LAMECH BOGONKO FRANCIS

Muscle injuries are very common in sport. Over the past decade several classification and grading systems for muscle injuries have been published. This FastFact highlights the MLG-R system that has been developed in collaboration with the FC Barcelona medical department 1 . A good classification system is necessary, which allows to have reliable epidemiological data, which are the base to improve our knowledge about muscle injuries; better knowledge leads to better therapeutic options, prognosis, RTP criteria or lower re-injury rates. The MLG-R proposal is an acronym which refers to the mechanism of injury (M), location of injury (L) , grading of severity (G) , and number of muscle re-injuries (R) . The aim of the proposal was to describe a classification system for muscle injuries with easy clinical application, adequate grouping of injuries with similar functional impairment, and potential prognostic value (which still need to be proved).  To achieve classification ob...

I have experienced quite a lot of Syndesmotic ligament injury in my day to day clinical reviews . Lets share the management and promote good understanding among the sports physiotherapist community Imaging of the Tibiofibular Syndesmosis and High Ankle Sprain

Sports Hernia (Athletic Pubalgia) Anatomy Sports hernias often occur where the abdominals and adductors attach at the pubic bone. Traditional hernias occur in the inguinal canal. A sports hernia is a painful, soft tissue injury that occurs in the groin area. It most often occurs during sports that require sudden changes of direction or intense twisting movements. Although a sports hernia may lead to a traditional, abdominal hernia, it is a different injury. A sports hernia is a strain or tear of any soft tissue (muscle, tendon, ligament) in the lower abdomen or groin area. Because different tissues may be affected and a traditional hernia may not exist, the medical community prefers the term "athletic pubalgia" to refer to this type of injury. The general public and media are more familiar with "sports hernia," however, and this term will be used for the remainder of this article. The soft tissues most frequently affected by sports hernia are the ob...

Education Lamech Bogonko is an experienced Clinician and part time lecturer with 8 years experience as a physiotherapist. He has a Bachelor of Science (Hons) Physiotherapy and Masters in Sports Physiotherapy from the University of the Western Cape, South Africa and a varsity experience in managing, rehabilitating musculoskeletal conditions and sports injuries. Currently he is the team physiotherapist for the Kenya Rugby 7s Men’s National Team , Part time Lecturer and Full time Clinician . He is also a PhD Candidate with passion in sports injury surveillance and prevention research He has culminated his passion for orthopedic, Sports rehabilitation and sports physical therapy by opening his own private physical therapy practice in 2011 ( East Africa Physiotherapy , Sports Injury Clinic, Exercise and Sports Medicine center ) Lamech ’s clinical experience covers a broad spectrum including outpatient orthopedic clinics, acute care hospitals, as well as sub-acu...

Rotator Cuff Tendinosis Tendon Anatomy: Tendons are composed of collagen which is the building block of our connective tissues. In tendons, this collagen is arranged into fibers and fibers are arranged into bundles much like a rope. This highly organized arrangement allows tendons to transmit the force generated by a muscle to the adjacent bone. Collagen is manufactured by cells within the tendon called tenocytes. These cells are responsible for maintaining tendon health and for tissue repair and remodeling. Most tendons have relatively little blood supply. Consequently, tendon healing can be very slow. When tendons heal, new collagen must be formed through a repair process. This collagen must then mature from early scar tissue into organized tendon tissue. Not until this reorganization process is complete and the tissue reconditioned are tendons capable of withstanding the demands of everyday activities. Rotator Cuff Anatomy: The rotator cuff is ...

Lets Have a look at Triangular FibroCartilage Complex Injuries (TFCC) Commonly mistaken by medical personnel as ''wrist sprains'' A TFCC tear is an injury to the triangular fibrocartilage complex, found in the wrist, between the end of the ulna bone and the carpals. Its function is to stabilize the radio ulnar joint. TFCC tear symptoms Symptoms of a TFCC tear include wrist pain on the little pinky finger side. There will be tenderness over the back of the wrist. Pain is worst on bending the wrist sideways so the little finger moves towards the forearm ( called ulna deviation). There is likely to be swelling in the wrist, reduced grip strength and sometimes a clicking sound or feeling when moving the wrist. The triangular fibrocartilage complex consists of:     The triangular fibrocartilage disc.     Ulna meniscus.     Ulnar collateral ligament.     Several carpal ligaments.     Extensor carpi ulnaris tendon shea...

This article is to give my followers, sports medics and sports men involved in high performance sport training just to give them an insight on anatomy, causes, prevention and treatment of knee injuries encountered during contact sport. There are four bones around the area of the knee joint: the thigh bone (femur), the main shin bone (tibia), the outer shin bone (fibula) and the knee cap (patella). But the main movements of the knee joint are between the femur, the tibia and the patella. Tough connective tissue (articular cartilage) lines the ends of the tibia and femur and the back of the patella around the knee joint. The articular cartilage reduces friction between the bones of the knee joint and helps smooth movement between them. Each knee joint also contains an inner and outer meniscus (a medial and lateral meniscus). These are thick rubbery pads of cartilage tissue. They are C-shaped and become thinner towards the middle of the joint. The menisci cartilages sit ...