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1.
Einstein (Sao Paulo) ; 18: eAO4739, 2020.
Artigo em Inglês, Português | MEDLINE | ID: mdl-31553355

RESUMO

OBJECTIVE: To use magnetic resonance imaging to assess the prevalence of foot and ankle ligament injuries and fractures associated with ankle sprain and not diagnosed by x-ray. METHODS: We included 180 consecutive patients with a history of ankle sprain, assessed at a primary care service in a 12-month period. Magnetic resonance imaging findings were recorded and described. RESULTS: Approximately 92% of patients had some type of injury shown on the magnetic resonance imaging. We found 379 ligament injuries, 9 osteochondral injuries, 19 tendinous injuries and 51 fractures. Only 14 magnetic resonance imaging tests (7.8%) did not show any sort of injury. We observed a positive relation between injuries of the lateral complex, syndesmosis and medial ligaments. However, there was a negative correlation between ankle ligament injuries and midfoot injuries. CONCLUSION: There was a high rate of injuries secondary to ankle sprains. We found correlation between lateral ligament injuries and syndesmosis and deltoid injuries. We did not observe a relation between deltoid and syndesmosis injuries or between lateral ligamentous and subtalar injuries. Similarly, no relation was found between ankle and midfoot injuries.


Assuntos
Traumatismos do Tornozelo/epidemiologia , Serviço Hospitalar de Emergência/estatística & dados numéricos , Adolescente , Adulto , Idoso , Traumatismos do Tornozelo/diagnóstico por imagem , Brasil/epidemiologia , Cartilagem Articular/lesões , Criança , Feminino , Humanos , Ligamentos Laterais do Tornozelo/lesões , Imagem por Ressonância Magnética/métodos , Masculino , Pessoa de Meia-Idade , Prevalência , Adulto Jovem
2.
J Athl Train ; 54(5): 497-504, 2019 May.
Artigo em Inglês | MEDLINE | ID: mdl-31074634

RESUMO

CONTEXT: Ankle injury is one of the most common conditions in athletics and military activities. Strength asymmetry (SA) and imbalance may represent a risk factor for injury, but past investigations have produced ambiguous conclusions. Perhaps one explanation for this ambiguity is the fact that these authors used univariate models to predict injury. OBJECTIVE: To evaluate the predictive utility of SA and imbalance calculations for ankle injury in univariate and multivariate prediction models. DESIGN: Prospective cohort study. SETTING: Laboratory. PATIENTS OR OTHER PARTICIPANTS: A total of 140 male US Air Force Special Forces. MAIN OUTCOME MEASURE(S): Baseline testing consisted of body composition, isometric strength, and aerobic and anaerobic capacity. A clinician conducted medical chart reviews 365 days posttesting to document the incidence of ankle injury. Strength asymmetries were calculated based on the equations most prevalent in the literature along with known physiological predictors of injury in the military: age, height, weight, body composition, and aerobic capacity. Simple logistic regression was conducted using each predictor, and backward stepwise logistic regression was conducted with each equation method and the physiological predictors entered initially into the model. RESULTS: Strength asymmetry or imbalance or both, as a univariate predictor, was not able to predict ankle injury 365 days posttesting. Body mass (P = .01) and body mass index (P = .01) significantly predicted ankle injury. Strength asymmetry or imbalance or both significantly predicted ankle injury when considered with body mass (P = .002-.008). CONCLUSIONS: As a univariate predictor, SA did not predict ankle injury. However, SA contributed significantly to predicting ankle injury in a multivariate model using body mass. Interpreting SA and imbalance in the presence of other physiological variables can help elucidate the risk of ankle injury.


Assuntos
Traumatismos do Tornozelo , Traumatismos em Atletas , Militares , Força Muscular/fisiologia , Equilíbrio Postural/fisiologia , Adulto , Traumatismos do Tornozelo/epidemiologia , Traumatismos do Tornozelo/etiologia , Traumatismos do Tornozelo/fisiopatologia , Traumatismos do Tornozelo/prevenção & controle , Traumatismos em Atletas/epidemiologia , Traumatismos em Atletas/fisiopatologia , Traumatismos em Atletas/prevenção & controle , Índice de Massa Corporal , Feminino , Humanos , Incidência , Masculino , Valor Preditivo dos Testes , Estudos Prospectivos , Esportes/fisiologia , Estados Unidos
3.
J Athl Train ; 54(2): 212-225, 2019 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-30951383

