provide stability in the knee. It runs from the front of the tibia (shin bone) to the back of the femur (thigh bone), and functions to stop the tibia gliding forwards, and also contributes to controlling rotation. The ACL is often injured with a hyperextension (over-straightening) mechanism, or with forceful rotation and

IT’S THAT TIME OF YEAR ALREADY!!! Yes, that’s right, ski season is upon us, and many of you will be excited to hit the slopes over the coming weeks and months. Unfortunately, skiing and snowboarding do come with a certain degree of risk, and at Club 360 our physios spend a lot of the winter months attending to winter sports-related issues. As with all injuries, proper management is crucial in order to make a full and timely recovery, and decrease the likelihood of recurrence

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