Sports clinic Paris
Metro: Saint Marcel
Parking 6 rue test
The information provided on this website is provided by medical professionals: sports doctors, rheumatologists, functional rehabilitation doctors, orthopedic, clinical surgeons sport, podiatrist sports meeting within the group "chirurgiedusport.com"
Do not stop the sport! Propose to sports activities program of fitness and return to the field impose increasing constraints adapted to the evolution of ligament healing. Recommence the sport to its former level the day the tissue repair is completed!
Dissociate biomechanical constraints physiological stress through the use of strength training methods, targeted cardio and rehabilitation. Doser the first to participate in the conjunctiva mechanization and contribute to functional rehabilitation. Mix the seconds to maintain all the specific energy pathways of the sport.
In the 80s, the time of healing were considered a time of sporting rest. The most advanced ventured there prescribe some early rehabilitation. The custom was to say: "Once the healing achieved, we can reconnect gradually with the sport and wait at least 3 times the duration of rest before hoping to find his level."
The arrival of ankle braces and the advent of the concept of tissue mechanization allowed to endorse the remobilization of traumatized ankles. Thus, sports physicians sensitive exercise physiology and trained in trauma could try to optimize recovery times without compromising health. Their professionalism and their growing involvement in sports clubs senior stimulated this discussion. Formerly, only swimming and stationary cycling were available to the therapist. Now, gyms, physiotherapists and retail offer in leisure sports a wide variety of used fitness equipment to maintain fitness in case of ankle sprain.
The stationary bike mobilizes little ankle, it is used with a resin or at the first traumatic days. It is indicated to increase the intensity of training including using "split sessions". Later the dancer in work approaches the racing action.
The stepper imposes a constraint function of the body weight. The mobilization of the sector ankle may vary depending on the foot position on the pedals. It is well suited to reconnect with the energy systems of the sprint.
The elliptical motion generates close to running but bipodale charge and without impact. The simultaneous use of the upper extremities increases the peripheral oxygen demand and helps to intensify the cardiovascular work.
The treadmill allows a true "re-education to jogging." It is part of growing to the cardio session in which other devices are used for training more intense. Moreover, the running surface is steady and reassuring.
Swimming without sweater boy is not ideal because the propulsion imposes an equine foot. However, water aerobics is set to run in a landfill with a vest or "chips." Jumping into the water, it helps to reconnect with the plyometric work with the help of Archimedes.
During the 1980s, the discovery of the origin of DOMS eccentric or "aches" motivated the design of eccentric strength training sessions open chain. They do not seek the ankle and compensate by the party essentially concentric labor induced cardio machines.
The growing interest for muscular work with light loads was the origin of "fitness trail" involving general strengthening and cardiovascular stress. They are particularly suitable in the days following ankle sprain.
THE ASSESSMENT DEGREE
The concept of fast detraining was validated for a long time. After 3-4 days of inactivity, mitochondria reduce their oxidative ability. The maximum heart rate decreases at the end of ten days without exercise. An athlete who stops the sport but continues his daily life finds a sedentary VO2 max of 3 months. Bedridden, he need only three weeks to disappear the benefit of many years of practice.
On the ground, the maintenance protocols fitness in athletes ankle sprain victim bring many satisfactions to coaches and athletes of all levels. 18 months ago in the center of Paris Saint Germain training, each player arrested over 3 weeks benefits at the end of the program, a "re-test". This control includes: a treadmill test with determination of maximum aerobic speed (MAS), a vertical jump plyometric monopodal right and left, a test Freeman left and right, a measure of body fat and a "Technical Evaluation field "denoted by the physical trainer. The analysis shows, most often:
- A conversation to see an improvement in the VMA probably because of the strong aerobic component of cardio
- A conservation sometimes a small decline in the vertical jump, still less than 3 cm, probably caused by the limitation of plyometric stress early protocol.
- Improved Freeman test favored by the specific work in physiotherapy.
- Stable or increased fat mass of less than 1.5%, in case of poor compliance with dietary recommendations.
- A "field assessment" noted in 4/5 despite the advice visualization and due to a lack of collective training.
Obviously no control group, not receiving maintenance program for the condition has been established, coaches wishing to optimize recovery times for each player. However, one can imagine that the performance degradation would be similar to that mentioned in studies on detraining.
