NFL Injuries 2013/14

Hello everyone, thought id share this infographic from Wall Street Journal. It shows all the injuries sustainted fornm one season during NFL.

 

Not surprisingly the knees have taken a heavy load of the injuries, and those ankles are at high risk of injury. Looks like a slight correlations between reduced injuries and increased protective armour in that area. However, there is still plenty of shoulder and concussion injuries.

 

Enjoy the viewing.

 

Thanks
Tom

Outdoor Training Time

The Warm-up Trail

In this series of blogs we are going to take a look into the world of training outdoors with Chris Watson, an expert in outdoor personal training and conditioning. Enjoy this weeks blog:

Run! Here come the boys…

Now that summer is finally upon us and the weather seems to be picking up (hopefully) it’s time to leave the treadmill behind and get outdoors and into your local park! Don’t get me wrong I love the gym but what’s the one thing many gyms don’t have? Space! Especially during those peak hours at lunchtime and after work. No more waiting for machines or banging into people at the squat rack. So what’s so good about training outside I hear you ask? Well, it’s free, you don’t need any kit and when the sun is shinning on a summers evening there’s no better place to train. So let’s get our gear on and get outside!

First you need to identify a suitable park, preferably within running distance from work or home. Use the run there as part of your warm-up. Find a good spot, something that has a handy bench and maybe a few trees nearby. Give the area the once over, gotta check for the usual suspects, glass, stones, dog muck, etc. Now you’re ready to get stuck in. The fun bit about outdoor training is using your surroundings, get creative! Sure have a plan in your head of what you want to do during your session, but you may find a tree perfect for pull-ups or an old tree stump for box jumps or a handy bench for dips. Every park offers hidden training gold.

I have various parks where I like to train as each one offers something a little different and that’s how I structure my training session or that of my clients. For example, a typical session will consist of a light jog to said park, a dynamic warm-up then usually 5/6 exercises over 3/4 sets with varying rep rates. I’d always allow a good hour. Start with a 10min run followed by a 5min warm-up to get nicely stretched. Around 25/30 mins for your session, finishing off with a light warm down run (back). Spend at least 10mins stretching at the end. Job done!

Man of Steel…

Over the next few weeks we’ll look at the different types of sessions you could plan. Whether you have an hour or just 20 mins. The exercises you could include and the effectiveness of weight-free training for burning fat. Things you can use, goals you can set and how you can bring a bit of fun to your training.

Thanks for reading and see you next week

Chris
[level 3 PT- outdoor training specialist]

cw
Chris Watson

Enquires for PT to cdwatson1972@gmail.com

Neuromuscular Control – What does it mean???

Neuromuscular Control – What Does it mean?

Neuromuscular control is certainly a complex procedure undertaken by the body but this has been made easier to understand by Vern Gambetta, a top performance coach from the U.S. Great reading and this will certainly improve that understanding of movement.

Movement is quite simple and from that wonderful simplicity comes the complexity of sports skill and performance. Twenty-five years ago in an attempt to better explain movement and how we should effectively train movement I came up with this simple diagram I call the Performance Paradigm.
NMC
It was somewhat like what Albert Szent-Gyorgi, once said, “Discovery consists in seeing what everyone else has seen and thinking what no one else has thought.” Essentially it is the stretch shortening cycle of muscle with a more global interpretation and proprioception brought into consideration. It is the basis for what some people call the Gambetta Method; to me it is common sense. I use this to evaluate movement efficiency or deficiency and then to guide training and if necessary rehab.

Essentially all movement is interplay between force reduction and force production. The quality of the movement is dictated by our proprioceptive system. We begin movement by loading the muscles – this is the force reduction phase. Basically this is the eccentric loading phase as a well as instantaneous isometric action that lends stiffness to the muscle. This is the most important component of the performance paradigm, but probably the most overlooked as well as the most misunderstood. There are several reasons for this; the most notable being that it is less measurable. Because it is more difficult to quantify we have tended to emphasize the more measurable component, force production. It is during the force reduction phase that most injuries occur. Think landing on one leg and tearing an ACL or planting to cut and spraining an ankle. It is during this phase that gravity has its greatest impact; it is literally trying to slam the body into the ground.

Once force has been reduced the subsequent result is force production. Force production is easy to see and easy to measure. Consequently it gets an inordinate amount of attention in the training process. We see it because it is the outcome. It is how high or far we jump. It is how much we lift. But just because it is easy to see and measure does not mean it should receive the inordinate emphasis, in training that it does. It must be stressed that it is the component of the performance paradigm that is highly dependent on the other phases.

