Orthopedic Institute Fall 2005
810 East 23rd Street
Sioux Falls, SD 57105
INSIDE THIS ISSUE:
Managing Muscle Cramps
From the Desk . . . 2
Anyone who has experienced an ous activity. According to this EAMC has relieved muscle
ATC Close-up 2 exercise-associated muscle cramp, theory, sodium depletion is the cramps in as little as 30 seconds.
or EAMC, knows how it can affect primary cause of the EAMC. Pickle juice is high in sodium,
Saturday Injury Clinic 2 an athlete’s performance. Not There is doubt concerning this which helps replenish the needed
only is it an extremely painful theory; however, as some argue
Iron Will Award 2 condition, the involuntary muscle that cramping would occur
contraction also renders the af- throughout the body rather than in
Shoulder Injuries 3
fected muscle group useless. just one muscle group. The dehy-
While EAMC’s are a very com- dration theory is based on the idea
mon occurrence in sports, they are that as the body loses water, the
ORTHOPEDIC INSTITUTE
810 E. 23RD STREET poorly understood. Fifty plus muscles become dehydrated. De-
SIOUX FALLS, SD 57105 years of research have been unable hydration increases fatigue levels,
1-800-331-5890 to identify the cause of muscle leaving tired muscles that begin to
cramps. cramp. While drinking plenty of
fluid and staying hydrated is very
Orthopedic Institute
important to the health, safety and
Athletic Training Staff: Despite the lack of understanding,
performance of an athlete, there Massage and stretching is an
several theories about the cause of effective way of treating exercise-
are some flaws in this theory as
EAMC’s have emerged. Two of associated muscle cramps.
Brad Pfeifle, MS, ATC well.
the more well known theories are
Director of Sports Medicine the serum electrolyte theory and electrolyte; however, the main
Terry Truex, RN, ATC the dehydration theory. The serum There are many athletes who sweat ingredient seems to be vinegar. It
Norm Stone, MEd, ATC electrolyte theory, which is popu- profusely who have no problems is thought that vinegar may help
Ryan Brink, MA, ATC, CSCS lar among sports drink producers, with cramps. The best method for balance the pH that turns acidic
states that an imbalance due to the treating EAMC’s is prevention. due to production of lactic acid.
Chad Grotewold, MS, ATC, CSCS
depletion of electrolytes such as Through proper conditioning, Whether it is the sodium, vinegar,
Kyle Wiebesiek, ATC or the combination of both, pickle
sodium, potassium, magnesium, stretching, hydration and nutrition
Jason Nelson, MS, ATC and calcium causes the muscle ,many athletes can avoid EAMC’s. juice appears to work. Pickle juice
University of Sioux Falls If an athlete has a history of has also been used preventively.
Aaron Conklin, MS, ATC Giving athletes who have known
cramping, eating foods higher in
University of Sioux Falls problems with EAMC’s two
Brad Gilbert, MS, ATC
potassium and sodium may be
helpful. It is also important to stay ounces of pickle juice ten minutes
Dakota State University prior to activity reduces the
Rochelle Lauret, MS, ATC, CSCS well hydrated on a daily basis, not
just on days of games or practices. chances of an occurrence of mus-
O’Gorman High School
Darred Nelson, MA, ATC cle cramps.
Washington High School Despite the most thorough at-
Jeremy Glaser, ATC During the fall sports season and
tempts at prevention, some athletes
SDSU GA/Outreach in the hot days of late summer,
will suffer from EAMC’s. In addi-
Jake Resch, ATC muscle cramps are a common
tion to stretching and re-hydration,
SDSU GA/Outreach occurrence. However taking a few
Sports drinks replenish electro- one remedy that has gained popu-
larity among athletic trainers on preventative steps can minimize
Orthopedic Institute lytes lost during exercise.
our staff is the use of pickle juice. the impact. When EAMC’s occur,
Sports Medicine Physicians: While research has been unable to you can be ready with stretching,
cramps. Research produced by prove how pickle juice works, real icing, sports drinks and maybe a
sports drinks companies suggests world application has shown a little pickle juice. For more infor-
Keith Baumgarten, M.D. that athletes may lose as much as mation about EAMC’s, contact the
high success rate for relieving
Peter Looby, M.D. 10% to 20% of the body’s total EAMC’s. Giving an athlete 2 oz Athletic Trainers at the Orthopedic
Brad Plaga, M.D. amount of sodium during a strenu- of pickle juice at the onset of an Institute at 1-800 777-7678.
