Orthopaedic Injuries/Conditions

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Orthopaedic injuries often involve a traumatic incident to the musculoskeletal system as opposed to orthopaedic conditions that appear more gradually due to degenerative or congenital processes. Both injuries and conditions affect muscles, bones, joints, cartilages and ligaments and will fall into two main categories:

  • those that will recover with physiotherapy and will not require surgery
  • those requiring surgical intervention

Sources of orthopaedic injuries

MPPFG practitioners can treat orthopaedic conditions resulting from:

  • Slips & falls
  • Cycling accidents & motor vehicle trauma
  • Sporting injuries
  • Overuse injuries
  • Occupational and domestic duties e.g. gardening and lifting
  • Post-surgical rehabilitation
  • Osteoarthritis
  • Early discharge program e.g. hip and knee joint replacements

 

MPPFG also treats common conditions caused by fitness, recreational and sporting overload, training and/or technique errors.

Possible injuries and conditions include:

  • Fractures
  • Dislocations
  • Subluxations
  • Ligament sprains and ruptures
  • Cartilage and meniscal tears
  • Tendon tears and ruptures
  • Bursitis
  • Muscle strain injuries
  • Contusions

Areas & types of orthopaedic injuries

If you know the title of your injury condition/diagnosis please click the links to explore the diagnoses that MPPFG has vast experience at treating.

Shoulder

  • Fractures of the
    • upper arm (humerus)
    • collar bone(clavicle)
    • shoulder blade (scapula)
  • Dislocation or subluxation of the shoulder joints (glenohumeral and/or acromioclavicular joints
  • Rotator cuff pathology
  • Rotator cuff degeneration/tendinopathy
  • Rotator cuff tears partial/complete
  • Calific tendinopathy of the rotator cuff
  • Impingement syndromes
  • Bursitis
  • Surgical fixation of fractures
  • Surgical stabilisation following dislocation
  • Surgical repair of rotator cuff

Elbow

  • Common and complex fractures of the elbow
  • Complex fracture dislocations of the elbow
  • Dislocation of the elbow
  • Radial head fractures
  • Locking of the elbow due to:
    • Loose bodies
    • Bone spurs (osteophytes)
  • Impingement conditions
  • Sprained ligaments from traumatic injuries e.g. Hyperextension
  • ‘Tennis elbow’ (Lateral Epicondylitis/Common Extensor Tendinopathy)
  • ‘Golfers elbow’ (Medial Epicondylitis/Common Flexor Tendinopathy)
  • Overuse/RSI (Repetitive Strain Injury) conditions of the tendons, joints and nerves of the elbow and forearm
  • Arthritis

Wrist & Hand

  • Common and complex fractures of the wrist,hand and lower forearm e.g. Colles fracture of the radius, Scaphoid fractures
  • Fracture dislocations of the wrist
  • Wrist ligament sprains
  • Cartilage injuries (triangular cartilage of the wrist)
  • Scapho-lunate dissociation
  • Overuse/RSI conditions of wrist and finger tendons, including:
    • Tendinopathy
    • Tenosynovitis
    • Tenovaginitis
    • De Quervains
  • Arthritis

Thumb & Fingers

  • Fractures
  • Fracture dislocations
  • Dislocations
  • Ligament sprains
  • Tendonitis/tendinopathy
  • Tendon ruptures
  • Traumatic hand injuries managed with plastic surgery
  • Complex sympathetic mediated pain syndromes/RSD (Reflex Sympathetic Dystrophy)

Hip Region

  • Fractures
  • Complex fracture dislocations
  • Cartilage injuries/conditions including:
    • Degenerative wear and tear changes
    • Labral tears (tears to a ring of cartilage that lines the opening of the hip socket which is very common in athletes.)
  • FAI (Femoro-Acetabular Impingement) which can be due to ‘Cam’ lesions (bony thickening of the neck of the thigh bone (Femur) and/or ‘Pincer’ lesions which are like bony outcrops arising from the outer rim of the hip socket and catch the impinge bone and joint tissues.
  • Groin (adductor) tendon injuries/conditions, including:
    • Tendinopathy
    • Partial tears
    • Ruptures
    • Muscle-tendon junction tears
    • Muscle strains
  • Gluteal tendinopathy
  • Proximal hamstring tendinopathy
  • Psoas tendon bursitis
  • Piriformis syndrome
  • Adolescent growth plate (Apophysis) conditions, including:
    • Slipped capital epiphysis
    • Avulsion or ‘tug’ injuries at the sites of the ASIS, AIIS, Ischial Tuberosity etc.
  • Contusions to muscles surrounding the hip eg. ‘corkies’, ‘hip-pointers’
  • Hip joint replacements (arthroplasty)

Thigh

  • Fractures of the femur
  • Muscle strain injury including:
    • Acute and chronic hamstring strains
    • Quadriceps strains
    • Groin strains
  • ‘Corkies’ (contusions) to quadriceps/hamstrings
  • Calcification/ectopic bone formation as a complication to ‘corkies’ known as Myositis Ossificans

