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Sports Medicine

The Carrell Clinic provides the most comprehensive sports medicine to include diagnosis, treatment, and rehabilitation of sports injuries. Our sports medicine program treats recreational, high school, college, and professional athletes. As a testament to the outstanding level of sports medicine provided, The Carrell Clinic is proud to be the official team physicians for the Dallas Cowboys, Dallas Mavericks, and the SMU Mustangs. In addition to these great sports teams, our physicians treat and return professional athletes from all different sports back to peak performance.

The Carrell Clinic physicians are board certified, fellowship-trained specialists in sports medicine. Our physicians take a conservative and comprehensive approach to treating sports injuries, which include diagnostics, physical therapy, pain management, and as a last resort, surgical intervention.

Fracture care

The word “fracture” implies to broken bone. A bone may get fractured completely or partially and it is caused commonly from trauma due to fall, motor vehicle accident or sports. Thinning of the bone due to osteoporosis in the elderly can cause the bone to break easily. Overuse injuries are common cause of stress fractures in athletes.

Fracture Healing

Our body reacts to a fracture by protecting the injured area with a blood clot and callus or fibrous tissue. Bone cells begin forming on the either side of the fracture line. These cells grow towards each other and thus close the fracture.

Medical Therapy

The objective of early fracture management is to control bleeding, prevent ischemic injury (bone death) and to remove sources of infection such as foreign bodies and dead tissues. The next step in fracture management is the reduction of the fracture and its maintenance. It is important to ensure that the involved part of the body returns to its function after fracture heals. To achieve this, maintenance of fracture reduction with immobilization technique is done by either non-operative or surgical method.

Non-operative (closed) therapy comprises of casting and traction (skin and skeletal traction).

Casting

Closed reduction is done for any fracture that is displaced, shortened, or angulated. Splints and casts made up of fiberglass or plaster of Paris material are used to immobilize the limb.

Traction

Traction method is used for the management of fractures and dislocations that cannot be treated by casting. There are two methods of traction namely, skin traction and skeletal traction.

Skin traction involves attachment of traction tapes to the skin of the limb segment below the fracture. In skeletal traction, a pin is inserted through the bone distal to the fracture. Weights will be applied to this pin, and the patient is placed in an apparatus that facilitates traction. This method is most commonly used for fractures of the thighbone.

Surgical Therapy

Open Reduction and Internal Fixation (ORIF)

This is a surgical procedure in which the fracture site is adequately exposed and reduction of fracture is done. Internal fixation is done with devices such as Kirschner’s wires, plates and screws, and intramedullary nails.

External fixation

External fixation is a procedure in which the fracture stabilization is done at a distance from the site of fracture. It helps to maintain bone length and alignment without casting.

External fixation is performed in the following conditions:

  • Open fractures with soft-tissue involvement
  • Burns and soft tissue injuries
  • Pelvic fractures
  • Comminuted and unstable fractures
  • Fractures having bony deficits
  • Limb-lengthening procedures
  • Fractures with infection or nonunion

Rehabilitation

Fractures may take several weeks to months to heal completely. You should limit your activities even after the removal of cast or brace so that the bone become solid enough to bear the stress. Rehabilitation program involves exercises and gradual increase in activity levels until the process of healing is complete.

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Ankle Sprains

Ankle Sprains

A sprain is the stretching or tearing of ligaments, which connect adjacent bones and provide stability to a joint. An ankle sprain is a common injury that occurs when you suddenly fall or twist the joint or when you land your foot in an awkward position after a jump.

Hip Dislocation

Hip Dislocation

The hip joint is a ball and socket joint. The “ball” is the head of the femur, or thigh bone, and the “socket” is the cup shaped acetabulum. The joint is surrounded by muscles, ligaments, and tendons that support and hold the bones of the joint in place.

Shoulder Dislocation

Shoulder Dislocation

The shoulder is made up of a ball and socket joint – the ball-shaped head of the upper arm bone (humerus) articulates in the socket of the glenoid cavity of the shoulder blade (scapula).

Elbow Dislocation

Elbow Dislocation

The elbow is a hinge joint that consists of three bones, the humerus (upper arm), radius (forearm) and ulna (forearm). The bones are held together by ligaments to provide stability to the joint.

Dislocations

Dislocations

A dislocation is an injury that occurs when the end of a bone in a joint is forced out of its position. It is often caused by a fall or direct blow to the joint while playing contact sport.

Acromioclavicular joint (AC joint) dislocation

Acromioclavicular joint (AC joint) dislocation

Acromioclavicular joint (AC joint) dislocation or shoulder separation is one of the most common injuries of the upper arm. It involves separation of the AC joint and injury to the ligaments that support the joint.

Sports Medicine Treatment Options

Sports medicine involves diagnosing, treating and preventing injuries during sports activity and exercises. Sports injuries can result from accidents, inadequate training, improper use of protective devices, or insufficient stretching or warm-up exercises. The most common sports injuries are sprains and strains, fractures and dislocations.

Early evaluation and diagnosis of sports injuries provide better treatment outcomes and prevention of complications. Treatments utilized in sports medicine include:

  • Medication to relieve pain and inflammation
  • Rest, ice, compression and elevation (R.I.C.E) of the affected region of the body
  • Immobilization with splints, casts, braces and special shoes
  • Physical therapy: exercises and physical manipulation to strengthen muscles and joints, and improve range of motion. Physical therapy can be indicated individually or following surgical treatment.
  • Training to improve specific sports techniques
  • Surgery to correct or repair tears, lacerations, fractures and dislocations

Some of the measures that are followed to prevent sports related injuries include:

  • Follow an exercise program to strengthen the muscles
  • Gradually increase your exercise level and avoid overdoing the exercises
  • Ensure that you wear properly-fitted protective gear such as elbow guards, eye gear, facemasks, mouth guards, pads, comfortable clothes and athletic shoes before playing any sports activity to help reduce the chances of injury
  • Make sure that you follow warm up and cool down exercises before and after sports activities. Exercises will help to stretch the muscles, increase flexibility, and reduce soft tissue injuries.
  • Avoid exercising immediately after eating a large meal.
  • Maintain a healthy diet to nourish the muscles.
  • Avoid playing when you are injured or tired. Take a break for some time after playing.
  • Learn all the rules of the game you are participating in.
  • Ensure that you are physically fit to play the sport.
achilles tendon tear repair ankle fracture ankle-sprain foot fracture ankle instability surgery elbow fracture elbow sprain golfer elbow tennis elbow ucl reconstruction wrist fracture labral tears of the hip gluteus medius tear femoroacetabular impigngement subtrochanteric hip fracture femoral neck fracture acl reconstruction hamstring method acl reconstruction patellar tendon medial collateral ligament reconstruction meniscal tears posterior knee patellofemoral instability patellpfemoral pain syndrome ORIF proximal humerus fracture scapula fracture biceps tendon rupture rotator cuff tear mid humeral fracture clavicle fracture slap repair shoulder labrum reconstruction
  • The Carrell Clinic Dallas

    9301 North Central Expressway
    Tower One
    Suite 500
    Dallas, TX 75231

    P:

    F: (469) 232-9738

  • The Carrell Clinic Frisco

    3800 Gaylord Parkway
    Suite 710
    Frisco, TX 75034

    P:

    F: (469) 232-9738