The footballer's fracture
Deutscher übersetzter Titel: | Die Fussballerfraktur |
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Autor: | Cattermole, H.R.; Hardy, J.R.W.; Gregg, P.J. |
Erschienen in: | British journal of sports medicine |
Veröffentlicht: | 30 (1996), 2, S. 171-175, Lit. |
Format: | Literatur (SPOLIT) |
Publikationstyp: | Zeitschriftenartikel |
Medienart: | Gedruckte Ressource |
Sprache: | Englisch |
ISSN: | 0306-3674, 1473-0480 |
Schlagworte: | |
Online Zugang: | |
Erfassungsnummer: | PU199610200913 |
Quelle: | BISp |
Abstract des Autors
Objective: To describe the typical tibial diaphyseal fracture ("footballer's fracture") and to clarify the circumstances and mechanism of the injury. Methods: In an attempt to obtain a detailed analysis of the types of injury suffered, and thereby highlight areas for prevention, 100 consecutive adult football players with a tibial diaphyseal fracture were studied prospectively. Details of the circumstances and mechanism of injury were collected using a questionnaire (response rate 85%). Treatments depended on the Gustilo classification, displacement, and axial stability. Long term follow up was performed until clinical healing to define the overall prognosis. Results: 61% of players suffered a fracture of both the tibia and the fibula. Ninety-five percent of the tibial fractures were transverse or short oblique and were caused by impact during a tackle. Radiographic evidence of bridging callus was better than a classification of the bony injury for predicting weeks to clinical healing. The delayed union and non-union incidence following this injury is low. One patient suffered symptomatic shortening. One patient suffered symptomatic angulation and two patients with nonunion required bone grafting. Conclusions: Tibial fracture is an expensive injury. It prevents a young population from being employed and takes up valuable NHS resources. As 85% of players were wearing shin guards, it is likely that improvements in shin guard design could reduce the rate of tibial fracture. Verf.-Referat