06 workshop pres common soccer injuries

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    Common Soccer Injuries

    Paul HalfordPA West Soccer Association

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    L ower Extremities

    Account for 61% - 80.9% of all injuries

    Ankle Sprains

    Shin Splints

    Stress Fractures

    Anterior Cruciate ligaments

    Quadricep Contusions

    Groin Strains

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    Ankle Injuries

    Sprained (twisted) ankle is the most common type of ankleinjury. A sprain is the stretching or tearing of ligaments

    Mechanism: Inversion or turning of the foot inwardsEversion or turning of the foot outwards

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    Grade 1, 2 & 3

    Tx: R.I.C.E.

    Seek medical evaluation

    Return to practice/game

    Can the athlete:1. Balance on injured ankle, raising up on toes2. Run in a straight line

    3. Running, changing directionall activities must be pain free

    Sidelined for 2 6+ weeks

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    Pain in the front of the leg

    Mechanism: Many causes

    Generally an overuse injury

    Can be a stress fracture

    Shin Splints

    Tx: R.I.C.E

    Seek medical evaluation

    Return to Practice/GameIs the athlete pain free after a prolonged run.Sidelined for 1 2 weeks

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    Stress Fracture

    Mechanism: Overuse injury. Occurs when muscles become fatigued and unable to absorb added shock.The muscle then transfers the overload stress tothe bone causing tiny cracks.

    TX: R.I.C.E

    seek medical evaluation

    Return to practice/gameSlowly increase running, running on alternate days.Maintain healthy diet.Sidelined 6 8 weeks

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    Anterior Cruciate L igament

    Mechanism:Can be either contact or non contact injury

    Non-contact; When the lower leg is rotated while thefoot is planted. E.g running fast, decelerating

    and sharply cutting

    TX: seek medical evaluation

    Return to practice/game1. Knee is symptom free2. Performance in functional tests3. Psychologically prepared for return.

    to activitySidelined 6 9 months

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    Quadricep contusion(Often called a dead leg or charley horse)

    Mechanism: Blunt force trauma to the muscle.

    Graded 1, 2 or 3

    Return to practice/game1. Run,2. Run with change of direction3. JumpingAll activities must be pain freeSidelined 2 3 weeks

    Tx: R.I.C.E.Seek medical evaluation, Intense physical therapy for motionComplications; Myositis Osificans

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    Groin Strain

    Graded 1, 2 or 3

    1. Run,2. Run figure of eights around cones

    All activities must be pain freeSidelined 2 3 weeks

    Return to practice/game

    TX: R.I.C.E.

    Seek medical evaluation

    Mechanism: Overextension of the groin

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    U pper Extremities

    Shoulder

    Head

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    Shoulder

    Mechanism: Falling on the shoulder, elbowor outstretched arm

    TX: R.I.C.E. Seek medical evaluation

    Return to practice/game

    1. Full Range of motion2. Pain free with running

    Sidelined for 2 3 weeks

    Acromio-clavicular joint

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    D islocated shoulder

    Mechanism: A direct blow to the shoulder or fall

    TX: Immediate reduction by a PhysicianRecurrence rate 100% in contact sport.

    Return to practice/gameIf treated conservatively:Full active motion and strengthSidelined 3 4 weeks4 6 months (If surgery)

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    Sub-luxation D ead arm syndrome Numbness and tingling

    Mechanism: forced abduction with external-rotation

    Tx: Remove from activity and IceSeek medical evaluation

    Return to practice/gameFull range of motion, full strength all pain free

    Sidelined: 1 3 weeks

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    HeadConcussion: Slight, Moderate or Severeor can be graded 1 - VI

    Mechanism: Blow to the head

    Tx: Remove from activity immediatelySeek medical evaluation

    Return to practice/game

    1. Symptom free then start light exercise.2. Sports specific activity with no contact.3. Symptom free and clearance from M D then

    soccer activities with contact

    Sidelined will depend on severity

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    Facial injuries

    Contusions

    Nasal

    Teeth

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    References:

    The Physician and Sportsmedicine

    Sportsinjuryclinic.net

    Principles of Athletic Training..

    D r. D avid C. Neuschwander, M. D .