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Brazilian surgeons review experience with soccer-related facial fractures for PRS-GO
Date:6/17/2014

e bones. The patients remained in the hospital for about five days on average, and were told they could return to play after six to eight weeks of healing.

Emphasis on Awareness and Examination to Detect Soccer-Related Fractures

The results are consistent with previous studies of soccer-related facial injuries. Lower extremity injuries (leg and foot) are much more common, fractures and other injuries to the head and face are a significant risk.

First-responders, nurses, and doctors who have initial contact with patients need to be aware of the potential for soccer-related facial fractures and the fracture patterns that occur. "Missed diagnosis or delayed treatment can lead to facial deformities and functional problems in the physiological actions of breathing, vision, and chewing," Dr. Goldenberg and coauthors write. In the study, the average delay between injury and operation was about seven days, and as long as 33 days.

The true number of serious soccer-related facial injuries in Brazil is likely much larger than the number seen at So Paulo referral hospitals, the researchers believe. Many patients may not seek medical care due to socioeconomic factors. In addition, some fractures may be overlooked by primary medical care providers.

The researchers highlight the need for careful examination of the nasal cavity to look for possible septal hematomas (blood collections), which could lead to serious complications. The online, open-access article is accompanied by videos illustrating the authors' approach to diagnosis and management of septal hematomas and the potential consequences of untreated nasal fracture.

The paper appears in PRS-GO as the world turns its attention to Brazil for this year's World Cup. "Soccer is woven into the fabric of Brazilian culture, embedded in the traditions and the language of the country," Dr. Goldenberg and coauthors write. "In 2014, the World Cup will make its way
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Contact: Connie Hughes
Connie.Hughes@wolterskluwer.com
646-674-6348
Wolters Kluwer Health
Source:Eurekalert

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