1. Most Common Youth Football Injuries Contusions, Sprains, Strains and Fractures

2. Most Common Injuries in Youth Football
Severity of injury increases with age and size
90% of participants – no injuries
10% injuries / 64% minor – return same day
35% contusions(bruises), 15% ligament sprains
4% concussions
More likely injured in game vs. practice

3. Sprains Stretch or tear of a ligament Ligaments attach bone to bone
Most common areas to sprain:
Ankle
Knee
Shoulder
Elbow
Wrist
Foot

4. Signs and Symptoms Pain May be mild to severe Bruising
May be at the site or distal
Inflammation
Bodies response to immobilize the joint

5. Ankle Sprains Most common sprain seen Graded 1 – 3 / based on severity
Grade 1 – mild sprain
Grade 2 – moderate sprain
Grade 3 – severe sprain

6. Lateral Ankle Ligaments

7. Ankle Sprain Treatment: RICE Rest Ice
Ice Bag, Ice Bucket: minutes
Compression
Ace Wrap, Stirrup ankle brace
Elevation
Get above heart
Anti-inflammatory medication
OTC: Advil, Aleve, Ibuprofen
Doctor Prescribed

8. Knee Sprain ACL – Anterior Cruciate Ligament
PCL – Posterior Cruciate Ligament
MCL – Medial Collateral ligament
LCL – Lateral Collateral Ligament

9. Knee Ligaments

10. Knee Sprain ACL – Anterior Cruciate Ligament Symptoms: Pain
Immediate Swelling
Unstable
Treatment:
RICE
Brace / Crutches
M.D. Visit

11. Knee Sprain Medial Collateral Ligament Graded 1- 3, Based on Severity
Symptoms:
Pain – Inside part of knee
Swelling variable, usually mild
Mild to moderate instability
Treatment:
RICE
Brace / Crutches
MD Visit

12. Patella Dislocation

13. Knee Dislocation Multiple Ligament Injuries

14. Shoulder Sprain AC Separation Direct Blow to shoulder, lands on it
Pain on top of shoulder
Treatment:
RICE
Sling
M.D. Visit

15. Strains Injury to a muscle or tendon Symptoms:
Pain at site, varies with severity
Bruising in muscle belly
Swelling
Muscle spasm
Muscle weakness
Possible defect if severe

16. Strains Most Common Hamstring Quadriceps Adductor / Groin
Gastroc / Calf
Back
Rotator Cuff

17. Strains Prevention: Warm-up Properly
Stretch, Growing athletes need to spend more time stretching!
Treatment:
RICE
M.D. Visit if moderate / severe
Physical Therapy

18. Is it Broken? or Just Fractured?

19. Is it Broken or Just Fractured?

20. Is it Broken or Just Fractured?

21. Is it Broken or Just Fractured?

22. Is it Broken ? Or Just Fractured?

23. Is it Broken ? or Just Fractured ?

24. Is it Broken ? or Just Fractured ?

25. Is it Broken or Just Fractured?

26. Is it Broken? Or Just Fractured?

27. Fractures
A Fracture is a partial or complete break in a bone

28. Types of Fracture Closed Fracture: Skin is intact
Open Fracture / Compound Fracture:
Bone has poked through the skin

29. Closed Fracture Types: Torus Fracture Non-Displaced Fractures
Occurs in Children
Looks like a wrinkle in the bone on x-ray
Non-Displaced Fractures
Bone broken all the way through but ends still aligned
Displaced Fracture
Bone broken all the way through and ends not aligned, may be in multiple pieces (comminuted)
Fracture / Dislocations
Dislocation of a joint along with the broken bone

30. Closed Fracture Treatment
Don’t Panic!
Immobilize
Splint with cardboard / magazines, wrap with an ACE wrap
Ice
To control swelling
Check capillary refill/ Feeling
Seek Medical Treatment

31. Open Fractures Graded 1 – 3, based on severity
Grade 1 – bone poked out and went back in
Grade 2 – bone still out and visible
Grade 3 – bone out and contaminated, possible nerve / vascular injury

32. Open Fracture Treatment: Don’t Panic!!!!! Emergency: Call Ambulance!
Decontaminate wound / Remove clumps of grass / dirt
Place Sterile Dressing
Immobilize Extremity / Splint with magazines, cardboard, clean stick
Wrap with ACE wrap
Ice

33. Fracture / Dislocations
Treatment:
Don’t Panic
Call Ambulance
Splint extremity
Ice

34. Dislocations Shoulder most common Elbow / Finger also common Treatment
Ice
Sling / Splint
Seek Medical Attention

35. Thank You ! Gary A. Levengood, MD 770-237-3475 www.sportsmedsouth.com
1900 Riverside Parkway
Lawrenceville, GA