
Archives de l'auteur: FIFA-Medical

Case This 70-year-old football coach presents for a review of his left foot. He tells you he has always had ‘flat feet’ but that his left foot has changed in appearance over the past few years. It is not painful, he is able to play some social football with his friends and can walk freely [...]

Female players who injure their anterior cruciate ligament (ACL) are five times more likely to re-injure their knee and are more likely to quit football.
This prospective study compared female players who underwent an ACL reconstruction (ACLR) with their healthy peers. The authors found that the players who had an ACLR were both more likely to re-injure their knee and to quit playing football1. Anterior cruciate ligament (ACL) injuries are a common problem in football players with female players having [...]

Bucket handle meniscal tear
Case This 40-year-old male football player with a history of an ACL reconstruction with BTB autograft and medial and lateral meniscal repairs presented two years after his surgery. He described an “awkward movement” while walking with his knee in mid flexion resulting in a subsequent giving way sensation associated with immediate pain and swelling. His [...]

Osteoid Osteoma
Case A 25-year-old male footballer with a past history of lumbar disc pathology presents with a three-month history of a deep constant left thigh ache that is worse at night and responds to painkillers including acetaminophen and ibuprofen. This followed a heavy preseason load of running but persisted despite rest. There was no significant abnormality [...]

Do platelet-rich plasma or hyaluronic acid intra-articular injections work better for treating knee osteoarthritis?
Injections are commonly used to treat knee pain in football. This randomised controlled trial from the American Journal of Sports Medicine compares two of the more common types of injection, platelet rich plasma (PRP) and hyaluronic acid (HA) and found little difference between the two options at five-year follow-up1. Osteoarthritis (OA) commonly occurs in footballers [...]

Talocalcaneal coalition
Case A 24 year old female recreational football player presented with a 12 month history of worsening dorsal mid-foot pain. She was found to have a marked restriction in subtalar movements and generalised tenderness about the hindfoot. Findings A lateral x-ray image was grossly abnormal showing absent anterior and middle facets of the talocalcaneal joint. [...]

Stieda Pellegrini Syndrome
Case A 26-year-old male football player presents with well localised pain about the medial knee. The pain is related to activity and is associated with quite marked localised tenderness. He reported having sustained a medial collateral ligament injury to his knee five months previously. While he was able to return to football after this injury, [...]

Surgery or rehabilitation for ruptured Achilles tendons? Which is best ?
This meta-analysis found non-surgical management of an acute Achilles tendon rupture had the same risk of tendon re-rupture if an early functional range of motion protocol was also followed. The two groups had equivalent proportions of patients returning to the same level of sporting activity, while the surgical group had higher rates of other complications1. [...]

Proximal hamstring avulsion
Case A 26-year-old male professional football player presents after a ‘stretch’ type injury to his right hamstring. He experienced immediate pain and was unable to continue. Over the next 24 hours he developed extensive bruising over his posterior thigh. There was a palpable defect in the proximal tendon. Findings X-ray images of the hip and [...]

Paralabral cyst
Case A 48-year-old male recreational football player presents with a three-month history of right shoulder pain. The pain is felt in the deltoid region and has been aggravated by overhead activity. He cannot identify a clear precipitant. On examination he was found to have a painful arc and positive rotator cuff impingement signs. The most [...]