Mechanism and Prevention

Neil Partain, M.D., MPH&TM

10 JUDO ORTHOPEDIC INJURIES

1. ACL Injury
Prevention/1st Aid/Prognosis

 Stay off heels  Immediate swelling and

 Quad strength pain.
 Flexible Hamstrings  If deformed, excruciating
pain go to ER.
 No deformity: Ice/Elevate,
medical care within the
Audible “pop” or week.
immediate joint failure.  Recovery:
 Non-surgical: 6 wks;
 Surgical: 6 mo.
2. Meniscus Tear
Prevention/1st Aid/Prognosis
 Immobilize to control pain.
 Play golf
 Ice and Elevate
 Seek non-emergent
medical care unless pain
not tolerable.

 Recovery: 2-6 wk (after

surgery)
3. Rotator Cuff Injury
Prevention/1st Aid

 Shoulder Strength  Range of Injuries

 Shoulder Flexibility  Non-emergent
 Shoulder ice wrap
 Rest
 Physical Therapy

 Recovery: highly
variable (3-12 wks)
4. AC Separation
Prevention

 Proper ukemi  1st & 2nd Degree:

 Sling arm under elbow Spontaneous healing
to relieve effect of  3rd Degree Surgical
gravity. repair.
 Wrap Shoulder with ice  Healing time:
and Saran Wrap  1st 6wks
 2nd 10-12 wks
 3rd up to 6 months
5. Wrist Fracture
Prevention/1st Aid/Prognosis
 Point tenderness over
 Do not lock elbow if
bracing. “snuffbox”, loss of grip.
 Hairline fracture may
 Try to avoid bracing
with hand become displaced if
ignored.
 Splint in relaxed
hand/wrist position seek
If ignored, blood medical care (non-
vessels to bone can die, emergent).
as will the  Recovery: 6-10 weeks
bone…permanently.
6. Elbow Dislocation/Impingement
or Fracture
 Prevention/1st Aid/Prognosis
 Range of severity:
 Tap
1. Ligament sprain
2. Joint sac injury
3. Bone fracture with dislocation.
 Immobilize in straight
position.
Dislocation and fracture  If deformed:ER.
can pinch the artery  Not-deformed: Non-
feeding the arm. emergent care/X-ray
 Recovery: IT DEPENDS
7. Fibula Fracture
Prevention/1st Aid/Prognosis
 Running program, stay  Check for spontaneous
off heels. movement vs. immediate
swelling/purpling, can’t
move due to pain.
 Splint foot straight with
Loose
feeling/appearing foot, judogi jacket.
crunchy on outside: ER
for pain Rx.  Recovery: 2 mo. (no
surgery); 4-6 mo. (surgery)
8. Neck Injuries
Prevention/1st Aid/Prognosis
 Stabilize neck: straight
 Tuck neck
“neck brace” position.
 Do not “bridge ukemi”
 Scratch toes, fingertips for
to avoid Ippon.
sensation, wiggling, ease
of breathing.
 If no signs of problems,
ANY loss of feeling, can walk off mat.
movement, difficulty  Recovery: 4-6 wks(mild), ??
breathing, pain in neck. Months (mod-severe)
(EMS)
9. Finger Sprain
Prevention/1st Aid/Prognosis
 Do not attmept to reduce.
 Play golf
 If deformed (esp.
back/front), ER.
 Spontaneous mov’t: tape
ANY loss of feeling, and fight.
cool to touch,
 Cannot move and/or pain
shortening.
with passive mov’t:
timekeeper.
 Recovery: 2-6 wks
10. Toe Fractures/Sprains
Prevention/1st Aid/Prognosis
 Do not attmept to reduce.
 Play golf
 If deformed (esp.
back/front), ER.
 Spontaneous mov’t: tape
ANY loss of feeling, and fight.
cool to touch,
 Cannot move and/or pain
shortening.
with passive mov’t:
timekeeper.
 Recovery: 2-6 wks