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Statistics on Sports Injuries
You Need to Know Before your Children Participates in Any Sports

The top three reasons: adults, coaches and parents.
Among athletes ages 5 to 14, 28 percent of percent of football players,

25 percent of baseball players, 22 percent of soccer players, 15 percent of basketball players, and 12 percent of softball players were injured while playing their respective sports.

Study also found that 70 percent of athletes said they had practiced or played with an injury, compared with 33 percent of non-athletes. Forty percent of athletes were diagnosed with osteoarthritis after college, compared with 24 percent of non-athletes.

A 2007 study found that, in high school and college football, there are an average of 7.23 catastrophic head injuries per year: there were 0.67 injuries per 100,000 high school players and 0.21 injuries per 100,000 college players.

In the U.S., about 30 million children and teens participate in some form of organized sports, and more than 3.5 million injuries each year, which cause some loss of time of participation, are experienced by the participants. Almost one-third of all injuries incurred in childhood are sports-related injuries.

Common Ankle Injury in Sports Medicine
By David Geier MD

Common ankle injuries in sports and exercise

January 10, 2016 • Injuries

Ankle injuries are some of the most common injuries in sports and exercise. Some ankle injuries are minor, and you recover with only short periods of rest. Other ankle injuries can require you to undergo surgery. They might even keep you out of sports for a long period of time. Here are some of the common ankle injuries that athletes and athletic individuals often suffer.

Ankle sprain

Almost every sport presents a risk for the most common injury – ankle sprains. Inversion injuries to the ankle can injure the ligaments on the lateral side (side away from the midline of the body) of your ankle, causing an ankle sprain. The injury can be a mild sprain that causes you to miss only a few days or 1-2 weeks of your sport or exercise. On the other hand, more severe sprains might keep you out for 4 to 6 weeks. You rarely need surgery for an acute ankle sprain. An orthopaedic surgeon might prescribe ice, rest, a brace or taping, and physical therapy to help you return to play.
Ankle sprains

High ankle sprain

Syndesmosis sprainA syndesmosis injury involves tearing of the ligaments between the ends of the tibia and fibula. This ankle injury is commonly called a “high ankle sprain.” It isn’t necessarily a separate injury but rather one that often occurs in combination with injuries to the ankle ligaments. You will feel pain above your ankle in addition to the lateral side of the ankle. This injury often takes longer to heal than a traditional ankle sprain. Seeing a doctor or orthopaedic surgeon can be important, as proper diagnosis can help you plan a longer absence from sports. Fortunately
surgery is rarely required.
High ankle sprain

Lateral malleolus fracture

This is a fracture of the distal aspect of the fibula, or the bony prominence on the outside of the ankle. The athlete will have pain on the bone at the fracture site instead of the lateral ligaments below the bone. Orthopaedic surgeons treat nondisplaced or minimally displaced fractures in a cast or boot. We usually fix displaced fractures surgically with a plate and screws.

Ankle Fractures

Jones fracture

Base of 5th metatarsalThe metatarsals are the long bones of the foot. The fifth metatarsal refers to the long bone on the lateral (outside) side of the foot beneath the little toe. A Jones fracture refers to a fracture in a specific location along the fifth metatarsal. This particular fracture typically occurs at the junction between the base of the bone and the midshaft (long, cylindrical middle portion of the bone). A fracture in this location has a real risk of not healing – nonunion. Due to the risk of nonunion in athletes, orthopaedic surgeons often treat these fractures surgically. Surgery usually involves placement of a screw inside the bone across the fracture. If nonoperative treatment, such as a cast or a boot, is attempted, close observation with regular x-rays is critical to ensure that the fracture is healing appropriately.

Jones fracture

Achilles tendon rupture

The Achilles tendon connects the gastrocsoleus (calf) muscles to the calcaneus (heel bone). Rupture of the Achilles tendon is one of the more painful and difficult ankle injuries in sports. A noncontact mechanism usually causes the tear. You might remember starting to sprint suddenly from a period of standing. Or you might plant your foot to change directions. You feel a pop and sharp, stabbing pain. Often the injury is so painful that you think someone kicked you in the ankle or leg. We often perform surgery for athletes and active people, although non-surgical treatment can get the tendon to heal. Return to sports can take up to 6-12 months.

