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1.
Orthopedics ; 44(5): 313-319, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34590956

RESUMO

Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is a novel respiratory virus that has rapidly changed the practice of medicine. The authors sought to evaluate the clinical presentation and clinical outcomes of patients presenting with foot and ankle (F&A) trauma to the emergency department during the first wave of the pandemic. The authors retrospectively studied all patients who presented to an emergency department within their multicenter institution during the first wave of the pandemic in their region from March 1 to June 30, 2020, with F&A trauma. They compared this cohort with a matched control group of patients who presented the prior year. Demographics, perioperative factors, coronavirus disease 2019 (COVID-19) polymerase chain reaction testing/positivity rates, 30-day readmissions, and 30-day mortalities were collected and analyzed. During the pandemic, the authors saw a 62.0% decrease in the total number of patients presenting with F&A trauma. Patients who presented during the pandemic were significantly older and a greater proportion were male. There was a greater proportion of ankle fractures, fewer ankle sprains, and more open fractures presenting during the pandemic. A greater proportion of patients presenting to the emergency department were admitted (18.2% vs 12.5%). The 30-day readmission (n=13 [5.8%] vs n=38 [9.3%]) and mortality (n=4 [1.8%] vs n=3 [0.7%]) rates for admitted patients were similar (P=.114 and P=.232, respectively). The authors found that 9.6% of patients who presented had a positive COVID-19 polymerase chain reaction test result and that these patients had 20% mortality and readmission rates. [Orthopedics. 2021;44(5):313-319.].


Assuntos
Traumatismos do Tornozelo/epidemiologia , COVID-19 , Traumatismos do Pé/epidemiologia , Traumatismos do Tornozelo/diagnóstico , COVID-19/epidemiologia , Traumatismos do Pé/diagnóstico , Humanos , Masculino , New York/epidemiologia , Pandemias , Estudos Retrospectivos , SARS-CoV-2
2.
Br J Hosp Med (Lond) ; 82(5): 1-9, 2021 May 02.
Artigo em Inglês | MEDLINE | ID: mdl-34076522

RESUMO

Ankle fractures are a common injury. Assessment should include looking at the mechanism of injury, comorbidities, associated injuries, soft tissue status and neurovascular status. Emergent reduction is required for clinically deformed ankles. Investigations should include plain radiographs and a computed tomography scan for more complex injuries or those with posterior malleolus involvement. An assessment of ankle stability determines treatment, taking into account comorbidities and preoperative mobility which need special consideration. Non-operative management includes splint or cast, allowing for early weightbearing when the ankle is stable. Operative management includes open reduction and internal fixation, intramedullary nailing (of the fibula and hindfoot) and external fixation. Syndemosis stabilisation includes suture button or screw fixation. The aim of treatment is to restore ankle stability and this article explores the current evidence in best practice.


Assuntos
Fraturas do Tornozelo , Traumatismos do Tornozelo , Fixação Intramedular de Fraturas , Adulto , Fraturas do Tornozelo/diagnóstico por imagem , Fraturas do Tornozelo/terapia , Traumatismos do Tornozelo/diagnóstico por imagem , Traumatismos do Tornozelo/epidemiologia , Fíbula , Fixação Interna de Fraturas , Humanos , Resultado do Tratamento
3.
J Foot Ankle Res ; 14(1): 41, 2021 May 28.
Artigo em Inglês | MEDLINE | ID: mdl-34049565

RESUMO

BACKGROUND: Chronic ankle instability, developing from ankle sprain, is one of the most common sports injuries. Besides it being an ankle issue, chronic ankle instability can also cause additional injuries. Investigating the epidemiology of chronic ankle instability is an essential step to develop an adequate injury prevention strategy. However, the epidemiology of chronic ankle instability remains unknown. Therefore, the purpose of this study was to investigate the epidemiology of chronic ankle instability through valid and reliable self-reported tools in active populations. METHODS: An electronic search was performed on PubMed and Web of Science in July 2020. The inclusion criteria for articles were peer-reviewed, published between 2006 and 2020, using one of the valid and reliable tools to evaluate ankle instability, determining chronic ankle instability based on the criteria of the International Ankle Consortium, and including the outcome of epidemiology of chronic ankle instability. The risk of bias of the included studies was evaluated with an adapted tool for the sports injury review method. RESULTS: After removing duplicated studies, 593 articles were screened for eligibility. Twenty full-texts were screened and finally nine studies were included, assessing 3804 participants in total. The participants were between 15 and 32 years old and represented soldiers, students, athletes and active individuals with a history of ankle sprain. The prevalence of chronic ankle instability was 25%, ranging between 7 and 53%. The prevalence of chronic ankle instability within participants with a history of ankle sprains was 46%, ranging between 9 and 76%. Five included studies identified chronic ankle instability based on the standard criteria, and four studies applied adapted exclusion criteria to conduct the study. Five out of nine included studies showed a low risk of bias. CONCLUSIONS: The prevalence of chronic ankle instability shows a wide range. This could be due to the different exclusion criteria, age, sports discipline, or other factors among the included studies. For future studies, standardized criteria to investigate the epidemiology of chronic ankle instability are required. The epidemiology of CAI should be prospective. Factors affecting the prevalence of chronic ankle instability should be investigated and clearly described.