20120623-080710.jpg

The third component of the Performance Paradigm is proprioception. Ultimately it is the glue that binds a whole functional program together is proprioception. Proprioception is the awareness of joint position and force derived from the sense receptors in the joints, ligaments, muscles, and tendons. It is that component that gives quality to the movement. “The quality of movement, in part, is dependent upon neurologic information fed back from proprioceptors within muscles and joints to the higher brain centers. The information returning to the central nervous system from the periphery includes “data” concerning tension of muscle fibers, joint angles, and position of the body being moved.” Logan and McKinney (Page 62) It is the feedback mechanism that positions the limbs to be able to achieve optimum efficiency. It is a component of movement that has been all but ignored in most traditional training programs until recently. It is highly trainable, especially if it is incorporated as part of a whole program.

It is almost too simple. Perhaps to appreciate proprioception we should look at the extreme case of a stroke victim that is able to return to normal movement patterns. Why can’t an athlete who has all their capacities enhance the quality of their movement by focusing on the same things that the stroke victim has to focus on to get back to function? The key to that is proprioception. We must strive to constantly change proprioceptive demand throughout the training program in order to enhance the quality of movement.

The performance paradigm will serve as a guide to determine how we train all components. It can also serve as a very useful guide to help us to evaluate movement from a slightly different context. It should serve as a guide to be more functional in our approach by emphasizing the timing and sequence of all three components of the paradigm. The synergistic interplay between them will produce the highest quality of movement.

It is very easy to get caught in the trap of measurable strength. How much you can lift or how many foot-pounds of force you can express on a dynamometer are meaningless numbers. Functional training does not depend on measurable strength. Quality of movement, coordination and rhythm are more important. The goal is always to apply the strength that is developed in the actual sport performance. How is the force expressed? Can you produce and reduce the force? Force production is all about acceleration, but often the key to movement efficiency and staying injury free is the ability to decelerate and stabilize in order to position the body to perform efficiently. A good functional training program will work on the interplay between force production, force reduction and stabilization. The end result is functional strength

Thanks for reading, see my next post on ACL and neuromuscular control!!!

TA Physio

prehab not rehab for sport injury prevention
prehab not rehab for sport injury prevention

Hypermobility Awareness & Assessment

Hello again,

Just sat here thinking about work during my time off and what I realised is how many of my clients are hyperlax, hypermobile or have hypermobility syndrome. Shockingly, 90% of these clients are not aware of this underlying condition and have never had it diagnosed by a fellow healthcare professional.

This article is to highlight how to assess and diagnose hypermobility during clinical assessments. There is a significant need for more awareness of these conditions, for the patient to understand their body and for clinicians to factor this into their rehab.

 

What is the Hypermobility Syndrome?

Connective tissue proteins such as collagen give the body its intrinsic   toughness. When they are differently formed, the results are mainly felt   in the “moving parts” – the joints, muscles, tendons, ligaments   – which are laxer and more fragile than is the case for most people. The   result is joint laxity with hypermobility and with it comes vulnerability   to the effects of injury.

The Hypermobility Syndrome is said to exist when symptoms are produced,   a state of affairs that may affect only a minority of hypermobile people.   It is probably more correct to refer to Hypermobility Syndromes (in the   plural) as a family of related genetically-based conditions which differ   not only in the particular protein affected, but also in the degree of   difference of formation. Thus at one end of the spectrum are the diseases   with the potentially serious complications such as Marfan Syndrome or   Ehlers-Danlos Syndrome Vascular Type (formally EDS IV). At the other end   are what is now called on good evidence Benign Joint Hypermobility Syndrome   (BJHS) and Ehlers-Danlos Hypermobile Type (formerly EDS III), which may   be one and the same

 

Hypermobility or Hypermobility Symdrome?

Hypermobility and hypermobility sydrome (HMS) can be diagnosed by a set of tests called the Beighton Score, and then tested against the criteria for HMS which is called the Brighton Score:

Beighton Score:

The Beighton modification of the Carter & Wilkinson scoring system   has been used for many years as an indicator of widesparead hypermobility.   A high Beighton score by itself does not mean that an individual has HMS.   It simply means that the individual has widespread hypermobility. Diagnosis   of Hypermobility Syndrome or HMS should be made using the Brighton Criteria.