Achilles tendon rupture

Peroneal tendon subluxation

Peroneal tendonsThe peroneal tendons are two tendons that travel behind the lateral malleolus on the outside of the ankle. The sheath that holds them in place behind the lateral malleolus can rupture with an inversion injury, like those that cause ankle sprains. The tendons can then slide back and forth across the lateral malleolus with ankle motion. Surgery is usually needed to repair the tissue that holds the tendons in order to prevent these tendons from sliding out of place while you are performing physical activities.

Peroneal tendon subluxation

Fracture of the lateral process of the talus

This fracture is a less common ankle injury, often afflicting snowboarders. You could fracture a small portion of the talus (bone under the ankle) with the same inversion mechanism that occurs in an ankle sprain. X-rays, or often a CT scan or MRI study, is often required to make the diagnosis.

Take home message

Some of these ankle injuries are not serious, while some require extensive absences from your sport or exercise and even surgery. If your ankle injury keeps you out for any period of time, it can be worthwhile to see an orthopaedic surgeon or sports medicine doctor for evaluation and treatment.

Have you suffered an ankle injury in sports or while exercising? Did you have surgery? How long did it take to get back to activity? I’d love to hear your experiences below!

When can you drive after knee or ankle surgery?
Ask Dr. Geier – Should you have hardware removed after your ankle fracture heals?

Please remember, while I appreciate your questions, I cannot and will not discuss specific medical information by email, online, on my show, or in the comments at the end of these posts. My responses are meant to provide general medical information and education. Please consult your physician or health care provider for your specific medical concerns.

To Contact Dr David Geier, email

Villanova Pick as No1 in NCAA Tournament
Kansas, North Carolina and Gonzaga Round Up Top 4

NCAA Tournament bracket: Villanova, Kansas, UNC and Gonzaga picked as number 1 seeds

Villanova's Kris Jenkins celebrates after the Wildcats won the Big East tournament against Creighton Saturday, March 11, 2017.

Villanova's Kris Jenkins celebrates after the Wildcats won the Big East tournament against Creighton Saturday, March 11, 2017. (AP Photo/Frank Franklin II)

Villanova took the overall top seed on Selection Sunday, with Kansas, North Carolina and Gonzaga joining the defending national champions on the No. 1 line for the NCAA Tournament.

Not many surprises there, though Duke -- left at No. 2 despite a four-win-in-four-night performance in the Atlantic Coast Conference tournament -- and Syracuse and Illinois State, who got left out altogether, may have been searching for answers

Obama Pivots, Eyes Medicare Changes, Tax Increases
Ttimes News

WASHINGTON – President Barack Obama, two years into a presidency marked by increased spending on a weak economy, is turning his attention to the nation's crushing debt and trying to counter a Republican anti-deficit plan with one of his own.

The president on Wednesday was to deliver a speech outlining his proposal to reduce spending in the biggest government benefits programs, raise taxes on the wealthy and cut defense costs. In a pre-emptive response Tuesday, House Speaker John Boehner, R-Ohio, called any proposed tax increase "a nonstarter."

This new clash, just a week after the president announced he would seek re-election, ensures that the nation's fiscal health will be at the center of the 2012 presidential campaign. For the past two months, Obama has been arguing to protect his core spending priorities, including education and innovation. His turn to deficit reduction reflects the pressures he faces in a divided Congress and with a public increasingly anxious about the nation's debt, now exceeding $14 trillion.

The president is wading into a potential political thicket. Liberals fear he will propose cuts in prized Democratic programs like Medicare and Medicaid, the health care programs for older adults, the disabled and the poor, and in Social Security. Moderates worry that his plan could unravel bipartisan deficit-cutting negotiations. And Republicans already are poised to reject any proposal that includes tax increases.

For the White House, the speech at George Washington University comes as it pushes Congress to raise the limit on the national debt, which will permit the government to borrow more and thus meet its financial obligations. The country will reach its debt limit of $14.3 trillion by May 16. The Treasury Department has warned that failure to raise it by midsummer would drive up the cost of borrowing and destroy the economic recovery.

Republicans have said they would not raise the debt ceiling without deficit reduction, or at least without the White House showing progress toward sizable cuts in long-term spending. White House spokesman Jay Carney reiterated the White House view Tuesday that passage of a higher debt ceiling should not be encumbered with deficit-reduction legislation.

Pressure from Congress, however, eventually could result in a debt ceiling deal that includes fiscal discipline measures, though not necessarily a wholesale restructuring of government benefit programs.

Obama will brief Congress' bipartisan leadership in the contents of his speech Wednesday morning at the White House.

Obama's speech comes just before Congress votes on a $38 billion package of spending cuts that averted a government shutdown last week. Despite widespread antipathy toward the deal in both parties, House Republicans and the White House predicted the plan, which covers spending for the next six months, would pass.

