Your SlideShare is downloading. ×
0
Soccer Shoulder - Lennard Funk
Soccer Shoulder - Lennard Funk
Soccer Shoulder - Lennard Funk
Soccer Shoulder - Lennard Funk
Soccer Shoulder - Lennard Funk
Soccer Shoulder - Lennard Funk
Soccer Shoulder - Lennard Funk
Soccer Shoulder - Lennard Funk
Soccer Shoulder - Lennard Funk
Soccer Shoulder - Lennard Funk
Soccer Shoulder - Lennard Funk
Soccer Shoulder - Lennard Funk
Soccer Shoulder - Lennard Funk
Soccer Shoulder - Lennard Funk
Soccer Shoulder - Lennard Funk
Soccer Shoulder - Lennard Funk
Soccer Shoulder - Lennard Funk
Soccer Shoulder - Lennard Funk
Soccer Shoulder - Lennard Funk
Soccer Shoulder - Lennard Funk
Upcoming SlideShare
Loading in...5
×

Thanks for flagging this SlideShare!

Oops! An error has occurred.

×
Saving this for later? Get the SlideShare app to save on your phone or tablet. Read anywhere, anytime – even offline.
Text the download link to your phone
Standard text messaging rates apply

Soccer Shoulder - Lennard Funk

3,934

Published on

Shoulder injuries in Soccer - our experience and research.

Shoulder injuries in Soccer - our experience and research.

Published in: Health & Medicine, Travel
0 Comments
2 Likes
Statistics
Notes
  • Be the first to comment

No Downloads
Views
Total Views
3,934
On Slideshare
0
From Embeds
0
Number of Embeds
18
Actions
Shares
0
Downloads
23
Comments
0
Likes
2
Embeds 0
No embeds

Report content
Flagged as inappropriate Flag as inappropriate
Flag as inappropriate

Select your reason for flagging this presentation as inappropriate.