RESUMO

CONTEXT: The advent of Web-based sports injury surveillance via programs such as the High School Reporting Information Online system and the National Collegiate Athletic Association Injury Surveillance Program has aided the acquisition of girls' and women's softball injury data. OBJECTIVE: To describe the epidemiology of injuries sustained in high school girls' softball in the 2005-2006 through 2013-2014 academic years and collegiate women's softball in the 2004-2005 through 2013-2014 academic years using Web-based sports injury surveillance. DESIGN: Descriptive epidemiology study. SETTING: Online injury surveillance from softball teams in high school girls (annual average = 100) and collegiate women (annual average = 41). PATIENTS OR OTHER PARTICIPANTS: Girls' or women's softball players who participated in practices and competitions during the 2005-2006 through 2013-2014 academic years in high school and the 2004-2005 through 2013-2014 academic years in college. MAIN OUTCOME MEASURE(S): Athletic trainers collected time-loss injury and exposure data. Injury rates per 1000 athlete-exposures (AEs) were calculated. Injury rate ratios (IRRs) with 95% confidence intervals (CIs) compared injury rates by competition level, school size or division, event type, and time in season. RESULTS: The High School Reporting Information Online system documented 1357 time-loss injuries during 1 173 722 AEs; the National Collegiate Athletic Association Injury Surveillance Program documented 1848 time-loss injuries during 579 553 AEs. The injury rate was higher in college than in high school (3.19 versus 1.16/1000 AEs; IRR = 2.76; 95% CI = 2.57, 2.96). The competition injury rate was higher than the practice injury rate in high school (IRR = 2.02; 95% CI = 1.82, 2.25) and in college (IRR = 1.39; 95% CI = 1.27, 1.52). Softball players at both levels sustained a variety of injuries, with the most common being ankle sprains and concussions. Many injuries also occurred while fielding or running bases. CONCLUSIONS: Injury rates were greater in collegiate versus high school softball and in competitions versus practices. These findings highlight the need for injury-prevention interventions, including strength-training and prevention programs to reduce ankle sprains and provide protection for batters from pitches and fielders from batted balls.


Assuntos
Traumatismos em Atletas/epidemiologia , Beisebol/lesões , Internet , Traumatismos do Tornozelo/epidemiologia , Atletas , Concussão Encefálica/epidemiologia , Feminino , Humanos , Incidência , Instituições Acadêmicas , Estudantes , Estados Unidos , Universidades
4.
J Sports Med Phys Fitness ; 59(8): 1353-1362, 2019 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-30722650

RESUMO

BACKGROUND: The high injury rate in football has highlighted the need to research strategies that allow the modification of the dynamic risk factors. Most of the preventive proposals have focused on standardized protocols. However, the aim of this study was to evaluate the effect of a multifactorial injuries prevention program (MC-7) in Spanish football players. METHODS: A total of 219 Spanish football male players aged 16-23 were enrolled. The study was conducted over two consecutive seasons (2012-2013, 2013-2014). The first season was the control season (SC) and the second one was the experimental season (ES). Injuries were recorded prospectively during the two seasons in accordance with the criteria established by the consensus statement. During CS the injuries were just observed, while during ES, the players participated in the MC-7: training methodology, specific warm-up protocol (FIFA 11+), basic injury recovery strategies, continuous training of coaches, conferences for parents/family and education sessions for players. RESULTS: The frequency of injuries was significantly reduced by 63.8% in the ES. Muscle-tendon and joint injuries were reduced by 65% and 56.7% respectively, with a significant decrease in the lower-limbs injuries. The incidence of injuries was reduced by 71.4%, with significant differences in the typology, location and severity of injuries. CONCLUSIONS: The rate of injury in football is reduced when multifactorial strategies are applied. Reducing the frequency and severity of injuries allowed players to greatly increase their available for sports practice.


Assuntos
Traumatismos em Atletas/epidemiologia , Sistema Musculoesquelético/lesões , Futebol/lesões , Adolescente , Adulto , Traumatismos do Tornozelo/epidemiologia , Traumatismos do Tornozelo/prevenção & controle , Traumatismos em Atletas/prevenção & controle , Estudos Controlados Antes e Depois , Humanos , Incidência , Traumatismos do Joelho/epidemiologia , Traumatismos do Joelho/prevenção & controle , Masculino , Estudos Prospectivos , Fatores de Risco , Espanha/epidemiologia , Adulto Jovem
5.
J Foot Ankle Surg ; 58(2): 288-290, 2019 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-30612873

RESUMO

In the emergency settings, increased body mass index (BMI) is a risk factor for traumatic orthopedic injuries. The aim of this study was to assess the association between the acute ankle injuries (sprain or fracture) and BMI. This prospective cohort study included patients ≥18 years of age with acute traumatic ankle injuries (either sprain or fracture) caused by fall from own height when walking at ground level and who received primary treatment at the emergency room of a university hospital between May and October 2017. Of the 107 patients who met the inclusion criteria, 58 (54%) patients experienced acute ankle sprains and 49 (46%) experienced acute ankle fractures. No significant association was detected between fracture severity (as assessed by the Danis-Weber classification) and BMI (p = .860). The most frequent ankle injury in patients with normal BMI was ankle sprain. In our cohort, obesity was not the primary determinant of the severity of ankle injury. However, age was a key determinant of the type of injury; patients >30 years of age were 20% more likely to suffer an ankle fracture.


