Rehabilitation of Watson-Jones proximal tibial avulsion injury in elite academy level football: A report of two separate cases in one season

Abstract

Watson-Jones proximal tibial avulsion injuries occur more frequently in athletic and muscular adolescent males. However, they are rare and therefore infrequently described in the medical literature. Two of these injuries occurred in a Category 1 football academy in the same season within a six-month period. We have described the cases with the hope of better informing other clinicians should they encounter this injury. Methods:This case report describes the injury mechanism, surgical management and rehabilitation for the two cases [Players A and B]. Outcomes measures including player speed, agility and power were compared with scores from players of the same age group at the time of injury in the Premier League academies. Risk factors are also discussed. Results:Both players were managed surgically, initially. Player B had the surgical fixation removed during rehabilitation. Player A still has the fixation in situ. Post-surgery, player A returned to full play at thirty-two weeks and thirty-eight weeks for player B. No critical incidents occurred during rehabilitation. 2 Conclusion:Watson-Jones avulsion fractures, although rare, can be managed successfully. Athletes can achieve a successful return to play at their previous level.

Influences of Eccentric Contraction Training on Soccer Player's Speed

“…The subjects of the study were 24 male football players of a football team, who were randomly divided into the experimental group and the control group with 12 players in each group, the experimental group performed The training load is gradually increased under the condition of the first eating training, when the number of training reaches the fifth time, the test load used is 1.3 times of its own body weight, after that, the training load can be increased or maintained according to the athlete' s own conditions. 8 For the training speed, gradually increase the speed according to the athlete's condition, and the speed range is 23 steps/ min to 35 steps/min. The athlete's target strength range is eventually reduced to 0.9 to 1.1 times body weight.…”