SPORTS MEDICINE HOTLINE: 1-866-777-7678 (1-866-777-7678) Peter Rodman, M.D.
Craig Smith, M.D.
Tim Zoellner, M.D. SPORTS MEDICINE HOTLINE
1-866-777-7678 (1-866-77-SPORT)
Page 2 Fall 2005 Page 3 Fall 2005
FROM THE DESK
OF THE
ATC CLOSE-UP:RYAN BRINK, MA, ATC, CSCS UNDERSTANDING ACUTE SHOULDER INJURIES
DIRECTOR: SOUTH DAKOTA ATHLETIC TRAINER OF YEAR
Congratulations to Ryan who Bears, they won a Division II at the Orthopedic Institute appre- Due to the structure and extensive joint capsule or ligaments, and the la-
Once again, welcome to the was chosen as the South Dakota National Championship in foot- ciate Ryan’s wealth of knowl- motion available to the shoulder, this brum may be stretched or torn. In the
Orthopedic Institute’s Athletic Athletic Trainers Association ball. Soon after, Ryan began edge, experience, and dedication, complex joint is vulnerable to a num- event of a traumatic dislocation, the
Training Room News. This issue Athletic Trainer of the Year! working at the Orthopedic Insti- and look forward to seeing him ber of acute injuries as well as chronic shoulder should be immobilized in a
tute, where he has continued his on the sidelines for many years. conditions. This article will discuss the position of comfort and sent immedi-
has several informative articles difference between three common ately to the hospital for further evalua-
As we head into football season, involvement in football.
that can be a great resource as we it is appropriate to introduce acute shoulder injuries: subluxations, tion. A dislocation may need to be re-
head into the fall sports season. I Ryan Brink. Ryan has been in- He currently provides athletic dislocations, and separations. Before duced or relocated by a physician.
would like to point out that our volved in football at every level training services for the West discussing these injuries, it is impor- Long-term treatment may include immo-
for over half his life. A success- Lyon High School and the Sioux tant to understand the anatomy of the bilization, rehabilitation, or even surgical
Saturday Sports Clinic will be shoulder. repair.
ful high school football career Falls Storm of the United Indoor
beginning Saturday, August 27th.
earned Ryan a scholarship to Football League. In addition to
Please see the article on this page play offensive line at SDSU. West Lyon, Ryan provides out- The shoulder joint is the most mobile SEPARATIONS:
for details. After graduating from SDSU reach services for Hills-Beaver joint in the body. This complex joint is Shoulder separations, unlike disloca-
with a degree in Athletic Train- Creek, Garretson, Baltic, Dells made up of three bones, the humerus, tions and subluxations do not involve
ing, Ryan was hired as the St. Mary’s, Flandreau, and Flan- scapula, and clavicle. Muscles, liga- the glenohumeral joint. The shoulder
I would also like to express my Graduate Assistant Athletic dreau Indian School. Even with ments, and tendons connect these separation involves the acromioclavicu-
congratulations to a few members Trainer for football and basket- this busy schedule, Ryan is still a lar joint or AC joint. The normal mecha-
of the Orthopedic Institute family.
ball at the University of Northern family man, making time for his Ryan Brink, MA, CSCS, ATC nism of injury involves landing directly
Colorado. While working for the wife Tiffany and son Aiden. We on the shoulder itself or direct contact
First of all to Dr. Keith Baumgarten to the top of the shoulder. The liga-
who will join our Sports Medicine ments that stabilize the AC joint are
Center September 1st. Also to
SATURDAY SPORTS I NJURY CLINIC socket. The shallow socket allows great injured, which allows the clavicle to ele-
Ryan Brink who was named South mobility, but also provides less support, vate or separate in relationship to the
leaving the shoulder susceptible to inju- acromion. AC separations should have
Dakota Athletic Trainer of the Year
With fall sports in full swing, it can be difficult to have injuries properly evaluated in a timely fashion by ries.