Assuntos
Acidentes por Quedas/estatística & dados numéricos , Traumatismos do Tornozelo/epidemiologia , Índice de Massa Corporal , Obesidade/epidemiologia , Doença Aguda , Adolescente , Adulto , Fatores Etários , Idoso , Traumatismos do Tornozelo/diagnóstico por imagem , Traumatismos do Tornozelo/fisiopatologia , Estatura , Estudos de Coortes , Comorbidade , Feminino , Seguimentos , Hospitais Universitários , Humanos , Escala de Gravidade do Ferimento , Masculino , Pessoa de Meia-Idade , Obesidade/diagnóstico , Estudos Prospectivos , Fatores de Risco , Fatores Sexuais , Entorses e Distensões/diagnóstico por imagem , Entorses e Distensões/epidemiologia , Entorses e Distensões/fisiopatologia , Estatísticas não Paramétricas , Adulto Jovem
6.
Rev. int. med. cienc. act. fis. deporte ; 18(70): 331-340, jun. 2018. tab, graf
Artigo em Espanhol | IBECS | ID: ibc-180077

RESUMO

Este artículo pretende establecer y determinar las lesiones más frecuentes en jugadores de vóley playa universitarios a través de una muestra de 33 participantes en el Campeonato de España Universitario. Para estudiar las lesiones, se realizó una entrevista personal mediante un cuestionario validado. Los resultados mostraron que la región corporal con mayor incidencia lesiva fue el tobillo (33,3%), seguido de los dedos de la mano (18,5%), las rodillas (13,0%), los hombros (11,1%) y la espalda (5,6%). Además también se obtuvieron datos sobre el momento de la lesión (competición o entrenamiento), su origen (impacto o sobreuso) y característica de la lesión (nueva lesión o repetida). El tratamiento de los datos para el establecimiento de las diferencias significativas se realizó a través de la prueba estadística Chi-Cuadrado. Los resultados establecen un patrón de lesiones diferente al que se produce en vóley playa profesional, probablemente como consecuencia directa del nivel, horas de entrenamiento y exigencia del juego


The aim of this paper is to study the most common injuries in university beach volleyball players. The sample consisted in 33 athletes participating in the University Spanish Championship. Injuries were assessed by means of personal interviews and a validated questionnaire. Results show that the body region with the highest incidence was the ankle (33%), followed by the fingers (18.5%), knees (13.0%), shoulders (11.1%) and back (5.6%). Also, information on the moment of injury (competition or training), origin (impact or overuse) and characteristic of the injury (new or recurrent injury). Statistical processing of data for establishing significant differences was performed using the Chi-square test. Results showed a harmful effect, which differs from that of professional volley players, probably as a result of the level, hours of training and requirements of the game


Assuntos
Humanos , Masculino , Feminino , Adulto , Traumatismos em Atletas/epidemiologia , Voleibol/normas , Desempenho Atlético/normas , Traumatismos do Tornozelo/epidemiologia , Prevenção Primária/tendências , Inquéritos e Questionários , Traumatismos em Atletas/classificação
7.
Arch. med. deporte ; 35(185): 144-149, mayo-jun. 2018. tab, graf
Artigo em Inglês | IBECS | ID: ibc-177454

RESUMO

Introduction: The knowledge about patterns of injury in non professional and adolescent basketball players is the base for prevention programs. While large series about injuries in professional basketball players have been published previously, little is known in non professional and young-in-training athletes. This study aims to describe the epidemiology of injuries, relate it with gender and type of activity in a non-professional basketball club over one season. Material and method: Two hundred and thirty players (Mean age: 17.3, SD 5.7 years, 73.9% males) were enrolled in a one season prospective study. An injury report form was used to systematically collect all data and was filled weekly by each player. Characteristics of injuries were described and its distribution by gender and type of activity. Incidence of injury is shown as number of injuries /1000 hours exposure. Results: Overall incidence was 3.86 injuries /1000h. The ankle (32.3%) was the most common location of injury and sprain (35.5%) the most frequent diagnosis, which was also seen in subgroups analysis. Mean time loss was 7.52 sessions (SD 11.28) Wrist injuries meant largest time loss (14.5 sessions, SD 13.43). Males showed higher incidence than females (4.16/1000h vs 3.04/1000h), who were more prone to fractures and upper extremity injuries. During competition, incidence of injury was 11.7 times higher than practices, and patterns of injury differed in each setting. Conclusion: Ankle sprain was the most common injury in our study. Wrist injuries meant the longest time loss. Males got injured more often than females. Injuries during competition were notably more frequent than during practice with different patterns of injuries


