the most common injuries in mixed martial arts · mixed martial arts •mixed martial arts is a...
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Themostcommoninjuries
inMixedMartialArts
JosephL.Torres,MD
MedicalDirector
2/3/18
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MixedMartialArts
• MixedMartialArtsisafullcombatsportthatallowsgrappling,
wrestling,boxing,strikingandothermartialarttechniques
betweentwoathletes.
• Theobjectiveistoachievevictoryeitherthroughknock-out,
submission,orthroughrulingofthejudgesiftimerunsout.
• Thefightcanalsobestoppedbyrefereeortheathletes
doctorifinjuriessustainedaretoodangeroustocontinuethe
sport.
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MMAandmore
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MMAandothermartialarts
• Thestudybelowisaretrospectivestudyinwhichinjuries
sustainedper1000fightsindifferentmartialartsportswere
compared:
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Mostcommonlocations
• Sincetheobjectiveistowinthroughknock-outorsubmission
andnotasfocusedonpointslikeboxing,mostathletesaim
fortheheadforaneasyknock-out.
• Therefore,upperbodyinjuriesaremostcommoninMMA.
• Astudyin2015lookedat455MMAathletesthroughdifferent
competitionsandwereabletocomparedifferentlocationsof
theinjuriessustained:
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TheArmbar
• Thearmisthemostcommonlyinjuredbodypart.
• AstudythatlookedatJiu-Jitsufightsresultedtoshowthatthe
armbarwasthemainreasonofarmrelatedinjuries.
• Thearmbarisacommonmovetoelicitasubmissionfromthe
opponent.Itisusedpredominantlybywrestlers.
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TheArmbar
• Armbarcauseshyperextensionoftheelbowjoint
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TheTriangleChoke
• Thetrianglechokeisanothermovetoelicitasubmissionfrom
theopponent.
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TheTriangleChoke
• Thechokecancausestressonthecervicalspinecausing
multipleinjuries.
• Theseinjuriesincludecervicalradiculopathy,herniateddiscs,
vertebralfractures,andvariousneckmusclestrains
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TheTriangleChoke
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HeadTrauma
• MMAincludesalotofboxingandstrikestotheheadandface.
• Oneofthemostcommoninjuriesarelacerations,however,
theyalsoincludeblowoutfractures,hematomas,nasal
fractures,dentalinjuries,andconcussions.
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Concussion
• MMAisafairlynewsportandthelongtermeffectsofthe
injuriessustainedhavenotbeenstudied.
• Studieshaveshownthatrepeatedtraumatotheheadin
sportssuchasfootballcancauseCTE.
• Acorrelationcouldbe
madewithFootballand
MMAandtheamount
ofheadtraumaeach
athletesuffersper
exposure.
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Hands,fingersandwrists
• Handsandwristsaremostlyinjuredwhilestriking/punching
theopponent.Therefore,themostcommoninjurysustained
arefracturesofthedifferentinterphalangealjointsandwrists.
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Shoulders
• Theshoulderjointismostlyinjuredduringgrappling,
however,musclestrainsareevidentafteroveruse.
• Anteriorandposteriordislocationsoccuroccasionally.
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RotatorCuffTear
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Knee
• Thekneejointisexposedineverysportandistrainedto
absorbalargeamountofforce.
• However,abluntdirectimpacttothekneejointorsudden
directionalmovementsthatarecompulsoryinMMAcan
causeligamenttears.
• ACLtearsarecommoninmanysportsandPCLtearsarerare.
• MMAalsofollowsthesametrend,however,PCLtearsare
seenoftenaswell.
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Knee
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AndersonSilvavsChrisWeidman
• UFC168wasafightthatishardtoforget.
• ItwasamultimilliondollarMiddleweightChampionshipfight,
however,itdidnotgoexactlyasplanned.
• InRound2,AndersonSilvasufferedasevereleginjury.
• https://www.youtube.com/watch?v=ODeTrNf1u5M
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RareInjuries
• AndersonSilvasufferedfromatibialshaftfracturewhichis
uncommon.
• MMAisafullcombatsportinwhichseverelifethreateningor
debilitatinginjuriesoccurinmorethan1outofevery4th fight.
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References
1. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4905906/
2. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4555620/
3. http://www.assh.org/Portals/1/PackFlashItemImages/Web
Ready/HandFracture
4. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3210280/
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ThankYou