Assuntos
Traumatismos do Tornozelo/epidemiologia , Articulação do Tornozelo , Traumatismos em Atletas/epidemiologia , Instabilidade Articular/epidemiologia , Adolescente , Adulto , Traumatismos do Tornozelo/complicações , Traumatismos em Atletas/complicações , Doença Crônica , Feminino , Humanos , Instabilidade Articular/etiologia , Masculino , Prevalência , Adulto Jovem
4.
BMC Musculoskelet Disord ; 22(1): 362, 2021 Apr 17.
Artigo em Inglês | MEDLINE | ID: mdl-33865351

RESUMO

BACKGROUND: Ankle sprains are one of the most common musculoskeletal injuries, accounting for up to 5% of all Emergency Department visits in the United Kingdom. Ankle injury may be associated with future ankle osteoarthritis. Up to 70% of ankle osteoarthritis cases may be associated with previous ankle injury. There is limited research regarding the association between ankle sprain and ankle osteoarthritis development. The current study aims to phenotype those who suffer significant ankle ligament injuries, identify potential risk factors for ankle injuries and subsequent poor recovery, examine why individuals may develop osteoarthritis, and what factors influence this chance. METHODS: In this multicentre cohort study participants were recruited from nine Emergency Departments and two Urgent Care Centres in the United Kingdom. Participants (aged 18-70 years old) were defined as those who had suffered an isolated acute ankle sprain, which was Ottawa Ankle Rules positive, but negative for a significant ankle fracture on x-ray. Age and sex matched controls were also recruited. The controls were individuals who had not suffered a significant ankle injury, including ankle pain, function affected for more than 7 days, or the ankle caused them to report to an Emergency Department. Data is collected through a series of seven questionnaires (at baseline, 3 months, 1 year, 3 years, 5 years, 10 years, and 15 years later). The questionnaires include four sections (demographic questions; index injury, and injury history questions; functional assessment questions; and quality of life questions) and are designed to collect detailed information about the individual, their injury, potential risk factors for ankle sprains and ankle osteoarthritis, plus their medical history and any medication consumed. DISCUSSION: The Significant Ankle Ligament Injury (SALI) study aims to add to the limited knowledge regarding which factors can predict ankle sprains, complaints, and osteoarthritis. This is important because despite ankle sprains being regarded as a benign injury that resolves quickly, residual symptoms are not uncommon months and years after the injury.


Assuntos
Traumatismos do Tornozelo , Osteoartrite , Entorses e Distensões , Adolescente , Adulto , Idoso , Tornozelo , Traumatismos do Tornozelo/diagnóstico por imagem , Traumatismos do Tornozelo/epidemiologia , Estudos de Coortes , Humanos , Incidência , Pessoa de Meia-Idade , Osteoartrite/diagnóstico por imagem , Osteoartrite/epidemiologia , Qualidade de Vida , Fatores de Risco , Entorses e Distensões/epidemiologia , Reino Unido/epidemiologia , Adulto Jovem
5.
J Sci Med Sport ; 24(7): 677-682, 2021 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-33707156

RESUMO

OBJECTIVES: To assess the risk of lateral ankle sprain (LAS) in male and female tactical athletes across different military occupations in the US military. DESIGN: Retrospective cohort. METHODS: The Defense Medical Epidemiology Database was queried for the number of individuals with ICD-9 diagnosis codes 845.00 (sprain of ankle, unspecified) and 845.02 (calcaneofibular ligament sprain) on their initial encounter from 2006 to 2015. Relative risk (RR) and chi-square statistics were calculated assessing sex and occupational category on LAS risk. RESULTS: 272,970 enlisted males (27.9 per 1000 person-years), 56,732 enlisted females (34.5 per 1000 person-years), 24,534 male officers (12.6 per 1000 person-years), and 6020 female officers (16.4 per 1000 person-years) incurred a LAS. Enlisted females in all occupational groups were at significantly higher risk for LAS than their male counterparts (RR 1.09-1.68; p<0.001), except for Engineers (p=0.15). Female officers had consistently higher risk for LAS in all occupational groups (RR 1.10-1.42; p<0.001) compared with male officers, except Ground/Naval Gunfire (p=0.23). Contrasted with Infantry, enlisted tactical athletes in the Special Operations Forces, Mechanized/Armor, Aviation, Maintenance, and Maritime/Naval Specialties were at lower risk (RR 0.38-0.93; p<0.001), Artillery, Engineers, and Logistics Specialties were at higher risk (RR 1.04-1.18; p<0.001), and Administration, Intelligence, and Communications were no different (p=0.69). Compared with Ground/Naval Gunfire officers, Aviation officers were at significantly lower risk (RR, 0.75; p<0.001), and Engineers, Maintenance, Administration, Operations/Intelligence, and Logistics officers were at higher risk (RR, 1.08-1.20; p<0.001). CONCLUSIONS: Sex and military occupation were salient factors associated with LAS risk.


