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Kara ÖS, Torgutalp SS, Turhan E, Dönmez G, Korkusuz F. Operative treatment in non-emergency sports injuries: a sports medicine clinic experience. PHYSICIAN SPORTSMED 2023; 51:596-602. [PMID: 36416053 DOI: 10.1080/00913847.2022.2151325] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/24/2022] [Accepted: 11/18/2022] [Indexed: 11/24/2022]
Abstract
PURPOSE To elucidate referrals from sports medicine clinic (SMC) to orthopedics, consensus rates among physicians and surgeons on surgical need in these patients, and reasoning of the patients who refused to have surgery despite the recommendations by both groups in non-emergency sports injury patients. METHODS We conducted a retrospective cohort analysis by using the administrative and referral records of a sports medicine clinic for the 15 months between October 2017 and January 2019. Gender, age, diagnosis, and type of sport were compared between two groups (patients referred to orthopedics vs patients treated in SMC). Agreement between orthopedics and SMC on surgical need in those patients who were referred to orthopedics was evaluated. We additionally screened the hospital archive for surgery reports of patients recommended surgery, and, if a patient did not have a surgery record, we investigated the reasons by telephone interview and categorized these reasons. RESULTS Surgical evaluation needed for 4.7% (n = 155) of the patients. Patients referred to orthopedics were younger (median: 22.0 years), mostly male (n = 119, 76.8%), and involved in contact sports (n = 108, 69.7%) (p < 0.001 for all) compared to patients treated conservatively. Majority of the consultations were made owing to certain diagnoses such as cruciate/collateral ligament sprain (n = 70, 45.2%), meniscal tear (n = 21, 13.5%), and cartilage injuries (n = 15, 9.7%). Most of the patients diagnosed with Achilles tendon rupture (n = 2, 100%) and patellar instability (n = 13, 81.3%) were referred to surgery. Orthopedics agreed with the sports medicine physicians' opinions in most cases (n = 110, 71.0%). Thirty-four patients (30.9%) recommended surgery by the surgeon postponed/refused the treatment for various reasons or had surgery in another hospital. CONCLUSION Most non-emergency sports injuries can be treated conservatively. Young and male patients participating in contact sports are more likely to need surgical treatment. Non-surgeon musculoskeletal health-care providers may consider referring patients to orthopedics considering the data demonstrated in this study. Nevertheless, patient's motivation to undergo an operation should be considered before referring to orthopedics.
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Affiliation(s)
- Ömer Serkan Kara
- Department of Sports Medicine, Hacettepe University Medical Faculty, 06230, Ankara, Turkey
- Department of Sports Medicine, Health Sciences, University Gülhane Medical Faculty, 06010, Ankara, Turkey
| | - Serife Seyma Torgutalp
- Department of Sports Medicine, Hacettepe University Medical Faculty, 06230, Ankara, Turkey
| | - Egemen Turhan
- Department of Orthopedic and Traumatology, Hacettepe University Medical Faculty, 06230, Ankara, Turkey
| | - Gürhan Dönmez
- Department of Sports Medicine, Hacettepe University Medical Faculty, 06230, Ankara, Turkey
| | - Feza Korkusuz
- Department of Sports Medicine, Hacettepe University Medical Faculty, 06230, Ankara, Turkey
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Singh S, Hoch JS, Hearps S, Dalziel K, Cheek JA, Holmes J, Anderson V, Kuppermann N, Babl FE. Sports-related traumatic brain injuries and acute care costs in children. BMJ Paediatr Open 2023; 7:10.1136/bmjpo-2022-001723. [PMID: 36720502 PMCID: PMC9890755 DOI: 10.1136/bmjpo-2022-001723] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/21/2022] [Accepted: 12/17/2022] [Indexed: 02/02/2023] Open
Abstract
OBJECTIVE To estimate traumatic brain injuries (TBIs) and acute care costs due to sports activities. METHODS A planned secondary analysis of 7799 children from 5 years old to <18 years old with head injuries enrolled in a prospective multicentre study between 2011 and 2014. Sports-related TBIs were identified by the epidemiology codes for activity, place and injury mechanism. The sports cohort was stratified into two age groups (younger: 5-11 and older: 12-17 years). Acute care costs from the publicly funded Australian health system perspective are presented in 2018 pound sterling (£). RESULTS There were 2903 children (37%) with sports-related TBIs. Mean age was 12.0 years (95% CI 11.9 to 12.1 years); 78% were male. Bicycle riding was associated with the most TBIs (14%), with mean per-patient costs of £802 (95% CI £644 to £960) and 17% of acute costs. The highest acute costs (21%) were from motorcycle-related TBIs (3.8% of injuries), with mean per-patient costs of £3795 (95% CI £1850 to £5739). For younger boys and girls, bicycle riding was associated with the highest TBIs and total costs; however, the mean per-patient costs were highest for motorcycle and horse riding, respectively. For older boys, rugby was associated with the most TBIs. However, motorcycle riding had the highest total and mean per-patient acute costs. For older girls, horse riding was associated with the most TBIs and highest total acute costs, and motorcycle riding was associated with the highest mean per-patient costs. CONCLUSION Injury prevention strategies should focus on age-related and sex-related sports activities to reduce the burden of TBIs in children. TRIAL REGISTRATION NUMBER ACTRN12614000463673.
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Affiliation(s)
- Sonia Singh
- Department of Paediatrics, The University of Melbourne Faculty of Medicine Dentistry and Health Sciences, Melbourne, Victoria, Australia .,Department of Emergency Medicine, University of California Davis School of Medicine, Sacramento, California, USA
| | - Jeffrey S Hoch
- Center for Healthcare Policy and Research, University of California Davis Health System, Sacramento, California, USA.,Department of Public Health Sciences, University of California, Davis, California, USA
| | - Stephen Hearps
- Child Neuropsychology, Murdoch Children's Research Institute, Parkville, Victoria, Australia
| | - Kim Dalziel
- Centre for Health Policy, The University of Melbourne School of Population and Global Health, Melbourne, Victoria, Australia
| | - John Alexander Cheek
- Emergency Department, Royal Children's Hospital Melbourne, Parkville, Victoria, Australia
| | - James Holmes
- Department of Emergency Medicine, University of California Davis School of Medicine, Sacramento, California, USA
| | - Vicki Anderson
- Clinical Sciences Research, Murdoch Children's Research Institute, Parkville, Victoria, Australia
| | - Nathan Kuppermann
- Department of Emergency Medicine, University of California Davis School of Medicine, Sacramento, California, USA.,Department of Pediatrics, University of California Davis School of Medicine, Sacramento, California, USA
| | - Franz E Babl
- Department of Paediatrics, The University of Melbourne Faculty of Medicine Dentistry and Health Sciences, Melbourne, Victoria, Australia.,Emergency Department, Royal Children's Hospital Melbourne, Parkville, Victoria, Australia
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Olivier B, Obiora OL, MacMillan C, Finch C. Injury surveillance in community cricket: A new inning for South Africa. SOUTH AFRICAN JOURNAL OF PHYSIOTHERAPY 2022; 78:1756. [PMID: 35814045 PMCID: PMC9257739 DOI: 10.4102/sajp.v78i1.1756] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/07/2021] [Accepted: 04/11/2022] [Indexed: 11/18/2022] Open
Abstract
Published injury rates amongst elite and club-level youth cricketers highlight the need to implement injury risk-reducing strategies amongst the youth cricketing population. Data from sports injury surveillance systems are a prerequisite for the development and evaluation of strategies to reduce injury risk. Therefore, collecting injury surveillance data is a positive move towards reducing injuries in cricket. In South Africa, a systematic, standardised, evidence-informed injury surveillance system currently does not exist for community levels of play, namely, in cricket-playing high schools and cricket clubs. Although injury surveillance systems exist at elite levels, the obvious differences in elite versus community cricket settings mean that these systems cannot be implemented in their current form at community-level cricket. An innovative model is required to implement an injury surveillance system in community cricket.
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Affiliation(s)
- Benita Olivier
- Wits Cricket Research Hub for Science, Medicine and Rehabilitation, School of Therapeutic Sciences, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa
- Department of Physiotherapy, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa
| | - Oluchukwu L. Obiora
- Wits Cricket Research Hub for Science, Medicine and Rehabilitation, School of Therapeutic Sciences, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa
- Department of Physiotherapy, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa
| | - Candice MacMillan
- Wits Cricket Research Hub for Science, Medicine and Rehabilitation, School of Therapeutic Sciences, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa
- Department of Physiotherapy, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa
| | - Caroline Finch
- School of Medical and Health Sciences, Edith Cowan University, Joondalup, Australia
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Whitehead S, Weakley J, Cormack S, Alfano H, Kerss J, Mooney M, Jones B. The Applied Sports Science and Medicine of Netball: A Systematic Scoping Review. Sports Med 2021; 51:1715-1731. [PMID: 34086257 PMCID: PMC8310515 DOI: 10.1007/s40279-021-01461-6] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/29/2021] [Indexed: 12/18/2022]
Abstract
BACKGROUND Netball is the one of the most popular women's sports in the world. Since gaining professional status in 2008 there has been a rapid growth in research in the applied sports science and medicine of the sport. A scoping review of the area would provide practitioners and researchers with an overview of the current scientific literature to support on-court performance, player welfare and reduce injury. OBJECTIVE The primary objective was to identify the current research on the applied sports science and medicine of netball. Additionally, the article provides a brief summary of the research in each topic of sports science and medicine in netball and identifies gaps in the current research. METHODS Systematic searches of PubMed, SPORTDiscus, MEDLINE and CINAHL were undertaken from earliest record to Dec 2020 and reference lists were manually searched. The PRISMA-ScR protocol was followed. Studies were eligible for inclusion if they investigated netball as a sport or the applied sport science and medicine of netball athletes. RESULTS 962 studies were identified in the initial search, 150 of which met the inclusion criteria. Injury was the most highly investigated sport science and medicine topic (n = 45), followed by physical qualities (n = 37), match characteristics (n = 24), biomechanics (n = 15), psychology (n = 13), fatigue and recovery (n = 9), training load (n = 4) and nutrition (n = 3). A range of cohorts were used from school to elite and international standards. All cohorts were female netballers, except for one study. A rapid growth in studies over recent years was demonstrated with 65% of studies published in the last decade. There still remains gaps in the literature, with a low evidence base for nutrition, training load and fatigue and recovery. CONCLUSION This scoping review summarises the current evidence base and key findings that can be used in practice to enhance the applied sport science and medical support to netball athletes across a range of playing standards, and support the growth of the sport. It is evident that netball as a sport is still under-researched.
