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Punto DewoPunto Dewo
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Injuries that occur to anyone
who is participating in sporting
events.Benefit versus risk of injury
Soligard T, Myklebust G, Steffen K, et al. (2008). "Co!reensi#e $ar%u! !rograe to !re#ent in&uries in young feale
footballers' luster randoised ontrolled trial". M* 337 ' a2+-.
orld /ealt rgani1ation. Mo#e for ealt' benefits of !ysial ati#ity. Gene#a, S$it1erland' orld /ealt rgani1ation 200.
Gots K, 3nnest *4, /olgreen 5, Gilrist *. 6onfatal s!orts% and rereation%related in&uries treated in eergeny
de!artents%%%7nited States, *uly 2000%%*une 200. MM9 2002:';<%%+0.
Conn *M, 3nnest *4, Gilrist *. S!orts and rereation%related in&ury e!isodes in te 7.S. !o!ulation, --;%%---. =n& 5re#
200<-';%%2<.
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Epidemiology
Type of Sports Percent (%)
Soccer Futsal (indoor soccer)
Basketall!artial "rtsBadminton#olleyall$annon Ball %hrust
&ump 'ope'ugyymnastic
*.+*.+
,.,,.,-.-./.*
/.*/.*/.*
Total 100
0ata otained from 'S Sardjito 122 3 12/2
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Epidemiology
Injury (Top 10) Percent (%)
Forearm fracture0istal end radius fracture
$lavicle fracture4umeral fracture!etacarpal fracture!etatarsal fracture5halan6 fracture of the foot
5I5 joint dislocation of the foot7nee joint sprain "nkle joint sprain
1+.*/*.1
,.+,.+-.-.-.
-.-.-.
Total 100
0ata otained from 'S Sardjito 122 3 12/2
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Epidemiology
Mechanism of Injury (Top 10) Percent (%)
Fall on outstretched handFall on shoulder
Fall on forearm5ain in foot after kicking a all0irect trauma to the handFall on dorsal part of the hand4ard landing on foot
Fall on an inverted footSlipped and fall while running0irect trauma to the knee
-2.,.,
.-.-.-.-.
-.-.-.
Total 100
0ata otained from 'S Sardjito 122 3 12/2
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Spectrum of injury
8 0islocation
8 Fracture8 9igament rupture
8 Strain3Sprain
8 $ontusion8 Inflammation
' 0ick: et al. (122,) 0escriptive Epidemiology of $ollegiate !en;s Footall Injuries< =ational $ollegiate "thletic
"ssociation Injury Surveillance System: /*>/** %hrough 122->122?. *ournal of 3tleti Training @?1(1)<11/>
1--
!&. 'auh: et al. (122,) SuseAuent Injury 5atterns in irls; 4igh School Sports. *ournal of 3tleti
Training @?1(?)<?+>?*?
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5rinciples of !anagement
0iagnosis ($linical Investigations)
ImmoiliCation and "nalgesics0efinitive treatment
'ehailitation and "nalgesics
" Buvanendran and S S 'euen. COX inhi!itors in sports me"icine# utility an" contro$ersy‐
r * S!orts Med. 122+ =ovemer@ ?2(//)# &'&*
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Injuries y 'egions
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"$ joint injury
Sling Surgery< %BD
screw
0ocimo S &r. et al. (122). Surgical treatment for
acromioclavicular joint osteoarthritis< patient
selection: surgical options: complications: andoutcome. Curr 9e# Musuloskelet Med. 122
&une@ /(1)< /?>/+2.
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'otator cuff impingement
Surgery<'elease:
acromioplasty
pen or "rthroscopy
# 5hadke: 5' $amargo: and 5!
9udewig. (122*). Scapular and
rotator cuff muscle activity during arm
elevation< " review of normal function
and alterations with shoulderimpingement. 'ev Bras Fisioter. 122*
Feruary /@ /-(/)< />*.
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0islocated shoulder
$losed
reduction
Surgery for
neglected
cases
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+IS,OC-T.+ .,/O8
Fall on an outstretched han8 $losed reduction and cast
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O2.-2M 2-CT32.S
8 Fall on an
outstretched hand or
direct trauma
8 =eeds 'IF
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9ateral epicondylitis
(%ennis elow)
"ctivity modification
"nalgesics
Injection
'& 5etrella et al (12/2). Mana4ement of Tennis .l!o5 5ithso"ium hyaluronate periarticular injections S!orts Med
3rtros 9eabil Ter Tenol. 12/2@ 1# 6*
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!edial epicondylitis
(olfer;s elow) "ctivity
modification
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0istal3end radius fracture
8 Fall on an outstreched hand
8 $losed reduction and cast or
'IF
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0e Guervain syndrome
"ctivitymodification
Surgery< release
= Barton (/**,). Sports injuries of the hand and wrist.
r * S!orts Med. /**, Septemer@ -/(-)< /*/>/*+.
