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Contusions, Abrasions, and Lacerations of the Head and Neck in Young Athletes

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Head and Neck Injuries in Young Athletes

Abstract

Contusions, abrasions, and lacerations to the head and neck are very common in youth sports, with most of these wounds being benign in nature and healing with no significant long-term adverse effects. Many are treated on the field or in training rooms, by coaches, athletic trainers, or parents. However, the head and neck regions of the body harbor many vital structures that can result in severe life-threatening injury, and concern regarding poor aesthetic outcome is warranted in many cases. Diligent evaluation by a skilled and experienced provider is often needed to ensure that there are no injuries to deeper structures and to monitor the young athlete over time for any worsening of the clinical status. This chapter reviews the standard assessment of these injuries, as well as the indications for specific management and subspecialty referral. Although life-threatening contusions or lacerations are rare, it is important that all of these injuries are approached in a systematic fashion and that the appropriate levels of care are called into play when necessary.

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References

  1. Lislevand M, Andersen TE, Junge A, Dvorak J, Steffen K. Injury surveillance during a 2-day national female youth football tournament in Kenya. Br J Sports Med. 2014;48(11):924–8.

    Article  PubMed  Google Scholar 

  2. Howard AF, Costich JF, Mattacola CG, Slavova S, Bush HM, Scutchfield FD. A statewide assessment of youth sports- and recreation-related injuries using emergency department administrative records. J Adolesc Health. 2014;55(5):627–32.

    Article  PubMed  Google Scholar 

  3. Loder RT, Feinberg JR. Orthopaedic injuries in children with nonaccidental trauma: demographics and incidence from the 2000 kids’ inpatient database. J Pediatr Orthop. 2007;27(4):421–6.

    Article  PubMed  Google Scholar 

  4. Faude O, Rossler R, Junge A. Football injuries in children and adolescent players: are there clues for prevention? Sports Med. 2013;43(9):819–37.

    Article  PubMed  Google Scholar 

  5. Junge A, Dvorak J. Injury surveillance in the World Football Tournaments 1998-2012. Br J Sports Med. 2013;47(12):782–8.

    Article  PubMed Central  PubMed  Google Scholar 

  6. Radelet MA, Lephart SM, Rubinstein EN, Myers JB. Survey of the injury rate for children in community sports. Pediatrics. 2002;110(3):e28.

    Article  PubMed  Google Scholar 

  7. American Academy of Pediatrics. Risk of injury from baseball and softball in children. Pediatrics. 2001;107(4):782–4.

    Article  Google Scholar 

  8. Foster DT, Rowedder LJ, Reese SK. Management of sports-induced skin wounds. J Athl Train. 1995;30(2):135–40.

    PubMed Central  CAS  PubMed  Google Scholar 

  9. Edlich RF, Rodeheaver GT, Morgan RF, Berman DE, Thacker JG. Principles of emergency wound management. Ann Emerg Med. 1988;17(12):1284–302.

    Article  CAS  PubMed  Google Scholar 

  10. Singer AJ, Dagum AB. Current management of acute cutaneous wounds. N Engl J Med. 2008;359(10):1037–46.

    Article  CAS  PubMed  Google Scholar 

  11. Nawar EW, Niska RW, Xu J. National Hospital Ambulatory Medical Care Survey: 2005 emergency department summary. Adv Data. 2007;(386):1–32.

    Google Scholar 

  12. Hunt TK, Hopf HW. Wound healing and wound infection. What surgeons and anesthesiologists can do. Surg Clin North Am. 1997;77(3):587–606.

    Article  CAS  PubMed  Google Scholar 

  13. Hohn DC, MacKay RD, Halliday B, Hunt TK. Effect of O2 tension on microbicidal function of leukocytes in wounds and in vitro. Surg Forum. 1976;27(62):18–20.

    CAS  PubMed  Google Scholar 

  14. Oestern HJ, Tscherne H. Pathophysiology and classification of soft tissue injuries associated with fractures. In: Tscherne H, Gotzen L, editors. Fractures with soft tissue injuries. Berlin: Springer-Verlag; 1984. p. 1–9.

    Google Scholar 

  15. Cromack DT, Porras-Reyes B, Mustoe TA. Current concepts in wound healing: growth factor and macrophage interaction. J Trauma. 1990;30(12 Suppl):S129–33.

    Article  CAS  PubMed  Google Scholar 

  16. Fleisher GR, Ludwig S. Textbook of pediatric emergency medicine (Chapter 106, Minor trauma—lacerations). 6th ed. Philadelphia: Lippincott Williams & Wilkins; 2010.

    Google Scholar 

  17. Brickman K, Adams DZ, Akpunonu P, Adams SS, Zohn SF, Guinness M. Acute management of auricular hematoma: a novel approach and retrospective review. Clin J Sport Med. 2013;23(4):321–3.

