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okay it's time for question
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yes there are up ah
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yeah we yeah yeah this is a question for doctor actually couldn't
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um i'd i'm a sports doctrine i take care of ice hockey
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team players that go from the age of twelve to twenty
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and um unfortunately last year we had to operate five of
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them where maybe sixteen from her parents encouraged education
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so there is a big it's a big moment for us in terms of prevention and um
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so i get this question every day of how can we prevent this to happen and
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i have no serious answer so i wanted to ask you what
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do you think what we could do because i assume
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when you're ice hockey player here all the time in our impinge and position it doesn't help so
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of course that's why we try to avoid doing the physical preparation but i bet your opinion thank you
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so thank you very much for this a question of um yeah that's that's for relevant
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question and i think we have to uh distinguished actually two things that this first
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the development of can morphology and we we don't know
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everything about because that's actually a lot of it we don't know but uh s. o. d. v. d. loading
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buttons that that is certainly of influence also in in in ice hockey players
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so it's known that they are a lot of them will have kind of faulty and there's the second part
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which of them will become symptomatic of that kind of
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faulty and especially ice hockey players which or
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often inflection position and bring that can a lot of times into their esteban
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those athletes all more productively follow a symptoms because of this can fancy
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uh it's it's it's it's very difficult to to prevent something like that if you
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go to prevention of can morphology itself we simply don't know enough of it
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uh to to implement preventive measures um you can't say to uh to to
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ice hockey place that to calm play ice hockey and one that's impossible
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and although there is a dose response relationship we also know that people that
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play last ice hockey or type of course will develop can
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unfold you might be in the lower preference okay we'll
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so i think the biggest point in her friend a pair of prevention
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lie pro how we can prevent them to become symptomatic
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and there's a big role also for uh i think for for for education
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for uh for uh we should there be if people have can and it become symptomatic
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and uh for example in the study a shock you from southampton
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uh the medical director over there implemented the prevention strategy officer and um
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and they try to prevent that people get symptomatic stuff our all sure
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yeah sorry if so there's a big role i guess yeah
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and it says it cleaner from zurich and i'm nowhere near
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the red cell i i would really like to thank
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all the three speakers for these excellent talks i think
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it's most most prevalent and rainy very very good
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an eye and a class to the a. c. l. and
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why don't we operate it's uh why don't we think
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x. d. a. c. l. directory when it's core
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that would be i mean why don't we wait six weeks why
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don't we try is there any evidence at the laces operation
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and the outer and that it's a license to always start genetic predisposition to
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k. s. a. c. out here is our state contract this or impeachment
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thank you very much for this uh question i think we have a vivid owns
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a business unit though to switch when easier i mean in that sense it's
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that was a odes to the that have been done during
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the year or for i would say fourteen and fifteen
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uh and the is should you should sure doesn't works
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so perhaps now with new uh technique uh parades uh that would give the uh
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knows uh a possibility to give a good a biological and don't mince not
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uh as as we know just search when the the richer it doesn't doesn't works
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except perhaps so which are in france like uh uh
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mister but enough for them to have some experience with should during the the t. v. yeah
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i've engine so that's a navigation um on on the bottom so that the perhaps the
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the only uh easy it would show that can
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be should show in indulgences directory without waiting
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this will mean to further comment and it's just exist i mean some
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sojourn they do read the is yet instead of reconstructed them
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uh i'm thinking here uh but the bottom team and um the mean coca
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we all know that we got an ongoing series on the east that
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i mean the critical point of the patients selection i mean it's not possible
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to future any rafter depends on the location of the tia onto ligament
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it also depends on the time of patients will uh will take to get you
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clinics out because we all know that that's we don't we didn't six weeks then uh you it's it's all
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a comment on your second question about the genetic a predisposition for c. d. it was my talk
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uh there is a bit on button generally studies which is very trendy
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and they were able to find locusts which is not the g.
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but it is a predisposition to disease normal buttons you wanna comment some yeah
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it would be genetic but uh uh in in in a impeachment incoming phone she
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uh and and of course so the always more factors and that's not only
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one factor i think athletic activity is by far the greatest factor
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but genetics so the bayes rule we haven't figured out specifically but
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what we see is for example that in the asian population
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uh the preference of cam apologies is much slower so
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that basically also a genetic component it falls
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good question before uh just on the market that to you
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a range i'm very good talk again almost um
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what is the role of ski him in all these uh sleep capital
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some odd reasons which is i feel like some of y'all
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findings may be really two miles and diagnosed foremost if you
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yeah that's that's that's good question uh um what we found out in
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in in in in the prospective cohort of the young actually
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and also when in other cohorts that coming out now is that uh and when they
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are young and we follow them up you can clearly see how can move forward
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and we don't see any signs of skiff you might not be typical signs
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skippy saddam there might be some uh destruction in the growth plates and
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whether or not you called it's goofy i mean that's i think it's meant
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to but uh we don't see the classical scruffy and of course
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people uh adolescence office goofy uh they can mimic
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what's got type of uh uh can mythology
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uh which is mostly were us like like the the format things uh
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but that might be going something on it grow played but it's not a class a skit
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okay last question comes yes i'm agnostic there waiting patiently try so uh you speak about
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is a sucker um children that i would i work with um what's across
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children and and i would like to to new if you have case
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for the heap or the knee um which on these sorts of problems
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um so this is more acute injuries of course you falls from
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just being very high so you yes you get lots of
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a seal also control fractures but mostly simple bone
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fractures like it's not you know to go
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yeah i think that's that's also the whole experience you clinics uh we actually don't see
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that many uh many um motorcycles but i think it's more acute indeed yeah
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ah okay we close the position
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i think three speeches for this is that i think you're right