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Injury AND Risk AND Sport*

Kevin Clesham, Fintan J Shannon
INTRODUCTION: Shoulder instability following traumatic glenohumeral dislocation is a common injury sustained by athletes particularly in contact and collision sports. Overhead contact sports such as gaelic football and hurling pose a unique hazard to the glenohumeral joint, increasing the risk of dislocation. AIMS: To assess return to sport, level of play, recurrence and functional outcomes in gaelic football and hurling athletes in comparison with players of other sports...
February 15, 2019: Irish Journal of Medical Science
Jason Gandhi, Min Yea Lee, Gunjan Joshi, Sardar Ali Khan
CONTEXT: Surfer's myelopathy (SM) is an acute syndrome identified by nontraumatic paraparesis or paraplegia. Though traditionally tied to first-time surfers, the condition encompasses any activity involving hyperextension of the back such as gymnastics, yoga, and Pilates. METHODS: MEDLINE® and Google Scholar literature searches were gathered to identify relevant case reports for determining the etiology, pathogenesis, evaluation, and management of SM. RESULTS: While the rare nature of SM limits its full understanding, studies have pinpointed that hyperextension in the back leads to vasculature insufficiency secondary to dynamic compression of the artery of Adamkiewicz...
February 15, 2019: Journal of Spinal Cord Medicine
L S Kox, P P F M Kuijer, J Opperman, G M J J Kerkhoffs, M Maas, M H W Frings-Dresen
Objectives Young athletes do not always seek medical help for overuse wrist injuries, risking invalidating long-term consequences resulting from late diagnosis. This study aimed to develop a questionnaire to identify overuse wrist injuries in young athletes. Methods According to the COnsensus-based Standards for the selection of health Measurement INstruments (COSMIN) criteria, items were collected from literature and 6 focus groups of sports physicians and of young athletes with (previous) overuse wrist injuries...
February 15, 2019: Physician and Sportsmedicine
Aaron Theisen, James Day
Ankle and knee injuries are two of the most common injuries. It has been shown that ankle sprains can lead to chronic ankle instability thereby affecting the function of the ankle. Since the lower extremity is a kinetic chain anything that affects the ankle is thought to affect the knee and hip as well. Changes in lower extremity function associated with chronic ankle instability may predispose patients for non-contact ACL injuries. The purpose of this study was to provide a systematic review of the research done on chronic ankle instability (CAI) and lower extremity kinematics during landing tasks...
2019: International Journal of Exercise Science
Rohit Singh, Adrian Chojnowski, Stuart Hay
BACKGROUND: The increasingly fashionable sport of motocross is practiced worldwide by millions of people, but there is very little in the literature regarding its associated injuries and their prevention. We therefore present the first comprehensive, prospective study looking at hand and wrist injuries resulting from motocross injuries in the UK. METHODS: Data was prospectively collected over a 5-year period (from 2010 to 2015) at our regional trauma unit. We exclusively looked at motocross riders...
March 2019: Journal of Hand Surgery Asian-Pacific Volume
Rok Kralj, Zoran Barcot, Tomislav Vlahovic, Mario Kurtanjek, Ivan Petracic
INTRODUCTION: Fractures of the phalanges in children can often be underappreciated by the physician of first contact. Therefore it is necessary to point out which of these fractures, because of the risk of possible future complications, need special mention. MATERIALS AND METHODS: A retrospective review of 512 fractures of the phalanges in children and adolescents during an one year period. Fractures were subdivided into the following categories - physeal fractures, intraarticular (phalangeal neck and condylar) fractures, shaft fractures, tuft fractures, "mallet finger" fractures, volar plate avulsion injuries and collateral ligament avulsion injuries...
February 13, 2019: Handchirurgie, Mikrochirurgie, Plastische Chirurgie
Robert M Barker-Davies, Andrew Roberts, James Watson, Polly Baker, Alexander N Bennett, Daniel T P Fong, Patrick Wheeler, Mark P Lewis
BACKGROUND: Knee valgus alignment has been associated with lower-limb musculoskeletal injury. This case-control study aims to: assess biomechanical differences between patients with patellar tendinopathy and healthy controls. METHODS: 43 military participants (21 cases, 22 controls) were recorded using 3D-motion capture performing progressively demanding, small knee bend, single leg and single leg decline squats. Planned a priori analysis of peak: hip adduction, knee flexion, pelvic tilt, pelvic obliquity and trunk flexion was conducted using MANOVA...
