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Tackling football injuries: the lower extremity: physicians need to recognize the most common and dangerous injury patterns.

Publication: The Journal of Musculoskeletal Medicine
Publication Date: 01-JUN-08
Format: Online
Delivery: Immediate Online Access

Article Excerpt
ABSTRACT: Each position in football requires a specific set of skills and predisposes the athlete to types of injury. Physicians need to recognize and understand the most common patterns, make a diagnosis and provide treatment based on history, physical examination findings, and clinical and...

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...acumen--all while recognizing handling emergency situations. Lower extremity injuries are the most common football injuries. The "hip pointer" may be mimicked by avulsion of the sartorius origin or the abdominal muscle attachments. Muscle contusions can cause myositis ossificans or even lead to compartment syndrome. Noncontact knee injuries include anterior cruciate ligament (ACL) tears. Injuries to the ACL or menisci have been shown to lead to early osteoarthritis. Inversion/eversion injuries include ankle fractures and subtalar dislocations. Practical solutions have been developed for injury prevention.

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Lower extremity injuries are common in football players. Many are noncontact injuries associated with cutting, sprinting, weight training, or overuse; others are contact injuries involving fracture or dislocation. Medial collateral ligament (MCL) tears and thigh musculature strains are particularly common injuries.

Each position in football requires a specific set of skills and predisposes the athlete to certain types of injury that may have different requirements for treatment, rehabilitation, and return to play. For example, injuries that involve the hip and thigh are seen frequently in defensive backs, who make numerous sudden transitions from backpeddling to a closing sprint on the ball. The knee is the single most injured site, accounting for 20% of football-related injuries (1); knee injuries are particularly common in running backs. Foot and ankle injuries are seen frequently in...

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