After a long bibliographical review it brings over of the injuries associated with the breaks of tibia and fibula in the football, I believe that the football player is not conscious of the need to assure him a good protection that could avoid injuries of long duration that often take associate complications of long direction and that might be avoided. From my experience I think that the football player must be conscious that a good protection, nowadays, is associated with the use of materials composites as the carbon fiber that they assure a maximum lightness and that due to his hardness has a very much major resistance that the steel.
In this study, they performed a retrospective review of 31 athletes who sustained a fracture of the lower leg from a direct blow while playing soccer. Fifteen fractures involved both the tibia and fibula 11 only the tibia, and 5 only the fibula. Information was collected using a standardized questionnaire. The mean follow-up from the time of injury was 30 months. Injuries typically occurred in young, competitive athletes during game situations. The mechanisms were broadly classified into several categories: contact during a slide tackle (13, 42%), a collision with the goalkeeper (8, 26%), two opposing players colliding while swinging for a loose ball (7, 23%), or a player being kicked by a standing opponent (3, 10%). The majority of fractures (26, 90%) occurred while the athletes were wearing shin guards. The point of impact was with the shin guard prior to the fracture in 16 cases (62%). Return to competitive soccer averaged 40 weeks for combined tibia and fibula fractures, 35 weeks for isolated tibia fractures, and 18 weeks for isolated fibula fractures. Injuries were associated with a high incidence of major complications (12 out of 31, 39%), especially in concurrent tibia and fibula fractures (8 out of 15, 50%). These findings suggest that lower leg fractures in soccer players are serious injuries, often necessitating a prolonged recovery time. In addition, this study questions the ability of shin guards to protect against fractures.
Boden BP, Lohnes JH, Nunley JA, Garrett WE Jr.
Uniformed Services University of Health Sciences, Silver Spring, MD 20902, USA.