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Case Reports in Orthopedics
Volume 2014, Article ID 519819, 6 pages
Case Report

Tug-of-War Injuries: A Case Report and Review of the Literature

Department of Orthopedic Surgery, Texas Tech University Health Sciences Center, El Paso, TX 79905, USA

Received 18 April 2014; Accepted 12 October 2014; Published 28 October 2014

Academic Editor: Quamar Bismil

Copyright © 2014 Pranit N. Chotai and Amr A. Abdelgawad. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


We report a case of a 10-year-old boy presenting with radial nerve palsy due to injury during a tug-of-war game. Patient was managed nonoperatively and regained radial nerve function. Tug-of-war is a globally popular noncontact sport. Injuries during this game are inevitable and may range from simple sprains to life and limb threatening trauma. Combined hip and knee injuries and soft-tissue injuries involving the back are most frequent. Most injuries occur when tug-of-war was played in an informal setting and where the tug-of-war International Federation rules were less likely to be followed. Measures should be taken to increase the awareness about these safety rules and prevention of consequent injuries. Sports physicians, pediatricians, orthopedic surgeons, general physicians, and athletic trainers should be aware of potential injuries resulting from this game while caring for these athletes, so as to be well prepared for apt management of the injuries associated with TOW.