Assuntos
Traumatismos do Tornozelo/epidemiologia , Traumatismos em Atletas/epidemiologia , Militares , Ocupações , Entorses e Distensões/epidemiologia , Feminino , Humanos , Incidência , Ligamentos Articulares/lesões , Masculino , Estudos Retrospectivos , Fatores de Risco , Fatores Sexuais , Estados Unidos/epidemiologia
6.
Scand J Med Sci Sports ; 31(6): 1324-1334, 2021 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-33560529

RESUMO

A better insight into injuries in elite-youth football may inform prevention strategies. The purpose of this prospective cohort study was to investigate the frequency, incidence, and pattern of time-loss injuries in an elite male football academy, exploring injuries in relation to age and maturation status. Across four consecutive playing seasons, playing exposure and injuries to all academy players (U'9 to U'21) were recorded by club medical staff. Maturation status at the time of injury was also calculated for players competing in U'13 to U'16 aged squads. Time-loss injury occurrence and maturation status at time of injury were the main outcome measures. A total of 603 time-loss injuries were recorded, from 190 different players. Playing exposure was 229 317 hours resulting in an overall injury rate of 2.4 p/1000 h, ranging from 0.7 p/1000 h (U'11) to 4.8 p/1000 h (U'21). Most injuries were traumatic in mechanism (73%). The most common injury location was the thigh (23%), and the most common injury type was muscle injury (29%) combining to provide the most common injury diagnosis; thigh muscle injury (17%). In U'13-U'16 players, a higher number of injuries to early-maturing players were observed in U'13-U'14 players, while more injuries to U'15-U'16 players occurred when classed as "on-time" in maturity status. Maturation status did not statistically relate to injury pattern; however, knee bone (not-fracture) injuries peaked in U'13 players while hip/groin muscle injuries peaked in U'15 players.


Assuntos
Absenteísmo , Futebol/lesões , Esportes Juvenis/lesões , Adolescente , Fatores Etários , Traumatismos do Tornozelo/epidemiologia , Atletas , Inglaterra/epidemiologia , Virilha/lesões , Crescimento/fisiologia , Lesões do Quadril/epidemiologia , Humanos , Incidência , Escala de Gravidade do Ferimento , Traumatismos do Joelho/epidemiologia , Masculino , Músculo Esquelético/lesões , Avaliação de Resultados em Cuidados de Saúde , Estudos Prospectivos , Ruptura/epidemiologia , Estações do Ano , Futebol/fisiologia , Futebol/estatística & dados numéricos , Entorses e Distensões/epidemiologia , Estatísticas não Paramétricas , Coxa da Perna/lesões , Fatores de Tempo , Esportes Juvenis/fisiologia , Esportes Juvenis/estatística & dados numéricos
7.
Foot Ankle Clin ; 26(1): 173-185, 2021 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-33487239

RESUMO

The epidemiology of any given topic sometimes is overlooked. This is true particularly with sports physicians and sports injuries. The identification of sports-specific injury patterns by collection and examination of data can help prevent injuries. Thus, as a physician involved in any sport, it is essential to have this knowledge because understanding it and imparting it may allow a valuable contribution to the health and safety of the athletes and success of the teams.


Assuntos
Traumatismos do Tornozelo , Traumatismos em Atletas , Traumatismos do Tornozelo/epidemiologia , Atletas , Traumatismos em Atletas/epidemiologia , Humanos
8.
Knee Surg Sports Traumatol Arthrosc ; 29(5): 1523-1534, 2021 May.
Artigo em Inglês | MEDLINE | ID: mdl-32761358

RESUMO

PURPOSE: To determine the incidence and location of osteochondral lesions (OCLs) following ankle fractures as well as to determine the association between fracture type and the presence of OCLs. Up to 50% of patients with ankle fractures that receive surgical treatment show suboptimal functional results with residual complaints at a long-term follow-up. This might be due to the presence of intra-articular osteochondral lesions (OCL). METHODS: A literature search was carried out in PubMed (MEDLINE), EMBASE, CDSR, DARE and CENTRAL to identify relevant studies. Two authors separately and independently screened the search results and conducted the quality assessment using the MINORS criteria. Available full-text clinical articles on ankle fractures published in English, Dutch and German were eligible for inclusion. Per fracture classification, the OCL incidence and location were extracted from the included articles. Where possible, OCL incidence per fracture classification (Danis-Weber and/or Lauge-Hansen classification) was calculated and pooled. Two-sided p values of less than 0.05 were considered statistically significant. RESULTS: Twenty articles were included with a total of 1707 ankle fractures in 1707 patients. When focusing on ankle fractures that were assessed directly after the trauma, the OCL incidence was 45% (n = 1404). Furthermore, the most common location of an OCL following an ankle fractures was the talus (43% of all OCLs). A significant difference in OCL incidence was observed among Lauge-Hansen categories (p = 0.049). Post hoc pairwise comparisons between Lauge-Hansen categories (with adjusted significance level of 0.01) revealed no significant difference (n.s.). CONCLUSION: OCLs are frequently seen in patients with ankle fractures when assessed both directly after and at least 12 months after initial trauma (45-47%, respectively). Moreover, the vast majority of post-traumatic OCLs were located in the talus (42.7% of all OCLs). A higher incidence of OCLs was observed with rotational type fractures. The clinical relevance of the present systematic review is that it provides an overview of the incidence and location of OCLs in ankle fractures, hereby raising awareness to surgeons of these treatable concomitant injuries. As a result, this may improve the clinical outcomes when directly addressed during index surgery. LEVEL OF EVIDENCE: IV.