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Affiliation(s)
- Sarah Whitehead
- Carnegie Applied Rugby Research (CARR) Centre, Carnegie School of Sport, Leeds Beckett University, Leeds, LS6 3QS, UK.
- Leeds Rhinos Netball, Leeds, UK.
- Leeds Rhinos Rugby League Club, Leeds, UK.
| | - Jonathon Weakley
- Carnegie Applied Rugby Research (CARR) Centre, Carnegie School of Sport, Leeds Beckett University, Leeds, LS6 3QS, UK
- School of Behavioural and Health Sciences, Australian Catholic University, Brisbane, QLD, Australia
| | - Stuart Cormack
- School of Behavioral and Health Sciences, Australian Catholic University, Melbourne, VIC, Australia
- Sports Performance, Recovery, Injury and New Technologies (SPRINT) Research Centre, Australian Catholic University, Melbourne, Australia
| | | | - Jim Kerss
- English Institute of Sport, Manchester, UK
| | - Mitch Mooney
- School of Behavioral and Health Sciences, Australian Catholic University, Melbourne, VIC, Australia
- High Performance Pillar, Netball Australia, Melbourne, Australia
| | - Ben Jones
- Carnegie Applied Rugby Research (CARR) Centre, Carnegie School of Sport, Leeds Beckett University, Leeds, LS6 3QS, UK
- Leeds Rhinos Rugby League Club, Leeds, UK
- England Performance Unit, The Rugby Football League, Leeds, UK
- School of Science and Technology, University of New England, Armidale, NSW, Australia
- Division of Exercise Science and Sports Medicine, Department of Human Biology, Faculty of Health Sciences, The University of Cape Town and the Sports Science Institute of South Africa, Cape Town, South Africa
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Simma L, Palmer CS, Ngo A, Jowett HE, Teague WJ. An evaluation of the presentation and severity of Australian football injury in children. TRAUMA-ENGLAND 2021. [DOI: 10.1177/1460408620941335] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Introduction Child participation in sport is important for physical, cognitive and psychosocial wellbeing. Australian rules football has high participation, but also carries a high risk of injury due to the contact nature of the sport. This study aimed to evaluate changes in the presentation and hospital admission of paediatric Australian rules football-related injuries, and to compare the severity of these injuries with those from other team ball sports. Materials and methods At an Australian paediatric major trauma service, ED and hospital trauma registry data relating to Australian rules football injury between 2009 and 2015 were obtained. Data from other common team ball sports with a shared field of play were also identified. Results During the study period, there were 10,003 ED presentations, and 1110 admissions resulting from team ball sports. With 4751 ED presentations and 616 admissions, Australian rules football accounted for almost one-third of all sports-related presentations and admissions, and around half of the team ball sports cohort. Compared to other team ball sports patients, Australian rules football-related patients were 40% more likely to be admitted, and nearly twice as likely to be classified as severe injury. Australian rules football players presented with different injury patterns were compared to other team ball sports players; admitted players were significantly more likely to have sustained head or neck injuries, and were more than twice as likely to sustain truncal injury. Conclusions Australian rules football is a common cause of ED presentations and results in substantial morbidity, both overall and when compared with other team ball sports. Australian rules football should remain a focus for ongoing and active research into strategies which reduce injury risk.
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Affiliation(s)
- Leopold Simma
- Trauma Service, The Royal Children's Hospital, Melbourne, Australia
- Emergency Department, The Royal Children's Hospital, Melbourne, Australia
- Children's Hospital Lucerne, Lucerne, Switzerland
| | - Cameron S Palmer
- Trauma Service, The Royal Children's Hospital, Melbourne, Australia
- Department of Epidemiology & Preventive Medicine, Monash University, Melbourne, Australia
| | - Alan Ngo
- Trauma Service, The Royal Children's Hospital, Melbourne, Australia
- Emergency Department, The Royal Children's Hospital, Melbourne, Australia
| | - Helen E Jowett
- Trauma Service, The Royal Children's Hospital, Melbourne, Australia
| | - Warwick J Teague
- Trauma Service, The Royal Children's Hospital, Melbourne, Australia
- Surgical Research Group, Murdoch Children's Research Institute, Melbourne, Victoria, Australia
- Department of Paediatrics, University of Melbourne, Melbourne, Australia
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Moore ML, Haglin JM, Hassebrock JD, Anastasi MB, Chhabra A. Management of ankle injuries in professional basketball players: Prevalence and rehabilitation. Orthop Rev (Pavia) 2021; 13:9108. [PMID: 33953893 PMCID: PMC8077287 DOI: 10.4081/or.2021.9108] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/16/2021] [Accepted: 03/27/2021] [Indexed: 11/23/2022] Open
Abstract
Basketball is a popular internationally played sport. With the physical requirements the game has on athletes, players are at risk of injury. Ankle injuries are the most common injury type suffered by basketball players. In this comprehensive review, we present an analysis and overview of the most common ankle injuries among basketball players, including sprains, fractures, impingement, and Achilles tendon pathology. The review includes treatment modalities for such injuries. More research is warranted regarding prevention strategies.
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Affiliation(s)
- M. Lane Moore
- Mayo Clinic Alix School of Medicine, Mayo Clinic, Scottsdale, AZ
| | - Jack M. Haglin
- Mayo Clinic Alix School of Medicine, Mayo Clinic, Scottsdale, AZ
| | | | | | - Anikar Chhabra
- Department of Orthopedic Surgery, Mayo Clinic, Phoenix, AZ, USA
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7
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Downs C, Snodgrass SJ, Weerasekara I, Valkenborghs SR, Callister R. Injuries in Netball-A Systematic Review. SPORTS MEDICINE - OPEN 2021; 7:3. [PMID: 33409965 PMCID: PMC7788138 DOI: 10.1186/s40798-020-00290-7] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 08/17/2020] [Accepted: 12/01/2020] [Indexed: 11/11/2022]
Abstract
BACKGROUND Netball is estimated to be played by more than 20 million people worldwide, but there is evidence of high injury incidence. A thorough understanding of the types and rates of netball injuries is essential for effective injury management and prevention strategies to be developed and implemented. This systematic review summarises the published findings with respect to injury types, participant characteristics and any identified risk factors for netball injuries. METHODS A librarian-assisted computer search of seven scientific databases was conducted for studies reporting on netball injuries. Inclusion criteria were studies published in English, in peer-reviewed journals, which reported data on injuries and variables (e.g. age and competition level) that have been proposed as possibly associated with netball injury risk. RESULTS Forty-six studies (43.5% prospective, 37% hospital/insurance records, 19.5% retrospective) from 45 articles were included after screening. The majority of studies (74%) were conducted in Australia or New Zealand. There was little consistency in the definition of 'injury'. Elite or sub-elite level players were included in 69% of studies where the level of competition was reported. The duration of injury surveillance was generally related to the format of competition from which data were collected. Self-report questionnaires were used in 48% of studies and only 26% of studies used qualified health professionals to collect data courtside. Injuries to the ankle and knee were the most common (in 19 studies) although the incidence varied considerably across the studies (ankle 13-84% and knee 8-50% of injuries). Prevention of ankle and knee injuries should be a priority. Children sustained more upper limb injuries (e.g. fractures) compared with adults who sustained more lower limb injuries (e.g. ankle and knee sprains/strains). A large number of potential risk factors for injury in netball have been investigated in small numbers of studies. The main circumstances of injury are landings, collisions and falls. CONCLUSION Further studies should be directed towards recreational netball, reporting on injury incidence in players by age and utilising high-quality, standardised methods and criteria. Specific injury diagnosis and a better understanding of the circumstances and mechanisms of injury would provide more meaningful data for developing prevention strategies.
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Affiliation(s)
- Christopher Downs
- School of Health Sciences, University of Newcastle, Newcastle, NSW, Australia
- Priority Research Centre for Physical Activity and Nutrition, University of Newcastle, Newcastle, NSW, Australia
| | - Suzanne J Snodgrass
- School of Health Sciences, University of Newcastle, Newcastle, NSW, Australia
- Priority Research Centre for Physical Activity and Nutrition, University of Newcastle, Newcastle, NSW, Australia
| | - Ishanka Weerasekara
- School of Health Sciences, University of Newcastle, Newcastle, NSW, Australia
- Department of Physiotherapy, University of Peradeniya, Peradeniya, Central Province, Sri Lanka
| | - Sarah R Valkenborghs
- Priority Research Centre for Physical Activity and Nutrition, University of Newcastle, Newcastle, NSW, Australia
- University of Newcastle, School of Biomedical Science and Pharmacy, Newcastle, NSW, Australia
| | - Robin Callister
- Priority Research Centre for Physical Activity and Nutrition, University of Newcastle, Newcastle, NSW, Australia.
- University of Newcastle, School of Biomedical Science and Pharmacy, Newcastle, NSW, Australia.
