A Rare injury in Collegiate Athletics—The Lisfranc Fracture-Dislocation

1993 ◽  
Vol 2 (4) ◽  
pp. 281-286
Author(s):  
Keith M. Gorse ◽  
Graham Johnstone ◽  
Jennifer Cruse

A rare injury in collegiate athletics is the Lisfranc fracture-dislocation of the foot. This case study will give team physicians and athletic trainers an idea of what to look for in this type of injury. It will be shown how an 18-year-old college football player received the injury, how it was evaluated by the sports medicine staff, and how it was surgically treated by the team physician. Finally, the athlete's rehabilitation will be summarized and the time frame during which full activities were started again will be outlined. This case study will give sports medicine specialists a better understanding of the Lisfranc topic and how to deal with it.

1997 ◽  
Vol 6 (3) ◽  
pp. 283-289 ◽  
Author(s):  
Bryan L. Riemann ◽  
Kevin M. Guskiewicz

Mild head injury (MHI) represents one of the most challenging neurological pathologies occurring during athletic participation. Athletic trainers and sports medicine personnel are often faced with decisions about the severity of head injury and the timing of an athlete's return to play following MHI. Returning an athlete to competition following MHI too early can be a catastrophic mistake. This case study involves a 20-year-old collegiate football player who sustained three mild head injuries during one season. The case study demonstrates how objective measures of balance and cognition can be used when making decisions about returning an athlete to play following MHI. These measures can be used to supplement the subjective guidelines proposed by many physicians.


1994 ◽  
Vol 3 (3) ◽  
pp. 239-244
Author(s):  
Thomas W. Kaminski ◽  
Thomas L. Schildwachter

Epiphyseal injuries present a special challenge to the sports medicine professional Salter-Harris Type III fractures involving the physis, epiphysis, and articular surface are uncommon (1). Because of the proximity of this fracture site to the knee joint, it is especially important that the clinician be aware of this type of injury when working with the adolescent athlete. This case adds to others previously reported in the English literature.


1995 ◽  
Vol 4 (1) ◽  
pp. 54-58
Author(s):  
Michael J. Carroll

Dislocation with an associated fracture of the ankle is a rare injury. A medial dislocation of the subtalar joint is uncommon, because the normal direction of the subtalar dislocation is lateral. This paper discusses a fracture medial dislocation of the ankle in a high school football player. Initial treatment of the injury included on-the-field management and referral to a hospital and an orthopedic surgeon. Rehabilitation of this injury was very slow and conservative in the initial stage after surgery. This included range of motion exercises for the ankle, full leg conditioning, and ice. After the fracture site was found stable the injury was treated much the same as a Grade II ankle sprain. The goal of rehabilitation was to return the range of motion, strength, and girth measurements of the affected side to those of the contralateral side as quickly as possible, so the athlete could resume athletics. When the affected side met these criteria, there was little to no pain with activity, and the orthopedic physician granted clearance, the athlete was allowed to return to competition.


2011 ◽  
Vol 3 (6) ◽  
pp. 560-563
Author(s):  
Adam M. Starr ◽  
Kenneth G. Swan ◽  
Kenneth G. Swan

Compartment syndrome after an ankle fracture is an extremely rare and potentially devastating event. The authors report a case of an isolated anterior compartment syndrome in a college student athlete who suffered a bimalle olar ankle fracture dislocation. A review of the literature highlights the importance of vigilance when the sports medicine physician and the community orthopaedist are treating these seemingly basic orthopaedic injuries.


2007 ◽  
Vol 16 (3) ◽  
pp. 260-270 ◽  
Author(s):  
Eric Emmanuel Coris ◽  
Stephen Walz ◽  
Jeff Konin ◽  
Michele Pescasio

Context:Heat illness is the third leading cause of death in athletics and a leading cause of morbidity and mortality in exercising athletes. Once faced with a case of heat related illness, severe or mild, the health care professional is often faced with the question of when to reactivate the athlete for competitive sport. Resuming activity without modifying risk factors could lead to recurrence of heat related illness of similar or greater severity. Also, having had heat illness in and of itself may be a risk factor for future heat related illness. The decision to return the athlete and the process of risk reduction is complex and requires input from all of the components of the team. Involving the entire sports medicine team often allows for the safest, most successful return to play strategy. Care must be taken once the athlete does begin to return to activity to allow for re-acclimatization to exercise in the heat prior to resumption particularly following a long convalescent period after more severe heat related illness.