Assuntos
Fraturas do Tornozelo/epidemiologia , Doenças das Cartilagens/epidemiologia , Cartilagem Articular/patologia , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Tornozelo/patologia , Fraturas do Tornozelo/cirurgia , Traumatismos do Tornozelo/epidemiologia , Traumatismos do Tornozelo/cirurgia , Articulação do Tornozelo/patologia , Doenças das Cartilagens/cirurgia , Feminino , Humanos , Incidência , Masculino , Pessoa de Meia-Idade , Estudos Retrospectivos , Tálus/lesões , Tálus/cirurgia , Adulto Jovem
9.
Foot Ankle Surg ; 27(3): 256-262, 2021 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-33189546

RESUMO

BACKGROUND: Most clinicians use the Beighton score to assess generalized joint hypermobility (GJH) when deciding on the treatment of chronic lateral ankle instability (CLAI). The purpose of the study was to evaluate anterior talofibular ligament (ATFL) status by ultrasound and correlate these values with Beighton scores and the manual anterior drawer test (ADT). METHODS: The participants were divided into two groups, those without GJH (24 ankles) and with GJH (20 ankles). For the investigation of ATFL, resting and stress ultrasonography was performed to assess the length, height (degree of loosening) and thickness. Beighton scores, manual ADT grades and ultrasound parameters of participants with and without GJH were compared. The correlation coefficients among those values were analyzed. RESULTS: The mean ATFL length, resting height, stress height and mean difference in height between resting and stress ATFL were all significantly different between the two groups (P < .05). The resting and stress ATFL length, height, and difference in height between resting and stress ATFL showed a positive linear relationship with Beighton scores and manual ADT grades (P < .05). CONCLUSIONS: The ATFL stress ultrasound parameters showed significant differences between participants with high and low Beighton scores and were correlated with Beighton scores and manual ADT grades. LEVEL OF EVIDENCE: Cross-sectional cohort study; Level of evidence IV.


Assuntos
Traumatismos do Tornozelo/diagnóstico por imagem , Articulação do Tornozelo/diagnóstico por imagem , Instabilidade Articular/diagnóstico por imagem , Ligamentos Laterais do Tornozelo/diagnóstico por imagem , Ligamentos Laterais do Tornozelo/lesões , Adulto , Traumatismos do Tornozelo/epidemiologia , Estudos de Coortes , Estudos Transversais , Feminino , Humanos , Instabilidade Articular/epidemiologia , Masculino , Amplitude de Movimento Articular , República da Coreia/epidemiologia , Ultrassonografia/métodos , Adulto Jovem
10.
Int J Sports Med ; 42(2): 175-182, 2021 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-32920800

RESUMO

The purpose of this article is to present how predictive machine learning methods can be utilized for detecting sport injury risk factors in a data-driven manner. The approach can be used for finding new hypotheses for risk factors and confirming the predictive power of previously recognized ones. We used three-dimensional motion analysis and physical data from 314 young basketball and floorball players (48.4% males, 15.72±1.79 yr, 173.34±9.14 cm, 64.65±10.4 kg). Both linear (L1-regularized logistic regression) and non-linear methods (random forest) were used to predict moderate and severe knee and ankle injuries (N=57) during three-year follow-up. Results were confirmed with permutation tests and predictive risk factors detected with Wilcoxon signed-rank-test (p<0.01). Random forest suggested twelve consistent injury predictors and logistic regression twenty. Ten of these were suggested in both models; sex, body mass index, hamstring flexibility, knee joint laxity, medial knee displacement, height, ankle plantar flexion at initial contact, leg press one-repetition max, and knee valgus at initial contact. Cross-validated areas under receiver operating characteristic curve were 0.65 (logistic regression) and 0.63 (random forest). The results highlight the difficulty of predicting future injuries, but also show that even with models having relatively low predictive power, certain predictive injury risk factors can be consistently detected.