    Article  PubMed  Google Scholar 

  18. Cassaday K, Vazquez G, Wright JM. Ear problems and injuries in athletes. Curr Sports Med Rep. 2014;13(1):22–6.

    Article  PubMed  Google Scholar 

  19. Eagles K, Fralich L, Stevenson JH. Ear trauma. Clin Sports Med. 2013;32(2):303–16.

    Article  PubMed  Google Scholar 

  20. Perkins SW, Dayan SH, Sklarew EC, Hamilton M, Bussell GS. The incidence of sports-related facial trauma in children. Ear Nose Throat J. 2000;79(8):632–4, 636, 638.

    CAS  PubMed  Google Scholar 

  21. Cannon CR, Cannon R, Young K, Replogle W, Stringer S, Gasson E. Characteristics of nasal injuries incurred during sports activities: analysis of 91 patients. Ear Nose Throat J. 2011;90(8):E8–12.

    PubMed  Google Scholar 

  22. Morita R, Shimada K, Kawakami S. Facial protection masks after fracture treatment of the nasal bone to prevent re-injury in contact sports. J Craniofac Surg. 2007;18(1):143–5.

    Article  PubMed  Google Scholar 

  23. Brown DJ, Jaffe JE, Henson JK. Advanced laceration management. Emerg Med Clin North Am. 2007;25(1):83–99.

    Article  PubMed  Google Scholar 

  24. Schein OD, Hibberd PL, Shingleton BJ, et al. The spectrum and burden of ocular injury. Ophthalmology. 1988;95(3):300–5.

    Article  CAS  PubMed  Google Scholar 

  25. Webster DA, Bayliss GV, Spadaro JA. Head and face injuries in scholastic women’s lacrosse with and without eyewear. Med Sci Sports Exerc. 1999;31(7):938–41.

    Article  CAS  PubMed  Google Scholar 

  26. Xiang J, Collins CL, Liu D, McKenzie LB, Comstock RD. lacrosse injuries among high school boys and girls in the united states: academic years 2008-2009 through 2011-2012. Am J Sports Med. 2014;42(9):2082–8.

    Article  PubMed  Google Scholar 

  27. Lincoln AE, Caswell SV, Almquist JL, et al. Effectiveness of the women’s lacrosse protective eyewear mandate in the reduction of eye injuries. Am J Sports Med. 2012;40(3):611–4.

    Article  PubMed  Google Scholar 

  28. Pujalte GGA. Eye Injuries in Sports. Athletic Therapy Today. September 2010;15(5):14–18.

    Google Scholar 

  29. Hock MO, Ooi SB, Saw SM, Lim SH. A randomized controlled trial comparing the hair apposition technique with tissue glue to standard suturing in scalp lacerations (HAT study). Ann Emerg Med. 2002;40(1):19–26.

    Article  PubMed  Google Scholar 

  30. Khan AN, Dayan PS, Miller S, Rosen M, Rubin DH. Cosmetic outcome of scalp wound closure with staples in the pediatric emergency department: a prospective, randomized trial. Pediatr Emerg Care. 2002;18(3):171–3.

    Article  PubMed  Google Scholar 

  31. Kanegaye JT, Vance CW, Chan L, Schonfeld N. Comparison of skin stapling devices and standard sutures for pediatric scalp lacerations: a randomized study of cost and time benefits. J Pediatr. 1997;130(5):808–13.

    Article  CAS  PubMed  Google Scholar 

  32. Semer N. Facial lacerations in practical plastic surgery for nonsurgeons (Chapter 16), vol. 16. Philadelphia: Hanley & Belfus, Inc.; 2001.

    Google Scholar 

  33. Kaplan Y, Myklebust G, Nyska M, Palmanovich E, Victor J, Witvrouw E. Injuries can be prevented in contact flag football! Knee Surg Sports Traumatol Arthrosc. 2014.

    Google Scholar 

  34. Armstrong BD. Lacerations of the mouth. Emerg Med Clin North Am. 2000;18(3):471–80, vi.

    Article  CAS  PubMed  Google Scholar 

  35. Buntic RF, Buncke HJ. Successful replantation of an amputated tongue. Plast Reconstr Surg. 1998;101(6):1604–7.

    Article  CAS  PubMed  Google Scholar 

  36. Lammers RL. Principles of wound management. In: Roberts JR, Hedges JR, Chanmugam AS, et al., editors. Clinical procedures in emergency medicine. 4th ed. Philadelphia: WB Saunders Co; 2004. p. 623–54.

    Google Scholar 

  37. Zide BM, Swift R. How to block and tackle the face. Plast Reconstr Surg. 1998;101(3):840–51.

    Article  CAS  PubMed  Google Scholar 

  38. Abujamra L, Joseph MM. Penetrating neck injuries in children: a retrospective review. Pediatr Emerg Care. 2003;19(5):308–13.

    Article  PubMed  Google Scholar 

  39. Cooper A, Barlow B, Niemirska M, Gandhi R. Fifteen years’ experience with penetrating trauma to the head and neck in children. J Pediatr Surg. 1987;22(1):24–7.