2020 ◽  
pp. bjsports-2019-101297
Author(s):  
David William Kruse ◽  
Andrew Seiji Nobe ◽  
John Billimek

ObjectivesTo determine the injury incidence and characteristics for elite, male, artistic USA gymnasts during gymnastics competitions, held in the USA, from 2008 to 2018.MethodsInjury documentation performed by lead physician and certified athletic trainers at elite junior and senior USA Gymnastics competitions from 2008 to 2018 were reviewed and compiled into an excel database. Injury incidence was computed per 1000 registered gymnasts by competition setting as well as injury location, type, cause, severity, and setting.ResultsFrom 2008 to 2018, 180 injuries were reported in a total of 2102 gymnasts with injury incidence of 85.6 per 1000 gymnasts (95% CI 73.4 to 97.8). The most common injury site was at the ankle (16.7 per 1000 gymnasts, 95% CI 10.9 to 22.4), and muscle strain/rupture/tear was the most common type of injury (28.5 per 1000 gymnasts, 95% CI 21.2 to 35.9). The most common cause was contact with surface (56.1 per 1000 gymnasts, 95% CI 46.1 to 66.2), and the event where most injuries were sustained was the vault (21.9 per 1000 gymnasts, 95% CI 15.4 to 28.4). Incidence of time loss injuries was 38.5 per 1000 gymnasts (95% CI 30.1 to 47.0). Injury incidence was higher during competition (58.5 per 1000 gymnasts, 95% CI 48.2 to 68.8) than during training (27.1 per 1000 RG, 95% CI 19.9 to 34.3; RR 2.16, 95% CI 1.59 to 2.94, p<0.001); injury incidence was greater at Olympic Trials (RR 3.23, 95% CI 1.24 to 8.47, p=0.017) than at National Qualifier meets. We report concussion incidence in gymnastics (5.7 per 1000 gymnasts, 95% CI 2.3 to 9.2).ConclusionsThis is the largest injury study to date for male artistic gymnasts (180 injuries, 2102 gymnasts, 11 years).


2018 ◽  
Vol 53 (1) ◽  
pp. 88-97 ◽  
Author(s):  
Stephanie M. Mazerolle ◽  
Christianne M. Eason

Context:  An organizational climate is largely based on an employee's perceptions of the working conditions in which he or she engages regularly. A multifaceted concept, the organizational climate is often formed by perceptions of employee welfare, rewards, and support. Achieving work-life balance is also a part of the climate. Objective:  To learn collegiate athletic trainers' perceptions of organizational climate and specifically how it may pertain to their work-life balance. Design:  Phenomenologic study. Setting:  Collegiate practice setting. Patients or Other Participants:  Thirty athletic trainers working in the collegiate athletics setting took part in 1-on-1 phone interviews. The participants were 30.5 (interquartile range [IQR] = 7.75) years old and had been certified for 7 (IQR = 5) years and at their current position for 4 (IQR = 3) years. Data Collection and Analysis:  Participants completed a phone interview that followed a semistructured framework. All transcribed interviews were analyzed using a phenomenologic approach. Researcher triangulation, expert review, and data saturation were used to establish credibility. Results:  Athletic trainers working in the collegiate athletics setting who had positive perceptions of their work-life balance described their organizational climate as family friendly. Our participants' supervisors allowed for autonomy related to work scheduling, which provided opportunities for work-life balance. These athletic trainers believed that they worked in a climate that was collegial, which was helpful for work-life balance. In addition, the importance of placing family first was part of the climate. Conclusions:  The perceptions of our participants revealed a climate of family friendliness, supervisor support, and collegiality among staff members, which facilitated the positive climate for work-life balance. The mindset embraced the importance of family and recognized that work did not always have to supersede personal priorities.


2021 ◽  
Vol 5 (1) ◽  
pp. e051001
Author(s):  
Nivia Barreto dos Anjos ◽  
Ângelo Francisco de Souza Andrade ◽  
Nelian Costa Nascimento ◽  
Tailan Bomfim Andrade