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A Retrospective Observational Study of Presentations to an Australian Emergency Department for Injuries Sustained in Exercise Pursuits Over 14 Years. Ochsner J 2020; 20:261-266. [PMID: 33071657 PMCID: PMC7529144 DOI: 10.31486/toj.19.0059] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022] Open
Abstract
Background: Concurrent with the increase in the number of local gyms and the number of people engaged in fitness pursuits, exercise-related emergency department (ED) presentations have also increased. Identifying these injuries and the associated activities and equipment will help inform prevention strategies and potentially reduce the burden on the healthcare system. Methods: We reviewed the presentations to an Australian tertiary hospital ED resulting from running/jogging and gym-based exercise from 2005 to 2018. Results: From more than 750,000 ED visits, we identified 1,402 exercise-related presentations. Approximately two-thirds of the patients were males. Nontrauma such as chest pain and shortness of breath accounted for 11% of the presentations. Running and jogging contributed 47% of the total presentations, followed by combat activities (boxing and martial arts) with 31% of the total presentations. In the latter group, most injuries were to the head (25%) and upper limbs (39%). Injuries associated with weights/resistance activities (n=94) and falls from treadmills (n=49) accounted for 55% of the 260 injuries from use of noncombat-sports-related gym equipment. Twenty-three percent of all presentations arrived by ambulance, and overall, 9% of presentations required hospital admission. Over a 14-year period, the annual presentations rate rose from <1 to >2.5 per 1,000. Conclusion: Although the annual rate of presentations to the ED from exercise has more than doubled, exercise-related presentations still constitute only a small proportion of total presentations. Nevertheless, any reduction would be advantageous to an already overstretched health system. Risk awareness and effective education about equipment and its use at point of sale and in gyms could potentially prevent many presentations.
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A decade of head, neck and facial cricket injury hospitalisations in Victoria, Australia: From 2007/08 to 2016/17. J Sci Med Sport 2020; 23:1161-1165. [PMID: 32651062 DOI: 10.1016/j.jsams.2020.06.010] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/24/2020] [Revised: 05/22/2020] [Accepted: 06/14/2020] [Indexed: 11/23/2022]
Abstract
OBJECTIVES To present an epidemiological profile of hospital-treated head, neck and facial cricket injuries from 2007/08 to 2016/17 in Victoria, Australia. DESIGN Retrospective analysis of emergency department and hospital admission data. METHODS An analysis of Victorian hospital-treated head, neck and facial cricket injuries of all cricket participants over 5 years old between July 2007 and June 2017. RESULTS Over the decade, 3907 head, neck, facial (HNF) cricket injuries were treated in Victorian hospitals. The number of HNF cricket injuries substantially increased in the 2014/15 season from 367 to 435 injuries and remained over 400 in the subsequent years. More injuries were reported for male compared to female participants, 3583 compared to 324 injuries. When adjusted for participation in competitive cricket, the injury incidence rate was 1.3 per 1000 participants for males and 0.4 per 1000 participants for females. The 10-14year age group most frequently required hospital treatment. Open wounds were the most common type of injury (1166, 29.8%) and the main mechanism for HNF cricket injury for this decade was hit/struck/crush (3361, 86.0%). CONCLUSIONS This study provides a novel and current insight of the incidence and details of HNF injuries among cricket participants in Victoria over a decade. It is evident that males and younger participants, regardless of gender, have a higher risk of sustaining a HNF injury. This study provides a solid evidence base for stakeholders in developing strategies to minimise head, neck and facial injuries to make cricket a safe sport for all.
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10
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Erdem E, Akbaş E. Postural dıfferences between professıonal soccer players and sedentary populatıon. Sci Sports 2020. [DOI: 10.1016/j.scispo.2019.03.012] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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McLeod G, O'Connor S, Morgan D, Kountouris A, Finch CF, Fortington LV. Medical-attention injuries in community cricket: a systematic review. BMJ Open Sport Exerc Med 2020; 6:e000670. [PMID: 32231790 PMCID: PMC7101051 DOI: 10.1136/bmjsem-2019-000670] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/23/2020] [Indexed: 12/30/2022] Open
Abstract
Objectives The aim was to identify and describe outcomes from original published studies that present the number, nature, mechanism and severity of medically treated injuries sustained in community-level cricket. Design Systematic review. Methods Nine databases were systematically searched to December 2019 using terms "cricket*" and "injur*". Original, peer-reviewed studies reporting injury for at least one injury descriptor (body region, nature of injury and/or mechanism of injury) in community-level cricketers of all ages were included. Qualitative synthesis, critical appraisal and descriptive summary results are reported within the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines. Results Six studies were included: five reported hospital-treated data and one reported insurance claims data. Two had a low risk of bias. In hospital-based studies, fractures were the most frequent injury type. Upper and lower limb injuries (age ≥15 years) and injuries to the head (age <15 years) were the most common body region injured. Being struck by the ball was the most common mechanism for injury presenting to hospitals. Children were also commonly struck by equipment. One study using insurance claims data reported soft tissue injuries as the main of injury type. Conclusion Hospital treatment data were most prominent, which emphasised injuries of a more serious nature or requiring acute care. These injuries were primarily fractures, dislocation/sprain and strains, bruising and open wounds with the majority resulting from players being struck by the ball. Research into whether properly fitted protective equipment, at an approved standard, is worn and is effective, is recommended.
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Affiliation(s)
- Geordie McLeod
- School of Medical and Health Sciences, Edith Cowan University, Joondalup, Western Australia, Australia
| | - Siobhán O'Connor
- School of Health and Human Performance, Dublin City University, Dublin, Ireland
| | - Damian Morgan
- Federation Business School, Federation University Australia, Ballarat, Victoria, Australia
| | - Alex Kountouris
- Sports Science and Sports Medicine, Cricket Australia, Melbourne, Victoria, Australia
| | - Caroline F Finch
- School of Medical and Health Sciences, Edith Cowan University, Joondalup, Western Australia, Australia
| | - Lauren V Fortington
- School of Medical and Health Sciences, Edith Cowan University, Joondalup, Western Australia, Australia
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12
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Injury Incidence, Prevalence and Severity in High-Level Male Youth Football: A Systematic Review. Sports Med 2019; 49:1879-1899. [DOI: 10.1007/s40279-019-01169-8] [Citation(s) in RCA: 39] [Impact Index Per Article: 7.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/20/2022]
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13
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Schwab LM, Franettovich Smith MM, Mendis MD, McGhee D, Hides J. Injury reporting via SMS text messaging and online survey in community sport: A feasibility study. TRANSLATIONAL SPORTS MEDICINE 2019. [DOI: 10.1002/tsm2.101] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/23/2022]
Affiliation(s)
- Laura M. Schwab
- School of Allied Health Griffith University Brisbane Qld Australia
| | | | - M. Dilani Mendis
- School of Allied Health Griffith University Brisbane Qld Australia
| | - Deirdre McGhee
- School of Medicine University of Wollongong Wollongong NSW Australia
| | - Julie Hides
- School of Allied Health Griffith University Brisbane Qld Australia
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14
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Panagodage Perera NK, Kemp JL, Joseph C, Finch CF. Epidemiology of hospital-treated cricket injuries sustained by women from 2002-2003 to 2013-2014 in Victoria, Australia. J Sci Med Sport 2019; 22:1213-1218. [PMID: 31420294 DOI: 10.1016/j.jsams.2019.07.010] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/09/2019] [Revised: 07/19/2019] [Accepted: 07/21/2019] [Indexed: 11/18/2022]
Abstract
OBJECTIVES To present the first comprehensive epidemiological profile of hospital-treated injuries sustained by female cricketers from 2002-2003 to 2013-2014 in Victoria, Australia. DESIGN Analysis of routinely collected hospital data (detailed case-series). METHODS A retrospective analysis of hospital-treatment data associated with cricket injuries sustained by women between 1 July 2002 and 30 June 2014, inclusive were extracted from databases held by the Victorian Injury Surveillance Unit in Australia. RESULTS Over the 12-year period, 668 cases were treated in Victoria. Of these, 547 were emergency department (ED)-presentations. There were 121 hospital-admissions, of which, the length of stay was <2 days for 78.5% cases. All cases were treated and released, and no fatalities were reported. The 10-14 year age group most frequently presented to ED (19.9%) and were most commonly admitted to hospital (16.5% of the total admissions). Fractures were the most common cause of hospital-admissions (47.1%) but only accounted for 17.2% of the ED-presentations. Dislocations, sprains and strains, were the most common (36.4%) cause of ED-presentations. The head was the most commonly injured anatomical location (27.8% of ED-presentations and 28.1% of hospital-admissions), followed by the wrist and hand (27.8% ED-presentations and 17.4% hospital-admissions). CONCLUSIONS These findings provide the first overview of the nature of injuries requiring hospital attendance in female cricketers, and a foundation to inform the development of targeted injury prevention programs for female cricketers.
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Affiliation(s)
- Nirmala Kanthi Panagodage Perera
- School of Health and Life Sciences, Federation University Australia, Australia; Division of Physiotherapy, Department of Medical and Health Sciences, Linköping University, Sweden; Botnar Research Centre, Nuffield Department of Orthopaedics, University of Oxford, United Kingdom; Centre for Sport, Exercise and Osteoarthritis Research Versus Arthritis, United Kingdom; Latrobe Sports and Exercise Medicine Research Centre, College of Science, Health and Engineering, Latrobe University, Australia.
| | - Joanne L Kemp
- School of Health and Life Sciences, Federation University Australia, Australia; Latrobe Sports and Exercise Medicine Research Centre, College of Science, Health and Engineering, Latrobe University, Australia
| | | | - Caroline F Finch
- School of Medical and Health Sciences, Edith Cowan University, Australia
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15
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Čierna D, Štefanovský M, Matejová L, Lystad RP. Epidemiology of Competition Injuries in Elite European Judo Athletes: A Prospective Cohort Study. Clin J Sport Med 2019; 29:336-340. [PMID: 31241538 DOI: 10.1097/jsm.0000000000000526] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/02/2023]
Abstract
OBJECTIVE To determine the injury incidence rate (IIR) and injury pattern, and to identify risk factors for injury, among elite adult European judo athletes. DESIGN Prospective cohort study. SETTING The 2015 Under 23 European Judo Championships, Bratislava, Slovakia. PARTICIPANTS All registered athletes (N = 295). INDEPENDENT VARIABLES Sex, weight division, and fight outcome. MAIN OUTCOME MEASURES Injury incidence rates were calculated per 1000 athlete-exposures (IIRAE) and per 1000 minutes of exposure (IIRME) with 95% confidence intervals (CI). Subgroups were compared by calculating the injury incidence rate ratio (RR) with a 95% CI. RESULTS The overall IIRAE and IIRME were 35.6 (95% CI, 22.8-53.0) and 10.9 (95% CI, 7.0-16.2), respectively. The most frequently injured anatomical region was the head/neck (41%), whereas the most common type of injury was contusion (33%). The risk of injury was almost 4 times greater for defeated athletes compared with winners [RRME 3.80 (95% CI, 1.47-9.82)]. Athletes in middleweight divisions had a greater risk of injury compared with their lightweight [RRME 3.58 (95% CI, 1.24-10.35)] and heavyweight [RRME 2.34 (95% CI, 0.93-5.89)] counterparts. The risk of injury for women was not significantly different from their male counterparts [RRME 1.33 (95% CI, 0.61-2.90)]. CONCLUSIONS Weight division (middle) and fight outcome (losing) are significant risk factors for injury. The IIR in elite adult judo competition is lower than that in taekwondo and karate. Future research is encouraged to investigate the actual severity of judo injuries, and to investigate potentially modifiable risk factors to mitigate the risk of injury in judo.
