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Football Traumatology Current Concepts: from Prevention to Treatment Piero Volpi (Ed.) Football Traumatology Current Concepts: from Prevention to Treatment Foreword by: Neil P. Thomas Franco Carraro Sergio Campana Giacinto Facchetti -Springer PIEROVOLPI Center for Sports Rehabilitation Galeazzi Orthopaedics Institute Milan, Italy Library of Congress Control Number: 2005937087 ISBN 10 88-470-0418-7 Springer Milan Berlin Heidelberg New York ISBN 13 978-88-470-0418-4 Springer Milan Berlin Heidelberg New York This work is subject to copyright. All rights are reserved, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustra- tions, recitation, broadcasting, reproduction on microfilm or in any other way, and storage in data banks. Duplication of this publication or parts thereof is permitted only under the provisions of the Italian Copyright Law in its current version, and permission for use must always be obtained from Springer. Violations are liable to prosecution under the Italian Copyright Law. Springer is a part of Springer Science+Business Media springer.com 63 Springer-Verlag Italia 2006 - 2nd printing 2006 Printed in Italy The use of general descriptive names, registered names, trademarks,etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. Product liability: The publishers cannot guarantee the accuracy of any information about dosage and application contained in this book. In every individual case the user must check such information by consulting the relevant literature. Cover design: Simona Colombo, Milan, Italy Typesetting: Graphostudio, Milan, Italy Printing: Grafiche Porpora, Cernusco SIN (MI), Italy Foreword This anthology of Football Traumatology edited by Dr. Piero Volpi comprises the collective experience of many of the leading surgeons in Europe whose practice includes footballers at all levels. By pooling this experience and clearly defining common problems and areas of current interest Professor Volpi has produced a very useful reference source for orthopaedic surgeons, sports physicians and physiotherapists. Future editions may expand on emerging areas in non-surgical fields such as dietary supplements and the effects of psychological factors on both injury itself as well as recovery. Topics in this first edition such as Epidemiology, Training Methods, Prevention, and Future Treatment are welcome adjuncts to the usual subjects and reflect recent areas of research. Neil P. Thomas President ESSKA 2000 Winchester UK With football becoming ever more relentless and intense, the role of the sports doctor has become in the last few years increasingly important in protecting footballers' health and their physical integrity. It is in this context that Dr. Volpi's in depth and wide ranging work must be viewed. His attention has focused specifically on two important aspects: the fight against doping and the preven- tion of sports traumas. Together with his scientific experience as a sports clini- cian and traumatologist, Dr. Volpi can also draw on his direct field experience as a football player, which adds considerable value to the editing of the current vol- ume, intended as a service to football. With the Football World Cup just round the corner, this book produced in collaboration with both Italian and foreign experts is particularly topical: I am convinced that the spread of medical-scien- tific knowledge and innovations is the most efficient way to safeguard the health of athletes and encourage the growth of a "better" football. Franco Carraro President of the Italian Football Federation VI Foreword This wide editorial initiative, conceived and realized by Dr. Piero Volpi, a pre- cious and not replaceable AIC consultant, brings an important scientific contri- bution to medical questions connected to football. It is noticeable in the work the importance of the Author's direct experiences, first as players and as sport and traumatic doctor then. AIC has always been strongly engaged in safeguarding the players' health, real protagonists of the sport event, and has, between his leading aims, the fight against doping and the traumas prevention. The information, the knowledge and the education are fundamental for play- ers who want to successfidly face the fight to defend their physical integrity and professional dignity. This praiseworthy editorial effort goes exactly in the direction wished by AIC and will be useful for all the football component to enrich their cultural heritage but especially to know how important is the work done by who acts in order to improve sport anyhow. Sergio Campana President AIC Italian Footballers Association As an F.C. Internazionale executive, and through dealing with