The Beighton score is calculated as follows:

Score one point if you can bend and place you hands flat on the floor without bending you knees.
Score one point for each knee that will bend backwards.
Score one point for each elbow that will bend backwards.
Score one point for each thumb that will bend backwards to touch the forearm.
Score one point for each hand when you can bend the little finger back beyond 90°.

If you are able to perform all of above manouevres then you have a maximum   score of 9 points.

Brighton Score:

An important landmark was passed in July 2000 with the publication   in the Journal of Rheumatology (2000; 27: 1777-1779) of the Brighton Diagnostic   criteria for the Benign Joint Hypermobility Syndrome (BJHS).

The actual criteria have been reproduced (as published) below.

Major Criteria

  • A Beighton score of 4/9 or greater (either currently or historically)
  • Arthralgia for longer than 3 months in 4 or more joints

Minor Criteria

  • A Beighton score of 1, 2 or 3/9 (0, 1, 2 or 3 if aged 50+)
  • Arthralgia (> 3 months) in one to three joints or back pain (>     3 months), spondylosis, spondylolysis/spondylolisthesis.
  • Dislocation/subluxation in more than one joint, or in one joint on more than one occasion.
  • Soft tissue rheumatism. > 3 lesions (e.g. epicondylitis, tenosynovitis, bursitis).
  • Marfanoid habitus (tall, slim, span/height ratio >1.03, upper: lower segment ratio less than 0.89, arachnodactyly   [positive Steinberg/wrist signs].
  • Abnormal skin: striae, hyperextensibility, thin skin, papyraceous scarring.
  • Eye signs: drooping eyelids or myopia or antimongoloid slant.
  • Varicose veins or hernia or uterine/rectal prolapse.

The BJHS is diagnosed in the presence two major criteria, or one major   and two minor criteria, or four minor criteria. Two minor criteria will   suffice where there is an unequivocally affected first-degree relative.

BJHS is excluded by presence of Marfan or Ehlers-Danlos syndromes (other   than the EDS Hypermobility type (formerly EDS III) as defined by the Ghent   1996 (8) and the Villefranche 1998 (9) criteria respectively). Criteria   Major 1 and Minor 1 are mutually exclusive as are Major 2 and Minor 2.

 

The Subjective Give Away.

During your subjective assessment you should look for comments made by clients about their flexibility.

 

Clients may report that they feel a disconnection to their movements whilst partaking in sport. They may report numerous episodes of tripping for no reason, theymay alos report a long history of ankle problems. Ankle instability is well documented in HM and HMS sufferers as they have the flexibility in the ankle ligaments for them to stretch wihtou causing damage.

 

It is also well documented that dancers have exceptional flexibility, and most commonly ballet dancers, so their past times or activiteis may include dancing.

 

Such comments as, ‘I’ve always been very flexible’, ‘I’ve sprained my ankle loads of times’, ‘I used to do a lot of dancing’ are a sign for you to investigate further.

 

Start with the Beighton Score and then consider the Brighton Score is you suspect more. Always provide as much information to clients about HM or HMS, if you are unsure then direct them to a good source of information. The website below is excellent.

 

Thank you for reading this article.

Information regarding HMS and HM is available at www.hypermobility.org

Football Injury Prevention

As discussed in the previous posts, some the commonest footballing injuries involve the knee and ankles. Football being a demanding and physical sport results in injuries. In this post we are going to discuss injury prevention for football injuries.

No athlete wants to get injured and sometimes it’s not possible to avoid it but here are some exercises that will prehab the muscles to reduce injuries. The four key components to preventing injuries are

-Challenge balance & neuromuscular control systems

-Core strength is essential

-Strengthen large muscles groups

-Functionally train the body

A) Strength:

– Squats – Stand with your feet about hip width apart. – Sit back. – Bend from your hips and knees. Stick your buttocks out with your chest high. – Keep your knees behind your toes. – Remember, keep your knees and feet facing straight ahead as you squat.

– Try squatting on just on leg. Careful! Don’t let your knee turn inward.

– Lunges Walking Lunges Perform walking lunges halfway across the field and then back. As you step, keep your front knee over your ankle in line with your toes.

B) Core Strength:

Plank – its best getting advice about posture for this exercise as wrong positioning can defeat the object. Hold the position for 30 seconds and repeat 5 times.

Side Plank – Hold the position for 30 seconds and repeat 5 times.

Bridging – Hold the position for 30 seconds and repeat 5 times. The use of a gymball under the feet in this exercise challenge the neuromuscular control and balance.

