Transcript Common Soccer Injuries

Common Soccer Injuries
Paul Halford
PA West Soccer Association
Lower Extremities
Account for 61% - 80.9% of all injuries
Ankle Sprains
Shin Splints
Stress Fractures
Anterior Cruciate ligaments
Quadricep Contusions
Groin Strains
Ankle Injuries
Sprained (twisted) ankle is the most common type of ankle
injury. A sprain is the stretching or tearing of ligaments
Mechanism: Inversion or turning of the foot inwards
Eversion or turning of the foot outwards
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 toes
2. Run in a straight line
3. Running, changing direction
all activities must be pain free
Sidelined for 2 – 6+ weeks
Shin Splints
Pain in the front of the leg
Mechanism: Many causes
Generally an overuse injury
Can be a stress fracture
Tx: R.I.C.E
Seek medical evaluation
Return to Practice/Game
Is the athlete pain free after a prolonged run.
Sidelined for 1 – 2 weeks
Stress Fracture
Mechanism: Overuse injury. Occurs when muscles
become fatigued and unable to absorb added shock.
The muscle then transfers the overload stress to
the bone causing tiny cracks.
TX: R.I.C.E
seek medical evaluation
Return to practice/game
Slowly increase running, running on alternate days.
Maintain healthy diet.
Sidelined 6 – 8 weeks
Anterior Cruciate Ligament
Mechanism:
Can be either contact or non – contact injury
Non-contact; When the lower leg is rotated while the
foot is planted. E.g running fast, decelerating
and sharply cutting
TX: seek medical evaluation
Return to practice/game
1. Knee is symptom free
2. Performance in functional tests
3. Psychologically prepared for return.
to activity
Sidelined 6 – 9 months
Quadricep contusion
(Often called a “dead leg” or “charley horse”)
Mechanism: Blunt force trauma to the muscle.
Graded 1, 2 or 3
Tx: R.I.C.E.
Seek medical evaluation, Intense physical therapy for motion
Complications; Myositis Osificans
Return to practice/game
1. Run,
2. Run with change of direction
3. Jumping
All activities must be pain free
Sidelined 2 –3 weeks
Groin Strain
Graded 1, 2 or 3
Mechanism: Overextension of the groin
TX: R.I.C.E.
Seek medical evaluation
Return to practice/game
1. Run,
2. Run figure of eight’s around cones
All activities must be pain free
Sidelined 2 –3 weeks
Upper Extremities
Shoulder
Head
Shoulder
Acromio-clavicular joint
Mechanism: Falling on the shoulder, elbow
or outstretched arm
TX: R.I.C.E.
Seek medical evaluation
Return to practice/game
1. Full Range of motion
2. Pain free with running
Sidelined for 2– 3 weeks
Dislocated shoulder
Mechanism: A direct blow to the shoulder or fall
TX: Immediate reduction by a Physician
Recurrence rate 100% in contact sport
.
Return to practice/game
If treated conservatively:
Full active motion and strength
Sidelined 3 –4 weeks
4 – 6 months (If surgery)
Sub-luxation
“Dead arm syndrome”
Numbness and tingling
Mechanism: forced abduction with external-rotation
Tx: Remove from activity and Ice
Seek medical evaluation
Return to practice/game
Full range of motion, full strength all pain free
Sidelined: 1 – 3 weeks
Head
Concussion:
Slight, Moderate or Severe
or can be graded 1 - VI
Mechanism: Blow to the head
Tx: Remove from activity immediately
Seek 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 MD then
soccer activities with contact
Sidelined – will depend on severity
Facial injuries
Contusions
Nasal
Teeth
References:
The Physician and Sportsmedicine
Sportsinjuryclinic.net
Principles of Athletic Training..
Dr. David C. Neuschwander, M.D.