Assuntos
Traumatismos do Tornozelo/epidemiologia , Traumatismos em Atletas/epidemiologia , Traumatismos do Joelho/epidemiologia , Aprendizado de Máquina , Esportes Juvenis/lesões , Adolescente , Adulto , Criança , Teste de Esforço , Feminino , Finlândia/epidemiologia , Humanos , Masculino , Força Muscular , Fatores de Risco , Adulto Jovem
11.
Br J Sports Med ; 55(2): 92-98, 2021 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-32796016

RESUMO

BACKGROUND: Lateral ankle sprains are common in indoor sports. High shoe-surface friction is considered a risk factor for non-contact lateral ankle sprains. Spraino is a novel low-friction patch that can be attached to the outside of sports shoes to minimise friction at the lateral edge, which could mitigate the risk of such injury. We aimed to determine preliminary effectiveness (incidence rate and severity) and safety (harms) of Spraino to prevent lateral ankle sprains among indoor sport athletes. METHODS: In this exploratory, parallel-group, two-arm pilot randomised controlled trial, 510 subelite indoor sport athletes with a previous lateral ankle sprain were randomly allocated (1:1) to Spraino or 'do-as-usual'. Allocation was concealed and the trial was outcome assessor blinded. Match and training exposure, number of injuries and associated time loss were captured weekly via text messages. Information on harms, fear-of-injury and ankle pain was also documented. RESULTS: 480 participants completed the trial. They reported a total of 151 lateral ankle sprains, of which 96 were categorised as non-contact, and 50 as severe. All outcomes favoured Spraino with incidence rate ratios of 0.87 (95% CI 0.62 to 1.23) for all lateral ankle sprains; 0.64 (95% CI 0.42 to 0.98) for non-contact lateral ankle sprains; and 0.47 (95% CI 0.25 to 0.88) for severe lateral ankle sprains. Time loss per injury was also lower in the Spraino group (1.8 vs 2.8 weeks, p=0.014). Six participants reported minor harms because of Spraino. CONCLUSION: Compared with usual care, athletes allocated to Spraino had a lower risk of lateral ankle sprains and less time loss, with only few reported minor harms. TRIAL REGISTRATION NUMBER: NCT03311490.


Assuntos
Traumatismos do Tornozelo/prevenção & controle , Traumatismos em Atletas/prevenção & controle , Órtoses do Pé , Fricção , Sapatos , Entorses e Distensões/prevenção & controle , Adulto , Traumatismos do Tornozelo/epidemiologia , Traumatismos do Tornozelo/etiologia , Traumatismos do Tornozelo/psicologia , Artralgia/reabilitação , Traumatismos em Atletas/epidemiologia , Traumatismos em Atletas/etiologia , Traumatismos em Atletas/psicologia , Basquetebol/lesões , Medo , Feminino , Órtoses do Pé/efeitos adversos , Humanos , Masculino , Avaliação de Resultados em Cuidados de Saúde , Projetos Piloto , Estudo de Prova de Conceito , Desenho de Prótese , Esportes com Raquete/lesões , Sapatos/efeitos adversos , Entorses e Distensões/epidemiologia , Entorses e Distensões/etiologia , Entorses e Distensões/psicologia , Fatores de Tempo
12.
Phys Sportsmed ; 49(3): 323-330, 2021 09.
Artigo em Inglês | MEDLINE | ID: mdl-32942946

RESUMO

OBJECTIVE: To determine the prevalence and risk factors associated with musculoskeletal injuries sustained in female adolescent volleyball players. METHODS: Volleyball players (n = 276; 13-18 years), with any level of volleyball experience, were recruited. Participants completed a study-specific survey about their overall sport(s) involvement, training modalities, volleyball experience (beginner, intermediate, advanced), annual volume of volleyball play, injuries accrued during volleyball, and care received for injury. RESULTS: Annual volume of volleyball play was higher in advanced than beginner/intermediate players (490.0 hr/yr versus 302.3 hr/yr; p < 0.0001). Nearly 67% (188/276) of participants incurred one or more volleyball-related injuries over the last year. The ankle (40.6%), fingers (36.6%), knee (21.2%), and shoulder (15.5%) were the most frequently reported injury. Injury prevalence was higher in advanced than beginner/intermediate players (73.5% versus 62.0%; p = 0.04). Beginner/intermediate players have significantly higher odds ratio (OR) of sustaining an elbow injury than advanced players (OR 5.88; p = 0.025). 21.5% of injured players missed more than one month of play. CONCLUSION: More competitive and experienced adolescent female players may incur injuries due to progressively higher volumes of play as experience and competition level increase. Players who have committed to only playing volleyball participated in greater volumes of volleyball play, which increases the odds of sustaining an injury. CLINICAL RELEVANCE: Understanding injury risk factors may improve clinical management and injury prevention.