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Affiliation(s)
- Dušana Čierna
- Faculty of Physical Education and Sports, Comenius University, Bratislava, Slovak Republic
| | - Miloš Štefanovský
- Faculty of Physical Education and Sports, Comenius University, Bratislava, Slovak Republic
| | - Lenka Matejová
- Faculty of Physical Education and Sports, Comenius University, Bratislava, Slovak Republic
| | - Reidar P Lystad
- Australian Institute of Health Innovation, Faculty of Medicine and Health Sciences, Macquarie University, Sydney, Australia
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Abstract
Skateboarding has become an international action sport attractive to young people. For this reason, skateboarding has been promoted by some researchers as important for encouraging young people to become more physically active. However, skateboarding is also considered to be inherently dangerous by the medical and broader community and as a result skateboarding is banned in many places. This paper reviews scientific literature on the features, outcomes and risk factors related to skateboarding injuries. Findings suggest that while skateboarding injuries can be severe, skateboarding is not as dangerous as it might appear if appropriate risk management steps are taken. Skateboarding should be encouraged as a worthy physical activity and local communities should consider providing specialised, supervised spaces for young people to practice this sport.
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Affiliation(s)
- Francesco Feletti
- a Department of Diagnostic Imaging , Ausl della Romagna, Santa Maria delle Croci Hospital , Ravenna , Italy.,b Department of Electronics , Information and Bioengineering, Politecnico di Milano University , Milano , Italy
| | - Eric Brymer
- c Institute of Sport Physical Activity and Leisure , Leeds Beckett University , Leeds , UK
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Fernando DT, Berecki‐Gisolf J, Finch CF. Sports injuries in Victoria, 2012–13 to 2014–15: evidence from emergency department records. Med J Aust 2018; 208:255-260. [DOI: 10.5694/mja17.00872] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/04/2017] [Accepted: 01/17/2018] [Indexed: 11/17/2022]
Affiliation(s)
- D Tharanga Fernando
- Victorian Injury Surveillance Unit, Monash University Accident Research Centre, Melbourne, VIC
| | - Janneke Berecki‐Gisolf
- Victorian Injury Surveillance Unit, Monash University Accident Research Centre, Melbourne, VIC
| | - Caroline F Finch
- Australian Centre for Research into Injury in Sport and its Prevention, Federation University Australia, Ballarat, VIC
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18
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Weiss KJ, McGuigan MR, Besier TF, Whatman CS. Application of a Simple Surveillance Method for Detecting the Prevalence and Impact of Overuse Injuries in Professional Men's Basketball. J Strength Cond Res 2018; 31:2734-2739. [PMID: 28030532 DOI: 10.1519/jsc.0000000000001739] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
The aim of this study was to use the Oslo Sports Trauma Research Center (OSTRC) Overuse Injury Questionnaire to record overuse injuries over a single season for a men's professional basketball team to (a) assess the prevalence and severity of overuse injuries and (b) determine the efficacy of this method in identifying overuse injuries in comparison with the team physiotherapist's detection of these injuries. Thirteen athletes from a men's professional basketball team participated in this study. The self-reported, OSTRC injury questionnaire was used to record overuse conditions of the ankle, knee, and lower back over an entire 24-week season. Standard time-loss injury registration methods were also used to record overuse conditions by the physiotherapist. Overuse injury rates per 1,000 hours of athlete exposure and average weekly prevalence of overuse injuries were calculated using the results of the questionnaire. A total of 183 overuse conditions were identified by the questionnaire, whereas only 28 overuse conditions were identified by the physiotherapist. The team's average weekly prevalence of all overuse conditions was 63% (95% confidence interval [CI]: 60-66), with the highest prevalence of injury affecting the lower back (25.9% [95% CI: 19.7-32.1]). The overuse injury rate per 1,000 hours of athlete exposure was 6.4. The OSTRC overuse injury questionnaire captures many more overuse injuries in basketball than standard time-loss methods. The prevalence of lower back injuries is higher than that previously reported in basketball. This additional method of overuse injury surveillance may more accurately quantify the overuse injury problem in basketball and aid earlier intervention and management of these conditions.
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Affiliation(s)
- Kaitlyn J Weiss
- 1Sports Performance Research Institute New Zealand, Auckland University of Technology, Auckland, New Zealand; and 2Auckland Bioengineering Institute and Department of Engineering Science, University of Auckland, Auckland, New Zealand
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Tsui CT, Leung M, Chow CP, Chan KH, Lit ACH. A One-Year Hospital-Based Analysis of Sports Injuries. HONG KONG J EMERG ME 2017. [DOI: 10.1177/102490790701400403] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
Objectives (1) To survey and analyse the pattern of sports injuries; (2) to make implication from the results. Methodology Subjects with sports injuries attending the emergency department of Princess Margaret Hospital in 2006 were retrieved via the Injury Surveillance System. The characteristics of the subjects and their injuries were evaluated. Results In 2006, 709 subjects had sports injuries, from which 83% were male. The median age was 19. Age below 20 accounted for 53% of the attendance. Football (35%), basketball (25%) and cycling (9%) were the three commonest sport-injury activities. All sports injuries had the maximum AIS ≤3 and 83% had MAIS of 1 only. Overall, 39% had contusion and scrape, 36% with sprain and strain, and 18% had fracture. Nearly half (47%) had lower limb injury; 30% and 24% had upper limb injury and head injury respectively. Contusion and scrape of the head, and sprain and strain of the lower limb were the two commonest injuries in football and basketball. In cycling, two-thirds suffered from contusion and scrape of any body region and 57% of those involved the head. Conclusion Sports injury surveillance with characterised patterns of injuries helped to devise prevention measures.
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Affiliation(s)
| | - M Leung
- Princess Margaret Hospital, Paediatrics Department, Lai Chi Kok, Kowloon, Hong Kong
| | - CP Chow
- Princess Margaret Hospital, Paediatrics Department, Lai Chi Kok, Kowloon, Hong Kong
| | - KH Chan
- Princess Margaret Hospital, Paediatrics Department, Lai Chi Kok, Kowloon, Hong Kong
| | - ACH Lit
- Princess Margaret Hospital, Paediatrics Department, Lai Chi Kok, Kowloon, Hong Kong
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Kerr ZY, Pierpoint LA, Currie DW, Wasserman EB, Comstock RD. Epidemiologic comparisons of soccer-related injuries presenting to emergency departments and reported within high school and collegiate settings. Inj Epidemiol 2017; 4:19. [PMID: 28670666 PMCID: PMC5494284 DOI: 10.1186/s40621-017-0116-9] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/27/2017] [Accepted: 06/13/2017] [Indexed: 11/12/2022] Open
Abstract
BACKGROUND Few studies compare sports injury patterns in different settings. This study described the epidemiology of soccer injuries presenting to emergency departments (EDs) and compared injuries presenting to EDs to injuries presenting to collegiate and high school athletic trainers (ATs). METHODS Soccer-related injuries (product code 1267) in the National Electronic Injury Surveillance System (NEISS) that were sustained by individuals at least two years of age in 2004-2013 were included. High School Reporting Information Online (HS RIO) data for high school soccer injuries during the 2005/06-2013/14 academic years were compared to NEISS data for those aged 14-17 years in 2005-2013. National Collegiate Athletic Association Injury Surveillance Program (NCAA-ISP) data for collegiate soccer injuries during the 2009/10-2013/14 academic years were compared to NEISS data for those aged 18-22 years in 2009-2013. All datasets included weights to calculate national estimates. Injury proportion ratios (IPRs) with 95% confidence intervals (CIs) compared nationally estimated injury distributions between the HS RIO/NCAA-ISP and NEISS data subsets. RESULTS During the study period, 63,258 soccer-related injuries were captured by NEISS, which translates to an estimated 2,039,250 injuries seen at US EDs nationwide. Commonly injured body parts included the head/face (19.1%), ankle (17.6%), hand/wrist (15.3%), and knee (12.2%). Common diagnoses included sprains/strains (34.0%), fractures (22.2%), and contusions (17.7%). Compared to their respective age ranges in NEISS, sprains/strains comprised a larger proportion of injuries in HS RIO (48.3% vs. 33.7%; IPR = 1.38; 95% CI: 1.33, 1.42) and NCAA-ISP (51.3% vs. 37.0%; IPR = 1.39; 95% CI: 1.31, 1.46). In contrast, fractures comprised a smaller proportion of injuries in HS RIO than in NEISS (7.5% vs. 18.6%; IPR = 0.43; 95% CI: 0.39, 0.47) and NCAA-ISP (2.8% vs. 15.7%; IPR = 0.18; 95% CI: 0.14, 0.22). CONCLUSIONS ATs more commonly reported injuries that are easily diagnosed and treated (e.g., sprains/strains); EDs more commonly reported injuries with longer recovery times and rehabilitation (e.g., fractures). Although ED surveillance data can identify the most severe sports-related injuries, high school and college sports surveillance may better describe the breadth of sports-related injuries. Our findings may provide further support for school-based sports medicine professionals, but further research is needed to comprehensively examine the potential economic and health-related benefits.