February 4, 2019: Clinical Biomechanics
Ewelina Lulińska-Kuklik, Masouda Rahim, Waldemar Moska, Ewelina Maculewicz, Mariusz Kaczmarczyk, Agnieszka Maciejewska-Skrendo, Krzysztof Ficek, Pawel Cieszczyk, Alison V September, Marek Sawczuk
OBJECTIVES: Anterior cruciate ligament rupture (ACLR) is a common and severe knee injury which typically occurs as a result of sports participation, primarily via a non-contact mechanism. A number of extrinsic and intrinsic risk factors, including genetics, have been identified thus far. Matrix metalloproteinases (MMPs) and tissue inhibitors of metalloproteases (TIMPs) play a crucial role in extracellular matrix remodeling of ligaments and therefore the genes encoding MMPs and TIMPs are plausible candidates for investigation with ACL rupture risk...
January 29, 2019: Journal of Science and Medicine in Sport
April L McPherson, Julian A Feller, Timothy E Hewett, Kate E Webster
BACKGROUND: Psychological responses after anterior cruciate ligament (ACL) injury and ACL reconstruction (ACLR) have been identified as predictors of return to sport but have not been investigated in relation to further injury. PURPOSE/HYPOTHESIS: To determine whether psychological readiness to return to sport is associated with second ACL injury. It was hypothesized a priori that at both preoperative and 12-month postoperative time points, patients who sustained a second ACL injury would have lower psychological readiness than patients who did not have a second injury...
February 12, 2019: American Journal of Sports Medicine
John A Sampson, Andrew Murray, Sean Williams, Adam Sullivan, Hugh H K Fullagar
Sampson, JA, Murray, A, Williams, S, Sullivan, A, and Fullagar, HHK. Subjective wellness, acute:chronic workloads and injury risk in college football. J Strength Cond Res XX(X): 000-000, 2018-Acute:chronic workload ratios (ACWRs) are associated with injury risk across team sports. In this study, one season of workload and wellness data from 42 collegiate football players were retrospectively analyzed. Daily 7:21 day exponentially weighted moving average (EWMA) ACWRs were calculated, and z-score fluctuations ("normal," "better," and "worse") in sleep, soreness, energy, and overall wellness were assessed relative to the previous day ACWRs and considered as an interactive effect on the risk of noncontact injury within 0-3 days...
February 7, 2019: Journal of Strength and Conditioning Research
Meghan Warren, Monica R Lininger, Craig A Smith, Adam J Copp, Nicole J Chimera
Warren, M, Lininger, M, Smith, CA, Copp, A, and Chimera, NJ. Association of functional screening tests and noncontact injuries in Division I women student-athletes. J Strength Cond Res XX(X): 000-000, 2018-To determine the association between functional screening tests and lower-body, noncontact injuries in Division I women basketball, soccer, and volleyball student-athletes (SA). Sixty-eight injury-free women SA (age: 19.1 ± 1.1 years, height: 171.3 ± 8.7 cm, and mass: 68.4 ± 9.5 kg) were tested preseason with single hop (SH), triple hop (TH), and crossover hop (XH) for distance, and isometric hip strength (abduction, extension, and external rotation) in randomized order...
February 7, 2019: Journal of Strength and Conditioning Research
Zachary Y Kerr, Susan W Yeargin, Yuri Hosokawa, Rebecca M Hirschhorn, Lauren A Pierpoint, Douglas J Casa
CONTEXT: Recent data on exertional heat illness (EHI) in high school sports is limited, yet warranted to identify specific settings with the highest risk of EHI. OBJECTIVE: To describe the epidemiology of EHI in high school sports during the 2012/13-2016/17 academic years. SETTING: Aggregate injury and exposure data collected from athletic trainers working in high school sports in the United States (US). PATIENTS OR OTHER PARTICIPANTS: High school athletes during the 2012/13-2016/17 academic years...
February 12, 2019: Journal of Sport Rehabilitation
Matthew Buckthorpe, Giovanni La Rosa, Francesco Della Villa
One of the main priorities of rehabilitation after anterior cruciate ligament reconstruction (ACLR) surgery is the restoration of knee extensor muscle strength. Residual deficits in knee extensor muscle size and strength after injury are linked to poor biomechanics, reduced knee function, increased knee osteoarthritis risk, as well as heightened risk of re-injury upon return to sport. Most studies indicate that knee extensor muscle strength is typically not resolved prior to return to sport. This clinical commentary discusses strategies to optimize and accelerate the recovery of knee extensor strength post-surgery, with the purpose to support the clinician with evidence-based strategies to implement into clinical practice...
