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10 Judo Orthopedic Injuries

Mechanism and Prevention Neil Partain, M.D., MPH&TM. 10 Judo Orthopedic Injuries. 1. ACL Injury. Prevention/1 st Aid/Prognosis. Stay off heels Quad strength Flexible Hamstrings Audible “pop” or immediate joint failure. Immediate swelling and pain.

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10 Judo Orthopedic Injuries

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  1. Mechanism and Prevention Neil Partain, M.D., MPH&TM 10 Judo Orthopedic Injuries

  2. 1. ACL Injury

  3. 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.

  4. 2. Meniscus Tear

  5. 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)

  6. 3. Rotator Cuff Injury

  7. Prevention/1st Aid • Shoulder Strength • Shoulder Flexibility • Range of Injuries • Non-emergent • Shoulder ice wrap • Rest • Physical Therapy • Recovery: highly variable (3-12 wks)

  8. 4. AC Separation

  9. 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

  10. 5. Wrist Fracture

  11. Prevention/1st Aid/Prognosis • Do not lock elbow if bracing. • Try to avoid bracing with hand • If ignored, blood vessels to bone can die, as will the bone…permanently. • Point tenderness over “snuffbox”, loss of grip. • Hairline fracture may become displaced if ignored. • Splint in relaxed hand/wrist position seek medical care (non-emergent). • Recovery: 6-10 weeks

  12. 6. Elbow Dislocation/Impingement or Fracture

  13. Prevention/1st Aid/Prognosis • Tap • Dislocation and fracture can pinch the artery feeding the arm. • Range of severity: • Ligament sprain • Joint sac injury • Bone fracture with dislocation. • Immobilize in straight position. • If deformed:ER. • Not-deformed: Non-emergent care/X-ray • Recovery: IT DEPENDS

  14. 7. Fibula Fracture

  15. Prevention/1st Aid/Prognosis • Running program, stay off heels. • Loose feeling/appearing foot, crunchy on outside: ER for pain Rx. • Check for spontaneous movement vs. immediate swelling/purpling, can’t move due to pain. • Splint foot straight with judogi jacket. • Recovery: 2 mo. (no surgery); 4-6 mo. (surgery)

  16. 8. Neck Injuries

  17. Prevention/1st Aid/Prognosis • Tuck neck • Do not “bridge ukemi” to avoid Ippon. • ANY loss of feeling, movement, difficulty breathing, pain in neck. (EMS) • Stabilize neck: straight “neck brace” position. • Scratch toes, fingertips for sensation, wiggling, ease of breathing. • If no signs of problems, can walk off mat. • Recovery: 4-6 wks(mild), ?? Months (mod-severe)

  18. 9. Finger Sprain

  19. 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

  20. 10. Toe Fractures/Sprains

  21. 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

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