Este artigo apresenta a sistematização das ações de Assistência Estudantil realizadas pelo IF Baiano Campus Santa Inês em 2020 em tempos de pandemia de Covid-19. O objetivo geral consiste em demonstrar a relevância que as ações de Assistência Estudantil têm diante da situação de vulnerabilidade social que vivenciam estudantes que enfrentam a desigualdade social, fruto de um capitalismo perverso, a qual foi agravada no período da pandemia. A grande questão é tentar identificar como em 2020 o IF Baiano Campus Santa Inês tem impactado a vida dos estudantes em situação de vulnerabilidade social durante essa emergência sanitária. A metodologia adotada baseia-se em pesquisa sobre os relatórios das entrevistas e visitas domiciliares, com recorte temporal de 2020; como também na análise das ações desenvolvidas para estes estudantes diante da situação de emergência decorrente da pandemia. Trata-se de um estudo de caso que procura pesquisar a experiência. O recorte teórico baseia-se na concepção de Assistência Estudantil como um direito amparado legalmente pelo Programa Nacional de Assistência Estudantil, e nos estudos sobre desigualdade social na sociedade pós-moderna. E com base na pesquisa da experiência, os dados de Assistência Estudantil serão apresentados, explicitados em sete ações desenvolvidas em 2020. Já as considerações finais procurarão anunciar que o IF Baiano Campus Santa Inês tem feito diferença, impactado a vida de estudantes e contribuído para o fortalecimento da Política de Educação do Estado da Bahia durante a pandemia de Covid-19, principalmente dos estudantes em situação de vulnerabilidade social. Palavras-chave: Desigualdade Social; Neoliberalismo; Capitalismo; Educação Profissional.     Abstract: This article presents the systematization of student assistance actions carried out by IF Baiano Campus Santa Inês in 2020 in Times of pandemic covid-19. The general objective is to demonstrate the relevance that student assistance actions have in the face of the situation of social vulnerability that students who face social inequality, the result of a perverse capitalism, which was aggravated in the period of the pandemic. The big question is to try to identify how the IF Baiano Campus Santa Inês in 2020 has impacted the lives of students in situations of social vulnerability during this health emergency. The methodology adopted is based on research on the reports of interviews and home visits, with a time frame of 2020; as well as in the analysis of the actions developed for these students in the face of the emergency situation resulting from the pandemic.  This is a case study that seeks to research the experience. The theoretical framework is based on the conception of Student Assistance as a right legally based by the National Student Assistance Program, and on studies on social inequality in postmodern society. And based on the research of experience, the Data of Student Assistance will be presented, explained in 7 actions developed in 2020. The final considerations will seek to announce that the IF Baiano Campus Santa Inês has made a difference, impacted the lives of students and contributed to the strengthening of the Education Policy of the State of Bahia during the Covid-19 pandemic, especially of students in situations of social vulnerability. Keywords: Social Inequality; Neoliberalism; Capitalism; Professional Education.


2016 ◽  
Vol 51 (5) ◽  
pp. 389-397 ◽  
Author(s):  
Emily Kroshus

Context: Universal screening for mental health concerns, as part of the preparticipation examination in collegiate sports medicine settings, can be an important and feasible strategy for facilitating early detection of mental health disorders. Objective: To assess whether sports medicine departments at National Collegiate Athletic Association (NCAA) member colleges have policies related to identifying student-athlete mental health problems, the nature of preparticipation examination screening related to mental health, and whether other departmental or institutional screening initiatives are in place. I also aimed to characterize the variability in screening by institutional characteristics. Design: Cross-sectional study. Setting: College sports medicine departments. Patients or Other Participants: Team physicians and head athletic trainers at NCAA member colleges (n = 365, 30.3% response rate). Main Outcome Measure(s): Electronic survey of departmental mental health screening activities. Results: A total of 39% of respondents indicated that their institution had a written plan related to identifying student-athletes with mental health concerns. Fewer than half reported that their sports medicine department administers a written or verbal screening instrument for symptoms of disordered eating (44.5%), depression (32.3%), or anxiety (30.7%). The strongest predictors of mental health screening were the presence of a written plan related to identifying student-athlete mental health concerns and the employment of a clinical psychologist. Additionally, Division I institutions and institutions with a greater ratio of athletic trainers to student-athletes tended to engage in more screening. Conclusions: The substantial among-institutions variability in mental health screening suggests that opportunities exist to make these practices more widespread. To address this variability, recent NCAA mental health best-practice guidelines suggested that institutions should screen for a range of mental health disorders and risk behaviors. However, at some institutions, staffing deficits may need to be addressed to allow for implementation of screening-related activities.


2021 ◽  
Vol 27 (8) ◽  
pp. 833-836
Author(s):  
Fei Wu ◽  
Xuejun Ma ◽  
Wenjiang Zhao ◽  
Shuhua Qu

ABSTRACT Introduction: Sports injury is an important reason to interfere with sports training and physical exercise since it will not only bring unnecessary pain to the injured body, but also bring out negative emotions in athletes. Objective: To study the sports injury characteristics of high level competitive aerobics athletes in China. Methods: Literature data, questionnaire survey, expert interviews, field observation, mathematical statistics and physiotherapy tracking were used. Results: Wrists, ankles, waist and knees were the most frequently injured parts in high level competitive aerobics athletes in China. The main type of injury was acute injury, but chronic injury (48.18%) could not be ignored. Ninety percent of active high-level competitive aerobics athletes train with injuries, and 10 percent of them completely stop training because of injuries. Conclusions: Athletes should pay attention to their physical reserve and strengthen physical training. They must also be attentive to self-supervision, their own subjective feelings, and control the amount of exercise done. Level of evidence II; Therapeutic studies - investigation of treatment results.


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