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An Orthopaedic Surgeon’s Guide on Sports Injuries: Types, Treatments, and Prevention

An Orthopaedic Surgeon’s Guide on Sports Injuries: Types, Treatments, and Prevention

Sports injuries are injuries that occur during athletic activities. They can happen to anyone, whether you are a professional athlete, an active individual, or someone who enjoys playing sports occasionally. These injuries range from minor cuts and bruises to more severe injuries like fractures and dislocations.

Understanding sports injuries and receiving treatment is crucial because if they are not properly tended to, they can lead to chronic pain, disability, and even permanent damage. Being equipped with the right knowledge of sports injuries allows for effective prevention, timely diagnosis, and appropriate treatment, ensuring a quicker and more complete recovery.In Singapore, sports injuries are common due to the rising participation rate [1] in activities such as walking and jogging. This contributes to the prevalence of both acute and chronic sports injuries in Singaporeans, especially among the youth.

sports injuries
Understanding sports injuries can prevent severe problems from developing, especially among the youth.

Common Types of Sports Injuries in Singapore

Sports injuries are a significant concern for athletes and fitness enthusiasts in Singapore. Awareness of the common types of injuries can help with prevention and timely treatment, ensuring a faster and more effective recovery. Here are the most frequently occurring sports injuries in Singapore:

Sports injuries are a significant concern for athletes and fitness enthusiasts in Singapore. Awareness of the common types of injuries can help with prevention and timely treatment, ensuring a faster and more effective recovery. Here are the most frequently occurring sports injuries in Singapore:

ACUTE INJURIES

Sprains

These involve injuries to ligaments, the tissues that connect bones at a joint. Sprains often affect the ankles, knees, and wrists, usually resulting from a fall, twist, or blow that forces a joint out of its normal position.

Strains

These involve muscles or tendons, the tissues that connects muscles to bones. Strains can occur suddenly or develop over time due to overstretching or overuse. Common areas affected include the back, hamstrings, and calf muscles.

Fractures

Fractures are broken bones that range from simple cracks to complete breaks. They are typically caused by high-impact forces such as falls, collisions, or direct blows during sports activities. Commonly fractured bones include the wrists, arms, and legs.

Dislocations

Dislocations occur when bones in a joint are forced out of their normal positions. This injury often affects the shoulders, elbows, fingers, and knees. It usually results from a fall or direct blow and requires immediate medical attention to prevent further damage.

Contusions

Also known as bruises, contusions result from a direct impact that crushes underlying muscle fibers and connective tissue without breaking the skin. They commonly occur in contact sports like football, rugby, and hockey.

CHRONIC INJURIES

Tendinitis

Tendinitis is the inflammation or irritation of a tendon, often caused by repetitive motion or overuse. It commonly affects the shoulders, elbows, wrists, knees, and heels, leading to pain and tenderness around the joint.

Stress Fractures

Stress fractures are small cracks in a bone caused by repetitive force or overuse, often occurring in weight-bearing bones like the tibia (shinbone) and metatarsals (foot bones). They are common among runners and athletes involved in high-impact sports.

Shin Splints

Shin splints refer to pain along the shinbone (tibia), usually caused by repetitive stress on the bone and connective tissues. This injury is common among runners and those engaged in activities with frequent starts and stops, such as basketball and soccer.

Plantar Fasciitis

Plantar fasciitis involves inflammation of the thick band of tissue (plantar fascia) that runs across the bottom of the foot, connecting the heel bone to the toes. It causes stabbing pain, especially with the first steps in the morning.

OVERUSE INJURIES

Runner’s Knee

Also known as patellofemoral pain syndrome, runner’s knee [2]  is characterized by pain around the kneecap. It is caused by repetitive motion and stress on the knee joint, commonly affecting runners and athletes who perform frequent knee-bending activities.

Tennis Elbow

Tennis elbow, or lateral epicondylitis, is the inflammation of the tendons that join the forearm muscles on the outside of the elbow. It is often caused by repetitive wrist and arm motions, not limited to tennis players but also affecting other athletes and individuals in occupations involving similar movements.

Swimmer’s Shoulder

Swimmer’s shoulder [3] refers to shoulder pain caused by repetitive overhead arm movements, leading to inflammation and microtrauma in the shoulder muscles and tendons. It is common among swimmers, as well as other athletes engaged in sports requiring similar movements.

Sports that Commonly Cause Sports Injuries

Different sports carry varying risks of injuries due to their unique physical demands and the nature of play.

Contact sports like football, rugby, and hockey often lead to acute injuries due to frequent physical collisions and high-impact actions. Endurance sports such as running, cycling, and swimming typically result in overuse injuries because of repetitive motions and prolonged physical exertion. Individual sports like gymnastics, tennis, and golf can cause both acute and chronic injuries due to specific, repetitive movements and high-skill demands.

