Trouble on the Ice
Hockey is an intense collision sport involving high speeds, strength and aggressive play. With constant contact with boards, other players, sticks and pucks, injuries are bound to occur. This article outlines some of the more common injuries.
Concussions
The American Academy of Neurology (AAN) defines three grades of concussions.
- A grade-one concussion doesn’t result in a loss of consciousness but does involve the haziness and disorientation normally associated with head injuries.
- A grade-two concussion has similar symptoms but lasts beyond 15 minutes.
- A grade-three concussion is determined by a loss of consciousness.
An athlete can return to competition on the day of a grade-one concussion, while a grade-two concussion can keep a player out of play for up to two weeks. It may be a month or longer to fully recover from a grade-three concussion.
Shoulder Injuries
The shoulder joint is comprised of the humeral head and the glenoid fossa of the scapula. This joint is very shallow and looks like a golf ball sitting sidewise on a tee. It is very mobile, allowing for great movement, but can also be injured.
Shoulder subluxations
Shoulder subluxations occur when the humeral head slips out of joint. It can occur forward (most common), downward or backward. The arm may become paralyzed temporarily – usually resolving in a couple of minutes. When a subluxation occurs, go to a physician for treatment.
Shoulder dislocations
Shoulder dislocations can occur forward, backward and downward. After a dislocation, the arm will appear out of position and misshapen. Pain, swelling, numbness, weakness and bruising of the shoulder may also occur. Immobilize the athlete – do not attempt to straighten or change the shoulder’s position. Call for immediate medical attention. Rehabilitation will be a crucial component in regaining shoulder function.
Clavicle Fractures
Fractures of the clavicle (a bone in the upper chest between the shoulder and breastbone) are common. Noticeable deformity is usually present. Immobilize and transport the athlete to a medical facility for treatment.
Contusions
Contusions occur quite frequently in hockey. Treat these injuries promptly and immediately so you do not lose playing time. Ice the affected area for 20 minutes while stretching. Do not apply heat to these injuries for at least five days.
Skate Bite
Skate bite is a friction injury caused by the tough leather of the skate boot. The padding on the tongue sometimes breaks down and causes pressure on the tendon in the front of the ankle.
The pressure inflames the tendons and causes pain when the athlete is skating. Treatment involves ice and gentle stretching. To cut down on the friction, place foam padding across the tendons prior to tying the skates. You may also choose to wear two pair of socks.
Prevention
Cleveland Clinic Sports Health physicians recommend strengthening and stretching programs to prevent injuries. For best results, hockey players should maintain these programs even during the off-season.
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