As for the bigger, long-term deficit proposal, the White House was keeping a tight lid on details. But Carney made clear the president would call for changes in Medicare and Medicaid. Obama also was expected to resurrect the tax increases on wealthy Americans that he put off in December as part of a tax deal with Congress.

"He believes that there has to be a balanced approach" to reducing long-term deficits, Carney said. "And that's entitlements, tax expenditures and defense."

The president's proposal is meant to be in sharp contrast with the plan offered by House Budget Committee Chairman Paul Ryan., R-Wis. That budget proposal, embraced by the House Republican leadership, would reduce spending by more than $5 trillion over 10 years with structural overhauls to Medicare and Medicaid while also making permanent all Bush-era tax cuts.

"Where the president believes the House Republican plan fails starkly is that it is imbalanced, that it places all the burden on the middle class, on seniors, on the disabled, on people in nursing homes, through its rather drastic reform of Medicare and Medicaid," Carney said.

Obama could face resistance from Democrats. Senate Majority Leader Harry Reid, D-Nev., has said repeatedly that he would not support making changes to Social Security.

The president's speech also comes as six senators — three Republicans and three Democrats — have been working on a bipartisan compromise that would tackle Medicare, Medicaid and Social Security costs but also seek to raise more revenue through tax increases. Obama's decision to give a speech caught those senators by surprise. The Democrats are Mark Warner of Virginia, Dick Durbin of Illinois and Kent Conrad of North Dakota. The Republicans are Saxby Chambliss of Georgia, Tom Coburn of Oklahoma and Mike Crapo of Idaho.

Senate aides said members of that so-called Gang of Six would not attend the speech to avoid any suggestion that they supported the president's view or that the president endorsed their work.

Republicans were already girding for a confrontation.

"If the president begins the discussion by saying we must increase taxes on the American people — as his budget does — my response will be clear: Tax increases are unacceptable and are a nonstarter," Boehner declared Tuesday. "We don't have deficits because Americans are taxed too little, we have deficits because Washington spends too much."

In the Senate, the top Republican on the Budget Committee said Obama needed to offer not just a speech but a new budget with detailed deficit-cutting proposals.

"We can begin a conversation if his proposal is substantive and is capable of evaluation, even if I might disagree with it," Sen. Jeff Sessions, R-Ala., said. "What I don't find acceptable at this late date is just another speech with vague generalities."

INEC Flops, Postpones Nigeria Parliamentary Election

The Independent National Electoral Commission, INEC has postponed the Nigeria's parliamentary election to Monday, April 4, 2011 due to an “unanticipated late arrival of results sheets in many parts of the country.”

The chairman of the commission Prof. Jega, apologized to Nigerians over inability of the commission to conduct the election as scheduled.

His words "The result sheets are central to the elections and their integrity. Accordingly, in many places, our officials have not reported at the polling units, making it now difficult to implement the Modified Open Ballot Procedure that we have adopted. Not only do we have to enter the results in the sheets, the number of accredited voters is also to be entered in the result sheet.

"While we could have proceeded with the elections in a few States of the country, where all the materials are available, such as Lagos, Kaduna, Kebbi, Delta, Zamfara and Enugu, among others, in order to maintain the integrity of the elections and retain effective overall control of the process, the Commission has taken the difficult but necessary decision to postpone the National Assembly elections to Monday, April 4, 2011"

Before Jega’s announcement, INEC officials had already postponed elections in the Federal Capital Territory Abuja after voters waited several hours for the arrival of electoral materials without success.

According to Reuters, voting materials also failed to arrive in other regions, including Rivers, Bayelsa and Akwa Ibom states in the southern oil-producing Niger Delta, Plateau state in the central "Middle Belt" and Borno in the remote northeast.

"At the moment I have ballot papers for the House of Representatives but no results sheets. For the Senate I have results sheets but no ballot papers," "I do not think I can conduct a credible election, it should be postponed to a later date." Maria Owi, resident electoral commissioner in Akwa Ibom, told Reuters.

In a swift reaction to the postponement, the chair of the Commonwealth Observer Group, Festus Mogae said,

"We are naturally very disappointed at the fact that INEC has not been able to hold the National Assembly elections as scheduled. We fully understand and sympathizes with the frustration felt by the Nigerian people as a result. We have noted the explanation provided by the Chairman of INEC, Professor Jega, for the inability of INEC to proceed with the election today and the postponement of the National Assembly election to Monday, 4 April.