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Affiliation(s)
- Zachary Y. Kerr
- Department of Exercise and Sport Science, University of North Carolina, 313 Woollen Gym CB#8700, Chapel Hill, NC 27599-8700 USA
| | - Lauren A. Pierpoint
- Department of Epidemiology, Colorado School of Public Health, University of Colorado Anschutz, Mail Stop B119, 13001 E 17th Pl, Aurora, CO 80045 USA
| | - Dustin W. Currie
- Department of Epidemiology, Colorado School of Public Health, University of Colorado Anschutz, Mail Stop B119, 13001 E 17th Pl, Aurora, CO 80045 USA
| | - Erin B. Wasserman
- Datalys Center for Sports Injury Research and Prevention, 401 W Michigan St, Suite 500, Indianapolis, IN 46202 USA
| | - R. Dawn Comstock
- Department of Epidemiology, Colorado School of Public Health, University of Colorado Anschutz, Mail Stop B119, 13001 E 17th Pl, Aurora, CO 80045 USA
- Department of Pediatrics, School of Medicine, University of Colorado, Mail Stop B119, 13001 E 17th Pl, Aurora, CO 80045 USA
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21
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Bone Structure and Geometric Properties at the Radius and Tibia in Adolescent Endurance-Trained Cyclists. Clin J Sport Med 2017; 27:69-77. [PMID: 26825141 DOI: 10.1097/jsm.0000000000000299] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/02/2023]
Abstract
OBJECTIVE To describe cortical and trabecular volumetric bone mineral density (vBMD), bone mineral content (BMC), cross-sectional area (CSA), and bone strength indexes (BSIs) in adolescent endurance-trained cyclists (CYC) and compare them with controls (CON). DESIGN Descriptive cohort study. PARTICIPANTS Twenty-five male adolescent CYC and 17 CON. ASSESSMENT OF RISK FACTORS Peripheral quantitative computed tomography was used to evaluate proximal and distal sites of the radius and tibia. MAIN OUTCOME MEASURES Total, trabecular, and cortical BMC, vBMD, and CSA were measured. Also, cortical thickness, endosteal and periosteal circumferences, and different BSIs were calculated. Unadjusted analysis of variance and body weight-adjusted analysis of covariance tests were applied between cyclist and control groups. RESULTS Cyclists were almost 12% lighter than CON (P < 0.05). Unadjusted data showed lower distal total vBMD and proximal cortical BMC and vBMD in cyclists compared with CON at the radius (P < 0.05) and lower distal total and trabecular BMC, vBMD and bone area, proximal total and cortical BMC and vBMD, and cortical bone area at the tibia (P < 0.05). Body weight-adjusted data showed the same differences for distal total vBMD at the radius and total and trabecular BMC and vBMD at the tibia, diaphyseal radius cortical vBMD and tibia total vBMD, cortical BMC and area, and also for tibia cortical thickness and BSI. The rest of differences were no longer detectable and bone area at the distal radius become significantly higher in cyclist compared with CON (P < 0.05). CONCLUSIONS Adolescent CYC in this study showed lower values of BMC and vBMD at determined sites of the radius and tibia than CON, some of these differences were explained in part by their lower body weight. However, even further adjustment, some differences remained, which indicates that further longitudinal studies are needed to better understand if cycling influences these differences.
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Nathanson BH, Ribeiro K, Henneman PL. An Analysis of US Emergency Department Visits From Falls From Skiing, Snowboarding, Skateboarding, Roller-Skating, and Using Nonmotorized Scooters. Clin Pediatr (Phila) 2016; 55:738-44. [PMID: 26324666 DOI: 10.1177/0009922815603676] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
We analyzed the US incidence of emergency department (ED) visits and hospitalizations for falls from skiing, snowboarding, skateboarding, roller-skating, and nonmotorized scooters in 2011. The outcome was hospital admission from the ED. The primary analysis compared pediatric patients aged 1 to 17 years to adults aged 18 to 44 years. The analysis used ICD-9 E-codes E885.0 to E885.4 using discharge data from the Nationwide Emergency Department Sample, Healthcare Cost and Utilization Project, Agency for Healthcare Research and Quality. Approximately 214 000 ED visits met study criteria. Skiing injuries had the highest percentage of hospitalizations (3.30% in pediatric patients and 6.65% in adults 18-44 years old). Skateboard and snowboard injuries were more likely to require hospitalization than roller skating injuries in pediatric patients (odds ratio = 2.42; 95% CI = 2.14-2.75 and odds ratio = 1.83; 95% CI =1.55-2.15, respectively). In contrast, skateboard and snowboard injuries were less severe than roller-skating injuries in adults.
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Affiliation(s)
| | | | - Philip L Henneman
- Baystate Medical Center, Springfield, MA, USA Tufts University School of Medicine, Boston, MA, USA
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23
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Tenan MS. Quantifying Emergency Department Visits From Sport and Recreation: Focus on the Lower Extremity and Knee, 1997-2009. J Athl Train 2016; 51:309-16. [PMID: 27075528 DOI: 10.4085/1062-6050-51.4.12] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
Abstract
CONTEXT Few authors have reported nationally representative data on the number of sport and recreation (SR) injuries resulting in emergency department (ED) visitation. The existing studies have only provided 1 or 2 years of data and are not longitudinal in nature. OBJECTIVE To use a novel algorithmic approach to determine if ED visitation is due to SR, resulting in a substantially larger longitudinal dataset. DESIGN Descriptive epidemiology study. SETTING Hospital. PATIENTS OR OTHER PARTICIPANTS The National Hospital Ambulatory Medical Care Survey, a stratified random-sample survey of US hospital EDs was combined for years 1997-2009. There were 15 699 unweighted patient visits determined to be from SR. MAIN OUTCOME MEASURE(S) A custom algorithm classified SR visits based on the International Classification of Diseases, Ninth Revision, Clinical Modification E-code and pattern recognition of narrative text. Sport and recreation visits were assessed by age and categorized according to broad injury classifications. Additional quantification was performed on SR visits for lower extremity and knee-specific injuries. Sample weights were applied to provide national annual estimates. RESULTS Annually, 4 243 000 ED visits resulted from SR. The largest classification of injury from SR was sprains and strains (896 000/y). Males had substantially more SR-related ED visits than females (2 929 000/y versus 1 314 000/y). For patients 10-49 years old, 1 093 000 lower extremity and 169 000 knee-specific injury visits annually were from SR. For both injury types, males had a higher rate of ED visitation; however, females had 25% and 39% greater odds of visitation for lower extremity and knee-specific injury, respectively. CONCLUSIONS The burden on the health system of ED visits from SR was substantial. Males presented in the ED at a higher rate for SR injury, though females had a higher proportion of lower extremity and knee-specific injury ED visitations from SR. This longitudinal analysis of population-level data provides the information to target research on specific subpopulations to mitigate SR injury.
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Affiliation(s)
- Matthew S Tenan
- US Army Research Laboratory, Human Research and Engineering Directorate, Aberdeen Proving Ground, MD
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McKenzie LB, Fletcher E, Nelson NG, Roberts KJ, Klein EG. Epidemiology of skateboarding-related injuries sustained by children and adolescents 5-19 years of age and treated in US emergency departments: 1990 through 2008. Inj Epidemiol 2016; 3:10. [PMID: 27747547 PMCID: PMC4824795 DOI: 10.1186/s40621-016-0075-6] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/22/2015] [Accepted: 03/08/2016] [Indexed: 11/22/2022] Open
Abstract
Background The goal was to examine the patterns and trends of skateboarding-related injuries sustained by children and adolescents in the United States. Methods A retrospective analysis was conducted using data from the National Electronic Injury Surveillance System for children and adolescents 5-19 years of age treated in emergency departments for injuries associated with skateboards from 1990 through 2008. Results An estimated 1 226 868 children/adolescents (95 % CI: 948 733—1 505 003) were treated in emergency departments for skateboarding-related injuries from 1990 through 2008, an average of 64,572 cases per year. From 1990 through 1994, the annual rate of injuries per 10,000 children/adolescents significantly decreased overall and for males (overall: 72.9 %, P = 0.014; males: 73.9 %, P = 0.011; females: 63.6 %, P = 0.062). From 1994 to 2008, annual rates of injuries per 10,000 children/adolescents significantly increased overall and for both males and females (overall: 378.9 %, P < 0.001; males: 393.4 %, P < 0.001; females: 283.3 % P < 0.001). From 1990 to 1994 the annual rate of injuries per 10,000 children/adolescents significantly decreased for all age groups (5-10 years: 69.9 %, P = 0.043; 11-14 years: 80.6 %, P = 0.017; 15-19 years: 64.2 %, P = 0.024), and then significantly increased from 1994 to 2008 (5-10 years: 164.5 %, P < 0.001; 11-14 years: 587.0 %, P < 0.001; 15-19 years: 407.9 %, P < 0.001). Most patients were male (89.0 %), injured at home (37.3 %) or in the street and/or highway (29.3 %), and were not hospitalized (96.9 %). Patients 11-14 years of age constituted 44.9 % of cases. The most commonly injured body regions were the upper (44.1 %) and lower (31.7 %) extremities. Fractures and dislocations were the most common diagnoses (32.1 %). Children/adolescents 11-14 years of age were hospitalized more often than younger or older children/adolescents. Lower extremity injuries increased with age, while face and head or neck injuries decreased with age. Conclusions Skateboarding continues to be an important source of injury for children and adolescents. Further research, using more rigorous study designs, is required develop a broad perspective of the incidence and determinants of injury, and to further identify risk factors and viable injury countermeasures while simultaneously promoting participation in skateboarding.
