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Comprehensive Guide to Preventing and Managing Judo Orthopedic Injuries

Learn about the mechanisms and prevention strategies for common judo injuries like ACL tears, meniscus tears, rotator cuff injuries, AC separations, and more. Discover first aid tips, recovery timelines, and when to seek medical care.

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Comprehensive Guide to Preventing and Managing 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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