Description
In this informative talk, Dan Armstrong, a consultant hand and wrist surgeon at the Pulvertaft Hand Centre in Derby, delves into the significant topic of injuries resulting from falls onto an outstretched hand, commonly referred to as "FOOSH" injuries. He emphasizes the seriousness of these injuries, especially in athletes as opposed to the general public's image of the term, illustrating the high kinetic energy involved when sports figures fall at great speeds. Through a series of case studies, Armstrong discusses the methodology he employs in assessing and treating these injuries, focusing on the importance of detailed patient history rather than opinions from team personnel.
Armstrong describes the critical need to understand the specific circumstances of the injury, including the position of the hand and the nature of the impact, along with examining the range and location of pain symptoms to inform appropriate diagnosis and treatment. He underscores the range of potential injuries, from fractures to dislocations and soft tissue injuries, and how to properly identify these conditions through physical examination and imaging.
Throughout the talk, he shares personal experiences with various patients, including athletes from different sports like motorcyclists, footballers, and BMX riders. He tackles common misunderstandings regarding soft tissue injuries, calling for precise diagnosis and tailored rehabilitation plans, while also considering the athletes' objectives and timelines, which can impact treatment decisions.
Armstrong concludes by reinforcing the necessity of comprehensive and individualized care for athletes, advocating for clear communication between surgeons, patients, and teams, and ensuring that recovery strategies meet both immediate sporting goals and long-term health outcomes. His emphasis on a patient-centered approach highlights the balance between medical guidance and the choices athletes must make regarding their recovery.