Participation in polo is increasing and the HPA estimates that approximately 3000 people play in the UK. It is a physically demanding mounted contact sport. As such, players of all levels are at risk of sustaining sports injuries, and these injuries may force players to moderate their play or abstain altogether. Of course, collisions and falls can also cause acute trauma, such as fractures and dislocations. While no player wishes to dwell on injuries, most will nevertheless be interested to know more about the common injuries and, how they might be avoided and, if you have an injury, how it might be treated.
There is scant data on sports injuries from polo in the published medical literature, so in 2016 Mr Granville-Chapman surveyed over 200 members of the Hurlingham Polo Association in order to gain a better understanding of the incidence and nature of both sports injuries and acute traumatic injuries from polo. This data forms one of the largest representative samples in polo.
The commonest problems in the elbow were tennis elbow and golfer’s elbow. These were reported in 33% of players who reported a sports injury. The elbow and wrist are prone to overload in polo:
Please see the elbow conditions section for more information on these conditions. In short tennis elbow is a common condition of painful abortive healing in the tendinous origin of a muscle that extends (bends up) your wrist. Pain is felt right on the outer knuckle of your elbow and made worse with gripping and forcefully bending back your wrist. It normally recovers (80% of patients are better by one year) but some patients suffer ongoing problems.
Golfer’s elbow is less common, but essentially the same problem in a different tendon. Isn golfer’s elbow, it is the tendons that flex your wrist that are affected and these originate on the inner knuckle of your elbow.
In polo the right wrist, as well as gripping the mallet, has to control the balance and rotation of the mallet’s face through impact. Large forces are required to maintain correct wrist position as the mallet produces a very long lever arm.
Alongside the forearm muscles that stabilize your wrist, two relatively small tendons pass through a narrow sheath on the thumb side (radial side) of your wrist. These tendons control the position of your thumb (abductor pollicis longus and extensor pollicis brevis). De Quervain’s is a condition where the tendons suffer degeneration and the inner lining of the tendon sheath gets inflamed. Patients see swelling over the thumb side of their wrist and have pain in that region. Tucking your thumb into a closed fist and stretching the tendons causes acute pain.
Not all pain and swelling around the wrist is De Quervain’s however. Ganglions (jelly-filled lumps), arthritis, nerve entrapment (carpal tunnel syndrome) and wrist ligament damage can all cause pain in the same area so it’s worth getting an opinion relatively early to avoid confusion.
Mr Granville-Chapman was very polite and his examination and explanation of my symptoms and expected treatment was thorough
I found Mr Granville-Chapman to be very knowledgeable and professional. He put me very much at ease and explained all the options that I have thoroughly. He also told me to look for further information on the condition and procedures that I needed on his website, which gave lots of information and detail. It was also easy to understand for those without a medical background. I would highly recommend his services to anyone that has shoulder problems and requires a solution.
I attended for a repair of my right bicep tendon. After a thorough examination, Mr Granville-Chapman arranged an operation to be undertaken within 2 days which was extremely quick; he explained his reasoning which was both thorough and reassuring, explaining both the options of undergoing surgery and deciding to undertake conservative management.On the day of the surgery Mr Granville-Chapman was again very reassuring as although this is minor surgery I was still somewhat apprehensive. He came to fully explain the procedure and afterI woke up was quick to check on how I was doing.Overall I am very happy with the careMr Granville-Chapman
I have been very pleased with my treatment so far. Mr Granville-Chapman combines brisk efficiency with a pleasant, sympathetic manner. My operation, however, is still to come ...
From the initial consultation, through surgery on a fractured wrist, and now post-operative follow up, it has been a very positive and reassuring experience with Mr Granville-Chapman. I would have no hesitation in recommending him to someone else.
A first class clinician. A skilled surgeon with an excellent bedside manner.
A very pleasant Consultant who knows exactly how to make pain go away.
Mr Granville - Chapman has an excellent bedside manner. He engaged with my 12 year old son at an appropriate level and took the time to ensure that he understood the procedure and answer all his questions. He is thoroughly professional and I would not hesitate to recommend him.
I have been very pleased with the attention I have received. Mr. Granville-Chapman has reassured me that my symptoms are normal. It is very easy to make appointments that suit me.
Mr Granville chapman I found be caring informative and professional I would recommend him to all if you have a problem don't hesitate to contact him you won't be disappointed.
I recently broke my right clavicle in a mountain bike accident and it was repaired by Mr Granville-Chapman by adding a plate on top of the bone. Having just finished the last post-op consultation, I can confirm that I have been very happy with the process all along. In particular, Jeremy took time to explain in detail why a plate was needed, what the procedure would entail, and also was very patient answering my questions comprehensively beforehand and after during the recovery phase. Would certainly trust this competent surgeon to fix any future fractures I might sustain.
Mr Granville-Chapman has looked after my 15 year old son brilliantly, explaining the surgery, recovery and best way forward, and Kate has been very supportive helping with logistics etc, thank you so much.
So far my experience with Mr Jeremy Granville-Chapman has been personal and informative with regard to the operation I will be having. I feel confident that my operation will be a success and for this reason I am very happy to have Mr Jeremy Granville-Chapman as my consultant.
Very knowledgeable and helpful. Takes the time to make sure you're getting the treatment you need.
Mr Jeremy Granville -Chapman is not only a highly skilled consultant but is able to put you straight away at ease .My appointments were arranged very swiftly which was great, when you are experiencing severe pain. I am very happy with my treatment so far . many thanks to everyone who was involved in my treatment.
Polite, helpful, professional. Makes an effort to ensure full understanding of issues and procedures to be done. Highly satisfied
Very pleasant. Clear, careful explanations & options/possibilities. I feel well informed, and happy that my concerns are being well addressed, with a plan of review of the symptoms.
Excellent advise with everything explained clearly and a successful treatment which has benefited be greatly.
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