Introducción: Conocer los patrones de lesión en baloncesto es la base para desarrollar programas preventivos. Aunque se han publicado grandes series en jugadores profesionales, poco se conoce sobre jugadores en formación y no profesionales. El objetivo de este estudio es describir la epidemiología de las lesiones en un club de baloncesto no profesional durante una temporada, y relacionarla con el género y el tipo de actividad competitiva. Material y método: Doscientos treinta jugadores (edad media: 17,3, DS 5,7 años, 73,9% varones) se incluyeron en un estudio prospectivo a lo largo de una temporada. Un cuestionario sobre aparición de lesiones se utilizó para registrar los datos y se rellenó semanalmente por cada jugador. Se describieron las características de las lesiones y su distribución por género y tipo de actividad. La incidencia lesional se muestra como número de lesiones/1000 horas de exposición. Resultados: La incidencia global fue de 3,86 lesiones /1.000 h. El tobillo (32,3%) fue la localización más común y el esguince (35,5%) el diagnóstico más frecuente. Esto también se observó en los análisis de subgrupos. El tiempo medio de baja fue de 7,52 sesiones (DS 11,28). Las lesiones de la muñeca conllevaron tiempos de baja más prolongados (14,5 sesiones, DS 13,43). Los varones presentaron una incidencia mayor que las mujeres (4,16/1000h vs 3,04/1000h), las cuales mostraron mayor tendencia a sufrir fracturas y lesiones del miembro superior. La incidencia de lesión durante la competición fue 11,7 veces mayor que durante el entrenamiento, y los patrones de lesión diferían. Conclusión: El esguince de tobillo fue la lesión más frecuente en nuestro estudio. Las lesiones de muñeca supusieron mayores tiempos de baja. Los varones se lesionaron con más frecuencia que las mujeres. Las lesiones durante la competición fueron notablemente más frecuentes que durante el entrenamiento y presentaron diferente espectro


Assuntos
Humanos , Masculino , Feminino , Adolescente , Basquetebol/lesões , Fratura Avulsão/epidemiologia , Traumatismos do Tornozelo/epidemiologia , Estudos Prospectivos , Traumatismos do Tornozelo/diagnóstico , Traumatismos do Tornozelo/terapia
8.
J Orthop Surg Res ; 13(1): 95, 2018 Apr 20.
Artigo em Inglês | MEDLINE | ID: mdl-29678138

RESUMO

BACKGROUND: To improve the diagnostic accuracy of distal tibiofibular syndesmoses (DTS), this study quantified the range in variations of the normal DTS in a Chinese population, based on CT scan images. METHODS: The study population comprised 92 patients with unilateral ankle injury. CT scans included the non-injured contralateral DTS. The position of the fibula relative to the fibular notch (incisure) of the tibia was quantified by inclusion or separation indices, based on whether the fibula was within or outside the fibular incisure, respectively. The patients were apportioned accordingly to either a DTS contained- or separate-type group (average ages 45 and 42.1 years, respectively; 19 men/26 women and 24 men/23 women). Further variations in the position of the fibula relative to the tibia were quantified with length, anterior, and posterior indices. RESULTS: The baseline characteristics of the contained- and separate-type groups were statistically comparable. The length, anterior, extra-anterior, posterior, and extra-posterior indices were successfully calculated. The anterior index of the contained group was significantly greater than that of the separated group, while the posterior index was significantly less. CONCLUSIONS: This study provides measurements of the normal tibiofibular syndesmosis in a Chinese population. In individuals whose fibula lay within the fibular incisure of the tibia, the fibula was likely to be more anterior than that of individuals whose fibula lay outside the incisure. Offered as a reference, these data should improve diagnosis of injury of the DTS.


Assuntos
Traumatismos do Tornozelo/diagnóstico por imagem , Traumatismos do Tornozelo/epidemiologia , Articulação do Tornozelo/diagnóstico por imagem , Antropometria/métodos , Vigilância da População , Tomografia Computadorizada por Raios X/métodos , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , China/epidemiologia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Adulto Jovem
9.
Medicine (Baltimore) ; 97(9): e0028, 2018 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-29489650