"We hope that INEC will have learnt the necessary lessons from this experience and ensure that there are no further impediments that frustrate the ability of the Nigerian people to exercise their franchise. We also call for calm and restraint on the part of all stakeholders, so that the elections can still take place in an atmosphere of peace and order."

Commonwealth Election Observer Arrives Nigeria
I Share The Sense of Excitement And Anticipation That we Have Come Across in Nigeria

The Chair of the Commonwealth Observer Group in Nigeria and former President of the Republic of Botswana, Festus Mogae, has commended the head of the Independent National Electoral Commission[INEC],Professor Attahiru Jega, for the adequate preparations the commission has so far made ,for the April elections.

Mogae made remark when he called on Professor Jega, on Thursday at INEC office in Abuja. Mr Mogae acknowledged the efforts made by INEC in preparation for the National Assembly and Presidential Elections scheduled for 2 April and 9 April respectively.

He paid tribute to Prof Jega for the leadership he was providing to the commission and observed that the Nigerian people and the international community had high expectations of him.

President Mogae also conveyed some concerns that had emerged from the Observer Group’s discussions over the past three days with various stakeholders, including the new system of accreditation that voters have to go through on polling day before they are allowed to vote, as well as fears about violence in some parts of the country.

“I share the sense of excitement and anticipation that we have come across in Nigeria, but also their apprehensions about the likely challenges that lie ahead. I am however confident that INEC will address these challenges, and hope that the elections go well,” Mr Mogae said.

Prof Jega welcomed the Commonwealth Observer Group to Nigeria. He also acknowledged the technical assistance the Commonwealth had provided to INEC.

Nothing the significant challenges that lie ahead of the Commission, he said that INEC had done its best under the circumstances to prepare for the upcoming elections. Meanwhile, the Commonwealth Observer Group has deployed its members to various locations around Nigeria to observe the conduct of Saturday’s National Assembly polls.

Egypt FA Will Not Sack Shehata
(EFA) Has Quashed Mounting Speculation About The Future of Coach Hassan Shehata.

The Pharaohs are stranded at the bottom of their qualifying group for the 2012 tournament after losing 1-0 to South Africa on Saturday.
The seven-time African champion's poor run has led to calls for Shehata to be sacked, even after he led Egypt to three straight African titles in 2006, 2008 and 2010.
But the EFA insisted after an emergency board meeting in Cairo on Thursday that Shehata was going nowhere.
The EFA said in a statement it had "renewed confidence in Hassan Shehata, coach of the national team, and his staff to lead the team through the next phase (of qualifiers)."
EFA president Samir Zaher had called the emergency meeting of the association's board of directors to discuss the position of the national team in qualifiers for the 2012 tournament following Saturday's loss to an injury-time winner by South Africa striker Katlego Mphela.
It was the first time the Pharaohs have lost a competitive international to South Africa.
Egypt were also beaten away in Niger and drew at home to Sierra Leone to put themselves in danger of missing out on the competition.
"The past three months have been difficult for the team and the country but I'm happy the EFA wants me to continue in my job," Shehata told BBC Sport on Thursday.
Thursday's statement also said there was "agreement" within the EFA that Egypt's domestic football league would recommence on 13 April.
The championship was postponed in early February because of the protests that removed long-serving president Hosni Mubarak from power.


Oge Okoye-Duru is a known face in the movie industry in Nigeria. But many would have noticed her absence from the movies for some time and she told ADUNOLA FASUYI that she took a break to deliver her baby, among other issues.

CAN you tell us a bit about yourself?
I was born in London and the only child of my parents. We hail from Imo State. I was pampered as a child but disciplined as well. I had my early education abroad and completed it in Nigeria. I’m a product of the Nnamdi Azikiwe University where I graduated with a degree in Theatre Arts. My growing up was fun. I am a mother of two and married to an international auto merchant.

Why did you choose to have your baby in London?
I feel more at ease in London than any other country. Don’t forget that I was born there too. Besides, I want a better life for them.

Oh, so is it because of the citizenship thing?
Of course yes. I am British too. I just want a good life for them and also for them to be able to move around the world freely without hiccups. You know with their British citizenship, I believe they will have a better life.

Are you saying you don’t believe or have faith in Nigeria?
Oh, no please don’t get me wrong. I just know that the step I took for my kids on their nationality is the best for them. I know what I’m doing, honestly. Nigeria is a good country and there is hope of it becoming better but I have my reasons. My kids will all have British citizenship.

