Hockey Doc

The Hockey Doc: Facial lacerations

By Dr. Rob LaPrade
http://drrobertlaprademd.com

 

Question: I cut my chin when my helmet rode up on my face in a game. I used a butterfly band-aid to close it but was told later that I should have gone to the doctor to have it sutured. What is the proper treatment for this type of cut?

Answer: From the advice you received about having the cut sutured, it sounds like you sustained a laceration which went down into the deeper layers of the skin. We tend to separate out dermal (skin) injuries into how deep they go through the layers of the skin in terms of making further recommendations.

Read more: The Hockey Doc: Facial lacerations

The Hockey Doc: Prepatellar bursitis

By Dr. Rob LaPrade
http://drrobertlaprademd.com

 

Question: I hit my right knee hard into the boards when I was checked. Over the past week, I have developed swelling, like a baseball, over the front of one of my knees. I’ve been told that it is a bursitis -what should I do about it? Should I get an MRI?

Read more: The Hockey Doc: Prepatellar bursitis

The Hockey Doc: Rib fractures

By Dr. Rob LaPrade
http://drrobertlaprademd.com

 

Question: I am a high school defenseman and felt a crack in my chest when I was checked into the boards during our last game. I went to the emergency room and had x-rays and was told I had a rib fracture. How long am I out from playing hockey, and are there any precautions I need to take?

Answer: Rib fractures occur commonly in ice hockey, usually in older adolescents or in college hockey players. Luckily, most rib fractures are either minimally or non-displaced fractures, meaning that there is a crack in the rib bone, but the broken pieces still line up so that the whole rib is still close to its normal shape.

Read more: The Hockey Doc: Rib fractures

The Hockey Doc: Intensity of pregame practices

By Dr. Rob LaPrade
http://drrobertlaprademd.com

 

Question: What is the suggested type of practice a day before a game? Would it be wise for a coach to do a full skate practice or dryland practice the day before a playoff game?

Answer: This is a very good question. Unfortunately, there is no one correct answer for all age groups due to the different physical requirements, length of games, and amount of contact involved.

Read more: The Hockey Doc: Intensity of pregame practices

The Hockey Doc: Osgood-Schlatter syndrome

By Dr. Rob LaPrade
http://drrobertlaprademd.com

 

Question: I am a PeeWee and my knees ache a lot after skating. I have been told that I have Osgood-Schlatter syndrome. What is this and what can I do for it?

Answer: Osgood-Schlatter syndrome or disease, named after the two physicians who originally described it, is probably the most common cause of pain on the front of teenage athlete’s knees. In skaters, it can be quite debilitating and can limit on-ice performance. It presents as a painful lump on the shin just below the knee, and is often related to tight hamstring muscles. Therefore, it can be treated or possibly even prevented with a proper stretching routing.

Read more: The Hockey Doc: Osgood-Schlatter syndrome