Cancel
No notes for slide

Transcript

  1. AMSTERDAM / THE NETHERLANDS www.esska-congress.org Lennard Funk 1
  2. AMSTERDAM / THE NETHERLANDS www.esska-congress.org INCIDENCE • 2-4% of all injuries ! • BUT: – Longest period of time away from play 3
  3. AMSTERDAM / THE NETHERLANDS www.esska-congress.org EKSTRAND ET AL. BR J SPORTS MED 2009 4 Original article Table 3 Injury pattern by severity of injuries Total 1–3 Days 4–7 Days 8–28 Days >28 days Injury location Head and neck 77 (2) 19 (2) 23 (2) 29 (2) 6 Neck/cervical spine 23 11 (1) 8 3 1 Shoulder/clavicula 80 (2) 12 (1) 16 (1) 30 (2) 22 (3) Upper arm 3 1 2 0 0 Elbow 24 3 10 8 3 Forearm 5 1 0 2 2 Wrist 8 1 1 4 2 Hand/finger/thumb 38 8 6 16 8 Sternum/ribs/upper back 47 (1) 9 16 (1) 19 (1) 3 Abdomen 31 3 7 17 (1) 4 Lower back/pelvis 237 (5) 74 (8) 78 (7) 66 (4) 19 (3) Hip/groin 616 (14) 119 (12) 169 (15) 256 (16) 72 (10) Thigh 1064 (23) 184 (19) 272 (23) 469 (28) 139 (20) Knee 818 (18) 183 (19) 155 (13) 268 (16) 212 (30) Lower leg/Achilles tendon 511 (11) 116 (12) 132 (11) 178 (11) 85 (12) Ankle 625 (14) 150 (15) 185 (16) 220 (13) 70 (10) Foot/toe 268 (6) 75 (8) 81 (7) 63 (4) 49 (7) Unknown 8 2 3 3 0 Injury type Fracture 160 (4) 7 9 59 (4) 85 (12) Other bone injury 26 5 1 6 14 (2) Dislocation/subluxation 50 (1) 5 4 24 (1) 17 (2) Sprain/ligament injury 828 (18) 123 (13) 197 (17) 334 (20) 174 (25) group.bmj.comon June 21, 2010 - Published bybjsm.bmj.comDownloaded from
  4. AMSTERDAM / THE NETHERLANDS www.esska-congress.org PREMIERSHIP SHOULDER INJURIES • Data courtesy of Health Partners Europe • Anonymous ! ! • Jan 2007 - Jan 2010 • 35,000 claimed injuries • 3.3% Shoulders 5 Mills, Pritchard, Funk, Batty. BJSM. 2011
  5. AMSTERDAM / THE NETHERLANDS www.esska-congress.org INCIDENCE 6 0 10 20 30 40 50 60 70 80 90 100 2006-2007 2007-2008 2008-2009 2009-2010 Right Left Mills, Pritchard, Funk, Batty. BJSM. 2011
  6. AMSTERDAM / THE NETHERLANDS www.esska-congress.org SURGERY 7 ! Mills, Pritchard, Funk, Batty. BJSM. 2011
  7. AMSTERDAM / THE NETHERLANDS www.esska-congress.org TYPES OF SURGERY 8 ! Mills, Pritchard, Funk, Batty. BJSM. 2011
  8. AMSTERDAM / THE NETHERLANDS www.esska-congress.org • 25 Professional Footballers – 15 Field players – 10 Goalkeepers 9 GOALKEEPERS 
 VS. OUTFIELD PLAYERS Hart & Funk, KSSTA. 2013
  9. AMSTERDAM / THE NETHERLANDS www.esska-congress.org INJURY PATTERNS 10 Hart & Funk, KSSTA. 2013
  10. AMSTERDAM / THE NETHERLANDS www.esska-congress.org FIELD 11 Goalie
  11. AMSTERDAM / THE NETHERLANDS www.esska-congress.org FINDINGS IN GOALKEEPERS SHOULDERS • Poor postural control and position • Abdominal • Pelvis • Scapula thoracic • Poor recruitment of posterior cuff • Problems with thoracic and costo-vertebral joints 12 Tatlow & Funk, 2008
  12. AMSTERDAM / THE NETHERLANDS www.esska-congress.org Common Injuries 13 6% 81% 16% 12% (outfield) 50% (goalies) 12% 18% Mills, Pritchard, Funk
 ISSM, 2011
  13. AMSTERDAM / THE NETHERLANDS www.esska-congress.org CLASSIFICATION OF LESIONS 14 Major ‘Minor’ • Bony Bankart! • ALPSA! • Rotator Cuff Tear! • HAGL! • Undisplaced Labral Tear! • Partial Cuff Tear!
  14. AMSTERDAM / THE NETHERLANDS www.esska-congress.org TIMING OF SURGERY • Early Surgery: – ‘Major’ lesions – Late in Season – Unable to Return • Rehab & Return: – ‘Minor’ lesions – Early season 15
  15. AMSTERDAM / THE NETHERLANDS www.esska-congress.org RETURN TO PLAY • Unrestricted play = 11.4 weeks (3.7 SD) – Outfield = 11.6 wks (4.1 SD) – Goalies = 11.1 wks (3.2 SD) 16 Hart & Funk, KSSTA. 2013
  16. AMSTERDAM / THE NETHERLANDS www.esska-congress.org ROTATOR CUFF TREATMENT 17 Impingement & Bursitis Rehab & Subacromial Injection Partial Cuff Tears Platelet Rich Plasma Injection / Arthroscopic debridement or repair Full Thickness Tear Arthroscopic Repair
  17. AMSTERDAM / THE NETHERLANDS www.esska-congress.org SUMMARY • Not common, but serious • Outfield players = Labral injuries • Goalkeepers = cuff pathology • MR Arthrogram investigation of choice • Arthroscopic surgery • Sports specific rehabilitation 18
  18. AMSTERDAM / THE NETHERLANDS www.esska-congress.org 19
  19. AMSTERDAM / THE NETHERLANDS www.esska-congress.org 20

×