C) Balance

Balance is important as many injuries are caused when athletes are off-balance. All strengthening exercises can be completed with a balance element, just add a wobble board or wobble cushion when completing.

D) Plyometrics and external cueing

– Jump side-to-side with both feet over the line.

– Jump from your left to right foot over the line.

– Jump forward-and-back with both feet over the line.

– Jump forward-and-back over a line leading with your right foot. Keep feet hip width apart. Now lead with your left.

External cueing is important as in competitive sport your decisions and therefore movements are based upon the external influences of the game. External cueing should be introduced with plyometrics and is simply done by a coach or trainer clapping to signify changing direction or drill.

Common football Injuries and Treatments

As non-contact sports go, football involves a lot of contact. The result of this or the fact that footballers go over easily, are injuries.

Three of the commonest ones are torn cartilage, ankle sprains and anterior cruiciate ligament tears. Below are the in’s and oput of these injuries and how to treat them:

Torn Cartilage

The menisci are the shock absorber cartilage of the knee consisting of two crescent shaped pads of cartilage. The inner knee menisci (medial menisci) is larger than the outer menisci (lateral menisci). The important role the menisci play for optimum knee function includes: – spreading the load across the joint, up to 50% of supporting loads in standing and 90% in flexing (knee bending). – improve joint congruency – increase the surface area of the knee joint allowing body weight to be spread across a greater area – they assist in synovial fluid circulation.

The meniscus get injured commonly, with medial menisci more likely than the lateral. The limited healing potential of the menisci , due to their blood supply only reaching the outermost 10% to 30% means they often require professional intervention. The mechanism of injury is usually a twisting injury to the knee with the foot planted.

Typical signs of a meniscal tear include:

– swelling of the knee

– increasing pain when attempting to fully squat to floor

– difficulty moving through range of motion

– or unable to fully extend

Painful knees require full assessment by a physiotherapist or orthopaedic surgeon. Symptomatic tears can result in further damage to articulate surfaces of the knee. Surgery is not always necessary and this can be discussed with a professional.

Operative Approach:

In the case of ‘bucket Handle’ tears, where a meniscal flap or loose cartilage causes frequent locking in the knee, surgical intervention may be indicated. Both types of tears in the knee include ‘degenerative’ tears which are part of the normal wear and tear process, but has been known to occur in athletes in their twenties.

Non-Operative Management:

To help your self during the initial stages of any injury, follow the PRICE guidelines:

– protect

– rest

– ice

– compression

– elevation.

The application of ice should be for 10 minutes and can be repeated every two hours. Make sure the ice pack is NOT put directly on the skin as it can cause ice burns. Compression can come in the form of ‘tubing-grip’ and elevation is making sure your knee is above your hip.

Kinesiology taping is affective at relieving and reducing swelling when PRICE advice is not practical.

Physiotherapy can help to gain further ranges of motion in the knee, and strengthen the surrounding muscles of the knee with a specific treatment programme personalised to your requirements. Soft tissue massage or sports massage can help to reduce the initial muscular bracing response secondary to pain. Sports taping and specifically kinesiology taping can help not only with the initial swelling but also to assist with muscular rehabilitation.

Returning to sport may take time and surgery will lead to a long rehabilitation process but again this can be assisted with physiotherapy. Athletes with meniscus tears can use ‘pool running’ to functionally simulate running and assist in returning to running sports. The buoyancy of the water will reduce the loads acting on the meniscus and the resistance offered when moving through the water will functionally strengthen the muscles.

The Ankle Sprain

The lateral ankle sprain is one of the commonest sporting injuries in the world. As a therapist, we see these types of sprains in patients that play weight-bearing sports. Most athletes can walk them off with the self-management of PRICE in the initial stages. However, there is a difference between mild ankle sprain and severe ankle sprains. Incorrect management can easily turn a recovery time from 3-4 months into 12-18 months.

Severe ankle sprains, once cleared of any fractures on x-ray, typically present as:

– a history of heavy weight bearing and rotary force type injury

– significant swelling

– pain

– lack of normal movement

– and inability to walk or run without pain

The first week of rehabilitation is crucial and a clear diagnosis needs to be achieved. If weight bearing can be tolerated, then rehabilitation and inflammation management can begin. If weight bearing can not be tolerated, then significant damage to the ankle may of occurred. In this case weight bearing needs to be re-introduced steadily from partial weight bearing to full weight bearing, then walking. Each step should be delayed and introduced at the right time, this will be increasing frustrating for the athletes as they want to return to sport sooner ratherthan later.

