10 Judo Orthopedic Injuries

1
10 Judo Orthopedic Injuries

• Mechanism and Prevention
• Neil Partain, M.D., MPHTM

2
1. ACL Injury
3
Prevention/1st Aid/Prognosis

• 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.

• Stay off heels
• Quad strength
• Flexible Hamstrings
• Audible pop or immediate joint failure.

4
2. Meniscus Tear
5
Prevention/1st Aid/Prognosis

• Immobilize to control pain.
• Ice and Elevate
• Seek non-emergent medical care unless pain not
  tolerable.
• Recovery 2-6 wk (after surgery)

• Play golf

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

• 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

• Do not lock elbow if bracing.
• Try to avoid bracing with hand
• If ignored, blood vessels to bone can die, as
  will the bonepermanently.

12
6. Elbow Dislocation/Impingement or Fracture
13
Prevention/1st Aid/Prognosis

• Range of severity
• Ligament sprain
• Joint sac injury
• Bone fracture with dislocation.
• Immobilize in straight position.
• If deformedER.
• Not-deformed Non-emergent care/X-ray
• Recovery IT DEPENDS

• Tap
• Dislocation and fracture can pinch the artery
  feeding the arm.

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, cant 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

• 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)

• Tuck neck
• Do not bridge ukemi to avoid Ippon.
• ANY loss of feeling, movement, difficulty
  breathing, pain in neck. (EMS)

18
9. Finger Sprain
19
Prevention/1st Aid/Prognosis

• Do not attmept to reduce.
• If deformed (esp. back/front), ER.
• Spontaneous movt tape and fight.
• Cannot move and/or pain with passive movt
  timekeeper.
• Recovery 2-6 wks

• Play golf
• ANY loss of feeling, cool to touch, shortening.

20
10. Toe Fractures/Sprains
21
Prevention/1st Aid/Prognosis

• Do not attmept to reduce.
• If deformed (esp. back/front), ER.
• Spontaneous movt tape and fight.
• Cannot move and/or pain with passive movt
  timekeeper.
• Recovery 2-6 wks

• Play golf
• ANY loss of feeling, cool to touch, shortening.