Transcript Top 10 Judo Injuries - Pacific Southwest Judo Association

Mechanism and Prevention
Neil Partain, M.D., MPH&TM
10 JUDO ORTHOPEDIC INJURIES
1.
ACL Injury
Prevention/1st Aid/Prognosis
 Stay off heels
 Quad strength
 Flexible Hamstrings
Audible “pop” or
immediate joint failure.
 Immediate swelling and
pain.
 If deformed, excruciating
pain go to ER.
 No deformity: Ice/Elevate,
medical care within the
week.
 Recovery:
 Non-surgical: 6 wks;
 Surgical: 6 mo.
2.
Meniscus Tear
Prevention/1st Aid/Prognosis
 Play golf
 Immobilize to control pain.
 Ice and Elevate
 Seek non-emergent
medical care unless pain
not tolerable.
 Recovery: 2-6 wk (after
surgery)
3.
Rotator Cuff Injury
Prevention/1st Aid
 Shoulder Strength
 Range of Injuries
 Shoulder Flexibility
 Non-emergent
 Shoulder ice wrap
 Rest
 Physical Therapy
 Recovery: highly
variable (3-12 wks)
4.
AC Separation
Prevention
 Proper ukemi
 Sling arm under elbow
to relieve effect of
gravity.
 Wrap Shoulder with ice
and Saran Wrap
 1st & 2nd Degree:
Spontaneous healing
 3rd Degree Surgical
repair.
 Healing time:
 1st 6wks
 2nd 10-12 wks
 3rd up to 6 months
5.
Wrist Fracture
Prevention/1st Aid/Prognosis
 Do not lock elbow if
bracing.
 Try to avoid bracing
with hand
 Point tenderness over
“snuffbox”, loss of grip.
 Hairline fracture may
become displaced if
ignored.
 Splint in relaxed
hand/wrist position seek
If ignored, blood
medical care (nonvessels to bone can die, emergent).
as will the
 Recovery: 6-10 weeks
bone…permanently.
6. Elbow Dislocation/Impingement
or Fracture
Prevention/1st Aid/Prognosis
 Tap
 Range of severity:
1. Ligament sprain
2. Joint sac injury
3. Bone fracture with dislocation.
 Immobilize in straight
position.
Dislocation and fracture  If deformed:ER.
can pinch the artery
 Not-deformed: Nonfeeding the arm.
emergent care/X-ray
 Recovery: IT DEPENDS
7.
Fibula Fracture
Prevention/1st Aid/Prognosis
 Running program, stay  Check for spontaneous
off heels.
movement vs. immediate
swelling/purpling, can’t
move due to pain.
 Splint foot straight with
Loose
judogi
jacket.
feeling/appearing foot,
crunchy on outside: ER
for pain Rx.
 Recovery: 2 mo. (no
surgery); 4-6 mo. (surgery)
8.
Neck Injuries
Prevention/1st Aid/Prognosis
 Tuck neck
 Do not “bridge ukemi”
to avoid Ippon.
 Stabilize neck: straight
“neck brace” position.
 Scratch toes, fingertips for
sensation, wiggling, ease
of breathing.
 If no signs of problems,
ANY loss of feeling,
can walk off mat.
movement, difficulty  Recovery: 4-6 wks(mild), ??
breathing, pain in neck. Months (mod-severe)
(EMS)
9.
Finger Sprain
Prevention/1st Aid/Prognosis
 Play golf
ANY loss of feeling,
cool to touch,
shortening.
 Do not attmept to reduce.
 If deformed (esp.
back/front), ER.
 Spontaneous mov’t: tape
and fight.
 Cannot move and/or pain
with passive mov’t:
timekeeper.
 Recovery: 2-6 wks
10.
Toe Fractures/Sprains
Prevention/1st Aid/Prognosis
 Play golf
ANY loss of feeling,
cool to touch,
shortening.
 Do not attmept to reduce.
 If deformed (esp.
back/front), ER.
 Spontaneous mov’t: tape
and fight.
 Cannot move and/or pain
with passive mov’t:
timekeeper.
 Recovery: 2-6 wks