How do you feel now that you’re blessed with a boy and a girl?
I am so happy and thankful to almighty God for making me a complete woman. You know, the joy of every mother is to have a baby boy and a baby girl. Though, some parents love to attach importance to a particular gender, in our own case, we first had a boy and now a girl, we wouldn’t have wished for more. I feel so great.

How do you intend to cope with the pressure of raising two kids considering your career as an actress?
That’s not an issue at all. When I had my first baby, I got a lot of help from my mum and my domestic staff too. I never allowed the movie thing to affect the mother and child relationship between us.

I always come back early to make sure he was okay, though, my mum was around to look after him till he became a big boy. My children’s care can never suffer for my career, as much as the job is important, the home front is equally inevitable and must come first. I blend the two together perfectly such that none suffers for the other. So, having two kids cannot be an issue for me.

How soon do you intend to return to the screen?
I’m already back on the screen and in fact, better. Before I finally left the country for my ante-natal in London, I had more than nine scripts on my shelves. I was hoping I could do the movies before I left, but it wasn’t easy for me. Some of the movies have been shot now, while some producers insisted that I just have to come and play my role as soon as I deliver.

So, now that I have successfully delivered, I don’t have a choice than to hit the movie location as soon as possible. I returned to Nigeria in November and by December, I was back on location because I enjoy doing it and besides, many producers can’t wait to have me back on board. You know, movie to me is not about money, it’s more of a passion and fulfillment.

Distracted Chelsea Ease Into Last Eight

Chelsea, with one eye on Sunday's match against Manchester City, eased into the Champions League quarter-finals when a 0-0 draw with FC Copenhagen on Wednesday secured a commanding 2-0 aggregate win.

Such was Chelsea's confidence that the lead secured by Nicolas Anelka's two goals in the first leg would prove a safe enough cushion for coach Carlo Ancelotti to start with Fernando Torres, Michael Essien and Florent Malouda on the bench.

Torres came on for the last 23 minutes but after sending one shot fizzing past a post and another into the second tier of the stand, the Spaniard remained in search of his first goal after six matches for his new club.

It was all of little concern to Ancelotti, however, as his side stayed on course for the semi-finals for the sixth time in eight years after joining fellow Premier League sides Tottenham Hotspur and Manchester United in Friday's draw.

Chelsea lacked intensity but always looked capable of upping the pace if they needed to and they almost had to when Dame N'Doye cracked a free kick against a post in the visitors' only worthwhile goal attempt.

"The performance was good, we didn't want to take a risk, we had good control of the game defensively," Ancelotti told reporters.

"We had 24 shots and we could have been more precise up front but that's a small detail."

Chelsea set about their task with the zeal of a team who knew the tie was as good as over and with the quiet home fans in a less-than-full Stamford Bridge acquiescing it was left to the noisy visiting supporters, chanting in perfect English, to provide the atmosphere.

John Terry Would Be Happy To Lead England Again, Says Carlo Ancelotti

The Chelsea manger, Carlo Ancelotti, believes John Terry would be "happy" to captain England again if he was reinstated by Fabio Capello.

Terry looks set to regain the armband, having been stripped of the honour a year ago following allegations of an affair with the former girlfriend of Wayne Bridge. Capello revealed on Monday he planned to meet the injured Rio Ferdinand to discuss the prospect of a change.

Ancelotti was tight-lipped on Tuesday about the surprise news, revealing only his belief that Terry would be keen to lead his country again. "I didn't say anything when the England team took away his armband," Ancelotti said. "Obviously, this is the decision of the national team and he will be happy about this."

Ancelotti did not follow Capello's lead when Terry lost the England captaincy. Indeed, the Italian has repeatedly insisted he is not interested in what his players get up to off the field.

Asked if he felt Terry had learned his lesson, Ancelotti said: "I don't know. I'm not interested in this. I'm just interested in seeing him train well and play fantastic football."

But Ancelotti has no doubts about Terry's credentials as captain at Stamford Bridge. "He is a Chelsea man, he is a Chelsea player," he said. "He has fantastic experience, he has personality to be captain here."

Ancelotti also revealed he would rest players for Wednesday night's Champions League last-16 second leg against FC Copenhagen. Chelsea won the first leg 2-0 and the manager admitted he has one eye on Sunday's Premier League game with Manchester City.

With David Luiz ineligible to face Copenhagen, Alex (knee) is in line to make his return from long-term injury against City having trained with the first team on Tuesday, while Yossi Benayoun is also close to a comeback.

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