中等學校柔道賽傷病評估

Evaluation of Injury in a High School Judo Competition

黃獻皞(Hsien-Hao Huang) ； 高偉峰(Wei-Fong Kao) ； 張新(Hsing Chang) ； 徐德福(Teh-Fu Hsu) ； 郭健中(Chien-Chun Kuo) ； 顏鴻章(David H.T. Yen) ； 李建賢(Chen-Hsen Lee)

《中華民國急救加護醫學會雜誌》 14卷3期 (2003/09) Pp. 116-120

https://doi.org/10.30018/JECCM.200309.0004

摘要

Object: To describe the characteristics of patients requiring medical care at a judo competition and to provide data for the planning future events.
Methods: Medical care for the 2000 National High School Judo Competition, in which 896 athletes competed, together with 328 support staff or athletic trainers as well as, hundreds of spectators, was coordinated by emergency physicians at a medical center. There were one emergency physician, one emergency nurse, one emergency medical technician, three athletic paramedics, and an ambulance involved at this event each day. We used a standardized data abstraction form to collect information from patients. Each chart was recorded by either the emergency physician or the nurse who staffed the event.
Results: During the two-day judo competition, forty-nine cases sought medical assistance. Of the forty-nine cases, thirty-five were males and fourteen were females. Their ages ranged from 12 to 19 years, with an average age of 15.5±1.7. The forty-nine cases consisted of forty-eight competitive athletes and one female staff member. The medical use rate among the 896 competitors was 5.4%. The medical use rates for the 331 female and 565 male athletes were not significantly at 3.9% and 6.2% respectively with a p value of 0.146(＞0.05). The most common illness was sprain and/or strain, which accounted for 33 cases (67.3%); this was followed by 13 cases (26.5%) of abrasion and/of laceration, and three cases (6.1%) of bone fracture and/or joint dislocation. One case had a facial laceration and an upper limb muscle sprain at the same time. The most commonly injured regions were the upper limbs in 22 cases (44.9%), followed by the lower limbs in 19 cases (38.8%), with five cases (10.2%) of the face, two cases (4.1%) of the back and one case (2.0%) of the thorax. One joint dislocated case was reduced by the trainer at the scene of the competition without x-rays being taken before the reduction. Another case was a proximal radial fracture and this had a similar clinical appearance to a dislocation. Fortunately, it was not reduced at the scene. After immediate immobilization, x-rays revealed a proximal fracture of the radial bone. The majority of cases (40 cases, 83.3%) were improved after onsite onsite treatment. Only two cases needed to be transferred by ambulance to the hospital.
Conclusions: At this high school judo competition, the medical use rate for athletes was similar to that of previous reports from other countries. Due to the similarity in clinical appearance between dislocations and fractures, we recommend that limb deformity during the judo competitions should not be reduced as a dislocation before an x-ray is taken. From this preliminary data, we confirmed the need for emergency medical care at this type of event.

關鍵字

台北 ； 柔道資 ； 中學

並列摘要

Object: To describe the characteristics of patients requiring medical care at a judo competition and to provide data for the planning future events.
Methods: Medical care for the 2000 National High School Judo Competition, in which 896 athletes competed, together with 328 support staff or athletic trainers as well as, hundreds of spectators, was coordinated by emergency physicians at a medical center. There were one emergency physician, one emergency nurse, one emergency medical technician, three athletic paramedics, and an ambulance involved at this event each day. We used a standardized data abstraction form to collect information from patients. Each chart was recorded by either the emergency physician or the nurse who staffed the event.
Results: During the two-day judo competition, forty-nine cases sought medical assistance. Of the forty-nine cases, thirty-five were males and fourteen were females. Their ages ranged from 12 to 19 years, with an average age of 15.5±1.7. The forty-nine cases consisted of forty-eight competitive athletes and one female staff member. The medical use rate among the 896 competitors was 5.4%. The medical use rates for the 331 female and 565 male athletes were not significantly at 3.9% and 6.2% respectively with a p value of 0.146(＞0.05). The most common illness was sprain and/or strain, which accounted for 33 cases (67.3%); this was followed by 13 cases (26.5%) of abrasion and/of laceration, and three cases (6.1%) of bone fracture and/or joint dislocation. One case had a facial laceration and an upper limb muscle sprain at the same time. The most commonly injured regions were the upper limbs in 22 cases (44.9%), followed by the lower limbs in 19 cases (38.8%), with five cases (10.2%) of the face, two cases (4.1%) of the back and one case (2.0%) of the thorax. One joint dislocated case was reduced by the trainer at the scene of the competition without x-rays being taken before the reduction. Another case was a proximal radial fracture and this had a similar clinical appearance to a dislocation. Fortunately, it was not reduced at the scene. After immediate immobilization, x-rays revealed a proximal fracture of the radial bone. The majority of cases (40 cases, 83.3%) were improved after onsite onsite treatment. Only two cases needed to be transferred by ambulance to the hospital.
Conclusions: At this high school judo competition, the medical use rate for athletes was similar to that of previous reports from other countries. Due to the similarity in clinical appearance between dislocations and fractures, we recommend that limb deformity during the judo competitions should not be reduced as a dislocation before an x-ray is taken. From this preliminary data, we confirmed the need for emergency medical care at this type of event.

並列關鍵字

Taipei ； judo ； high school