Assuntos
Traumatismos em Atletas , Voleibol , Adolescente , Traumatismos do Tornozelo/epidemiologia , Traumatismos em Atletas/epidemiologia , Feminino , Traumatismos dos Dedos/epidemiologia , Humanos , Traumatismos do Joelho/epidemiologia , Lesões do Ombro/epidemiologia , Voleibol/lesões
13.
J Sports Sci ; 39(8): 865-874, 2021 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-33225825

RESUMO

This study aimed to describe anthropometry and incidence, nature and causes of match injuries in women's international rugby sevens and to compare these with results reported previously for men's international rugby sevens. The study comprised an 8-season, prospective study of World Rugby's women's Sevens World Series. Over the eight seasons, the overall incidence of injury was 105.6 (95% CI: 96.0 to 116.3) injuries/1000 player-match-hours with a mean injury severity of 53.4 (95% CI: 46.9 to 59.9) days-absence. There were no statistically significant trends for backs or forwards in the incidence (backs: p = 0.470; forwards: p = 0.242) or mean severity (backs: p = 0.098; forwards: p = 0.544) of injuries sustained over the 8-season period. Head/face (20.8%), knee (19.7%), ankle (11.3%) and shoulder/clavicle (8.4%) were the most common injury locations while ligament sprain (31.7%), concussion (15.6%), haematoma/bruise (11.5%) and fracture (11.5%) were the most common types of injury sustained. Being-tackled (35.4%), tackling (26.3%), collisions (13.8%) and rucks (8.8%) were the match events responsible for most injuries. The study indicates that injury burden in women's international rugby sevens (5,640 days-absence/1000 player-match-hours; 95% CI: 5,123 to 6,209) is similar to that reported previously for men's international rugby sevens (5,263 days-absence/1000 player-match-hours; 95% CI: 5,000 to 5,540).


Assuntos
Traumatismos em Atletas/epidemiologia , Futebol Americano/lesões , Adulto , Traumatismos do Tornozelo/epidemiologia , Antropometria , Traumatismos Craniocerebrais/epidemiologia , Traumatismos Faciais/epidemiologia , Feminino , Humanos , Incidência , Traumatismos do Joelho/epidemiologia , Estudos Prospectivos , Fatores de Risco , Estações do Ano , Lesões do Ombro/epidemiologia , Índices de Gravidade do Trauma , Adulto Jovem
14.
BMJ Mil Health ; 167(2): 131-136, 2021 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-33168697

RESUMO

INTRODUCTION: Musculoskeletal foot and ankle injuries are commonly experienced by soldiers during military training. We performed a systematic review to assess epidemiological patterns of foot and ankle injuries occurring during military training. METHODS: A review of the literature was performed according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. The search, done on 14 February 2019, resulted in 1603 reports on PubMed, 565 on Embase and 3 on the Cochrane Library. After reading the remaining full-text articles, we included 91 studies. RESULTS: Among a population of 8 092 281 soldiers from 15 countries, 788 469 (9.74%) foot and ankle injuries were recorded. Among the 49 studies that reported on length of training, there were 36 770/295 040 (18.17%) injuries recorded among women and 248 660/1 501 672 (16.56%) injuries recorded among men over a pooled mean (±SD) training period of 4.51±2.34 months. Ankle injuries were roughly 7 times more common than foot injuries, and acute injuries were roughly 24 times more common than non-acute injuries. Our findings indicated that, during a 3-month training period, soldiers have a 3.14% chance of sustaining a foot and ankle injury. The incidence of foot or ankle injury during military parachutist training was 3.1 injuries per thousand jumps. CONCLUSIONS: Our findings provide an overview of epidemiological patterns of foot and ankle injuries during military training. These data can be used to compare incidence rates of foot and ankle injuries due to acute or non-acute mechanisms during training. Cost-effective methods of preventing acute ankle injuries and non-acute foot injuries are needed to address this problem.


Assuntos
Traumatismos do Tornozelo/diagnóstico , Traumatismos do Pé/diagnóstico , Incidência , Militares , Ensino/tendências , Adolescente , Traumatismos do Tornozelo/epidemiologia , Feminino , Traumatismos do Pé/epidemiologia , Saúde Global/tendências , Humanos , Masculino , Adulto Jovem
15.
Phys Ther Sport ; 48: 26-34, 2021 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-33352395

RESUMO

OBJECTIVES: The purpose of this study was to identify prospectively the anatomical and functional intrinsic risk factors for lateral ankle sprain (LAS) in adolescent athletes participating in team sports. DESIGN: A prospective cohort study. SETTING: University research laboratory. PARTICIPANTS: A total of 152 adolescent male athletes (age: 14.45 ± 2.96 years; height: 165.63 ± 15.33 cm; weight: 55.60 ± 16.56 kg; body mass index: 19.97 ± 3.58 kg/m2) participated in this study. MAIN OUTCOME MEASURES: The participants were assessed during the preseason for previous ankle sprain history, navicular drop, tibia vara, Q angle, tibia torsion, knee recurvatum, and ankle ROM. LASs were prospectively recorded and diagnosed for two consecutive seasons (20 months). RESULTS: Previous ankle sprain history (odds ratio [OR] = 60.911, p < 0.001), increased navicular drop (OR = 1.767, p < 0.001), and knee recurvatum (OR = 1.881, p = 0.002) were positively associated with the incidence of LAS. The receiver operating characteristic (ROC) analyses revealed the predictive potentials of previous ankle sprain history (the area under the ROC [AUROC] = 0.706, p < 0.001), navicular drop (AUROC = 0.906, p < 0.001), and knee recurvatum (AUROC = 0.724, p < 0.001). CONCLUSION: Athletes with previous ankle sprain history, knee recurvatum, and especially navicular drop may have a greater risk of LAS injury. The data from this study can help therapists and trainers to identify people with a higher risk of LAS.


