Sports Med Insights

🩺 Medical Doctor ⚽️ Love for Sports and Exercise Medicine 🚑 Analysing Injuries. 🏃‍♂️Preventive Health 🧠 Opinions are my own.

[Sports Med Insights @drmattlim]

🧠 Treating Concussion in Sport can be very confusing.

⭐️I have summarised the 12 Rs of the LATEST consensus statement for concussion in sport.

🥳Links to references and resources found on last tweet of the thread.
#concussion #medtwitter #tweetorial

[THREAD]🧵

[Sports Med Insights @drmattlim]

Wataru Endo left the Carabao Cup final with crutches and an aircast boot after @LFC 's amazing win.

What can we learn from principles of injury management?

⭐️Acronym is POLICE.
Protection. Optimal Loading. Ice. Compression. Elevation.

If players are having pain and suspected injury, protection with an aircast boot, followed by partial offloading with crutches can help in the initial stages before re-assessment.

Seems like Endo has walked into training today with no crutches or boots. Initial management excellent by the medical staff there!

[Prof Omid Khaiyat M.D., PhD @Omid_HopeUni]

Exercise-induced injury/muscle repair

Seconds👉annexin-rich cap reseals disrupted cell membrane/mitochondria & annexins alleviate excess Ca2+

Hours👉continued removal of excess Ca2+ & nuclear movement toward injury site to form translational hotspots

https://t.co/QkivEgpT7S

[Physio Scout | Football Injury Analysis @physioscout]

Aaron Ramsey stretchered off with a knee injury. Unfortunately, looks to be a textbook ACL injury here. Knee collapses inwards, direction change present & non-contact nature. Tibia bone shift seen too.

If ACL confirmed: 9-12 months recovery

#BURARS #twitterclarets #burnley

[Physio Scout | Football Injury Analysis @physioscout]

Concern for Diogo Jota after being subbed off with a knee injury. Contact mechanism forcing the knee inward brings concern for an MCL injury. Slim PCL concern here, and it is unlikely to be ACL.

If MCL confirmed:
Gr 1: 1-2wks
Gr 2: 3-6wks
Gr 3: 6-10wks

#LFC #BRELIV #FPL #YNWA

[Physio Scout | Football Injury Analysis @physioscout]

Curtis Jones off in the first half with an ankle injury. Using video analysis, we believe the mechanism leads to a high-ankle sprain (syndesmosis). Need scans to confirm severity, as well as fracture component.

If high-ankle sprain: 6-10 wks w/ surgery.

#LFC #YNWA #LiverpoolFC

[Sports Med Insights @drmattlim]

Great news this. Mr Ericksson has been battling pancreatic cancer and had recently came out to reveal he would have loved to manage LFC.

[Liverpool FC @LFC]

We are delighted to confirm Sven-Goran Eriksson will be part of the #LFCLegends management team for the game against Ajax Legends at Anfield 🔴

More info: https://t.co/qzBKmm4Htd

[Liverpool FC @LFC]

We are delighted to confirm Sven-Goran Eriksson will be part of the #LFCLegends management team for the game against Ajax Legends at Anfield 🔴

More info: https://t.co/qzBKmm4Htd

[Sports Med Insights @drmattlim]

Incredibly sad news

[BBC Sport @BBCSport]

Kelvin Kiptum, the men's marathon world record holder, has died aged 24.

Our thoughts are with his friends and family ❤️

[BBC Sport @BBCSport]

Kelvin Kiptum, the men's marathon world record holder, has died aged 24.

Our thoughts are with his friends and family ❤️

[British Journal of Sports Medicine (BJSM) @BJSM_BMJ]

#BJSM Blog: Meniscal tears ⚡️

What are the treatment options? 🧐

We break down a recent study by Damsted et al. into bitesize chunks of knowledge 💪

READ HERE ➡️ https://t.co/YVTGHgHH6I h

[Physio Scout | Football Injury Analysis @physioscout]

Lisandro Martinez went off injured after a direct blow to the right knee. Contact mechanism causing the knee to collapse in, brings concern for an MCL injury. ACL can be strained but hopefully is avoided.