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Affiliation(s)
- Lara B McKenzie
- Center for Injury Research and Policy, The Research Institute at Nationwide Children's Hospital, 700 Children's Drive, Columbus, 43205, OH, USA. .,Department of Pediatrics, College of Medicine, The Ohio State University, Columbus, OH, USA. .,Division of Epidemiology, College of Public Health, The Ohio State University, Columbus, OH, USA.
| | - Erica Fletcher
- Center for Injury Research and Policy, The Research Institute at Nationwide Children's Hospital, 700 Children's Drive, Columbus, 43205, OH, USA
| | - Nicolas G Nelson
- Center for Injury Research and Policy, The Research Institute at Nationwide Children's Hospital, 700 Children's Drive, Columbus, 43205, OH, USA
| | - Kristin J Roberts
- Center for Injury Research and Policy, The Research Institute at Nationwide Children's Hospital, 700 Children's Drive, Columbus, 43205, OH, USA
| | - Elizabeth G Klein
- Division of Health Behavior & Health Promotion, College of Public Health, The Ohio State University, Columbus, OH, USA
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JUNGE TINA, RUNGE LISBETH, JUUL-KRISTENSEN BIRGIT, WEDDERKOPP NIELS. Risk Factors for Knee Injuries in Children 8 to 15 Years. Med Sci Sports Exerc 2016; 48:655-62. [DOI: 10.1249/mss.0000000000000814] [Citation(s) in RCA: 21] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/22/2022]
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Ji M. Analysis of injuries in taekwondo athletes. J Phys Ther Sci 2016; 28:231-4. [PMID: 26957764 PMCID: PMC4756010 DOI: 10.1589/jpts.28.231] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/09/2015] [Accepted: 10/16/2015] [Indexed: 11/24/2022] Open
Abstract
[Purpose] The present study aims to provide fundamental information on injuries in
taekwondo by investigating the categories of injuries that occur in taekwondo and
determining the locations of these injuries. [Subjects and Methods] The data of 512
taekwondo athletes were collected. The sampling method was convenience sampling along with
non-probability sampling extraction methods. Questionnaire forms were used to obtain the
data. [Results] The foot, knee, ankle, thigh, and head were most frequently injured while
practicing taekwondo, and contusions, strains, and sprains were the main injuries
diagnosed. [Conclusion] It is desirable to decrease the possibility of injuries to the
lower extremities for extending participation in taekwondo. Other than the lower
extremities, injuries of other specific body parts including the head or neck could be
important factors limiting the duration of participation. Therefore, it is necessary to
cope with these problems before practicing taekwondo.
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Affiliation(s)
- MinJoon Ji
- Department of Sports Science, College of Natural Science, Kyungnam University, Republic of Korea
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27
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Castillo-Lozano R, Casuso-Holgado M. A comparison musculoskeletal injuries among junior and senior paddle-tennis players. Sci Sports 2015. [DOI: 10.1016/j.scispo.2015.03.005] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Abstract
Research on the mechanism of concussion in recent years has been focused on the mechanism of injury as well as strategies to minimize or reverse injury. Sports-related head injury research has led to the development of head protective gear that has evolved over the years. Headgears have been designed to protect athletes from skull fractures, subdural hemorrhages and concussions. Over the years, through experience of athletes and continued scientific research, improvements in helmet design have been made. Although these advances have decreased the number of catastrophic injuries throughout sports, the effects on concussions are promising, but largely unproven. In this review, we will discuss development of helmets and studies analyzing their level of protection for both concussion and head injury. This will help us understand what future developments are still needed to minimize the risk of concussion among athletes in various forms of sports.
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Affiliation(s)
- Christopher M Bonfield
- a Department of Neurological Surgery, University of Pittsburgh Medical Center , Pittsburgh, PA, USA
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Lystad RP, Graham PL, Poulos RG. Epidemiology of training injuries in amateur taekwondo athletes: a retrospective cohort study. Biol Sport 2015; 32:213-8. [PMID: 26424924 PMCID: PMC4577559 DOI: 10.5604/20831862.1150303] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/21/2014] [Revised: 01/31/2015] [Accepted: 02/11/2015] [Indexed: 11/13/2022] Open
Abstract
The objectives of this study were to estimate the incidence and describe the pattern and severity of training injuries in taekwondo, and to compare pattern and severity of training injuries with competition injuries. One hundred and fifty-two active Australian amateur taekwondo athletes, aged 12 years or over, completed an online survey comprising questions on training exposure and injury history over the preceding 12 months. The main outcome measures were: overall injury incidence rate per athlete-year; training injury incidence rate per athlete-year, per 1000 athlete-training-sessions, and per 1000 athlete-hours of training; injury severity; and injury proportions by anatomical region and by type of injury. Injury incidence rates were calculated with 95% confidence intervals using standard methods, while injury proportions were compared using Fisher's exact test. The vast majority (81.5%) of taekwondo injuries in an average athlete-year occurred during training. The training injury incidence rate was estimated to be 1.6 (95% CI: 1.4, 1.9) per athlete-year, 11.8 (95% CI: 10.4, 13.4) per 1000 athlete-training-sessions, and 7.0 (95% CI: 6.1, 7.9) per 1000 athlete-hours of training. Among athletes with five or fewer injuries, the severity and injury pattern of training injuries were, by and large, the same as for competition injuries. Approximately sixty percent (60.3%) of training injuries required treatment by a health professional. Considering the burden of training injuries exceeds that of competition injuries, taekwondo governing bodies and stakeholders are encouraged to devote more efforts towards the identification of risk factors for, and prevention of, training injuries in the sport of taekwondo.
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Affiliation(s)
- R P Lystad
- Department of Chiropractic, Faculty of Science, Macquarie University, Sydney, Australia
| | - P L Graham
- Department of Statistics, Faculty of Science, Macquarie University, Sydney, Australia
| | - R G Poulos
- School of Public Health and Community Medicine, The University of New South Wales, Sydney, Australia
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Medical-attention injuries in community Australian football: a review of 30 years of surveillance data from treatment sources. Clin J Sport Med 2015; 25:162-72. [PMID: 25051192 DOI: 10.1097/jsm.0000000000000108] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/02/2023]
Abstract
OBJECTIVE In recent reports, Australian football has outranked other team sports in the frequency of hospitalizations and emergency department (ED) presentations. Understanding the profile of these and other "medical-attention" injuries is vital for developing preventive strategies that can reduce health costs. The objective of this review was to describe the frequency and profile of Australian football injuries presenting for medical attention. DATA SOURCES A systematic search was carried out to identify peer-reviewed articles and reports presenting original data about Australian football injuries from treatment sources (hospitals, EDs, and health-care clinics). Data extracted included injury frequency and rate, body region, and nature and mechanism of injury. MAIN RESULTS Following literature search and review, 12 publications were included. In most studies, Australian football contributed the greatest number of injuries out of any sport or recreation activity. Hospitals and EDs reported a higher proportion of upper limb than lower limb injuries, whereas the opposite was true for sports medicine clinics. In hospitals, fractures and dislocations were most prevalent out of all injuries. In EDs and clinics, sprains/strains were most common in adults and superficial injuries were predominant in children. Most injuries resulted from contact with other players or falling. CONCLUSIONS The upper limb was the most commonly injured body region for Australian football presentations to hospitals and EDs. Strategies to prevent upper limb injuries could reduce associated public health costs. However, to understand the full extent of the injury problem in football, treatment source surveillance systems should be supplemented with other datasets, including community club-based collections.
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Freitag A, Kirkwood G, Scharer S, Ofori-Asenso R, Pollock AM. Systematic review of rugby injuries in children and adolescents under 21 years. Br J Sports Med 2015; 49:511-9. [DOI: 10.1136/bjsports-2014-093684] [Citation(s) in RCA: 65] [Impact Index Per Article: 7.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
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Ilia E, Metcalfe K, Heffernan M. Prevalence of dental trauma and use of mouthguards in rugby union players. Aust Dent J 2014; 59:473-81. [DOI: 10.1111/adj.12223] [Citation(s) in RCA: 26] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/25/2014] [Indexed: 11/24/2022]
Affiliation(s)
- E Ilia
- Private Dental Practice; Turramurra New South Wales
| | - K Metcalfe
- Westmead Centre for Oral Health; Westmead New South Wales
| | - M Heffernan
- Discipline of Endodontics; Faculty of Dentistry; The University of Sydney; Camperdown New South Wales
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Scoggin JF, Brusovanik G, Izuka BH, Zandee van Rilland E, Geling O, Tokumura S. Assessment of Injuries During Brazilian Jiu-Jitsu Competition. Orthop J Sports Med 2014; 2:2325967114522184. [PMID: 26535299 PMCID: PMC4555620 DOI: 10.1177/2325967114522184] [Citation(s) in RCA: 39] [Impact Index Per Article: 3.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/19/2022] Open
Abstract
Background: Brazilian jiu-jitsu (BJJ) is a unique style of martial arts with rapid growth in the United States and internationally. Although studies have examined injuries in other martial arts and combat sports, to date, no published medical study has examined injuries in BJJ competitions. Purpose: (1) To estimate the incidence of injuries in BJJ competitions and (2) to identify and describe the types and mechanisms of injuries associated with competitive BJJ. Study Design: Descriptive epidemiology study. Methods: Injury data were obtained from records of on-site medical coverage at 8 statewide BJJ tournaments in Hawaii, USA, between 2005 and 2011. Results: The identified injury incidence on the day of matches was 9.2 per 1000 exposures (46 injuries out of 5022 exposures, ie, match participations). Orthopaedic injuries were the most common and accounted for 78% of all injuries (n = 36), followed by costochondral or rib injuries (n = 7) and lacerations requiring medical care (n = 3). The elbow was found to be the joint most commonly injured during BJJ competitions, with the arm bar being the most common mechanism. We propose that this BJJ-specific injury mechanism, the “arm bar,” be recognized as another mechanism of hyperextension injury to the elbow in sports. Conclusion: Comparison of the BJJ injury data with injury data reported for judo, taekwondo, wrestling, and mixed martial arts showed that BJJ competitors were at substantially lower risk of injury compared with these other sports. With orthopaedic injuries being most common and the elbow being the area most vulnerable to injury in BJJ, it is important that participants, referees, and physicians be properly educated about the unique mechanisms of injury that can occur, particularly to the elbow.