Assuntos
Traumatismos do Tornozelo/epidemiologia , Atletas , Entorses e Distensões/epidemiologia , Adolescente , Traumatismos do Tornozelo/fisiopatologia , Articulação do Tornozelo/fisiopatologia , Criança , Estudos de Coortes , Humanos , Incidência , Articulação do Joelho/fisiopatologia , Masculino , Estudos Prospectivos , Amplitude de Movimento Articular , Fatores de Risco , Entorses e Distensões/fisiopatologia , Tíbia/fisiopatologia
16.
Phys Ther Sport ; 48: 20-25, 2021 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-33341518

RESUMO

OBJECTIVES: To assess whether ankle tape applied by a Sport and Exercise Physiotherapist (SEP) or self-applied by the athlete results in a change in proprioception and whether it is maintained during a netball session. DESIGN: Randomised controlled trial. SETTING: Australian Institute of Sport. PARTICIPANTS: 53 pre-elite netball athletes. MAIN OUTCOME MEASURES: Athlete proprioception was assessed using the Active Movement Extent Discrimination Apparatus (AMEDA) on four occasions for each taping condition: 1) pre-tape, 2) post-tape, 3) post-netball & 4) post-netball no-tape. RESULTS: Mixed effect linear models were used for analysis. A significant increase in proprioception was observed when self-tape: 0.022 (95% CI: [-0.000 - 0.044], p = 0.05), and SEP tape: 0.034 (95% CI: [0.012-0.055], p < 0.01), were initially applied. These improvements were maintained during a netball session for both, self-taping: 0.01 (95% CI: [-0.01 - 0.02], p = 0.45) and SEP-taping: <0.01 (95% CI: [-0.02 - 0.01], p = 0.56). Results also indicate there was no significant difference between taping conditions (ß = -0.001, 95% CI: [-0.02 - 0.02], p = 0.90). CONCLUSIONS: Proprioception improves and is maintained during a netball session with either SEP or self-applied taping.


Assuntos
Tornozelo , Atletas , Fita Atlética , Basquetebol , Propriocepção , Adolescente , Traumatismos do Tornozelo/epidemiologia , Traumatismos do Tornozelo/prevenção & controle , Articulação do Tornozelo , Austrália , Feminino , Humanos , Modelos Lineares , Movimento , Adulto Jovem
17.
J Sci Med Sport ; 24(3): 218-223, 2021 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-32839106

RESUMO

OBJECTIVES: This study aimed to ascertain if there is a defined pattern of injury related to the percentage of attained adult height and classify injuries according to maturity status bands. DESIGN: Prospective cohort study. METHODS: From 1998-2019, 63 elite male soccer players of at least the U12 category from a Spanish LaLiga club's academy were followed until reaching their final height. Medical staff recorded injuries following the FIFA consensus and measured height 2-3 times per season. The percentage of adult height at which each injury occurred was calculated using the player's closest height to the injury and his final adult height. Injuries were classified in maturity bands, pre-peak-height-velocity (PHV) <88%, circa-PHV 88%-96%, and post-PHV >96%. RESULTS: There were 509 injuries among the 63 players. Growth-related injuries occurred at a median (IQR) of 91.2% (86.7%-95.2%) of adult height, predominating in pre-PHV and PHV bands. Muscle injuries predominantly occurred at post-PHV, with 77.78% of those conditions occurring within that time frame and at 98.7% (96%-99.5%) of adult height. Likewise, knee and ankle joint/ligament injuries predominated at post-PHV (87% and 65% of total cases, respectively) occurring at 99.0% (97.9%-99.9%) and 98.4% (89.2%-99.4%) of adult height, respectively. CONCLUSIONS: Injuries follow a specific pattern according to the percentage of adult height.


Assuntos
Estatura , Futebol/lesões , Adolescente , Adulto , Fatores Etários , Traumatismos do Tornozelo/epidemiologia , Traumatismos em Atletas/classificação , Traumatismos em Atletas/epidemiologia , Criança , Crescimento , Humanos , Traumatismos do Joelho/epidemiologia , Masculino , Músculo Esquelético/lesões , Prevalência , Estudos Prospectivos , Futebol/estatística & dados numéricos , Espanha/epidemiologia , Adulto Jovem
18.
Res Sports Med ; 29(1): 90-102, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-32727219

RESUMO

The aim was to analyse the differences in professional handball players` injury profile according to the team`s competitive-level (i.e., First division vs. Second division). Fifty-three professional male handball players participated in this study during four consecutive seasons in the same team (2015-16 and 2016-17 for the First division league and 2017-18 and 2018-19 for the Second division league). No significant differences in overall incidence were observed between groups (3.69 vs 4.19 injuries/1000 h, RR = 0.88, 95% CI 0.64-1.22, P = 0.44), although significantly greater injury incidence during training sessions was observed in the Second division group (3.06 vs 1.61 injuries/1000 h, RR = 0.52, 95% CI 0.34-0.81, P = 0.01), while greater injury incidence during matches was reported in the First division group (84.03 vs 49.88 injuries/1000 h, RR = 1.68, 95% CI 1.00-2.83, P = 0.05). The second division group presented the greatest injury burden attending to overall, training and match exposure, as well as in most locations and injury types. Given the between groups differences found in the injury profile of handball player, it is suggested to implement specific preventive strategies attending to the characteristics of each level-group.