February 2019: International Journal of Sports Physical Therapy
Christopher P Eckersley, Roger W Nightingale, Jason F Luck, Cameron R Bass
OBJECTIVES: Increased neck strength has been hypothesized to lower sports related concussion risk, but lacks experimental evidence. The goal is to investigate the role cervical muscle strength plays in blunt impact head kinematics and the biofidelity of common experimental neck conditions. We hypothesize head kinematics do not vary with neck activation due to low short term human head-to-neck coupling; because of the lack of coupling, free-head experimental conditions have higher biofidelity than Hybrid III necks...
January 18, 2019: Journal of Science and Medicine in Sport
Marcos Chena, María Luisa Rodríguez, Antonio J Bores, Domingo J Ramos-Campo
BACKGROUND: The high injury rate in football has highlighted the need to research strategies that allow the modification of the dynamic risk factors. Most of the preventive proposals have focused on standardized protocols. However, the aim of this study was to evaluate the effect of a multifactorial injuries prevention program (MC-7) in Spanish football players. METHODS: A total of 219 Spanish football male players aged 16-23 were studied. The study was conducted over two consecutive seasons (2012-2013, 2013-2014)...
February 5, 2019: Journal of Sports Medicine and Physical Fitness
Alli Gokeler, Dorothee Neuhaus, Anne Benjaminse, Dustin R Grooms, Jochen Baumeister
Athletes who wish to resume high-level activities after an injury to the anterior cruciate ligament (ACL) are often advised to undergo surgical reconstruction. Nevertheless, ACL reconstruction (ACLR) does not equate to normal function of the knee or reduced risk of subsequent injuries. In fact, recent evidence has shown that only around half of post-ACLR patients can expect to return to competitive level of sports. A rising concern is the high rate of second ACL injuries, particularly in young athletes, with up to 20% of those returning to sport in the first year from surgery experiencing a second ACL rupture...
February 5, 2019: Sports Medicine
Baccouch Rym, Chtourou Hamdi, Rebai Haithem, Sahli Sonia
The present study aimed to investigate the diurnal variation of postural stability, attentional capacities, and oral temperature in 5-6-year-old tennis players. A total of 24 young children were divided into two groups: Twelve tennis players with 2 years of training experience and twelve sedentary children without previous experience in any type of sport. They were asked to maintain an upright bipedal stance on a static force platform with eyes open (EO) and eyes closed (EC) at 07:00, 10:00, 14:00, and 18:00 h...
February 3, 2019: Chronobiology International
Andrew Nathanson
Sailors are at risk for acute injuries, overuse injuries, environmental injuries, and sailing-related illnesses. Sailing-related injury rates vary from 0.29 to 5.7 per 1,000 hours which is lower than many other land-based sports. However, the fatality rate of 1.19 per million sailing-days is relatively high. The most common injuries are contusions and lacerations predominantly to the upper and lower extremities. Falls and impacts from various parts of the sailboat are the most common mechanisms of traumatic injury...
February 1, 2019: Rhode Island Medical Journal
Kimberly G Harmon, James R Clugston, Katherine Dec, Brian Hainline, Stanley Herring, Shawn F Kane, Anthony P Kontos, John J Leddy, Michael McCrea, Sourav K Poddar, Margot Putukian, Julie C Wilson, William O Roberts
Sport-related concussion (SRC) is a common injury in recreational and organised sport. Over the past 30 years, there has been significant progress in our scientific understanding of SRC, which in turn has driven the development of clinical guidelines for diagnosis, assessment and management of SRC. In addition to a growing need for knowledgeable healthcare professionals to provide evidence-based care for athletes with SRC, media attention and legislation have created awareness and, in some cases, fear about many issues and unknowns surrounding SRC...
February 2019: British Journal of Sports Medicine
Nikolaus Rosenstiel, Cesar Praz, Hervé Ouanezar, Adnan Saithna, Yann Fournier, Jean-Philippe Hager, Mathieu Thaunat, Bertrand Sonnery-Cottet
PURPOSE: To evaluate clinical outcomes in professional athletes after combined anterior cruciate ligament (ACL) and anterolateral ligament (ALL) reconstruction at a minimum follow-up of 2 years. METHODS: A retrospective analysis of prospectively collected data from the SANTI Study Group database was performed. All professional athletes who underwent primary combined ACL and ALL reconstruction between January 2011 and March 2016 were included. Patient assessment included physical examination, pre- and postoperative subjective and objective International Knee Documentation Committee (IKDC), Tegner activity scale, and Lysholm scores...
January 29, 2019: Arthroscopy: the Journal of Arthroscopic & related Surgery
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