RESUMO

This study aimed to report our institution's experience in the diagnosis and treatment of chronic lateral ankle instability (CLAI) with ligamentum bifurcatum (LB) injury.This retrospective study included 218 consecutive patients with CLAI who underwent surgery from January 2012 to December 2015. The 218 patients received tendon allograft reconstruction of the lateral ligament. CLAI was combined with LB injury in 51.4% (112/218) of patients. The 112 patients with concurrent LB injury had this treated simultaneously; 36 patients underwent excision of the anterior process of the calcaneus, 68 underwent LB repair, and 8 underwent LB reconstruction. Patients returned for a clinical and radiologic follow-up evaluation at an average of 31 (range, 24-35) months postoperatively. Outcomes were assessed by comparison of pre- and postoperative American Orthopaedic Foot and Ankle Society (AOFAS) scores, visual analog scale pain scores, Karlsson scores, and radiographic assessment.Of the patients with concurrent LB injury, 82.1% (92/112) returned for final evaluation. Postoperatively, most patients recovered very well. However, the outcome was not ideal in those who underwent excision of the anterior process of the calcaneus; there were significant postoperative decreases in talar tilt (P < .05) and anterior drawer (P < .05), but there was no significant postoperative improvement in visual analog scale pain score and AOFAS score. Patients who underwent LB repair or reconstruction had an excellent or good outcome regarding patient subjective self-assessment, pain scores, Karlsson scores, and AOFAS scores at final follow-up.Patients with CLAI often have concurrent LB injury. The diagnosis of LB injury can be missed or delayed. Clinicians should closely examine the LB in cases of CLAI, and should surgically repair or reconstruct the LB when necessary.


Assuntos
Traumatismos do Tornozelo/diagnóstico , Traumatismos do Tornozelo/cirurgia , Instabilidade Articular/diagnóstico , Instabilidade Articular/cirurgia , Ligamentos Articulares/lesões , Ligamentos Articulares/cirurgia , Adolescente , Adulto , Traumatismos do Tornozelo/epidemiologia , Doença Crônica , Feminino , Humanos , Incidência , Instabilidade Articular/epidemiologia , Masculino , Satisfação do Paciente , Estudos Retrospectivos , Adulto Jovem
10.
J Foot Ankle Res ; 11: 7, 2018.
Artigo em Inglês | MEDLINE | ID: mdl-29492109

RESUMO

Background: Inversion injury to the ankle and hamstring injuries are common problems in most sports. It is not known whether these injuries constitute a predisposing factor or a precursor of injury or re-injury of these anatomical locations. Therefore, we wished to test the hypothesis that a previous inversion ankle injury exerted a significant effect on the chance of an athlete suffering from a subsequent ipsilateral hamstring injury and vice versa. Methods: In an observational cohort study over 17 years (1998-2015), 367 elite track and field athletes, were grouped according to their first traumatic isolated ankle or hamstring injury. Fifty athletes experienced both injuries. The Mann-Whitney U and Chi-square tests (p < 0.05) were performed to test possible associations of ankle and hamstring injury with age, gender, athletics discipline, grade, and type of antecedent injury. Results: Athletes with a preceding ankle injury had a statistically significantly higher chance of experiencing a subsequent hamstring injury compared with athletes who had experienced a hamstring injury as their first traumatic event (x2 = 4.245, p = 0.039). The proportion of both ankle and hamstring injury events was not statistically different between female (18%) and male (11%) athletes. Age and grade of injury did not influence the proportion of ankle and/or hamstring injury events. Conclusion: There is a statistically significantly higher frequency of hamstring injuries in elite track and field athletes having experienced a previous ankle ligament injury.


Assuntos
Traumatismos do Tornozelo/complicações , Músculos Isquiotibiais/lesões , Atletismo/lesões , Adolescente , Adulto , Traumatismos do Tornozelo/epidemiologia , Traumatismos em Atletas/epidemiologia , Traumatismos em Atletas/etiologia , Estudos de Coortes , Feminino , Grécia/epidemiologia , Humanos , Incidência , Masculino , Fatores de Risco , Índices de Gravidade do Trauma , Adulto Jovem
11.
J Sports Sci ; 36(21): 2393-2398, 2018 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-29595083

RESUMO

Artificial rugby union playing surface installation is increasing. This prospective cohort study aimed to examine the effect of playing surface on match injury types within 157 players of two UK professional rugby union clubs playing 209 matches (96 on artificial surfaces and 113 on grass) over three seasons. There was no difference in overall injury risk between the two playing surfaces with injury incidence on artificial 80.2 (CI 69.9-91.7) and on grass 81.9 per 1000 match-hours (CI 72.2-92.5), with an incidence rate ratio (RR) of 0.98 (CI 0.82-1.17). There was a higher rate of concussion (RR 0.52, CI 0.34 - 0.78) and chest injuries on grass (RR 0.26 CI 0.07, 0.95), and a higher rate of thigh haematoma (RR 2.25, CI 1.05-4.82) foot injuries (RR 4.12, CI 1.10, 15.40) and injury to players being tackled (RR 1.46, CI 1.00, 2.15) on artificial. Whilst there was no higher injury risk for matches played on artificial versus natural grass surfaces, the higher incidence of concussion and chest injury on grass, and the higher rate of foot injuries on artificial surfaces may be related to tackle and footwear-to-surface interface factors.