Understanding which sports are more prone to causing injuries helps athletes and coaches implement appropriate preventive measures, ensuring a safer and more enjoyable sporting experience.

Contact Sports

  • Football, Rugby, Basketball, Hockey: These sports involve frequent physical contact and collisions, increasing the risk of acute injuries like sprains, fractures, dislocations, and contusions.

Endurance Sports

  • Running, Cycling, Swimming: Endurance sports often lead to overuse injuries such as stress fractures, shin splints, and tendinitis due to repetitive motion and prolonged physical activity.

Individual Sports

  • Gymnastics, Tennis, Golf: These sports require specific repetitive movements and can lead to overuse injuries like tennis elbow, golfer’s elbow, and stress fractures.

Understanding the common types of sports injuries in Singapore is essential for athletes, coaches, and fitness enthusiasts to prevent, recognize, and treat these injuries effectively. Taking preventive measures, such as proper training, using appropriate equipment, and taking time for adequate rest and recovery, can significantly reduce the risk of these injuries.

sports injuries
Sports such as basketball can cause acute injuries such as sprains and strains.

Causes and Risk Factors of Sports Injuries

Sports injuries can result from various causes and are influenced by several risk factors. These include:

  • Lack of training: Lack of necessary skills or conditioning to perform movements safely can cause injuries easily. 
  • Overtraining: Excessive physical activity without sufficient recovery time often leads to overuse injuries.
  • Environmental conditions: Using inappropriate or worn-out equipment or playing in unsafe conditions may also lead to injuries.
  • Age: Older athletes may have decreased flexibility and strength, increasing susceptibility to injuries.
  • Gender: Certain sports may pose higher risks for different genders. Women are at a higher risk of developing sports injuries compared to men. 
  • Previous injury: Those with a history of previous injuries are at greater risk, as affected areas may be more vulnerable to re-injury.

Diagnosing Sports Injuries

Importance of Early Diagnosis

Early diagnosis is crucial to prevent further damage and to initiate proper treatment. Diagnosis methods for sports injuries usually include: 

  • Physical examination: An initial assessment by a healthcare professional such as an orthopaedic doctor.
  • Medical history: Understanding the patient’s history and previous injuries.
  • Imaging tests: X-rays, Magnetic Resonance Imaging (MRI), CT scans, and ultrasound may be used to get a detailed view of the injury.

Treatment for Sports Injuries

Treating sports injuries promptly and effectively is crucial to ensure a full recovery and prevent long-term complications. The approach to treatment varies depending on the type and severity of the injury, ranging from immediate first-aid measures to more advanced medical interventions. 

Early diagnosis and appropriate management are key to minimizing damage and promoting healing. Understanding the different treatment options, including immediate care, medical treatment, and rehabilitation, can help athletes and active individuals return to their activities safely and efficiently.

Minimally invasive surgery has also revolutionized the treatment of sports injuries, offering athletes a less invasive alternative to traditional open surgeries. This approach involves using small incisions and specialized instruments, such as arthroscopes, which are thin, flexible tubes equipped with cameras. These instruments allow surgeons to view and repair injured tissues with precision while minimizing damage to surrounding structures. 

The benefits of minimally invasive surgery include reduced pain, quicker recovery times, and less scarring compared to conventional methods. Athletes and active individuals can often return to their sports activities sooner, with a lower risk of complications and a faster overall rehabilitation process. This advanced surgical technique has become a preferred choice for treating various sports-related injuries, including torn ligaments, meniscal tears, and rotator cuff injuries, enhancing recovery outcomes. 

Immediate Treatment
  • RICE Method: Rest: Stop using the injured area. Ice: Apply ice packs to reduce swelling. Compression: Use bandages to limit swelling. Elevation: Keep the injured part raised above heart level.
  • First Aid: Immediate care to stabilize and treat the injury.
  • Medications: Pain relievers and anti-inflammatories to manage symptoms.
Surgical intervention: May be required for severe injuries that cannot heal on their own. These include: 
  • Arthroscopic Surgery: A minimally invasive technique using small incisions and a camera (arthroscope) to visualize and treat joint problems. Typically treats injuries such as meniscus tears, ligament repairs (e.g., ACL), and rotator cuff repairs.
  • Anterior Cruciate Ligament (ACL) Reconstruction:  Replacing a torn ACL with a graft taken from the patient’s own body (autograft) or a donor (allograft). Usually required for severe ACL tears, especially in athletes who require knee stability.
  • Meniscus Repair: This involves repairing a torn meniscus in the knee using sutures or a meniscal transplant. Meniscal tears result from sports activities, such as twisting or sudden impacts.
  • Rotator Cuff Repair: A procedure to reattach torn tendons in the shoulder to the bone, often performed arthroscopically. Typically required for rotator cuff tears, commonly seen in sports involving overhead movements.
  • Labral Repair: A procedure that repairs a torn labrum in the shoulder or hip, usually done arthroscopically. Labral tears normally occur from repetitive stress or acute injuries.
  • Tendon Repair: A procedure that repairs torn tendons, such as the Achilles tendon or biceps tendon. Recommended for complete tendon tears, which may result from sudden, intense physical activity.
  • Fracture Fixation: A procedure to stabilise broken bones using plates, screws, or rods to ensure proper healing. Required for severe fractures, including those in the arm, leg, or collarbone.
  • Joint stabilisation: Realigns and stabilise dislocated joints. Recommended for dislocations in the shoulder and other joints to prevent recurrent dislocations and instability.
Rehabilitation
  • Recovery time: Varies depending on the severity and type of injury.
  • Physical therapy: Specific exercises to aid recovery and prevent future injuries.

