• Opening Hours

    OPENING HOURSX

    MONDAY8:00AM - 8:00PM

    TUESDAY8:00AM - 8:00PM

    WEDNESDAY8:00AM - 8:00PM

    THURSDAY8:00AM - 8:00PM

    FRIDAY8:00AM - 8:00PM

    Contact Martin on 0868139266 for weekend appointments

  • 0868139266
  • Contact

    Let's Keep In Touch!X

    ADDRESSMoneen Industrial Estate, Castlebar, Co.Mayo.

    LEAVE A COMMENT

    Sending your message. Please wait...

    Thanks for sending your message! We'll get back to you shortly.

    There was a problem sending your message. Please try again.

    Please complete all the fields in the form before sending.

The SISM Blog

Paul O’Connell – Acute Hamstring Avulsion Injury

By SISM Clinic | In SISM Blog | on October 17, 2015

The severe hamstring injury sustained by Ireland rugby captain Paul O’Connell has the nation talking this past week. The graphic and harrowing extent of his injury was relayed on live television across the world. So what exactly is this potentially career-ending injury? A National Football League team published injury data for their team during pre-season training camp from 1998-2007 (Feeley et al. 2008). Hamstring strains were the second most common injury, only surpassed by “knee sprains”. Screen Shot 2015-10-17 at 10.50.36Numerous studies have shown that hamstring strains are one of the most common injuries in sprinting sports, soccer, rugby and Australian Rules football (Gabbe et al. 2004). Much less common, but most often much more severe, are the hamstring injuries involving complete avulsion of the hamstring complex off the ischial tuberosity. When this occurs a large amount of bleeding (hematoma) will form in the back of the thigh and the tendon will move down the thigh, retracting away from the ischial tuberosity. Almost all injuries occur from a slip or a fall that creates forceful hip flexion with simultaneous knee extension, many of these during sporting activities. These complete avulsions result in significant or complete loss of hamstring function depending on how many of the tendons are avulsed. This can lead to poor leg control and difficulty even walking. Because of the significant structural damage and resultant disability, these injuries are often treated with open surgical repair (Wood et al. 2008). Screen Shot 2015-10-17 at 10.50.47After injury, the main question of the athlete, coaching staff and press is: when can they return to play? During the tendon avulsion repair, hamstring muscles are pulled back to its normal attachment. Your surgeon cuts away any scar tissue from the hamstring tendon and then the tendon is reattached to the bone using staples or stitches. If there is a complete tear within the muscle, the torn ends are reattached using stitches. After surgery, you may need to use crutches and a brace to protect and keep your hamstring muscle in relaxed position. Rehabilitation involves initial gentle stretching exercises in order to restore normal function. Rehabilitation period of at least 6 to 9 months may be needed before returning to athletic activities. (Sherry and Best, 2004)

Rehabilitation

The University of Wisconsin Sports Medicine and Rehabilitation postoperative rehabilitation guidelines consist of 4 phases: Phase I consists of range of motion and gait training exercises. This phase focuses on protecting the repair to allow adequate healing and usually lasts 6 weeks. This is followed by a progressive, supervised strengthening program. Screen Shot 2015-10-17 at 10.50.54 Phases II and III include progressions with the speed and amplitude of movement, as well as force distribution. Early in the strengthening phase most exercises are done with both legs simultaneously in a short arc of motion either at the hip or the knee. Late in Phase III, most exercises are done in a single leg fashion with movement and force occurring at both the hip and knee simultaneously. In the final phase of rehabilitation, the focus shifts to the control of high speed movement and the development of power. This is the return to sport phase. Not all athletes will return to sport after this injury due to how significant these injuries can be. Return to sport depends on the nature of the sport, severity of initial injury, timeliness of surgical intervention and compliance with the post-operative rehabilitation program. Most studies state approximately 75% of athletes may return to their sport in some capacity. Sports requiring longer bouts of sprinting seem to be the most difficult sports to which an athlete may return.

