Injuries are less frequent in skiers who are in good physical condition, are skilled, and have good equipment. The treatment of most injuries in skiing mishaps is based on general orthopedic principles, but the idea of immediate mobilization needs to be emphasized. If pain and muscle spasm make mobilization difficult, the necessary exercise can generally be given after use of an ethyl chloride spray on the painful area, provided major ligament tears are excluded. There is no adequate explanation for the deep effect of the surface anesthesia, but the pain-free interval can be used to restore the muscle to normal function. Four case histories illustrate the complete rehabilitation of patients with fractures of the humerus, pelvis, and ankle and partial tear of the medial collateral ligament of the knee.
Kraus H. PREVENTION AND TREATMENT OF SKI INJURIES. JAMA. 1959;169(13):1414–1419. doi:10.1001/jama.1959.03000300010003
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