Sports orthopedist Vienna
An overview
ÜBERSICHT
MSV surgery - your specialists for musculoskeletal injuries
Sports enthusiasts know that injuries in the field of sport can not only be painful, but also frustrating. Whether amateur runner or professional athlete, no one is immune to injury. This is when a sports orthopaedist comes into play.
As a specialist in orthopaedics and sports orthopaedics, I can help you treat complaints after sports injuries and get back into your old shape. In my practice in 1030 Vienna, I work with my team to take care of everything from an initial medical history to training after an operation.
Dr. Gustav Timmel - Your sports orthopaedist in the center of Vienna
Sports orthopaedics deals with all injuries, overuse syndromes or other pain conditions that occur to the musculoskeletal system during or after sport. This applies not only to acute care but also to the aftercare and rehabilitation of individual clinical pictures.
MY SERVICES - Treatment for various sports injuries
Cruciate ligament rupture
Conservative therapy
Cruciate ligament preserving surgery
Cruciate ligament reconstruction
Shoulder dislocation
Traumatic shoulder dislocations,
Hill Sachs dent,
Bipolar bone defects
Professional athletes, amateur athletes, sport in old age
Due to the achievements of the last decade in orthopaedics and trauma surgery, specialization has become unavoidable. Only through such specialization can a doctor offer his patients the best possible treatment using the latest science and technology.
Caring for patients in competitive sports requires special expertise
In high-performance sport Today, performances are achieved that were unimaginable 10 years ago. The extreme training required for this pushes athletes to the limits of what is physically possible. On the other hand, athletes must not slip into overtraining, as this significantly increases the risk of injury and a serious injury often means the end of a career.
Of course, hobby athletes are a much larger group, who usually have a regular job and only want to do their usual sport at the weekend. These “weekend worriers” often have a strong motivation, with a low training workload and insufficient preparation, which can just as easily lead to overload syndromes as well as sports accidents.
Even in old age, people are increasingly doing sport to keep their minds active, but also their muscles, ligaments and joints. That’s great! However, modern sports orthopaedics must also keep pace here and can support patients as much as possible.
The worst thing for professional athletes, but also for amateur athletes, is when you can no longer play your usual sport. It is therefore important to seek the help of a sports orthopaedist/traumatologist at an early stage so that negated pain does not become an insurmountable obstacle. The aim of sports orthopaedists is therefore to enable patients to resume their sporting activities.
The diagnosis and the resulting treatment recommendation is only the first step. Regardless of whether conservative or surgical therapy is necessary, a good sports orthopaedist must work closely with physiotherapists. The therapists actually take over a large part of the therapy and are therefore indispensable for a quick and good rehabilitation. Compensating for muscular imbalances, correcting incorrect posture or post-operative rehabilitation are just a few of the essential building blocks in the therapy pyramid, which would collapse without physiotherapy.
Sport-specific injuries
Most sports orthopaedists are athletes themselves and can therefore empathize well with the athletes. The immediate proximity to individual sports and the “know-how” of sport-specific injuries is usually due to the fact that the doctor has practiced this sport himself or has many years of experience with athletes of these sports. In every sport, different joints are subjected to different levels of stress or are at different levels of risk. Detailed knowledge of movement sequences, the physiology of the joints and the frequency of individual injuries help the trained sports orthopaedist to make the correct diagnosis at an early stage and thus minimize the duration of the training absence.
Football, alpine skiing, ball sports and cycling are the sports responsible for the most sports injuries in Austria. Every year, more than 30,000 winter sports enthusiasts injure themselves so badly while skiing and snowboarding that they have to be treated in hospital. According to the Austrian Road Safety Board (KFV), up to 50,000 footballers are injured in one year. In most cases, injuries in these sports occur in the lower extremities (= area from the hip to the toes). Ligament injuries to the ankle joint, muscle injuries in the calf and posterior thigh (hamstrings, biceps femoris), as well as internal damage to the knee joint(cruciate ligament tear, meniscus tear, cartilage damage, etc.) are just a few of the injuries that all active athletes are all too familiar with. The diagnosis and targeted individual treatment of these injuries are the daily business of every sports orthopaedist. The upper extremity (= area from the shoulder to the fingers) is often affected in throwing or hitting dominated ball sports. In addition to injuries to the shoulder joint(dislocations, rotator cuff tears, throwing shoulder…), elbow instabilities and injuries to the small finger joints are very common and accompany athletes and sports orthopaedists in their everyday lives.
