W. Ben Kibler

Injuries in adolescent and preadolescent soccer players

This prospective study examined injury incidence, injury type, causative factors, and effect on playing status for injuries occurring among soccer players in a invitational tournament. Injury incidence was 23.8/10,000 player hours, and 62.5% were mild, with contusions, sprains, and strains predominating. Player to player contact, and player to ground contact accounted for 67% of the injuries. Females had a higher incidence of injuries. These results support other studies that show soccer is a relatively safe sporting activity for youth. Implications for continued safety may include adjustments in playing conditions for females, proper preparation of playing surfaces, education of coaches about safe coaching practices, and consistent refereeing.

Clinical aspects of muscle injury.

Muscle injuries are a common part of the clinical practice of sports medicine. Due to variations in muscle injury, the clinical presentation may vary from the subclinical to the catastrophic. Muscle injuries may present in four broad categories: acute, chronic, acute exacerbation of a chronic problem, or subclinical alteration. Each muscle injury can be further broken down into five areas: tissue injury, clinical symptoms, functional biomechanical deficit, functional adaptations, and tissue overload. Case studies are presented to illustrate the presentation of each type and analysis of the component parts of the injury. It is only through such analysis that an accurate and complete diagnosis, followed by a functional rehabilitation plan, may be constructed.

Clinical biomechanics of the elbow in tennis: implications for evaluation and diagnosis.

Elbow injuries constitute a sizeable percentage of tennis injuries. Biomechanical analysis of the forces, loads, and motions on the elbow in tennis, and the constraint systems operating the control the forces, can lead to an understanding of the pathophysiology of these injuries. A biomechanically based evaluation framework can be used to document all of the clinical symptoms, anatomic alterations, and biomechanical alterations that are associated with the pathological problem.

Mass Participation Event Management for the Team Physician: A Consensus Statement

DEFINITION Mass participation event management is medical administration and participant care at these sporting events. Medical management provides safety advice and care at the event that accounts for large numbers of participants, anticipated injury and illness, variable environment, repeated games or matches, and mixed age groups of varying athletic ability. This document does not pertain to the care of the spectator. GOAL The goal is to assist the team/event physician in providing medical care during mass participation events. The physician’s role is to organize a medical team that facilitates event safety, provides medical care, makes return-to-participation decisions, and acts as the event medical spokesperson. To accomplish this goal, the team physician should have knowledge of and be involved with • Administrative matters concerning the event • Medical care and protocols • Hydration and fluid replacement SUMMARY This document provides an overview of select medical issues that are important to team physicians who are responsible for mass participation event management. It is not intended as a standard of care, and should not be interpreted as such. This document is only a guide, and as such, is of a general nature, consistent with the reasonable, objective practice of the healthcare professional. Individual treatment will turn on the specific facts and circumstances presented to the physician. Adequate insurance should be in place to help protect the physician, the athlete, and the sponsoring organization. This statement was developed by a collaboration of six major professional associations concerned about clinical sports medicine issues; they have committed to forming an ongoing project-based alliance to bring together sports medicine organizations to best serve active people and athletes. The organizations are American Academy of Family Physicians,

The sport preparticipation fitness examination

This book sets standards for testing athletes before they participate in sport and enlarges the scope of the traditional preparticipation fitness examination by: introducing a method of characterizing sports to show the differences in muscular demands; demonstrating testing procedures that show musculoskeletal deficiencies; and demonstrating how the individualized fitness profile can be used as a starting point for conditioning. The book describes sport-specific tests for 11 sports, which should enable team physicians and athletic trainers to be thorough and consistent in testing all relevant factors, regardless of the sport.