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Common Soccer Injuries
Paul HalfordPA West Soccer Association
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L ower Extremities
Account for 61% - 80.9% of all injuries
Ankle Sprains
Shin Splints
Stress Fractures
Anterior Cruciate ligaments
Quadricep Contusions
Groin Strains
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Ankle Injuries
Sprained (twisted) ankle is the most common type of ankleinjury. A sprain is the stretching or tearing of ligaments
Mechanism: Inversion or turning of the foot inwardsEversion or turning of the foot outwards
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Grade 1, 2 & 3
Tx: R.I.C.E.
Seek medical evaluation
Return to practice/game
Can the athlete:1. Balance on injured ankle, raising up on toes2. Run in a straight line
3. Running, changing directionall activities must be pain free
Sidelined for 2 6+ weeks
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Pain in the front of the leg
Mechanism: Many causes
Generally an overuse injury
Can be a stress fracture
Shin Splints
Tx: R.I.C.E
Seek medical evaluation
Return to Practice/GameIs the athlete pain free after a prolonged run.Sidelined for 1 2 weeks
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Stress Fracture
Mechanism: Overuse injury. Occurs when muscles become fatigued and unable to absorb added shock.The muscle then transfers the overload stress tothe bone causing tiny cracks.
TX: R.I.C.E
seek medical evaluation
Return to practice/gameSlowly increase running, running on alternate days.Maintain healthy diet.Sidelined 6 8 weeks
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Anterior Cruciate L igament
Mechanism:Can be either contact or non contact injury
Non-contact; When the lower leg is rotated while thefoot is planted. E.g running fast, decelerating
and sharply cutting
TX: seek medical evaluation
Return to practice/game1. Knee is symptom free2. Performance in functional tests3. Psychologically prepared for return.
to activitySidelined 6 9 months
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Quadricep contusion(Often called a dead leg or charley horse)
Mechanism: Blunt force trauma to the muscle.
Graded 1, 2 or 3
Return to practice/game1. Run,2. Run with change of direction3. JumpingAll activities must be pain freeSidelined 2 3 weeks
Tx: R.I.C.E.Seek medical evaluation, Intense physical therapy for motionComplications; Myositis Osificans
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Groin Strain
Graded 1, 2 or 3
1. Run,2. Run figure of eights around cones
All activities must be pain freeSidelined 2 3 weeks
Return to practice/game
TX: R.I.C.E.
Seek medical evaluation
Mechanism: Overextension of the groin
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U pper Extremities
Shoulder
Head
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Shoulder
Mechanism: Falling on the shoulder, elbowor outstretched arm
TX: R.I.C.E. Seek medical evaluation
Return to practice/game
1. Full Range of motion2. Pain free with running
Sidelined for 2 3 weeks
Acromio-clavicular joint
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D islocated shoulder
Mechanism: A direct blow to the shoulder or fall
TX: Immediate reduction by a PhysicianRecurrence rate 100% in contact sport.
Return to practice/gameIf treated conservatively:Full active motion and strengthSidelined 3 4 weeks4 6 months (If surgery)
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Sub-luxation D ead arm syndrome Numbness and tingling
Mechanism: forced abduction with external-rotation
Tx: Remove from activity and IceSeek medical evaluation
Return to practice/gameFull range of motion, full strength all pain free
Sidelined: 1 3 weeks
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HeadConcussion: Slight, Moderate or Severeor can be graded 1 - VI
Mechanism: Blow to the head
Tx: Remove from activity immediatelySeek medical evaluation
Return to practice/game
1. Symptom free then start light exercise.2. Sports specific activity with no contact.3. Symptom free and clearance from M D then
soccer activities with contact
Sidelined will depend on severity
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Facial injuries
Contusions
Nasal
Teeth
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References:
The Physician and Sportsmedicine
Sportsinjuryclinic.net
Principles of Athletic Training..
D r. D avid C. Neuschwander, M. D .
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