If MCL:
Gr 1: 1-2wks
Gr 2: 3-6wks
Gr 3: 6-8wks

#MUNWHU #MUFC #ManUnited

[Sports Med Insights @drmattlim]

Lisandro Martinez injury - valgus force injury on planted leg. Worrying for either ACL or MCL injury. Shouldn’t have continued after he first went down. Playing on may have made the injury worse. #MUFC

[British Journal of Sports Medicine (BJSM) @BJSM_BMJ]

⚠️ Exercise prescription for the prevention and treatment of arterial hypertension: targeting blood pressure is not necessarily the goal 🤔

Why is aerobic-based training central to overall cardiovascular health?🏃‍♀️❤️

Find out more ➡️ https://t.co/Y6fONRqZ82 https

[Rod Whiteley @RodWhiteley]

Free online and in print (as always) @AspetarJournal
Yes - no catches, no sign-ups, no data harvesting, just giving back

[Paul Wischmeyer MD @Paul_Wischmeyer]

Model of Concussion 🧠

🙋‍♂️ This model brain is made of Jell-O, but it’s the same consistency as a real brain.

🧠 is made of soft tissue & floats in fluid inside of skull

🔎 When the skull moves quickly, the brain can jostle around a lot, which can lead to neurological symptoms.
“Most concussions are recoverable,” as Dr Giza from UCLA describes

⚠️ But concussions can be difficult to identify & some people suffer more serious symptoms, particularly after multiple concussions.

📈 Lab studies have shown a “window of vulnerability” after a first concussion, Giza said. Concussed athletes are three to six times more likely to get another
concussion.

🤕 If they rush back to play, their reflexes, reaction time & thinking may be slower, putting them at risk of a second concussion &longer recovery period.

H/T University of California © & @world_of_biology_wob!

#MedTwitter #MedEd #Concussionresearch

[Sports Med Insights @drmattlim]

@TheChiefNerd Thanks for posting this.

Would encourage all curious to read the original paper published on NEJM and interpret for yourselves if RFK is lying. Don’t blindly believe anything that is told to you.

Link👇

https://t.co/ZpTUbyBeEY

[British Journal of Sports Medicine (BJSM) @BJSM_BMJ]

📣 1️⃣ The TOP most visited #BJSMBlog of 2023!

✨ The OVERWHELMING evidence supporting physical activity as a treatment for depression and anxiety ✨ 🧠

A breakdown of one of the biggest umbrella reviews this year 🔥👇 #BestOfBJSM23

https://t.co/ytDjJ2fcct

[British Journal of Sports Medicine (BJSM) @BJSM_BMJ]

📣 Number 2️⃣ most visited #BJSMBlog of 2023

✨ The MSK Playbook: Frozen Shoulder ✨

Refresh your knowledge for 2024! Fantastic supporting summary #infographic in the link below👇 #BestOfBJSM23

https://t.co/aaYUy6EqX5

[Sports Med Insights @drmattlim]

Interesting. Bear in mind this is still a hypothesis. Exercising acutely does cause the body to undergo some physiological stress which may be similar to what we see in elderly (chronically). Perhaps there is something in the stress-repair loop that proves beneficial for longevity

[Strength For Life @Strength4_Life]

Exercise as Preventive Medicine Against Age-Related Chronic Disease

https://t.co/Cd4OuHZfiE

[Aspetar سبيتار @Aspetar]

#AspetarTuesdayLecture
Aspetar clinical practice guideline on rehabilitation after ACL Rehabilitation

🗣️By : @RoulaKotsifaki
🔗▶️Full Video 👉 https://t.co/HfABu5eHX8
⏬
⏬
📄🔗Main Paper #OpenAccess 👉 https://t.co/Udssks6Iir