Updates in Injuries in Mixed Mar1al Arts. Dr. Randa Bascharon, D.O. Board Certi4ied Orthopedic Surgeon Fellowship trained in Sports Medicine

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Anthony Edwards
5 years ago
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1 Updates in Injuries in Mixed Mar1al Arts Dr. Randa Bascharon, D.O. Board Certi4ied Orthopedic Surgeon Fellowship trained in Sports Medicine

2 Methods: 304 professional 4ighters ights 200 (66%) Uninjured vs 102(33%) Injured Majority of injuries - soft tissue in nature. 43 x- rays 7% found new fractures 34 CTs con4irmed 13 facial bone fractures No subdural, epidural or Intraparenchymal bleeds were observed.

3 Three outcomes had a substantial increase in injury incidence; TO: Armbar 58.3% (7/12) TKO 52.9% (27/51) Decisions 46.8% (37/79) Injuries occurred (9.27% of 33%, p= 0.004), 34 (11.7%) Competitors had CT Scans; 13 (38.4%) - Facial bone fractures.

The overall injury rate: 8.5% of 4ight participations (121 injuries/1422 4ight participations) 5.6% of rounds (121/2178 rounds). Greater % of altered mental state in Men.

4 The overall injury rate: 8.5% of 4ight participations (121 injuries/1422 4ight participations) 5.6% of rounds (121/2178 rounds). Greater % of altered mental state in Men. Risk of Injury - SigniUicantly greater at: The professional level Lasting more rounds Ending in a KO/TKO More likely to be referred to the ER if longer bouts ending in a KO/TKO.

5 Average Force of Muay Thai Kick Sports Science: Kicking Power

6 Fractures UFC 168 Anderson Silva Vs Chris Weidman

$Evangelista "Cyborg" Santos fractured$ $July 2016 Facial fractures - Nose and the$

7 Fractures Tibia Arms Elbows Hands Evangelista "Cyborg" Santos fractured skull after Flying Knee to the face - July 2016 Facial fractures - Nose and the Orbital bone.

8 Concussion/Closed Head Injuries MMA and UFC 4ighters DO NOT wear any protective head gear Therefore susceptible to head injuries.

9 Concussion/ Closed Head Injuries Not allowed To strike another 4ighter s head or face with a (straight up- and- down) elbow Hit the top or back of another 4ighter s head and neck,

10 Subdural Hematoma 35- year- old Sam Vasquez October 20, 2007 in Houston, Texas Lost by way of knockout. Lost consciousness again shortly thereafter Underwent Cranial Decompression Death due to complications of blunt trauma of the head with a subdural hemorrhage

11 American Academy of Neurology (AAN) guidelines

12 Concussion could lead to permanent brain damage.

13 Concussion protocol

14 If 4ighter returns before a concussion is completely healed and sustains another concussion, Higher risk of a degenerative brain disease - chronic traumatic encephalopathy (CTE).

15 Shoulder DislocaFons

16 Shoulder DislocaFons

17 Shoulder ReducFon Techniques

18 Elbow Injuries Armbar Posterior Elbow Dislocation

19 Elbow DislocaFon ReducFon Technique

20 Hand/Wrist Injuries MMA 4ighters do wear gloves, however they don t necessarily protect the hands from all injuries. Broken 4ingers, ligament tears, and jammed 4ingers are all common

$ligament tears and fractures can often heal$ without the need for surgery.

21 Hand/ Wrist Injuries Jammed 4ingers and minor ligament tears and fractures can often heal without the need for surgery. In some cases, a cast or brace may be needed to immobilize the area as it heals.

$For severe displaced fractures pins and screws$

22 Hand/Wrist injuries Torn ligaments surgery may be needed. The goal of surgery: reattach the ligament. For severe displaced fractures pins and screws to restore proper alignment in the bones.

23 Knee Injuries The knees often twisted or forced into awkward positions Common for 4ighters to tear the (ACL), (PCL), or meniscus. Some cases: rest, ice, bracing, and physical therapy.

24 ACL ReconstrucFon May 7, 2012, Dominick Cruz, former 2X UFC Bantamweight champion Forced to pull out of the bout citing a torn ACL Had ACL Reconstruction Returned January 17, 2016, to win UFC title back

25 DehydraFon Issues

26 MMA fighters gained 3.40 ± 2.2 kg or 4.4% of their body weight in ~ 22-hour period before competition. Conclusion: Urinary measures - indicate that a significant % MMA fighters NOT SUCCESSFULLY REHYDRATING before competition Subsequently are competing in a dehydrated state.

27 Hypohydration appears to consistently attenuate: Strength (~ 2%) Power (~3%) High-intensity endurance (~10%) Alterations in total body water affect some aspect of force generation.

28 Dehydra1on and its effects on performance The main reasons dehydration has an adverse effect: Reduction in blood volume Decreased skin blood 4low Decreased sweat rate Decreased heat dissipation Increased core temperature Increased rate of muscle glycogen use

30 Thank You

Surgical Care at the District Hospital. EMERGENCY & ESSENTIAL SURGICAL CARE

Surgical Care at the District Hospital 1 17 Orthopedic Techniques Key Points 2 17.1 Traction Use an appropriate method of traction to treat fractures of the extremities and cervical spine Apply extremity