Judo, Brazilian Jiu-Jitsu, Wrestling, and Mixed Martial Arts

  • John A. Bergfeld
  • Jonathan Gelber
  • Scott A. Lynch
  • Peter H. Seidenberg
  • Sérgio Rocha PiedadeEmail author


Judo and Brazilian jiu-jitsu (BJJ) are popular martial arts, but, nowadays, mixed martial arts (MMA), a sport that joins all martial arts, has shown an exponential growth worldwide. Like all contact sports, injuries are frequent events. This chapter presents some aspects of these martial arts (judo, BJJ, wrestling, and MMA) as well as discusses the common injuries and the sports physician’s responsibility in this field.


Martial arts Athletic injuries Sports medicine Wrestling Sports 


  1. 1.
    Akoto R, Lambert C, Balke M, Bouillon B, Frosch KH, Höher J. Epidemiology of injuries in judo: a cross-sectional survey of severe injuries based on time loss and reduction in sporting level. Br J Sports Med. 2018;52(17):1109–15. Epub 2017 Apr 26.CrossRefGoogle Scholar
  2. 2.
    Pocecco E, Ruedl G, Stankovic N, Sterkowicz S, Del Vecchio FB, Gutiérrez-García C, et al. Injures in judo: a systematic literature review including suggestions for prevention. Br J Sports Med. 2013;47(18):1139–43.CrossRefGoogle Scholar
  3. 3.
    Čierna D, Štefanovský M, Matejová L, Lystad RP. Epidemiology of competition injuries in elite European judo athletes: a prospective cohort study. Clin J Sport Med. 2017. Epub ahead of print.
  4. 4.
    Scoggin JF III, Brusovanik G, Izuka BH, Zandee van Rilland E, Geling O, Tokumura S. Assessment of injuries during Brazilian jiu-jitsu competition. Orthop J Sports Med. 2014;2(2):2325967114522184. eCollection 2014 Feb.CrossRefGoogle Scholar
  5. 5.
    Ingvaldsen CA, Tønseth KA. Auricular haematoma. Tidsskr Nor Laegeforen. 2017;137(2):105–7. Scholar
  6. 6.
    Halloran L. Wrestling injuries. Orthop Nurs. 2008;27(3):189–92; quiz 193–4. Scholar
  7. 7.
    Jarrett GJ, Orwin JF, Dick RW. Injuries in collegiate wrestling. Am J Sports Med. 1998;26(5):674–80.CrossRefGoogle Scholar
  8. 8.
    Kiningham R, Monseau A. Caring for wrestlers. Curr Sports Med Rep. 2015;14(5):404–12. Scholar
  9. 9.
    Lorish TR, Rizzo TD Jr, Ilstrup DM, Scott SG. Injuries in adolescent and preadolescent boys at two large wrestling tournaments. Am J Sports Med. 1992;20(2):199–202.CrossRefGoogle Scholar
  10. 10.
    Otero JE, Graves CM, Bollier MJ. Injuries in collegiate wrestlers at an elite division I NCAA wrestling program: an epidemiological study. Iowa Orthop J. 2017;37:65–70.PubMedPubMedCentralGoogle Scholar
  11. 11.
    Pasque CB, Hewett TE. A prospective study of high school wrestling injuries. Am J Sports Med. 2000;28(4):509–15.CrossRefGoogle Scholar
  12. 12.
    Perri BR, Lynch SA. Common injuries in the skilled wrestler. Curr Opin Orthop. 2003;14(2):109–13.CrossRefGoogle Scholar
  13. 13.
    Yard EE, Collins CL, Dick RW, Comstock RD. An epidemiologic comparison of high school and college wrestling injuries. Am J Sports Med. 2008;36(1):57–64. Epub 2007 Oct 11.CrossRefGoogle Scholar
  14. 14.
    Yard EE, Comstock RD. A comparison of pediatric freestyle and Greco-Roman wrestling injuries sustained during a 2006 US national tournament. Scand J Med Sci Sports. 2008;18(4):491–7. Epub 2007 Dec 7.CrossRefGoogle Scholar
  15. 15.
    Shadgan B, Feldma BJ, Jabari S. Wrestling injuries during the 2008 Beijing Olympic. Am J Sports Med. 2010;38(9):1870–6. Epub 2010 Jun 3.CrossRefGoogle Scholar
  16. 16.
    Kordi R, Akbarnejad A, Wallace WA. Catastrophic injuries in the Olympic styles of wrestling in Iran. Br J Sports Med. 2010;44(3):168–74. Epub 2008 Jul 4.CrossRefGoogle Scholar
  17. 17.
    Kraemer WJ, Fry AC, Rubin MR, Triplett-McBride T, Gordon SE, Koziris LP, et al. Physiological and performance responses to tournament wrestling. Med Sci Sports Exerc. 2001;33(8):1367–78.CrossRefGoogle Scholar
  18. 18.
    Imai T, Seki S, Dobashi H, Ohkawa T, Habu Y, Hiraide H. Effect of weight loss on T-cell receptor-mediated T-cell function in elite athletes. Med Sci Sports Exerc. 2002;34(2):245–50.CrossRefGoogle Scholar
  19. 19.
    Grewoode JD, Pribitkin DA, Klein H. Management of auricular hematoma and the cauliflower ear. Facial Plast Surg. 2010;26(6):451–5. Epub 2010 Nov 17.CrossRefGoogle Scholar
  20. 20.
    Gelber J. The ultimate guide to preventing and treating MMA injuries. Toronto: ECW Press; 2016.Google Scholar
  21. 21.
    Estwanik JJ. Sports medicine for the combat arts. Charlotte: Boxergenics Press; 1996.Google Scholar

Copyright information

© ISAKOS 2019

Authors and Affiliations

  • John A. Bergfeld
    • 1
  • Jonathan Gelber
    • 2
  • Scott A. Lynch
    • 3
  • Peter H. Seidenberg
    • 3
  • Sérgio Rocha Piedade
    • 4
    Email author
  1. 1.Cleveland ClinicClevelandUSA
  2. 2.West HarfordUSA
  3. 3.Penn State UniversityHersheyUSA
  4. 4.Department of Orthopedics and TraumatologyState University of Campinas – UNICAMP, Exercise and Sports MedicineCampinasBrazil

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