Rehabilitation from ankle sprains firstly begins with swelling management and isolated range of motion in the pain free range. Getting the ankle moving is also key to manage the swelling. Swelling can be managed with PRICE advice as well as kinesiology taping to increasing swelling dissipation.

The progression with rehabilitation then focuses on introducing instability, such as wobble boards in order to stimulate the neuromuscular control systems. All therapy should be functional and sports specific once full weight bearing can be achieved. Once returning to running, strapping and taping can assist in stabilising and supporting joints and muscles. However, a word of warning, don’t be reliant on these strapping once the pain dissipates, it can become habitual and superstition to use them.

The Anterior Cruciate Ligament Tear

The Anterior Cruciate Ligament (ACL) is the most commonly injured of the four major knee ligaments and is commonest amongst footballs. It often comes injured in combination with the meniscus tear. It has an important role in stabilising the knee and providing the body with proprioceptive feedback. Specifically, the ACL is responsible for maintaining the correct relationship between the femur and tibia throughout movement of the knee, stopping excessive tibial translation forwards.

The ACL can be ruptured typically with sudden twisting motions such a changing direction with the lower leg planted to the ground and turning inwards. Instant signs of an ACL rupture are pain, swelling, and potentially ‘popping’ noise. Later signs can be giving way in the knee or feeling of instability.

The management of ACL ruptures can be operative or non-operative. Returning to sport may take time and surgery will lead to a long rehabilitation process but again this can be assisted with physiotherapy. Typically, the athletes wanting to return to sports requires surgical intervention and a 9-12 month rehabilitation programme. Footballers have a whole medical team dedicated to their return to math fitness and typically return to playing within about 6 months. The more complex injuries require more intervention.

The ACL requires full assessment but rehabilitation, guided by a physiotherapist, need to be thorough and starting from basics. All rehab should have instability in the programme as this challenges the body’s neuromuscular control and proprioceptive feedback.

If you want to prevent furhter injuries and last longer through the season, then check out the next post on injury prevention exercises.

Euro 2012 Injury Patterns

So the European Championships 2012 coming to a close- the showcase of europe’s elite footballers. Despite the theatrics of some footballers, injuries do commonly occur within the sport. Technically, football is a non-contact sport but rarely is this seen even at the highest levels. The contact within the sport and the pace at which it is played these days results in injuries.

Professional footballers train daily to condition their bodies and prevention injury as a result of playing regular matches. Despite everyone’s best efforts, players still get seriously injured. We all remember David Beckham rupturing his achilles tendon in preparation for World Cup 2010, and Wayne Rooney fracturing his 4th metatarsal back in 2006.

Following the completion of European Championships 2008 in Austria and Switzerland, UEFA compiled a dossier on the injuries sustained within the tournament. The EURO’s provided thrilling competitive football from 16 countries consisting of 368 players. Forty-nine players (13%) suffered 56 injuries during the tournament. A total of 46 of the injuries occurred during matches (82%) and 10 during training (18%). The incidence of injury was approximately 16 times higher during match play (41.8 injuries/1,000 match hours) than during training (2.6 injuries/1,000 training hours). It has previously been shown that the risk of injury during match play increases with the level of play (about 10-15 injuries/1,000 hours at amateur level, about 20 injuries/1,000 hours at low professional level and signifi- cantly above 25 injuries/1,000 hours at top professional level). The injury risk during EURO tournaments, where the competitive nature of almost all matches is especially intense, is higher than the risk during longer- term competitions where especially high levels of intensity are not usually sustained.

Injury patterns

The majority of injuries (86%) were to the lower extremities, the most frequent locations being the ankle (n=11, 20%), lower leg (n=10, 18%), thigh (n=8, 14%), knee (n=8, 14%), hip/groin (n=8, 14%) and head/face (n=5, 9%). Sprains (ligament injury) were the most dominant injury type at EURO 2008 (n=16, 29%) and nine of these injuries were to the ankle and seven to the knee. The 15 muscle strain injuries mainly occurred in the thigh (n=6), calf (n=4) and groin (n=2). The physical demands of football do lead to injuries, and some are more serious than others. Cartilage tears are ten to a penny amongst footballers, from the premiership to Sunday league. Despite this, some sports people continue regardless whilst others seek intervention.