Assuntos
Planejamento Ambiental , Futebol Americano/lesões , Adolescente , Adulto , Traumatismos do Tornozelo/epidemiologia , Concussão Encefálica/epidemiologia , Pisos e Cobertura de Pisos , Traumatismos do Pé/epidemiologia , Hematoma/epidemiologia , Humanos , Incidência , Estudos Prospectivos , Fatores de Risco , Coxa da Perna/lesões , Traumatismos Torácicos/epidemiologia , Reino Unido/epidemiologia , Adulto Jovem
12.
Int J Sports Med ; 39(4): 270-274, 2018 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-29448292

RESUMO

The aim of this study was to investigate the efficacy of a trunk stabilization exercise warm-up program in reducing the incidence of lower extremity injuries among male junior soccer players. Two junior soccer teams participated in this study. The intervention (INT) team performed three trunk stabilization exercises before practice sessions and games, while a control (CON) team performed their usual warm-up without trunk exercises. Both teams engaged in regular soccer training and games, and were followed for the incidence of injury. As a result, overall injury incidence rates (IRs) were 2.65 injuries/1,000 h and 4.94 injuries/1,000 h in the INT and CON teams, respectively (incidence rate ratio [IRR]=0.54, 95% confidence interval [CI]=0.32-0.89, p=0.013). The IR of acute injuries was significantly lower in the INT team (1.91 injuries/1,000 h) than in the CON team (4.06 injuries/1,000 h) (IRR=0.47, 95%CI=0.26-0.84, p=0.009). Regarding injury sites, the IRs of ankle injuries in the INT team (0.32 injuries/1,000 h) were significantly lower than that in the CON team (2.28 injuries/1,000 h) (IRR=0.14, 95%CI=0.04-0.47, p<0.001). These results suggest that a warm-up program comprising trunk stabilization exercises alone can prevent acute injuries, especially ankle injuries.


Assuntos
Traumatismos do Tornozelo/prevenção & controle , Extremidade Inferior/lesões , Futebol/lesões , Tronco/fisiologia , Exercício de Aquecimento/fisiologia , Adolescente , Traumatismos do Tornozelo/epidemiologia , Criança , Transtornos Traumáticos Cumulativos/epidemiologia , Transtornos Traumáticos Cumulativos/prevenção & controle , Humanos , Incidência , Masculino
13.
J Am Acad Orthop Surg ; 26(4): 116-123, 2018 Feb 15.
Artigo em Inglês | MEDLINE | ID: mdl-29329123

RESUMO

Increasing numbers of people are playing golf. Golf is a unique sport in that the ability to participate at a high level is not limited by age. In addition, participants tend to play more rather than less as they grow older. Injuries can occur at any point during the golf swing, from takeaway through follow-through. Upper extremity injuries can affect the hands, elbow, and shoulder and are usually a result of the golf swing at impact. Injuries are also common in the lower back as well as the lower extremities. Most injuries are the result of overuse and poor swing mechanics. When treating golfers, it is important to have a good understanding of the biomechanics and forces of the golf swing to diagnose and manage the vast spectrum of injuries incurred in this sport.


Assuntos
Traumatismos em Atletas/etiologia , Lesões nas Costas/etiologia , Cotovelo/lesões , Golfe/lesões , Lesões do Ombro/etiologia , Traumatismos do Punho/etiologia , Traumatismos do Tornozelo/epidemiologia , Traumatismos do Tornozelo/etiologia , Traumatismos do Tornozelo/terapia , Traumatismos em Atletas/epidemiologia , Traumatismos em Atletas/terapia , Lesões nas Costas/epidemiologia , Lesões nas Costas/terapia , Fenômenos Biomecânicos , Golfe/fisiologia , Quadril/fisiologia , Lesões do Quadril/epidemiologia , Lesões do Quadril/etiologia , Lesões do Quadril/terapia , Humanos , Joelho/fisiologia , Traumatismos do Joelho/epidemiologia , Traumatismos do Joelho/etiologia , Traumatismos do Joelho/terapia , Escápula/fisiologia , Ombro/fisiologia , Lesões do Ombro/epidemiologia , Lesões do Ombro/terapia , Tronco/fisiologia , Traumatismos do Punho/epidemiologia , Traumatismos do Punho/terapia
14.
Phys Sportsmed ; 46(2): 197-212, 2018 05.
Artigo em Inglês | MEDLINE | ID: mdl-29303400