    Article  CAS  PubMed  Google Scholar 

  40. Bisson LJ, Sanders SM, Noor S, Curl R, McCormack R. Common carotid artery laceration in a professional hockey player: a case report. Am J Sports Med. 2009;37(11):2249–51.

    Article  PubMed  Google Scholar 

  41. Delaney JS, Al-Kashmiri A. Neck injuries presenting to emergency departments in the United States from 1990 to 1999 for ice hockey, soccer, and American football. Br J Sports Med. 2005;39(4):e21.

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  42. Fleisher GR, Ludwig S. Textbook of pediatric emergency medicine (Neck trauma, Chapter 115). 6th ed. Philadelphia: Lippincott Williams & Wilkins; 2010.

    Google Scholar 

  43. Netter F. Atlas of human anatomy (Head and neck, Chapter 1). 4th ed. Philadelphia: Saunders; 2006.

    Google Scholar 

  44. Young SJ, Barnett PL, Oakley EA. 10. Bruising, abrasions and lacerations: minor injuries in children I. Med J Aust. 2005;182(11):588–92.

    PubMed  Google Scholar 

  45. Stevenson TR, Thacker JG, Rodeheaver GT, Bacchetta C, Edgerton MT, Edlich RF. Cleansing the traumatic wound by high pressure syringe irrigation. JACEP. 1976;5(1):17–21.

    Article  CAS  PubMed  Google Scholar 

  46. Singer AJ, Hollander JE, Subramanian S, Malhotra AK, Villez PA. Pressure dynamics of various irrigation techniques commonly used in the emergency department. Ann Emerg Med. 1994;24(1):36–40.

    Article  CAS  PubMed  Google Scholar 

  47. Valente JH, Forti RJ, Freundlich LF, Zandieh SO, Crain EF. Wound irrigation in children: saline solution or tap water? Ann Emerg Med. 2003;41(5):609–16.

    Article  PubMed  Google Scholar 

  48. Schauerhamer RA, Edlich RF, Panek P, Thul J, Prusak M, Wangensteen OH. Studies in the management of the contaminated wound. VII. Susceptibility of surgical wounds to postoperative surface contamination. Am J Surg. 1971;122(1):74–7.

    Article  CAS  PubMed  Google Scholar 

  49. Hinman CD, Maibach H. Effect of air exposure and occlusion on experimental human skin wounds. Nature. 1963;200:377–8.

    Article  CAS  PubMed  Google Scholar 

  50. Dire DJ, Coppola M, Dwyer DA, Lorette JJ, Karr JL. Prospective evaluation of topical antibiotics for preventing infections in uncomplicated soft-tissue wounds repaired in the ED. Acad Emerg Med. 1995;2(1):4–10.

    Article  CAS  PubMed  Google Scholar 

  51. Singer AJ, Hollander JE, Quinn JV. Evaluation and management of traumatic lacerations. N Engl J Med. 1997;337(16):1142–8.

    Article  CAS  PubMed  Google Scholar 

  52. Fleisher GR, Ludwig S. Textbook of pediatric emergency medicine (Chapter 106, Minor trauma—lacerations). 6th ed. Philadelphia: Lippincott Williams & Wilkins; 2010.

    Google Scholar 

  53. American Academy of Pediatrics Committee on Infectious Diseases. Tetanus. In: Pickering LK, editor. Red book. 29th ed. Elk Grove Villiage, IL: American Academy of Pediatrics; 2012.

    Google Scholar 

  54. Cummings P, Del Beccaro MA. Antibiotics to prevent infection of simple wounds: a meta-analysis of randomized studies. Am J Emerg Med. 1995;13(4):396–400.

    Article  CAS  PubMed  Google Scholar 

  55. Medeiros I, Saconato H. Antibiotic prophylaxis for mammalian bites. Cochrane Database Sys Rev. 2001;(2):CD001738.

    Google Scholar 

  56. Orlinsky M, Bright AA. The utility of routine x-rays in all glass-caused wounds. Am J Emerg Med. 2006;24(2):233–6.

    Article  PubMed  Google Scholar 

  57. Hill R, Conron R, Greissinger P, Heller M. Ultrasound for the detection of foreign bodies in human tissue. Ann Emerg Med. 1997;29(3):353–6.

    Article  CAS  PubMed  Google Scholar 

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Correspondence to Andrea Stracciolini MD .

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Miller, A.F., Stracciolini, A. (2016). Contusions, Abrasions, and Lacerations of the Head and Neck in Young Athletes. In: O'Brien, M., Meehan III, W. (eds) Head and Neck Injuries in Young Athletes. Contemporary Pediatric and Adolescent Sports Medicine. Springer, Cham. https://doi.org/10.1007/978-3-319-23549-3_4

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  • DOI: https://doi.org/10.1007/978-3-319-23549-3_4

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-23548-6

  • Online ISBN: 978-3-319-23549-3

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