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$arpal tunnel syndrome
"ctivitymodification
Bracing
Surgery<release
= Barton (/**,). Sports injuries of the hand and wrist.
r * S!orts Med. /**, Septemer@ -/(-)< /*/>/*+.
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!allet finger
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Back injuries Strain Bracing
& Browne (122+). $ervical spinal injury
in children;s community rugy footall Br
& Sports !ed 122+@?2<+>,/.
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-,, 2OM
7.I87T
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-,, 2OM 7.I87T8 #erteral compression fracture
8 $alcaneal fracture
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4amstring Strain
'I$E
"nalgesics
4eiderscheit: B$. (12/2). 4amstring Strain Injuries<
'ecommendations for 0iagnosis: 'ehailitation and Injury
5revention. & rthop Sports 5hys %her. 12/2Feruary@ ?2(1)< +,>/.
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5atellofemoral 5ain Syndrome
Activity modifcation
Bracing
Dilson: =". (122*). In 9i$o :onin$asi$e .$aluation of
-!normal Patellar Trac;in4 +urin4 S<uattin4 in Patients
5ith Patellofemoral Pain* * one *oint Surg 3. 122* !arch
/@ */(-)# '''*
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5atellar tendinitis
Activitymodifcation
Bracing "ate !: et al. (122*). 5athogenesis of tendinopathies< inflammation or degenerationH
3rtritis 9es Ter. 122*@ //(-)< 1-.
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!eniscal injury
Bracing Surgery< repair or
e6cision
pen or "rthroscopy
Suter 9 et al (122*). !edical 0ecision !aking
in 5atients Dith 7nee 5ain: !eniscal %ear: andsteoarthritis. "rthritis 'heum. 122* =ovemer
>
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'unner;s knee
3Splinting
Fairclough & et al. (122+). %he functional anatomy of
the iliotiial and during fle6ion and e6tension of the
knee< implications for understanding iliotiial and
syndrome. * 3nat. 122+ !arch@ 12(-)< -2*>-/+.
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7nee cartilage injury
Surgery<
micro3
fracturiCation:
implantation
%4!5S= 9' et al (122*). The =nee Pain Map# 2elia!ility
of a Metho" to I"entify =nee Pain ,ocation an" Pattern*
"rthritis 'heum. 122* &une /@ +/(+)< ,1>,-/.
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7nee ligaments rupture
!$9: 9$9Bracing $asting
Surgery< 'epair
5hisitkul 5. et al. (122+). !$9 Injuries of the
7nee< $urrent $oncepts 'eview. =o$a rto!
*. 122+@ 1+< ,,>*2.
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7nee 9igament 'upture (cont.)
4an: 4S et al. (122). "nterior
$ruciate 9igament
'econstruction< Guadriceps #ersus
5atellar "utograft. Clin rto! 9elat
9es. 122 &anuary@ ?++(/)< /*>12?.
8 "$9: 5$98 $asting:
racing8 Surgery
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Shin splints
Activity
modifcation Bracing
van ent '= et al. (122,).: Incidence and
determinants of lower e6tremity running
injuries in long distance runners< a systematic
review. r * S!orts Med. 122, "ugust@ ?/()<
?+*>?2.
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Stress fracture
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"nkle sprain
=. 7ofotolis (122,). "nkle Sprain Injuries< " 13
Jear 5rospective $ohort Study in Female
reek 5rofessional Basketall 5layers. *ournal
of 3tleti Training 122,@?1(-)<->-*?
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Footallers ankle Bracing Knloading
=. 7ofotolis (122,). "nkle Sprain Injuries< " 13
Jear 5rospective $ohort Study in Female
reek 5rofessional Basketall 5layers. *ournal
of 3tleti Training 122,@?1(-)<->-*?
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"chilles %endinitis:
"chilles tendon rupture
Splinting
Surgery<
repair
!unteanu SE (122*). Efficacy of customised foot orthoses in the treatment of "chilles
tendinopathy< study protocol for a randomised trial. * >oot 3nkle 9es. 122*@ 1< 1,.
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0ancer;s fracture
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5lantar fasciitis Bracing Stretching
Shoe
modification
'adford &" et al. (122,). Effectiveness
of calf muscle stretching for the short3
term treatment of plantar heel pain< a
randomised trial. MC Musuloskelet?isord. 122,@ < -+.
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!etatarsalgia Dear proper shoes $alf stretching
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5reventive measures
5roper $onditioning
5roper warming upstretching
5roper cooling downstretching
Fair play
Dear proper safety gears
" Buvanendran and S S 'euen. COX inhi!itors in sports me"icine# utility an" contro$ersy‐
r * S!orts Med. 122+ =ovemer@ ?2(//)# &'&*
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