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Affiliation(s)
| | | | - Byron H Izuka
- Children's Orthopaedics of Hawaii, Aiea, Hawaii, USA
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Russell JHB, Hughes JMF, Heskin L, Lee S. The pattern of hand injuries in amateur cricket. EUROPEAN JOURNAL OF PLASTIC SURGERY 2014. [DOI: 10.1007/s00238-014-0932-x] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
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Jespersen E, Rexen CT, Franz C, Møller NC, Froberg K, Wedderkopp N. Musculoskeletal extremity injuries in a cohort of schoolchildren aged 6-12: A 2.5-year prospective study. Scand J Med Sci Sports 2014; 25:251-8. [DOI: 10.1111/sms.12177] [Citation(s) in RCA: 23] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/12/2013] [Indexed: 11/28/2022]
Affiliation(s)
- E. Jespersen
- Centre of Research in Childhood Health; Institute of Sports Science and Clinical Biomechanics; University of Southern Denmark; Odense M Denmark
| | - C. T. Rexen
- Centre of Research in Childhood Health; Institute of Sports Science and Clinical Biomechanics; University of Southern Denmark; Odense M Denmark
| | - C. Franz
- Centre of Research in Childhood Health; Institute of Sports Science and Clinical Biomechanics; University of Southern Denmark; Odense M Denmark
| | - N. C. Møller
- Centre of Research in Childhood Health; Institute of Sports Science and Clinical Biomechanics; University of Southern Denmark; Odense M Denmark
| | - K. Froberg
- Centre of Research in Childhood Health; Institute of Sports Science and Clinical Biomechanics; University of Southern Denmark; Odense M Denmark
| | - N. Wedderkopp
- Centre of Research in Childhood Health; Institute of Sports Science and Clinical Biomechanics; University of Southern Denmark; Odense M Denmark
- The Sport Medicine Clinic; Orthopaedic dep. Hospital of Lillebaelt; Institute of Regional Health Service Research; University of Southern Denmark; Odense M Denmark
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Jespersen E, Holst R, Franz C, Rexen CT, Wedderkopp N. Seasonal variation in musculoskeletal extremity injuries in school children aged 6-12 followed prospectively over 2.5 years: a cohort study. BMJ Open 2014; 4:e004165. [PMID: 24401728 PMCID: PMC3902503 DOI: 10.1136/bmjopen-2013-004165] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
Abstract
OBJECTIVES The type and level of physical activity in children vary over seasons and might thus influence the injury patterns. However, very little information is available on the distribution of injuries over the calendar year. This study aims to describe and analyse the seasonal variation in extremity injuries in children. DESIGN Prospective cohort study. SETTING 10 public schools in the municipality of Svendborg, Denmark. PARTICIPANTS A total of 1259 school children aged 6-12 years participating in the Childhood Health, Activity, and Motor Performance School Study Denmark. METHODS School children were surveyed each week during 2.5 school-years. Musculoskeletal injuries were reported by parents answering automated mobile phone text questions (SMS-Track) on a weekly basis and diagnosed by clinicians. Data were analysed for prevalence and incidence rates over time with adjustments for gender and age. RESULTS Injuries in the lower extremities were reported most frequently (n=1049). There was a significant seasonal variation in incidence and prevalence for lower extremity injuries and for lower and upper extremity injuries combined (n=1229). For the upper extremities (n=180), seasonal variation had a significant effect on the risk of prevalence. Analysis showed a 46% increase in injury incidence and a 32% increase in injury prevalence during summer relative to winter for lower and upper extremity injuries combined. CONCLUSIONS There are clear seasonal differences in the occurrence of musculoskeletal extremity injuries among children with almost twice as high injury incidence and prevalence estimates during autumn, summer and spring compared with winter. This suggests further research into the underlying causes for seasonal variation and calls for preventive strategies to be implemented in order to actively prepare and supervise children before and during high-risk periods.
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Affiliation(s)
- Eva Jespersen
- Centre of Research in Childhood Health, Institute of Sports Science and Clinical Biomechanics, University of Southern Denmark, Odense, Denmark
| | - René Holst
- Department of Biostatistics, Institute of Regional Health Research, University of Southern Denmark, Odense, Denmark
| | - Claudia Franz
- Centre of Research in Childhood Health, Institute of Sports Science and Clinical Biomechanics, University of Southern Denmark, Odense, Denmark
| | - Christina T Rexen
- Centre of Research in Childhood Health, Institute of Sports Science and Clinical Biomechanics, University of Southern Denmark, Odense, Denmark
| | - Niels Wedderkopp
- Centre of Research in Childhood Health, Institute of Sports Science and Clinical Biomechanics, University of Southern Denmark, Odense, Denmark
- The Sport Medicine Clinic, Orthopaedic Department, Hospital of Lillebaelt, and Institute of Regional Health Service Research, University of Southern Denmark, Odense, Denmark
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Jespersen E, Verhagen E, Holst R, Klakk H, Heidemann M, Rexen CT, Franz C, Wedderkopp N. Total body fat percentage and body mass index and the association with lower extremity injuries in children: a 2.5-year longitudinal study. Br J Sports Med 2013; 48:1497-502. [DOI: 10.1136/bjsports-2013-092790] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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Abstract
OBJECTIVE High-quality sport-specific information about the nature, type, cause, and frequency of injuries is needed to set injury prevention priorities. This article describes the type, nature, and mechanism of injuries in community Australian Football (community AF) players, as collected through field-based monitoring of injury in teams of players. DATA SOURCES Compilation of published prospectively collected injury data from 3 studies in junior community AF (1202 injuries in 1950+ players) and 3 studies in adult community AF (1765 injuries in 2265 players). This was supplemented with previously unpublished data from the most recent adult community AF injury cohort study conducted in 2007 to 2008. Injuries were ranked according to most common body regions, nature of injury, and mechanism. MAIN RESULTS In all players, lower limb injuries were the most frequent injury in community AF and were generally muscle strains, joint sprains, and superficial injuries. These injuries most commonly resulted from incidental contact with other players, or from "overexertion." Upper limb injuries were less common but included fractures, strains, and sprains that were generally caused by incidental contact between players and the result of players falling to the ground. CONCLUSIONS Lower limb injuries are common in community AF and could have an adverse impact on sustained participation in the game. Based on what is known about their mechanisms, it is likely that a high proportion of lower limb injuries could be prevented and they should therefore be a priority for injury prevention in community AF.
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Gill SD, Stella J. Implementation and performance evaluation of an emergency department primary practitioner physiotherapy service for patients with musculoskeletal conditions. Emerg Med Australas 2013; 25:558-64. [DOI: 10.1111/1742-6723.12134] [Citation(s) in RCA: 21] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/28/2013] [Indexed: 10/26/2022]
Affiliation(s)
- Stephen D Gill
- Emergency Department; The Geelong Hospital; Geelong Victoria Australia
| | - Julian Stella
- Emergency Department; The Geelong Hospital; Geelong Victoria Australia
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40
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Sheikh A, Ali SA, Saleem A, Ali S, Ahmed SS. Health consequences of cricket - view from South Asia. Int Arch Med 2013; 6:30. [PMID: 23890090 PMCID: PMC3726468 DOI: 10.1186/1755-7682-6-30] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/14/2013] [Accepted: 07/26/2013] [Indexed: 11/10/2022] Open
Abstract
Although cricket has origins in the British Empire, it is followed as a religion in South Asia, probably due to the influence of the former during their rule. The sport is equally popular among all groups of the society, and is not subject to gender or age constraints. It marks the epitome of reverence and is considered a battle for self-esteem, not only for those playing, but for those watching as well. The intensity of emotional attachment with this sport renders certain public health benefits as well as drawbacks to the general masses.
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Affiliation(s)
- Asfandyar Sheikh
- Dow Medical College, Dow University of Health Sciences, Baba-e-Urdu Road, Karachi, Pakistan.
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41
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Jespersen E, Holst R, Franz C, Rexen CT, Klakk H, Wedderkopp N. Overuse and traumatic extremity injuries in schoolchildren surveyed with weekly text messages over 2.5 years. Scand J Med Sci Sports 2013; 24:807-13. [DOI: 10.1111/sms.12095] [Citation(s) in RCA: 27] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/28/2013] [Indexed: 11/28/2022]
Affiliation(s)
- E. Jespersen
- Centre of Research in Childhood Health; Institute of Sports Science and Clinical Biomechanics; University of Southern Denmark; Odense M Denmark
| | - R. Holst
- Department of Biostatistics; Institute of Regional Health Research; University of Southern Denmark; Odense M Denmark
| | - C. Franz
- Centre of Research in Childhood Health; Institute of Sports Science and Clinical Biomechanics; University of Southern Denmark; Odense M Denmark
| | - C. T. Rexen
- Centre of Research in Childhood Health; Institute of Sports Science and Clinical Biomechanics; University of Southern Denmark; Odense M Denmark
| | - H. Klakk
- Centre of Research in Childhood Health; Institute of Sports Science and Clinical Biomechanics; University of Southern Denmark; Odense M Denmark
| | - N. Wedderkopp
- Centre of Research in Childhood Health; Institute of Sports Science and Clinical Biomechanics; University of Southern Denmark; Odense M Denmark
- Research Department, Spine Centre of Southern Denmark; Institute of Regional Health Services Research; University of Southern Denmark; Odense M Denmark
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Olmedillas H, González-Agüero A, Moreno LA, Casajus JA, Vicente-Rodríguez G. Cycling and bone health: a systematic review. BMC Med 2012; 10:168. [PMID: 23256921 PMCID: PMC3554602 DOI: 10.1186/1741-7015-10-168] [Citation(s) in RCA: 67] [Impact Index Per Article: 5.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/07/2012] [Accepted: 12/20/2012] [Indexed: 01/19/2023] Open
Abstract
BACKGROUND Cycling is considered to be a highly beneficial sport for significantly enhancing cardiovascular fitness in individuals, yet studies show little or no corresponding improvements in bone mass. METHODS A scientific literature search on studies discussing bone mass and bone metabolism in cyclists was performed to collect all relevant published material up to April 2012. Descriptive, cross-sectional, longitudinal and interventional studies were all reviewed. Inclusion criteria were met by 31 studies. RESULTS Heterogeneous studies in terms of gender, age, data source, group of comparison, cycling level or modality practiced among others factors showed minor but important differences in results. Despite some controversial results, it has been observed that adult road cyclists participating in regular training have low bone mineral density in key regions (for example, lumbar spine). Conversely, other types of cycling (such as mountain biking), or combination with other sports could reduce this unsafe effect. These results cannot yet be explained by differences in dietary patterns or endocrine factors. CONCLUSIONS From our comprehensive survey of the current available literature it can be concluded that road cycling does not appear to confer any significant osteogenic benefit. The cause of this may be related to spending long hours in a weight-supported position on the bike in combination with the necessary enforced recovery time that involves a large amount of time sitting or lying supine, especially at the competitive level.