The development of carving skis for hobby skiers has significantly increased the risk of injury, especially to the knee joint. The classic rotational trauma is particularly feared. Increased rotation, usually in a supine position (center of gravity behind the binding), causes a cruciate ligament injury. This is also often associated with an inner ligament injury and a meniscus tear (=terible triad).
The shoulder joint is also quite frequently affected. Shoulder dislocations, acromioclavicular joint dislocations (AC joint dislocation) or fractures frequently occur here.
A lack of fitness and coordination in combination with icy, aggressive artificial snow slopes are a major risk for amateur athletes. It is therefore advisable to prepare sufficiently before a ski season, as prevention is better than any treatment after an injury has occurred.
As football is one of the most frequently practiced sports, the risk of suffering an injury is the highest in percentage terms. Due to high dynamic changes of direction, contact with opponents, short aggressive sprints and high physical strain, there are a large number of injury possibilities in football.
More than 2/3 of all injuries are caused by direct trauma and only 1/3 are due to overuse. Muscle injuries account for 1/3 of all football injuries.
Injuries that occur through contact with opposing players are very often cruciate ligament ruptures due to rotational trauma, ankle injuries or thigh contusions.
Consistent prevention programs that are incorporated into training have been proven to reduce the risk of cruciate ligament injuries and muscle injuries.
Ankle injuries usually occur during loading due to ankle twisting trauma (supination trauma) after a block or an attack.
The risk of a knee joint injury is around 20-30%. Cruciate ligament injuries, meniscus injuries and medial ligament injuries are also typical injury patterns in beach volleyball due to rotational trauma.
Shoulder dislocations and other shoulder injuries usually occur in the pike dredger. Overuse syndromes of the shoulder such as thrower’s shoulder or flapping shoulder, overuse of the long biceps tendon and bursitis are common.
Runners Knee
(ITB syndrome, friction syndrome): Must always be considered in the differential diagnosis of lateral knee pain. This is an inflammation of the bursa between the femur (femoral condyle) and a fascial cord (iliotibial tract). Occurs more frequently in runners and cyclists, especially in patients with bow legs who also put the outer edge of the foot on while running. Therapeutically, in addition to stretching exercises and anti-inflammatory local and oral therapy, attention must also be paid to the correct footwear.
Jumpers knee (patella tip syndrome)
Patella tip syndrome results from overloading the extensor apparatus. It often occurs with positive and negative acceleration at the knee joint, such as in tennis, basketball, volleyball or other jumping sports. It is treated with local or oral administration of anti-inflammatory medication, but primarily with physiotherapy: transverse frictions, stretching of the extensor apparatus and restoration of the muscular imbalance. Taping and patellar tendon bandages prevent excessive tension at the tendon insertion.
Achilles tendon rupture
Achilles tendon ruptures usually occur a few centimetres above their attachment point, at the heel bone, where the blood supply to the tendon is at its worst. The acute injury is often described as a pop or noticeable tear. Clinically, a clear dent can be felt in the area of the tendon. Ultrasound can be used to determine the distance between the torn ends of the tendon, which is a decisive factor in determining whether surgery is necessary or whether conservative treatment is possible. Surgery is generally recommended for athletes.
Shin Spint
Usually referred to in medicine as MTSS (medial tibial stress syndrome) and describes a common overuse syndrome that frequently occurs in runners. It is a periostitis (periosteal irritation) caused by excessive tensile stress on the following muscles: tibialis posterior, flexor digitorum longus and soleus. Since overpronation is a risk factor and the posterior tibialis muscle plays a major role in both increased pronation and the development of “shin splint syndrome”, special attention must be paid to the position of the foot during treatment. The therapy is as follows: Training break, local cooling in the acute stage, tape bandages, physiotherapy, correct choice of sports shoes, stretching exercises