RESUMO

OBJECTIVE: Currently, there is no overview of the incidence and (basketball-specific) risk factors of musculoskeletal injuries among recreational basketball players, nor any insight into the effect of preventive measures on the incidence of basketball injuries. This study aimed to gather systematically the scientific evidence on the incidence, prevalence, aetiology and preventive measures for musculoskeletal injuries among recreational basketball players. METHODS: Highly sensitive search strategies were built based on three groups of keywords (and related search terms). Two electronic databases were searched, namely Medline (biomedical literature) via Pubmed, and SPORTDiscus (sports and sports medicine literature) via EBSCOhost. RESULTS: The incidence of musculoskeletal injuries among recreational basketball players ranged from 0.0047 injuries per 1,000 athlete-exposures (AE) for dental injuries to 10.1 injuries per 1000 AE for overall injuries during match play. Significant risk factors for injuries were defending, postural sway, high vertical ground reaction force during jumping and weight >75 kg. All prevention studies have shown to have a significant effect on reducing the risk of injury ranging from an odds ratio (95% confidence interval (CI)) of 0.175 (0.049-0.626) for training injuries and a relative risk (95% CI) of 0.83 (0.57-1.19) achieved with FIFA 11+ prevention exercises and sport-specific balance training, relatively. CONCLUSION: In order to gain insight in the aetiology of basketball-specific injuries and consequently facilitate the development of preventive strategies, more high quality basketball-specific and injury-specific studies among recreational basketball players are needed.


Assuntos
Traumatismos do Tornozelo/prevenção & controle , Traumatismos em Atletas/prevenção & controle , Basquetebol/lesões , Exercício , Educação Física e Treinamento , Recreação , Traumatismos do Tornozelo/epidemiologia , Traumatismos do Tornozelo/etiologia , Traumatismos em Atletas/epidemiologia , Traumatismos em Atletas/etiologia , Feminino , Humanos , Masculino , Medicina Esportiva
15.
Emerg Med Australas ; 30(2): 152-180, 2018 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-29235235

RESUMO

Ankle and foot injuries are the most common musculoskeletal injuries presenting to Australian EDs and are associated with a large societal and economic impact. The quality of ED care provided to patients with ankle and foot fractures or soft tissue injuries is critical to ensure the best possible outcomes for the patient. This rapid review investigated best practice for the assessment and management of common ankle and foot injuries in the ED. Databases including PubMed, CINAHL, EMBASE, TRIP and the grey literature, including relevant organisational websites, were searched in 2017. Primary studies, systematic reviews and guidelines were considered for inclusion. English language articles published in the last 12 years that addressed the acute assessment, management or prognosis in the ED were included. Data extraction of included articles was conducted, followed by quality appraisal to rate the level of evidence where possible. The search revealed 1242 articles, of which 71 were included in the review (n = 22 primary articles, n = 35 systematic reviews and n = 14 guidelines). This rapid review provides clinicians managing fractures and soft tissue injuries of the ankle and foot in the ED a summary of the best available evidence to enhance the quality of care for optimal patient outcomes. Following a thorough history and physical examination, including the application of the Ottawa ankle rules, ED clinicians should not only provide a diagnosis, but rate the severity of soft tissue injuries, or stability of fractures and dislocations, which are the pivotal decision points in guiding ED treatment, specialist referral and the follow-up plan.


Assuntos
Traumatismos do Tornozelo/terapia , Diagnóstico por Imagem/classificação , Traumatismos do Pé/terapia , Traumatismos do Tornozelo/classificação , Traumatismos do Tornozelo/epidemiologia , Austrália/epidemiologia , Serviço Hospitalar de Emergência/organização & administração , Serviço Hospitalar de Emergência/estatística & dados numéricos , Traumatismos do Pé/classificação , Traumatismos do Pé/epidemiologia , Humanos , Doenças Musculoesqueléticas/epidemiologia , Doenças Musculoesqueléticas/terapia , Guias de Prática Clínica como Assunto
16.
Scand J Med Sci Sports ; 28(1): 237-245, 2018 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-28207979