Knee

  • Ligament injuries
    • ACL – Anterior Cruciate Ligament
    • PCL – Posterior Cruciate Ligament
    • MCL – Medial Collateral Ligament
    • LCL – Lateral Collateral Ligament
  • Medial and Lateral Meniscal (cartilage) injuries
  • Fractures
  • Loose bodies
  • PFJ (Patello-femoral joint) Syndrome
  • Chondromalacia Patellae (softening of the cartilage on the back of the kneecap)
  • Subluxation/dislocation of the patella
  • Post-surgical rehabilitation, including:
    • ACL reconstruction
    • MCL/LCL reconstructions
    • Arthroscopies
    • Meniscal repair/resection
    • Patella realignment/stabilisation procedures
  • Patella and Quadriceps tendinopathy
  • Tendon tears and ruptures
  • Bursitis
  • Bakers cyst
  • Hamstring tendinopathy
  • Contusions to the knee
  • ITB (Iliotibial band) friction syndrome
  • Developmental/growth plate conditions
    • Osteochondritis Dissecans
    • Sinding-Larsen-Johannsen disease (bottom pole of kneecap growth plate)
    • Osgood Schlatters disease (patella tendon insertion growth plate)
  • Mal-alignment Syndrome

Leg

  • Common and complex fractures of the tibia and fibula
  • Stress fractures of the tibia and fibula
  • Muscle strain injuries of the calf and leg muscles
  • Shin Splints. This is a non-technical label for a range of conditions that involve the following diagnoses
    • Anterior compartment syndrome
    • Medial tibial stress syndrome. (This can also be related to tibial stress fractures.)
    • Tibialis posterior tendinopathy
  • Chronic calf symptoms including:
    • Posterior compartment syndrome
  • Overuse conditions to tendons, known as tendinopathies including:
    • Achilles (insertional & mid-tendon)
    • Peroneals
    • Tibialis anterior
    • Tibialis posterior
    • Tenosynovitis to the tibialis anterior and achilles tendons
  • Contusions (‘corkies’) from collision injuries

Foot & Ankle

  • Common and complex fractures to the foot and ankle
  • Surgical fixation of foot and ankle fractures
  • Lisfranc injuries
  • Avulsion fractures
  • Stress fractures to:
    • Distal tibia /fibula
    • Navicular
    • Metatarsals
  • Ligament sprains and ruptures
  • Ruptures to the Achilles tendon (also known as Tendo-Achilles)
  • Overuse syndromes & tendinopathies:
    • Tibialis anterior
    • Tibialis posterior
    • Peroneals
    • Achilles (insertional & mid-tendon)
    • Plantar-fasciitis/Calcaneal/Heel spur
  • Anterior & posterior impingement of the ankle
  • Developmental/ growth plate conditions
    • Severs Disease(growth plate at the back of the heel)
    • Traumatic growth plate injuries
  • Pain related to flat feet (Pes Planus)
  • Pain related to high arch feet (Pes Cavus)
  • Bunions (Hallux Valgus)
  • Hallux Rigidus
  • Arthritis of foot and ankle joints
  • Gout
  • Post-Surgical Rehabilitation following foot and ankle surgery

Conditions needing surgery

Prehab

Where a diagnosis calls for surgery, a modern approach taken by Surgeons and Physiotherapists is to perform a rehabilitation program to improve the condition of the joint in the pre-operative phase. This is known as ‘Prehab’ and ensures the joint is in best possible condition before entering surgery. This allows optimal recovery and a smoother passage through the post-operative phase, facilitating faster progress with reduced risk of post-surgery complications.

Post-Operative Rehabilitation

MPPFG has been the trusted choice in managing the post-operative rehabilitation for Australia’s leading sporting teams and organisations and elite champions from a wide range of sports. With our experience and expertise, MPPFG will accelerate your recovery from surgery.

Initially treatment will aim to quickly relieve pain and swelling, and protect the surgical procedure according to the surgeon’s instructions. MPPFG will progress you as quickly and as optimally as we can within the guidelines of the surgeon’s protocol.

We are experienced with the pitfalls and complications that may occur and monitor your progress closely to prevent this, and will alert the surgeon for advice/intervention when necessary.

MPPFG will work closely with your specific needs to progress you quickly and thoroughly through your rehabilitation.

For patients wanting to return to the demanding levels of athletic performance, MPPFG may refer you to one or more of our expert practitioners in the disciplines of Clinical Pilates, Exercise Physiology and/or Athletic Development Coaching under our ‘Co-ordinated Care’ model.

MPPFG has particular expertise in the following areas of Post-Surgical rehabilitation:

  • Spinal
  • Shoulder
  • Elbow
  • Wrist and hand
  • Hip
  • Knee
  • Foot and ankle

MPPFG can participate in early discharge programs and can co-ordinate a program that meets your requirements.

See Treatments and Services for the techniques and tools MPPFG uses to treat orthopaedic injuries and conditions.