for 2005. Thank you for all of your
hard work. Finally, to Andrea experts who can give you a definitive answer. The Orthopedic Institute offers a sports medicine injury
clinic during the busy fall sports season to help you find the answers you need. Beginning Saturday DISLOCATIONS & SUBLUXATIONS:
Petrik who was a pleasure to have morning August 27, 2005, one of our Sports Medicine physicians, along with members of our Athletic
at our facility during her A dislocation occurs when the humeral
Training staff will be on hand to evaluate and treat acute sports injuries. The Saturday morning clinics
head has lost its integrity with the glenoid
rehabilitation. will run through October 22, 2005. This clinic will be held from 9:00 to 11:00 a.m., however, we en- fossa or comes “out of joint.” A subluxa-
courage you to arrive early for the most timely treatment. Patients will not be seen that arrive after
The anatomy of the shoulder tion occurs when normal contact is lost
11:00 a.m. unless prior arrangements have been made. and the shoulder “slips” or partially comes
Don’t forget, we have available a out of joint. A subluxation is also termed a
bones. The large bone in the upper
Sports Medicine Hotline that partial dislocation. The most common type
makes answers to your questions
ORTHOPEDIC INSTITIUTE PATIENT arm is the humerus and at the top of
of dislocation is called an anterior/inferior
the humerus is a ball, called the hu-
a phone call away. Feel free to RECEIVES SDATA IRON WILL AWARD meral head. The humeral head sits in
dislocation. This means the humeral head
dislocates in front and below the shoulder
give us a call with any of your a socket named the glenoid fossa,
socket. This type of dislocation makes up A shoulder separation or AC joint sprain can
The Orthopedic Institute is to miss nearly two full seasons more volleyball season, she which is part of the shoulder blade or
sports medicine questions, cause pain on the top of the shoulder.
proud to announce that Andrea of her favorite sport, basket- then missed the entire basket- scapula. The glenoid fossa has a rim
suggestions, or needs. of cartilage around it called the la-
Petrik is this year’s female re- ball. After tearing the ACL in ball season. After a lot of hard
cipient of the South Dakota her left knee during her sopho- work, Andrea returned to run brum. The labrum provides depth to further evaluation from a physician.
Athletic Trainer’s Association track in the spring. She was the otherwise shallow glenoid fossa, Much like subluxations and dislocations,
Sincerely, Iron Will Award. This award is looking forward to competing in making the joint more secure. Four AC separations involve rehabilitation to
Brad Pfeifle, MS, ATC given out each year to one fe- volleyball and basketball her muscles called the rotator cuff lie on restore normal shoulder motion and
male and one male nominee. junior year when she injured the scapula and their tendons attach strength but are less likely to require
Director of Sports Medicine The Iron Will Award recognizes the ACL in her right knee, around the humeral head. These mus- surgical repair.
the achievements of high nearly a year to the day after cles provide dynamic stability to the
glenohumeral joint as well as act as A shoulder dislocation will have noticeable
school athletes who have over- the first injury. Determined not Shoulder injuries are commonly evalu-
the foundation of movement of the deformity
come injury and then returned to miss another full year of ated and treated by the physicians and
to play in a SDHSAA sponsored basketball, Andrea doubled her arm at this joint. The acromion, which certified athletic trainers of the Orthope-
sport. Andrea, who was nomi- efforts and made a successful is a projection off of the scapula, also dic Institute. Early recognition will expe-
over 95% of shoulder dislocations. Some
nated by the Orthopedic Insti- return to play as a member of forms a joint with the collarbone or dite the athlete’s return to sport and
of the more common mechanisms of injury
tute’s Athletic Training staff, the District Champion Dell Rap- clavicle. This joint is commonly re- recreational activities. If you suspect an
include a traumatic event such as a fall on
won the award after an ACL ids Quarriers girls’ basketball ferred to as the AC or acromioclavicu- athlete may have a subluxation, disloca-
an outstretched arm or a twisting injury
injury to each knee caused her team. Congratulations Andrea!! lar joint. As you can see, the shoulder tion, or separation, please contact us
when the arm is above the level of the
is a complex joint with a shallow via the Sports Medicine Hotline.
chest. During these types of injuries, the
SPORTS MEDICINE HOTLINE: 1-866-777-7678 (1-866-77-SPORT) SPORTS MEDICINE HOTLINE: 1-866-777-7678 (1-866-77-SPORT)