-
European College of Sports and Exercise Physicians (ECOSEP)
-
Im a big football fan, but I have to tell you, if I had a son,
Id have to think long and hard before I let him play football.
Barack Obama
President of the United States
Interview with New Republic
January 27, 2013
Interesting. I do have boys and Im thinking long and hard about
them getting near politics. No problem them playing football.
Tony Boselli
Former NFL Player
Twitter
January 28, 2013
-
. .
3.500.000 20% ( 1 2 ).
80% ,
35% .
7% .
-
,
, , , , ,
, , , ,
, , ,
,
, , ,
, , , , ,
, ,
, , , , , , ,
, , , , ,
, , (.. ), , , ,
24.3%, ( ) 17.6%, 15.5%, 7.8%, 7.6%,
, , ,
, (.. ), ,
, , , , , , , ,
, , , , , ,
-
, , .
- ,
(macrotrauma), (microtrauma),
-
-
-
.
.
,
.
-
,
.
-
, , .
:
- :
- :
-
/
: , , , , , .
-
A simple or closed fracture means that the bone is cracked but
the skin is not broken.
A compound or open fracture means that the skin is broken and
the bone is sticking out.
.
-
:
. ..
.
.
, ..
.
-
.
.
,
1-2 .
.
.
-
(.)
3-6 ( )
4-8 (2 )
3-6
8
3-4
Colles
3
6
4-6
() 6-12
- 8
8-12
Bennett's
6-8
3-4
()
3
2-3
2-3
12-16
8-12
3-4
12-16
0-6
16
3
4-6
14-16
12
8
4
() 0-3
8 .
, .
-
,
, ,
.
,
.
.
Sudeck
, , ,
, , ,
.
-
.
,
.
( ,
, )
-
( , )
(1-6 )
-
, MRI. 40% 20-70%
:
II:
III: ,
IV:
-
( - - ), , ,
,
, , .
-
.
-
,
,
MRI .
RICE (Rest 6-12 Ice Compression Elevation)
-
10-55%
3 :
:
Grade I -
Grade II
Grade III -
-
1 : ,
2 : .
3 :
-
:
: ,
: . .
-
3 : , ,
-
.. , , ..
(),
( II)
-
:
: Malalignment
60% : too much too soon
-
( )
. . 24 ,
-
RICE
Rest
Ice
Compression
Elevation
-
25-50%
.
:
: (
)
, ,
, ,
, , .
- overuse injuries
-
80%
,
, ,
,
80%
(28%)
, , (21%).
- overuse injuries
-
Tennis elbow
Golf elbow
Shin splints
Stress fracture
- overuse injuries
-
, , , . (97%) .
, , , , .
-
- Stress fracture
(Shin splint)
, ,
44-50%
12-16%,
16-20%
6-8%.
, , ,
-
- Stress fracture
.
: (40
50 % ), .
48-72 .
CT MRI
-
.
.
:
- ( , ,
-
- - .
O ,
-
H
.
18 Osgood- Schlatter, Sever, , , Scheurmann.
, ( 53%), (8,1%), (3,2%) (2%). ( 20%)
-
. . , , .
(Anterior compartment pain) , , , .
(posterior compartment pain) , , , , , ,
-
:
, , , . , . 24 .
:
:
-
,
-
6
( ), .. , .
.
( )
( )
-
-
:
,
:
: ( ),
(, , ),
(,),
: , ,
:
: , , ,
-
-
strong legs weak body
: , , ,
-
,
Niggs et al 1999
-
- gum shield
-
RICE ( 48 )
Rest
Ice
Compression
Elevation
(, , , , Laser)
-
/
-
-
-
-
-
Golf elbow
Tennis elbow
DeQuervain
-
(Lumbago)
-
- , .. -
, ..
( )
, ..
' , ..
: 1-2 2-3
-
( )
-
-
-
-
-
/
/
"" ,
-
( )
( )
shin splints ( )
( / )
( - )
( )
-
Mortons neuroma
Sesam bone stress fractures
Stress fractures of the foot
Sub-talar instability and pain
-
Bursitis of the great trochanter :
. (DeLee Drez, 2003)
: (
, ) (, 2003).
.
: , :
(Read Wade, 1997; Harries et al., 1998)
-
Tendinitis of the iliopsoas muscle :
: , , . ( ) (Brukner et al., 2007)
: , .
, , , , , . (, 2003)
-
Hamstring syndrome :
( ).
: , . (, 2003)
: ) ) .
, , , .
-
Patellofemoral Pain Syndrome : -
:
( )
(Paavala, 2002)
:
1. (- ),
2. ( - ),
3. ,
4. , , .
-
Pes anserinus bursitis :
2 , ( , )
: , . .
: , . , . (, 1998 Marten, 1990)
-
Tendonitis of the Achilles tendon :
. , , , () .
: , . , . , . (Brandari, 2002)
: . (Bressel, 2004)
-
Total Achilles tendon rupture :
, 2 - 6 cm .
: , , . . .
: , , , . , . , , Valgus, . . (Donatelli 1992; Cyriax 1984)
-
Calcaneal apophysitis / Severs disease : .
: , . , . , . , , . (Read Wade, 1997)
: , , . (Lillegard et al., 1999)
-
Osteochondritis of the tarsal navicular :
Kohlers disease - .
: , . , . . (, 2003)
: 2 10 .
-
Plantar fasciitis :
.
: , . , . . (, 2003)
: , . , . . (Brukner et al., 2007)
-
. . .
Lars Peterson & Per Resnstrom, SPORT INJURIES, Third
Edition, Martin Dunitz
Christer Rolf, THE SPORTS INJURIES HANDBOOK Diagnosis and
Management, A & C Black London
John Murtagh, ,
., , 2 , Universcity Studio Press
. , E