Assuntos
Traumatismos em Atletas/epidemiologia , Desempenho Atlético/fisiologia , Absenteísmo , Adulto , Traumatismos do Tornozelo/epidemiologia , Traumatismos em Atletas/etiologia , Desempenho Atlético/classificação , Traumatismos Craniocerebrais/epidemiologia , Traumatismos da Mão/epidemiologia , Humanos , Incidência , Traumatismos do Joelho/epidemiologia , Masculino , Recidiva , Lesões do Ombro/epidemiologia , Esportes , Traumatismos dos Tendões/epidemiologia , Fatores de Tempo
19.
Foot Ankle Surg ; 27(3): 252-255, 2021 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-32616465

RESUMO

BACKGROUND: Ankle sprains are common musculoskeletal injuries. Until the 1990s, ankle ligament injuries were often treated operatively. The aim of this registry study was to determine how the change in treatment practice has affected the number of acute and elective ankle ligament surgeries in Finland. MATERIAL: The data of ankle ligament injury patients operated between 1 January 1986 and 31 December 2018 was collected from the Finnish National Hospital Discharge Register. RESULTS: A total of 33,770 ankle ligament injuries were repaired. The incidence of acute ankle ligament injury repair surgery has decreased nearly 80% over the last three decades. No increase in the number of late-stage ankle ligament injury repairs was found. CONCLUSION: The number of acute and elective ankle ligament surgeries has remained low in the 2000s. This suggests that the occurrence of clinical instability after ankle sprains has not increased, even though acute-phase treatment has become conservative.


Assuntos
Traumatismos do Tornozelo/epidemiologia , Traumatismos do Tornozelo/cirurgia , Articulação do Tornozelo/cirurgia , Ligamentos Laterais do Tornozelo/cirurgia , Sistema de Registros , Adulto , Idoso , Idoso de 80 Anos ou mais , Feminino , Finlândia/epidemiologia , Humanos , Incidência , Ligamentos Laterais do Tornozelo/lesões , Masculino , Pessoa de Meia-Idade , Resultado do Tratamento , Adulto Jovem
20.
Traffic Inj Prev ; 21(sup1): S168-S170, 2020 10 12.
Artigo em Inglês | MEDLINE | ID: mdl-33179977

RESUMO

OBJECTIVE: This study aims to evaluate the assumption of geometric similitude inherent to equal-stress equal-velocity scaling by determining if scale factors created with different anthropometry metrics result in different scaled injury tolerance predictions. This assumption will be evaluated when equal-stress equal-velocity scaling is employed across dissimilar (e.g., 50th male to small female) and similar (e.g., small female to a reference small female anthropometry) anthropometries. METHODS: Three average male and three small female lower extremity specimens that were tested in ankle inversion/eversion were selected for scaling analysis. Three additional female specimens were selected as a reference dataset, such that the accuracy of the scaled data could be compared to an independent measured dataset. The failure moments, total height and total weight for these donors were determined from literature. Additional anthropometry metrics (leg length, calcaneus height, and bimalleolar width) were taken from each of their respective CT scans. Scale factors were calculated from these previously determined anthropometric metrics for the six donors selected for scaling analysis by targeting the averaged anthropometry metrics of the reference small female dataset. Equal-stress equal-velocity scaling was applied to the failure moments from literature using different scale factors. The mean predicted failure tolerance and standard deviation for scaled data using different scale factors were compared to one another and to the mean failure tolerance from the reference (unscaled) small female dataset. RESULTS: When using average male data to predict ankle failure moment for a small female anthropometry, scaled moments were statistically significantly different from measured small female failure moment. Furthermore, scaled failure moments predicted using scale factors based on different anthropometry metrics were found to be significantly different from one another. Conversely, predicted mean failure moment using scaled female data of a similar size to the reference data was not significantly different from measured female failure moment, and the predicted failure moments were not significantly affected by choice of scale factor. CONCLUSIONS: This study shows that an injury metric predicted with equal-stress equal-velocity scaling is sensitive to choice of scale factor when employing scaling across occupants of dissimilar size and sex. This conclusion suggests error can be introduced into scaled response due to choice of anthropometry metric used to create a scale factor, and therefore, anthropometry metrics used to create scale factors should be justified mechanistically and shown to apply across size and sex before being employed.


Assuntos
Acidentes de Trânsito/estatística & dados numéricos , Traumatismos do Tornozelo/epidemiologia , Tornozelo/fisiopatologia , Aceleração , Antropometria , Feminino , Humanos , Masculino , Reprodutibilidade dos Testes
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