Despite all this, the Euro 2012 Finals have almost passed without serious injury. The most significant mising players were noted before the tournament began, with David Villa, Frank lampard and Carlos Puyol all missing out. During the past 3 weeks, injuries have largely been a thigh strain for Portugal striker Helder Postiga  sustained in the quarter-final win over the Czech Republic and Germany ‘s Bastian Schweinsteiger battling a chronic ankle ligament problem but has now been passed fit.

See the table below for the list of injuries before and during the Euro 2012 Finals:

England   Total Injuries 8
Player Injury Return Nxt Match
G Cahill Fractured Jaw — Ruled out of Euro 2012 —
F Lampard Hip/Thigh Injury — Ruled out of Euro 2012 —
G Barry Abdominal Strain — Ruled out of Euro 2012 —
J Ruddy Broken Finger — Ruled out of Euro 2012 —
C Smalling Groin Strain — Ruled out of Euro 2012 —
M Dawson Ankle/Foot Injury — Ruled out of Euro 2012 —
D Bent Ankle/Foot Injury — Ruled out of Euro 2012 —
T Huddlestone Ankle/Foot Injury — Ruled out of Euro 2012 —
France   Total Injuries 6
Player Injury Return Nxt Match
E Abidal Liver Transplant — Ruled out of Euro 2012 —
Y Gourcuff Ankle/Foot Injury — Ruled out of Euro 2012 —
L Rémy Hip/Thigh Injury — Ruled out of Euro 2012 —
Y Kaboul Knee Injury — Ruled out of Euro 2012 —
B Sagna Broken Leg — Ruled out of Euro 2012 —
V Diaby Calf Muscle Strain — Ruled out of Euro 2012 —
Croatia   Total Injuries 3
Player Injury Return Nxt Match
I Iličević Calf Muscle Strain — Ruled out of Euro 2012 —
I Olic Hamstring Injury — Ruled out of Euro 2012 —
D Lovren Ankle/Foot Injury — Ruled out of Euro 2012 —
Russia   Total Injuries 3
Player Injury Return Nxt Match
A Kokorin Hamstring Injury — Ruled out of Euro 2012 —
V Berezutski Hip/Thigh Injury — Ruled out of Euro 2012 —
R Shishkin Stomach Problem — Ruled out of Euro 2012 —
Spain   Total Injuries 3
Player Injury Return Nxt Match
A Iraola Ankle/Foot Injury — Ruled out of Euro 2012 —
C Puyol Knee Injury — Ruled out of Euro 2012 —
D Villa Broken Leg — Ruled out of Euro 2012 —
 Denmark   Total Injuries 2
Player Injury Return Nxt Match
D Rommedahl Ankle/Foot Injury — Ruled out of Euro 2012 —
T Sorensen Back Injury — Ruled out of Euro 2012 —
 Greece   Total Injuries 2
Player Injury Return Nxt Match
K Chalkias Hamstring Injury — Ruled out of Euro 2012 —
A Papadopoulos ACL Knee Injury — Ruled out of Euro 2012 —
 Portugal   Total Injuries 2
Player Injury Return Nxt Match
H Postiga Hip/Thigh Injury — Ruled out of Euro 2012 —
C Martins Muscle Injury — Ruled out of Euro 2012 —
 Sweden   Total Injuries 2
Player Injury Return Nxt Match
R Elm Illness — Ruled out of Euro 2012 —
J Elmander Metatarsal Fracture — Ruled out of Euro 2012 —
 Ukraine   Total Injuries 2
Player Injury Return Nxt Match
A Dykan Facial Injury — Ruled out of Euro 2012 —
O Shovkovskiy Shoulder Injury — Ruled out of Euro 2012 —
 Czech Republic   Total Injuries 1
Player Injury Return Nxt Match
T Rosicky Achilles Injury — Ruled out of Euro 2012 —
 Italy   Total Injuries 1
Player Injury Return Nxt Match
I Abate Muscle Injury 1st Jul 12 TBA
 Netherlands   Total Injuries 1
Player Injury Return Nxt Match
E Pieters Metatarsal Fracture — Ruled out of Euro 2012 —
 Poland   Total Injuries 1
Player Injury Return Nxt Match
L Fabianski Shoulder Injury — Ruled out of Euro 2012 —
 Republic of Ireland   Total Injuries 1
Player Injury Return Nxt Match
K Fahey Groin/Pelvis Injury — Ruled out of Euro 2012 —
 Germany     No Injuries

See the next post for common football injuries and treatments