. In the past, Authentic Black Kevin Bieksa Jersey athletes would compete in more than one sport and would live longer, healthier lives and normal weights. Early, sedentary Authentic Mike Santorelli Jersey retirement: NFL players retire at an average of 28 years old, much earlier Men Mike Santorelli Jersey Authentic Ryan Kesler Jersey than other athletes. Most of them retire from permanent injuries, which may lead to a sedentary life and psychological suffering associated with knowing your career is over before age 30. "Red" Badgro, at 6 ft and 190 lb, in 1927 played both offense and defense for the NY Giants in football and right field for the St. Louis Browns in baseball. But despite the fact that around 4,000 ex players were suing the NFL in 2013, football is Men Ryan Kesler Jersey still a one billion dollar industry that won’t die easily. I remember a time when playing football was meant to Youth Sami Vatanen Jersey be fun, and when families played together, it was considered a healthful activity. It Youth Scott Niedermayer Jersey seems ironic that some of our most famous Men Matt Beleskey Jersey ‘athletes’ worldwide are dying prematurely from a host of medical problems, most of which are associated
player unions limit them to charging no more than 4% to 5% of a negotiated contract. But, that’s still a comfortable living if you’re able to represent several players who command multimillion dollar contracts. R. David Ware, formerly a partner with the Atlanta based law firm Thomas, Kennedy, Sampson, Edwards Patterson, helped put together perennial Pro Bowler Barry Sanders’ contract with the Detroit Women Simon Despres Jersey Lions in 1989. Although the four year, $17.5 million deal remains the largest nonquarterback Authentic Black Simon Despres Jersey contract in the NFL, Ware believes his involvement in crafting it has done little to change the perception that African Americans can’t produce when it comes to negotiating contracts. "It is really disheartening that so few African Americans are given the opportunity to represent African American players," laments Ware. "Players wear Kente Youth Matt Beleskey Jersey cloth and talk about pride in their heritage, but when it comes to business affairs, they don’t use African Authentic White Sami Vatanen Jersey American lawyers, agents or accountants
1: The Purchasing of the PieCork, Ireland, is where my story begins. We were several months into our Men Matt Beleskey Jersey journey at the time, and a friendly rivalry arose among my travel buddies (Larry and Glorfindel not their real names) and myself to see who could survive the most frugally: finding a clever way to eat an enjoyable meal for less than a single euro was seen as a great accomplishment, while giving in to the temptation of a restaurant was mocked as an abject moral failure. So it was with Authentic Sami Vatanen Jersey great delight that, while shopping for groceries, I happened upon a St. Bernard’s shepherd’s Authentic Ryan Kesler Jersey pie for sale for naught but Kid Ryan Getzlaf Jersey a single fucking euro. And if that sounds like a good deal to Authentic Corey Perry Jersey you, then brother, you don’t know St. Bernard’s. St. Bernard’s (pronounced "BURR nerds") is, in my not even slightly humble opinion, Ireland’s best kept and darkest secret. It’s a brand of . everything. St. Bernard’s makes a cheap version of everything. Toilet paper? Yup. Beer? It sure said beer Authentic Black Sami Vatanen Jersey on the can! Clothes? Probably
long time, so I’m hoping this one (the Winds of Winter) will go a little faster. But I make no promises. I found out long ago that when you Men Simon Despres Jersey look at the overall task, the cathedral you have to build, it looks so daunting that you just give up and sit down and play a video game."For years now, fans have been up in arms about George RR Martin’s inability to deliver the sequels on time.The first book of the series, A Game of Thrones was first published in 1996. Kid Corey Perry Jersey It now 2013 and there still no end in sight.So far Martin has published five books over 17 years meaning it has taken him roughly 3.4 years to publish each edition, but he still has two more to go. If Martin continues at the same rate, it will be another seven years before the seventh book in the series is published."People in your world get sick or die. You fall in love, or out of love. You move house. Your aunt comes to stay. You agreed to give a talk half way around the world five years ago, and suddenly you realise that

No Comments to "Paul O’Connell – Acute Hamstring Avulsion Injury"

Leave a Reply

Your email address will not be published. Required fields are marked *

Leave a Reply

Your email address will not be published. Required fields are marked *