injuries
The RICE method can help for treating certain injuries immediately, but surgical intervention may be required for more severe injuries such as tears.

Prevention Strategies for Sports Injuries

Preventing sports injuries is essential for athletes and fitness enthusiasts to maintain their health and performance. Effective prevention strategies involve a combination of proper training techniques, appropriate equipment, and healthy lifestyle choices. By incorporating proper warm-up and cool-down routines, strengthening and flexibility exercises, and ensuring the correct use of gear, athletes can significantly reduce their risk of injury. 

Additionally, maintaining safe playing environments and allowing adequate rest and recovery are crucial components of an injury prevention plan. Understanding and implementing these strategies can help individuals stay active and injury-free. 

Here are some common prevention strategies: 

  • Proper warm-up and cool-down routines: Essential for preparing the body for physical activity and aiding recovery.
  • Strengthening and flexibility exercises: Helps to strengthen the core and prevent injury.
  • Learning correct techniques and form: Reduces the risk of injury during activities.
  • Using the right gear: Proper equipment suited for the sport.
  • Playing in safe environments: Ensuring that the sports area is safe and well-maintained.
  • Adequate rest and recovery: Allowing the body time to heal and recover before engaging in sports.

Balanced nutrition and hydration: Essential for overall health and injury prevention.

sports injury
Being aware of how to prevent a sports injury, including proper warm-up and cool-down technique, can greatly help individuals maintain an active lifestyle.

Role of Orthopedic Doctors

Orthopedic doctors play a vital role in the diagnosis, treatment, and rehabilitation of sports injuries. They specialize in the musculoskeletal system, which includes bones, joints, muscles, tendons, and ligaments. When someone sustains an injury, orthopedic doctors conduct thorough evaluations using physical examinations, medical history assessments, and advanced imaging techniques. They develop personalized treatment plans that may include medications, physical therapy, or surgical interventions, depending on the severity of the injury. 

Orthopedic doctors also collaborate closely with physical therapists to ensure a comprehensive rehabilitation program, helping patients regain strength and mobility. Additionally, they provide guidance on injury prevention and proper techniques to reduce the risk of future injuries. Their expertise and care are crucial in helping athletes recover fully and return to their sports safely.

At Artisan Sports and Orthopaedic Clinic in Singapore, we offer expert guidance and treatment for all kinds of sports injuries. Contact us today to book an appointment.

We are always ready to help you.

Conclusion

Understanding sports injuries is crucial for anyone involved in physical activities, from casual fitness enthusiasts to professional athletes. This ultimate guide has explored the various types of sports injuries, their causes and risk factors, methods of diagnosis, treatment options, and prevention strategies. Emphasizing the importance of early diagnosis and appropriate treatment can significantly improve recovery outcomes and reduce the risk of long-term complications.

Preventive measures, such as proper training, using appropriate equipment, and maintaining a healthy lifestyle, play a vital role in minimizing injury risks. Seeking professional orthopedic care when necessary ensures that injuries are managed effectively and comprehensively. By staying informed and proactive, athletes and physically active individuals can enjoy their sports safely and maintain their physical health. Remember, the best way to deal with sports injuries is to prevent them from happening in the first place, so always prioritize safety and proper technique in all physical activities.

Frequently asked questions
RESOURCES

1. Ng, T. (2024, August 5). Sport participation at an all-time high in Singapore: Gradual increase since pandemic. The Straits Times. https://www.straitstimes.com/sport/sport-participation-at-an-all-time-high-in-singapore-gradual-increase-since-pandemic 

2. InformedHealth.org [Internet]. Cologne, Germany: Institute for Quality and Efficiency in Health Care (IQWiG); 2006-. Overview: Patellofemoral pain syndrome (runner’s knee) [Updated 2024 Jan 30]. Available from: https://www.ncbi.nlm.nih.gov/books/NBK561507/

3. Cleveland Clinic. (n.d.). Swimmer’s shoulder. Cleveland Clinic. Retrieved August 6, 2024, from https://my.clevelandclinic.org/health/diseases/17535-swimmers-shoulder

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