6000 with ankle sprains in France every day, the application of this concept can start tomorrow for many practitioners. In practice, the physician can guide the patient towards a beneficial service for sport fitness and recovery. To save time, simple scalable advice may suffice. Within the top clubs, it is possible to design specific rehabilitation programs on biomechanical and physiological. In all cases, we also offer sessions back on the field. They are a real specific proprioceptive work.
The future of the concept through its generalization. Indeed, it is the doctor's mission of sport. It meets the demand of the sports injury or its management. Indeed, it improves healing and functional recovery, he thus promotes healing without sequelae despite sporting solicitation. Most importantly, it reduces recovery times without harm to health!
Currently the cardio is done "in line". Also, sometimes we see a suffering adductor during the recovery side field trips. A new device has just appeared. It is called "lateral stepper". It reproduces the movement of the "skating" and should help to limit the inconvenience.
THE STRONG POINT
Maintaining fitness after ankle sprain helps reduce time to return to sport without harm to health!
This technique of reconstruction of the anterior cruciate ligament plasty involving extra and intra-articular fascia lata was described by Hey-Groves in 1917, modified in 1972 and MacIntosh Jaeger recently. This reconstruction is a technique increasingly practiced for controlling the tibial rotation and rotational jump experienced by the patient and the surgeon objectified by clinical examination.
This lateral grafting used in this technique is called the fascia lata is a transplant with high resistance comparable to other biomechanical transplants used. The fascia lata retains its tibial insertion, which is a natural attachment system and therefore superior to any other system used. This technique has the advantages of not having to levy tendon and therefore the hope of postoperative muscle recovery and normalization of the fastest isokinetic tests.
The coracoid bone block screwed in front of the glenoid realized today either open or arthroscopically.
The advantages of arthroscopic abutment technique are:
- Take stock of the damage to the joint, bead, cartilage, loss of bone substance, tendon injuries
- The precise positioning of the stop because under direct control by the camera,
- Of smaller sizes scars,
- The treatment of lesions as lesions of the biceps (SLAP lesion) or lesions of the rotator cuff (tendon rupture) that can be treated in the same operation
- Early functional recovery
Latarjet arthroscopic intervention
The procedure is most often performed under general anesthesia with an inter-scalene block made ??preoperatively by the anesthetist. It involves taking a bone block of about 2 cm at the expense of the coracoid and place it in the anterior and inferior part of the glenoid cavity, passing through the subscapularis muscle. The coracoid can be positioned upright and secured by a screw according to Bristow or lying and fixed by two screws according Latarjet. (read more..)
PTG MY KNEE INTERVENTION
A preoperative CT scan is performed 3 weeks before the operative date to carry out the cutting guide on measurement of the prosthesis by printing 3D printer. The various bone cuts are made ??using 3D custom cutting guides, then the instrumentation adapted to the selected prosthesis (ancillary equipment), we must ensure the ligament balance and if necessary make releases (release) rarely ligament retentions. (read more ....)
Patient, 58, sporting good level with chronic tendinitis of the Achilles tendon of the left.
chronic Achilles tendon pain lasting for more than a year after a triathlon.
The patient has received medical treatment (necessary before any surgical decision): rehabilitation, Stanish stretching, shock wave, orthopedic soles. (read more...)
The injection of platelet concentrates, platelet rich plasma, or PRP, in the injured tissue has become widespread in recent years, especially in sports traumatic pathology. There is no consensus on the optimal concentration but a value between 200,000 and 1,000,000 ? L appears have a therapeutic effect. The autologous conditioned plasma (ACP TM) is a fast PRP to prepare but its average concentration of platelets is significantly lower compared to other PRP. The main purpose of the study was to analyze the platelet concentration of the ACPTM in a group of patients and compare it to that of whole blood in the same subjects. The secondary objective was to take stock of the interests of the ACP TM through a literature review.
While muscle injuries of the posterior region of the thigh are common in athletes, the proximal hamstring rupture is a rare disease. A study published in 2003  analyzed in a consecutive series of 170 patients, 179 trauma hamstrings occurred over a period of 3 years. MRI and / or ultrasound showed that only 12% of the injuries were fractures of the proximal and 9% complete ruptures. It is also little known, the first cases described in the literature from 1988 . Clinically the patients describe a violent pain in the buttock (stab printing) followed by leg weakness. ( To be continued..)