Diagnostics of tissue involved injury occurrence of top-level judokas during the competition: suggestion for prevention
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Abstract:
Judo, as a high-intensity contact sport, may lead to the occurrence of injuries, especially in competitions. This work aims to assess the likelihood of soft and hard tissue injuries in top-level judokas during competition with defining factors that determine the probability of injury occurrence.The injuries that occurred in 123 official international competitions from 2005-2019 were recorded by the European Judo Union (EJU) Medical Commission as a survey that was a part of the EJU Injury Registration form with internal consistency shown by a Crombach Alpha of 0.69. This survey data identified factors such as: sex, anatomical localisation of injury, type of injury, tissue involved and mechanisms of the injury. A total of 650 tissue injuries were reported correctly in terms of tissue injury definition.The most frequent soft tissue injury (STI) reported was a ligament STI (48.15%), closely followed by skin STI (12.15%) and muscles STI (11.38%). In turn, the most frequent hard tissue injury occurred in bones (8.56%). The highest rates of injuries occurred during the fight in the standing position (78%). Injuries in the standing position mainly occurred while executing a throw (25.85%) and followed by the attempt to throw, i.e., the action of reaching the throwing position (22.30%), grip fighting (15.07%), and during falls (14.77%). Opposite to this, fight in groundwork reached only 18.30% soft and hard tissue injuries combined. The ongoing registration of injuries during judo combat and training and the early diagnosis of risk factors for injuries are the basis for the development of effective strategies for injury prevention and further treatment.Keywords:
Soft tissue injury
Because of its excellent soft tissue contrast and ability to demonstrate soft tissue structures, magnetic resonance imaging is ideally suited to the evaluation of the soft tissues surrounding the ankle, including the lateral collateral ligaments. This study was undertaken to compare the clinical evaluation of 15 patients who suffered inversion injuries of the ankle with the results found on magnetic resonance imaging within 48 hours of the injury. Physical examination was found to be 100% accurate in the diagnosis of grade III ligament injuries but only 25% accurate in the diagnosis of grade II injuries. Clinicians most often underestimate the damage with a grade II ligament tear. Furthermore, other associated injuries, such as significant capsule ruptures and tendon damage, were often overlooked at physical examination.
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Medial collateral ligament
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Objective: To analyze the low field MRI findings of the sharp instrument injury in the lower limb soft tissue. Methods: The low-field MRI data of 31 patients with the sharp instrument injury in the lower limb soft tissue were retrospectively analyzed. Results:Five cases of achilles tendon injury,3 cases of patellar ligament injury,2 cases of quadriceps tendon injury,2 cases of iliotibial band injury,1 case of medial collateral ligament injury and 1 case of lateral collateral ligament injury were diagnosed using MRI. MRI imagings of tendon ligament showed local high signal in 4 cases and discontinuity in 10 cases,together with adjacent soft tissue swelling. The imaging of 14 cases with muscle contusion and hematoma showed the subcutaneous and intramuscular edema,muscle fascia and muscle tear,together with muscle interstitial fluid and intramuscular nodular lesions in hematoma case. The imaging of 7 cases with sharp injury in subcutaneous loose connective tissue space showed low T1 and high T2 signal regions,which was consistent with injury.Conclusions: MRI is an important non-invasive examination method to evaluate the sharp instrument injury of the lower limb soft tissue.
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Background A gold standard classification for the treatment of tibial plateau fractures with soft tissue injury has not been established yet.This study aimed to evaluate the usability of a novel modified classification that can provide preoperative information to the surgeon about soft tissue injuries in tibial plateau fractures. Methodology A total of 36 patients with tibial plateau fractures were included in the study. Patients' age, gender, and affected sides were recorded. Injuries to the medial meniscus, lateral meniscus, anterior cruciate ligament, posterior cruciate ligament, medial collateral ligament, and lateral collateral ligament were examined with preoperative magnetic resonance imaging. Soft tissue injuries were arranged according to the novel modified classification based on the Schatzker classification. Results The mean age of the study participants was 45 (19-76) years; 72% of the patients were men and 28% were women. Moreover, 44% and 56% of the patients had broken the right and left tibial plateaus, respectively. At least one soft tissue injury was detected in 29 (81%) patients. In 14 (39%) patients, two or more soft tissue injuries were observed. All patients were arranged according to the novel modified classification regarding ligament and meniscus injuries. Conclusions With this novel modified classification system, we think that having better information about the preoperative condition of the soft tissue injuries can change the surgical strategy in patients with tibial plateau fractures.
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Abstract I. Soft tissue anatomy and the healing process Revise the basic architecture of muscle/fascia/ligament/tendon Describe and understand the different phases of soft tissue healing Understand the importance of the site of injury on the healing process and consequences II. Soft tissue injury: where pain begins Revise the basics of inflammatory pain Understand the difference between nociception and pain, peripheral and central sensitisation Understand how untreated/chronically damaged soft tissue can lead to chronic pain
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Abstract Surgical repair of common soft tissue injuries Know the different grades of ligament / tendon / muscle tear Recognise when an injury requires surgical repair Understand the basics of surgical repair for tendon / muscle / ligament tear When should rehab be suggested for soft tissue injury Know why timing is critical in soft tissue injury Understand how rehab can positively influence soft tissue healing Have a basic knowledge of modalities that can influence soft tissue healing
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