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Affiliation(s)
- Hugo Olmedillas
- GENUD 'Growth, Exercise, NUtrition and Development' Research Group, Universidad de Zaragoza, Zaragoza, Spain.
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Hitchens PL, Palmer AJ. Characteristics of, and insurance payments for, injuries to cyclists in Tasmania, 1990-2010. ACCIDENT; ANALYSIS AND PREVENTION 2012; 49:449-456. [PMID: 23036424 DOI: 10.1016/j.aap.2012.03.013] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/23/2011] [Revised: 02/14/2012] [Accepted: 03/09/2012] [Indexed: 06/01/2023]
Abstract
OBJECTIVE To describe the characteristics and costs of injuries to cyclists resulting in a 3rd party insurance claim in Tasmania. METHODS Data on injuries to cyclists were obtained from the Motor Accident Insurance Board (MAIB) for the period 1990-2010. Frequency and insurance costs of injuries to cyclists were compared to injuries incurred by other road users. Descriptive analyses of cycling injuries and insurance costs by year, age and sex of claimant, and type and location of injury are presented. RESULTS Annual costs of insurance claims by cyclists averaged AUD 3.9 million. There was a significant decrease in the frequency of claims made by all road users combined over the study period, but not for cyclists. Cycling injuries made up 2.0% of claims but accounted for 3.4% of the total costs and were among the road user groups with the highest mean costs per claim. Fractures (20.7%) were the most common cycling injury. Brain injuries led to the highest mean claim costs (AUD 1,559,032), and accounted for 66.8% of claim costs made by cyclists. CONCLUSIONS Mean costs per claim for cycling injuries are high compared to those made by most other road users. The costs of these injuries impose a substantial burden on insurance payers. The high costs and severity of claims by cyclists compared to other road users demonstrates the high vulnerability of cyclists, and lends support to increasing separation of cyclists from motor vehicles.
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Affiliation(s)
- P L Hitchens
- Menzies Research Institute Tasmania, Private Bag 23, Hobart, TAS 7000, Australia.
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King T, Rosenberg M, Braham R, Ferguson R, Dawson B. Life after the game--injury profile of past elite Australian football players. J Sci Med Sport 2012; 16:302-6. [PMID: 23058879 DOI: 10.1016/j.jsams.2012.09.003] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/18/2012] [Revised: 08/08/2012] [Accepted: 09/07/2012] [Indexed: 11/28/2022]
Abstract
OBJECTIVES To investigate the long-term health and well-being of past elite Australian Football League (AFL) players, with particular emphasis on the effect of playing injuries on current lifestyle. DESIGN Cross sectional survey. METHODS A health and well-being survey, completed by past AFL players (n=592) with mean (±SD) age of 55.1 y (±15.8) and playing career of 7.7 y (±4.1) sought information on demographics, education and employment, subjective well-being, lifestyle behaviours, physical health, disease prevalence, community and social structures, and playing history. RESULTS A majority of past players experienced serious injuries (76%) and concussion (73%) throughout their career, both increasing significantly with the number of games played. Of those who received injuries, 60% require on-going treatment, yet only 6% receive treatment costs covered by their club or the AFL Players' Association. A large proportion (64%) of respondents are affected in daily life from previous AFL injuries. CONCLUSIONS AFL careers are compounded by high injury rates, including loss of consciousness with a high incidence of multiple concussions amongst those players reporting a serious injury. Greater number of injuries received will further the likelihood of requiring on-going treatment and being affected later in life. Additional research and planning may be important in assisting other improvements in the quality of life of past AFL players.
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Affiliation(s)
- Tyler King
- School of Sport Science, Exercise and Health, The University of Western Australia, Australia
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Fragar L, Inder KJ, Kelly BJ, Coleman C, Perkins D, Lewin TJ. Unintentional injury, psychological distress and depressive symptoms: is there an association for rural Australians? J Rural Health 2012; 29:12-9. [PMID: 23289650 DOI: 10.1111/j.1748-0361.2012.00423.x] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
PURPOSE To investigate the association between unintentional injury and mental health in Australian rural communities. METHODS Using cross-sectional baseline data for a longitudinal study from randomly selected adults in nonmetropolitan Australia, we fitted logistic regression models for the outcomes of domestic or public setting injury and injury in high-risk settings, using prior depression and demographic factors. OR and 99% CI were reported and also calculated for current mental health including psychological distress, depressive symptoms and risky alcohol consumption, comparing those injured with those not. FINDINGS Of 2,639 participants who completed the injury component, 364 (13.8%) reported injury requiring treatment from a doctor or a hospitalization in the previous 12 months. Of those requiring treatment or hospitalization, 147 (40.4%) reported being injured in a domestic or public setting and 207 (56.9%) in a high-risk setting. The most common types and mechanisms of injury were sprains and strains, and falls, trips and slips, respectively. Preinjury depression was independently associated with unintentional injury in a domestic or public setting. Being injured in this setting was associated with double the odds of experiencing current depressive symptoms. The likelihood of a high-risk setting injury was significantly associated with male gender. High-risk setting injury was associated with current psychological distress and higher levels of alcohol usage. CONCLUSIONS This study supports the hypothesis that pre-existing depression is associated with unintentional injury in a rural sample and indicates the important role of prior depression in management of injury, given the high rate of injury in rural communities. Mechanisms by which prior depression increases likelihood of unintentional injury will be further investigated using longitudinal data.
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Affiliation(s)
- Lyn Fragar
- Australian Centre for Agricultural Health and Safety, University of Sydney, Moree, NSW, Australia.
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Harris AW, Jones CA, Rowe BH, Voaklander DC. A population-based study of sport and recreation-related head injuries treated in a Canadian health region. J Sci Med Sport 2012; 15:298-304. [DOI: 10.1016/j.jsams.2011.12.005] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/06/2011] [Revised: 11/28/2011] [Accepted: 12/02/2011] [Indexed: 10/14/2022]
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Gilbert F, Partridge BJ. The need to tackle concussion in Australian football codes. Med J Aust 2012; 196:561-3. [DOI: 10.5694/mja11.11218] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Affiliation(s)
- Frederic Gilbert
- Australian Research Council Centre of Excellence for Electromaterials Science, University of Tasmania, Hobart, TAS
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Backe S, Janson S, Timpka T. Governance and implementation of sports safety practices by municipal offices in Swedish communities. Int J Inj Contr Saf Promot 2011; 19:163-9. [PMID: 22126404 DOI: 10.1080/17457300.2011.635212] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/15/2022]
Abstract
The objective of this study was to explore whether all-purpose health or safety promotion programmes and sports safety policies affect sports safety practices in local communities. Case study research methods were used to compare sports safety activities among offices in 73 Swedish municipalities; 28 with ongoing health or safety promotion programmes and 45 controls. The offices in municipalities with the WHO Healthy Cities (HC) or Safe Communities programmes were more likely to perform frequent inspections of sports facilities, and offices in the WHO HC programme were more likely to involve sports clubs in inspections. More than every second, property management office and environmental protection office conducted sports safety inspections compared with less than one in four planning offices and social welfare offices. It is concluded that all-purpose health and safety promotion programmes can reach out to have an effect on sports safety practices in local communities. These safety practices also reflect administrative work routines and managerial traditions.
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Affiliation(s)
- S Backe
- Division of Public Health Sciences, Karlstad University, SE-651 88 Karlstad, Sweden.
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Brühmann B, Schneider S. Risk groups for sports injuries among adolescents--representative German national data. Child Care Health Dev 2011; 37:597-605. [PMID: 21392052 DOI: 10.1111/j.1365-2214.2011.01209.x] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
BACKGROUND Physical activity during childhood and adolescence is of major importance with regard to an individual's engagement with sports in later life. Apart from the physical trauma, sports injuries often have negative effects on the motivation to remain physically active. This study evaluates data to gain detailed knowledge on 1-year incidence and risk groups with the aim of providing information for the development of preventive measures. METHODS Our data analysis is based on a net sample from a national study in Germany including 7697 children and adolescents aged 11 to 17 years. Within the statistical analyses, we developed weighting factors and calculated group differences as well as regression models for sports injury incidence. RESULTS A total of 7.7% of the children and adolescents reported a sport injury during the last 12 months. Bivariate analyses showed significant associations between sports injuries and several social and lifestyle-related covariates. After adjustment for participation in leisure time physical activity, age, non-migrant status and residence in a large city remained positively associated with the incidence of sports injuries. CONCLUSIONS In comparison with other results for developed countries, the incidence seems rather high. It remains to be clarified whether this is because of our use of more accurate population-based data. The results suggest that while developing preventive measures, the interaction between preferences for high-risk sports and physical as well as psychological development has to be considered.
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Affiliation(s)
- B Brühmann
- Faculty of Health and Society, Malmö University, Malmö, Sweden.
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