the topic in UEFA and FIFA Commision meetings, I have been able to closely follow Piero Volpi's work in these past ten years. I have come to appreciate the preparation and ethics of a person who was "born" on the pitch and has since been through many experiences, first as footballer and later as a sports doctor. This interesting book is the result of an analysis of these two lives that run parallel, but which are not always necessarily linked in the professional world: theory is verified by practice, research addresses the demands and problems faced at the highest com- petitive levels. The knowledge and possibilities offered by sports medicine today are far superior to those in my generation of footballers. Piero Volpi's book is the most recent and vivid example that today's athlete has the moral and professional duty to consider his own health as one of the most important and decisive aspects of his career - at the very level and on each occasion, starting from the basis, from the decisive transition between playing for fun and playing competitively. Giacinto Facchetti President, EC. Internazionale Milano Preface Every child has a dream: to play football and become a famous footballer. When I was 10 years old, my father was used to bring me to San Siro stadium on sunday afternoons to watch the Inter team playing. The great Inter was grow- ing up. Sarti, Burnich, Facchetti.. it was an absolute and sudden love. Twenty years later I was climbing that prestigious stadium through the stairs from the locker rooms wearing the shirt of Como team to play a football match of the first league Italian championship against Inter. Fifteen years later, I was sitting as a chief physician on the bench of the Moratti's Inter team, Ronaldo, Baggio, etc. Sometimes dreams come true. With the present book I accomplish today another wish. To enrich the won- derful world of football with scientific and specialistic contributions on football traumatology, a branch that has undergone important hits and progresses. Football has constant need of medical, diagnostic, clinical, therapeutic knowl- edge to counteract the increased number of traumas occurring during sport per- formance in order to defend the integrity of its players, beeing them profession- als, amateurs, young or women. Thanks to my father, to him my dearest memory, thanks for bringing me to the stadium when I was a child. Thanks to everybody that I met in the football world: players, team compan- ions and competitors, trainers, managers, physicians, physiotherapists, press reporters, fans; I learned from everyone as in a real "gym of lifeyy. Thanks to the Authors of this book, for their participation and for the high scientific level reached in their chapters. Thanks to Springer who has been recipient of this idea and was able with great skill to make it real. Piero Volpi Contents Section I General concepts Epidemiologyand Risk Factor P. VOLPI .......................................................... Aspects of Biomechanics G. CERULLI,A. CARAFFA,G. ZAMARRA,F. FANTASIA, M. LORENZINI,D. CHECCARELLI........................................ 1 1 Training Methods C.BORDON ....................................................... 23 Evaluation of Whole Physical Condition F. PIGOZZI,A.GUIMBINI, F. FAGNANI,~.DI SALVO.......................... 33 Biochemical and HaematologicalParameters in Football Players G.BANFI.......................................................... 43 Prevention of Football Injuries I.BERKES,A. KYNSBURG, G. PANICS..................................... 53 Organisation of a ProfessionalTeam's Medical Staff and the Physician's Role P.VOLPI .......................................................... 67 Injuries in Women's Football L. ENGEBRETSEN,K. STEFFEN .......................................... 75 Referee Lesions J. ESPREIGUERA-MENDES,C. ARCE ...................................... 89 X Contents Future treatmentsfor Football lnjuries M.FERRETTI,B.A.ZELLE,F.H.FU..................................... 101 Section II: Specific lnjuries Maxillo-Facial Traumatology R. BRUSATI,F. BIGLIOLI........................................ 1 13 Upper Extremity lnjuries P.VOLPI,R. POZZONI,M. GALLI,C. BAIT................................. 123 Shoulder Dislocation R.ZINI ........................................................... 127 Back Problems E. ROLLAND,G. SAILLANT............................................ 143 Muscle lnjuries D. TORNESE,G. MELEGATI,P.VOLPI ..................................... 153 Tendon lnjuries M.K. SAYANA,N. MAFFULLI........................................ 165 Groin Pain A. FERRETTI,A. DE CARLI,E. MONACO.................................. 183 Meniscal Lesions

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