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Tug-of-War Injuries: A Case Report and Review of the Literature.

Chotai PN, Abdelgawad AA - Case Rep Orthop (2014)

Bottom Line: Patient was managed nonoperatively and regained radial nerve function.Tug-of-war is a globally popular noncontact sport.Combined hip and knee injuries and soft-tissue injuries involving the back are most frequent.

View Article: PubMed Central - PubMed

Affiliation: Department of Orthopedic Surgery, Texas Tech University Health Sciences Center, El Paso, TX 79905, USA.

ABSTRACT
We report a case of a 10-year-old boy presenting with radial nerve palsy due to injury during a tug-of-war game. Patient was managed nonoperatively and regained radial nerve function. Tug-of-war is a globally popular noncontact sport. Injuries during this game are inevitable and may range from simple sprains to life and limb threatening trauma. Combined hip and knee injuries and soft-tissue injuries involving the back are most frequent. Most injuries occur when tug-of-war was played in an informal setting and where the tug-of-war International Federation rules were less likely to be followed. Measures should be taken to increase the awareness about these safety rules and prevention of consequent injuries. Sports physicians, pediatricians, orthopedic surgeons, general physicians, and athletic trainers should be aware of potential injuries resulting from this game while caring for these athletes, so as to be well prepared for apt management of the injuries associated with TOW.

No MeSH data available.


Related in: MedlinePlus

Contusion mark on the right arm due to tight twisting of rope during the tug-of-war game.
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fig2: Contusion mark on the right arm due to tight twisting of rope during the tug-of-war game.

Mentions: A 10-year-old right-handed boy was brought in by his mother for complaint of weakness of right forearm and wrist immediately after participating in a recreational tug-of-war game. There was no history of direct trauma or fall; however, the patient did report forceful pulling of the TOW rope with three twists applied to his right upper arm. On examination, his vitals were stable and radial pulse was palpable; however, he was unable to actively extend the right wrist (Figure 1). There were no open wounds on the right upper extremity; however, there was a circumferential contusion mark on the lower third of the right upper arm (Figure 2). Systemic examination revealed no additional findings. Patient was put in a functional wrist brace and was started on nonsteroidal anti-inflammatory drug with physical therapy. At 2 months' follow-up, radial nerve function improved and at 3 months' follow-up, the patient regained complete wrist function.


Tug-of-War Injuries: A Case Report and Review of the Literature.

Chotai PN, Abdelgawad AA - Case Rep Orthop (2014)

Contusion mark on the right arm due to tight twisting of rope during the tug-of-war game.
© Copyright Policy
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4228823&req=5

fig2: Contusion mark on the right arm due to tight twisting of rope during the tug-of-war game.
Mentions: A 10-year-old right-handed boy was brought in by his mother for complaint of weakness of right forearm and wrist immediately after participating in a recreational tug-of-war game. There was no history of direct trauma or fall; however, the patient did report forceful pulling of the TOW rope with three twists applied to his right upper arm. On examination, his vitals were stable and radial pulse was palpable; however, he was unable to actively extend the right wrist (Figure 1). There were no open wounds on the right upper extremity; however, there was a circumferential contusion mark on the lower third of the right upper arm (Figure 2). Systemic examination revealed no additional findings. Patient was put in a functional wrist brace and was started on nonsteroidal anti-inflammatory drug with physical therapy. At 2 months' follow-up, radial nerve function improved and at 3 months' follow-up, the patient regained complete wrist function.

Bottom Line: Patient was managed nonoperatively and regained radial nerve function.Tug-of-war is a globally popular noncontact sport.Combined hip and knee injuries and soft-tissue injuries involving the back are most frequent.

View Article: PubMed Central - PubMed

Affiliation: Department of Orthopedic Surgery, Texas Tech University Health Sciences Center, El Paso, TX 79905, USA.

ABSTRACT
We report a case of a 10-year-old boy presenting with radial nerve palsy due to injury during a tug-of-war game. Patient was managed nonoperatively and regained radial nerve function. Tug-of-war is a globally popular noncontact sport. Injuries during this game are inevitable and may range from simple sprains to life and limb threatening trauma. Combined hip and knee injuries and soft-tissue injuries involving the back are most frequent. Most injuries occur when tug-of-war was played in an informal setting and where the tug-of-war International Federation rules were less likely to be followed. Measures should be taken to increase the awareness about these safety rules and prevention of consequent injuries. Sports physicians, pediatricians, orthopedic surgeons, general physicians, and athletic trainers should be aware of potential injuries resulting from this game while caring for these athletes, so as to be well prepared for apt management of the injuries associated with TOW.

No MeSH data available.


Related in: MedlinePlus