1. 10 Judo Orthopedic Injuries
Mechanism and Prevention
Neil Partain, M.D., MPH&TM
10 Judo Orthopedic Injuries

2. 1. ACL Injury

3. Prevention/1st Aid/Prognosis
Stay off heels
Quad strength
Flexible Hamstrings
Audible “pop” or immediate joint failure.
Immediate swelling and pain.
If deformed, excruciating pain go to ER.
No deformity: Ice/Elevate, medical care within the week.
Recovery:
Non-surgical: 6 wks;
Surgical: 6 mo.

4. 2. Meniscus Tear

5. Prevention/1st Aid/Prognosis
Immobilize to control pain.
Ice and Elevate
Seek non-emergent medical care unless pain not tolerable.
Recovery: 2-6 wk (after surgery)
Play golf

6. 3. Rotator Cuff Injury

7. Prevention/1st Aid Shoulder Strength Shoulder Flexibility
Range of Injuries
Non-emergent
Shoulder ice wrap
Rest
Physical Therapy
Recovery: highly variable (3-12 wks)

8. 4. AC Separation

9. Prevention Proper ukemi
Sling arm under elbow to relieve effect of gravity.
Wrap Shoulder with ice and Saran Wrap
1st & 2nd Degree: Spontaneous healing
3rd Degree Surgical repair.
Healing time:
1st 6wks
2nd wks
3rd up to 6 months

10. 5. Wrist Fracture

11. Prevention/1st Aid/Prognosis
Point tenderness over “snuffbox”, loss of grip.
Hairline fracture may become displaced if ignored.
Splint in relaxed hand/wrist position seek medical care (non- emergent).
Recovery: 6-10 weeks
Do not lock elbow if bracing.
Try to avoid bracing with hand
If ignored, blood vessels to bone can die, as will the bone…permanently.

12. 6. Elbow Dislocation/Impingement or Fracture

13. Prevention/1st Aid/Prognosis
Range of severity:
Ligament sprain
Joint sac injury
Bone fracture with dislocation.
Immobilize in straight position.
If deformed:ER.
Not-deformed: Non- emergent care/X-ray
Recovery: IT DEPENDS
Tap
Dislocation and fracture can pinch the artery feeding the arm.

14. 7. Fibula Fracture

15. Prevention/1st Aid/Prognosis
Running program, stay off heels.
Loose feeling/appearing foot, crunchy on outside: ER for pain Rx.
Check for spontaneous movement vs. immediate swelling/purpling, can’t move due to pain.
Splint foot straight with judogi jacket.
Recovery: 2 mo. (no surgery); 4-6 mo. (surgery)

16. 8. Neck Injuries

17. Prevention/1st Aid/Prognosis
Stabilize neck: straight “neck brace” position.
Scratch toes, fingertips for sensation, wiggling, ease of breathing.
If no signs of problems, can walk off mat.
Recovery: 4-6 wks(mild), ?? Months (mod-severe)
Tuck neck
Do not “bridge ukemi” to avoid Ippon.
ANY loss of feeling, movement, difficulty breathing, pain in neck. (EMS)

18. 9. Finger Sprain

19. Prevention/1st Aid/Prognosis
Do not attmept to reduce.
If deformed (esp. back/front), ER.
Spontaneous mov’t: tape and fight.
Cannot move and/or pain with passive mov’t: timekeeper.
Recovery: 2-6 wks
Play golf
ANY loss of feeling, cool to touch, shortening.

20. 10. Toe Fractures/Sprains

21. Prevention/1st Aid/Prognosis
Do not attmept to reduce.
If deformed (esp. back/front), ER.
Spontaneous mov’t: tape and fight.
Cannot move and/or pain with passive mov’t: timekeeper.
Recovery: 2-6 wks
Play golf
ANY loss of feeling, cool to touch, shortening.