Sports Injuries

Hello,

My name is Dr. Darsh Goyal. I am an orthopedic surgeon by profession aur meri specialization knee replacement or arthroscopic sports injury management hain. jiska matlab hai doorbin dwara knee ke or shoulder ke ligament ki injuries ka ilaj karna. To friends aaj hum baat karenge sports injuries ke baare me. Sports injuries bahut hi common types of injuries hogyi hain aajkal. Mostly sports se related injuries ko hi hum kehte hain sports injuries but iske andar jo ligaments hote hain unki injuries road traffic accidents, stairs se fall hone ke karan or accident hone ke karan bhi ho sakti hai. To ise samajhne ke liye hume pehle knee joint ke andar ligaments ki banawat ko samajhna hoga tabhi hum samajh payenge ki sports injuries kis kis prakar ki ho sakti hain. To humare knee joint ke andar agar hum dekhen. To ye upar ki haddi ko hum femur bone kehete hain or neeche ki bone ko tibia bone kehte hain, in dono bones ke beech me ek jheeli-numa shock absorbers hote hain jinhe hum meniscus kehte hain.

To ye bahar ki side ka shock absorber hain or ye andar ki side ka shock absorber hai. Basically do shock absorber hote hain jise hum meniscus kehte hain. Ye apas me haddiyon ko ragadne se rokte hain or jo ligaments hote hain wo ek hota hai ACL, ye ghutne ka main ligament hai, jo ki knee joint ko stability provide karta hain. Ek ligament age ki taraf hota hai jise hum ACL ligament kehte hain or ek ligament picche ki taraf hota hai jise hum PCL ligament kehte hain. To doston do ligaments side me hote hain , ek MCL, medial collateral ligament or ek LCL, Lateral collateral ligament. To ye side ki stability dete hai knee joint ko. Most commonly jo sports injuries hoti hai wo jyadatar ACL ligament jo ki center me hota hai knee joint ko stability dene ke liye, or shock absorbers, jo meniscus hote hain inki injuries are one of the most common injuries.

To aaj kal humare pass latest techniques available hain jinse hum in injuries ko theek kar sakte hain or patients dobora se sports fir se khel sakte hain, after a period of six months we advise that patients can return to their active sports. To ye jo sports injuries ki management hai arthroscopy dwara iska kya matlab hai? Iska matlab hai, Bina ghutne ke age pura cheera lgaye specially doorbin ke through do chhote se incisions se hum ligaments ko reconstruct kar te hain taki patient ke knee ki stability jo hai woh fir se return ho sake. To jaise eki ACL ligament toot jata hai to patient ko feeling ati hai hai ki uska ligament na hone karan uska knee is tarah se twist hota hai. To mostly patient ki ye complaint hoti hai ki mai jab running ki koshish karta hun to mujhe aisa lagta hai ki main gir jaunga. Patient kehta hai ki mujhe me ab woh confidence nhi rha jo pehle hota tha ki mai ab bhaag sakta hun or mereko knee ke andar stability feel nhi hoti hai.

Kuch patient ka ye bhi symptom hota hai ki jab wo ubad-khbad jameen pe chalte hain to unhe lgta hai ki unka knee jo hai wo buckle ho jayega jisko giveaway bhi kehte hain. Jaise ki hum kehte hain ki knee jo hai woh nikal jayega is tarah ki unhe sensation ati hai. To patient ko severe pain hota hai or in injuries ke karan neglect kar denge to baar baar knee ki unnatural twisting ke karan jo humari ye jheeli-numma cartilage bhi kharab hona shuru ho jaati hai. To jab ye cartilage kharab hoti hai to ye kuch is tarah se hoti hai or iski regeneration bahut hi difficult hai. Isiliye timely treatment of sports injuries specially ACL, meniscal tears or PCL tears are very important. To baat karte hain ki kis kis prakar ki surgery hmare pass available hain. To arthroscopy ke liye aap baat karenge to ACL reconstruction, single bundle, double bundle or anatomical ACL reconstruction karte hain. Specialy pehle is meniscus ko, jo tear hota tha, iske phate hue part ko hum nikal dete the taki woh ghutne ke beech me, dono haddiyon ke beech me ragad na khaye. 

Lekin aajkal poori koshish ki jati hai ki hum is shock absorber meniscus ko kisi tarah repair kar sakein taki knee ki jo shock absorbing capacity hai woh hum fir se restore kar sakein, isse patient ka jo arthritis ka process hai wo delay hota hai. To meniscal repair is possible which I mostly try ki agar meniscus repairable hai to we do not remove the meniscus hum meniscus ko repair karte hain, bahut rare cases me agar complex tear hai meniscus ka to hum meniscus ko wahan se remove karke balance bhi krte hai jisko hum meniscectomy kehete hain. Doosri injuries jo hoti hain wo PCL ligament ki hoti hain iske andar jo hmare nicche ki haddi hai ye picche ki taraf is tarah se sag krne lagti hai, ye bhi ligamet jo hai wo knee ki stability ke liye bahut zaroori hai is ligament ko bhi doorbin dwara successfully hum restore kar sakte hain, reconstrust kar sakte hain.

Lastly jo injuries knee ki sports se related hoti hain, wo hoti hain is cartilage ko damage hone jo kehete hai usko hum cartilage injuries kehete hain, us ke andar impact ke karan bahut baar cartilage fracture ho jaati hain jis ke karan defect ajata hai. Unfortunately cartilage me regeneration capacity bahut kam hoti hai lekin iski bhi kuch advanced techniques ab humare pass available hain. Jaise ki ACI, autologous chondrocyte implantation, mosaicplasty or oats jaisi humare pass techniques available hai. jisme microfracture ke dwara bhi cartilage ko restore kar sakte hain, to friends I will advise ki sabse pehle sports injury ko avoid kiya jaye. Prevention ke liye agar koi bhi high competitive athlete ho jisne ki sports khelni ho high level pe ya normal sports khelni ho usko apni muscle tone up jaroor karni chahiye, before taking up of sports proper warm up hona chaiye, the proper action of the sports should be followed. In case fir bhi injuries ho jaati hain to there are techniques available arthroscopically we can fix those injuries and patients can return to their normal sports activities and routine, so I will say by concluding the WHO line that movement is life and life is movement.

To doston apna dhyan rakhein, khush rahein, thanks .