RESUMO

The aim was to compare the epidemiology of injuries between elite male and female football players from the same club. Injuries and individual exposure time in a male team and a female team, both playing in the Spanish first division, were prospectively recorded by the club's medical staff for five seasons (2010-2015) following the FIFA consensus statement. Total, training, and match exposure hours per player-season were 20% higher for men compared to women (P<.01). Total, training, and match injury incidence were 30%-40% higher in men (P≤.04) mainly due to a 4.82 (95% confidence interval [CI] 2.30-10.08) times higher incidence of contusions, as there were no differences in the incidence of muscle and joint/ligament injuries (P≥.44). The total number of absence days was 21% larger in women owing to a 5.36 (95% CI 1.11-25.79) times higher incidence of severe knee and ankle ligament injuries. Hamstring strains and pubalgia cases were 1.93 (95% CI 1.16-3.20) and 11.10 (95% CI 1.48-83.44) times more frequent in men, respectively; whereas quadriceps strains, anterior cruciate ligament ruptures, and ankle syndesmosis injuries were 2.25 (95% CI 1.22-4.17), 4.59 (95% CI 0.93-22.76), and 5.36 (95% CI 1.11-25.79) times more common in women, respectively. In conclusion, prevention strategies should be tailored to the needs of male and female football players, with men more predisposed to hamstring strains and hip/groin injuries, and women to quadriceps strains and severe knee and ankle ligament injuries.


Assuntos
Traumatismos em Atletas/epidemiologia , Fatores Sexuais , Futebol/lesões , Adulto , Traumatismos do Tornozelo/epidemiologia , Lesões do Ligamento Cruzado Anterior/epidemiologia , Atletas , Traumatismos em Atletas/classificação , Contusões/epidemiologia , Feminino , Músculos Isquiotibiais/lesões , Humanos , Incidência , Traumatismos do Joelho/epidemiologia , Masculino , Estudos Prospectivos , Espanha , Adulto Jovem
17.
Knee Surg Sports Traumatol Arthrosc ; 26(3): 882-891, 2018 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-27714439

RESUMO

PURPOSE: To develop a translated Dutch version of the Cumberland Ankle Instability Tool (CAIT) and test its psychometric properties in a Dutch population with foot and ankle complaints. METHODS: The CAIT was translated into the Dutch language using a forward-backward translation design. Of the 130 subsequent patients visiting the outpatient clinic for foot and ankle complaints who were asked to fill out a questionnaire containing the CAIT, the Foot and Ankle Outcome Score (FAOS), and the numeric rating scale (NRS) pain, 98 completed the questionnaire. After a 1-week period, patients were asked to fill out a second questionnaire online containing the CAIT and NRS pain. This second questionnaire was completed by 70 patients. With these data, the construct validity, test-retest reliability, internal consistency, measurement error, and ceiling and floor effects were assessed. Additionally, a cut-off value to discriminate between stable and unstable ankles, in patients with ankle complaints, was calculated. RESULTS: Construct validity showed moderate correlations between the CAIT and FAOS subscales (Spearman's correlation coefficient (SCC) = 0.36-0.43), and the NRS pain (SCC = -0.55). The cut-off value was found at 11.5 points of the total CAIT score (range 0-30). Test-retest reliability showed to be excellent with an intraclass correlation coefficient of 0.94. Internal consistency was high (Cronbach's α = 0.86). No ceiling or floor effects were detected. CONCLUSION: Based on the results, the Dutch version of the CAIT is a valid and reliable questionnaire to assess ankle instability in the Dutch population and is able to differentiate between a functionally unstable and stable ankle. The tool is the first suitable tool to objectify the severity of ankle instability specific complaints and assess change in the Dutch population. Level of evidence II.


Assuntos
Traumatismos do Tornozelo/diagnóstico , Articulação do Tornozelo/diagnóstico por imagem , Instabilidade Articular/diagnóstico , Psicometria/métodos , Adulto , Traumatismos do Tornozelo/epidemiologia , Feminino , Humanos , Incidência , Instabilidade Articular/epidemiologia , Masculino , Pessoa de Meia-Idade , Países Baixos/epidemiologia , Reprodutibilidade dos Testes , Inquéritos e Questionários , Índices de Gravidade do Trauma
18.
Br J Sports Med ; 52(4): 261-268, 2018 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-27364907

RESUMO

BACKGROUND/AIM: Recent rule changes regarding the safety of basketball athletes necessitate up-to-date reports of injury incidence. This study describes the epidemiology of injuries in men's and women's National Collegiate Athletic Association (NCAA) basketball during the 2009/2010-2014/2015 seasons. METHODS: Basketball injury data originate from the 2009/2010-2014/2015 academic years from the NCAA Injury Surveillance Program (NCAA-ISP) from 78 men's and 74 women's NCAA basketball programmes which provided 176 and 181 team-seasons, respectively. A reportable injury occurred during organised practice or competition and required attention from an athletic trainer (AT) or physician. Injury rates, injury proportions and rate ratios (RRs) were calculated. All 95% CIs not containing 1.0 were considered statistically significant. RESULTS: A total of 2308 and 1631 injuries were reported in men's and women's basketball, respectively, for injury rates of 7.97 and 6.54/1000 athlete-exposures (AEs). The rate was higher in men than women (RR=1.22; 95% CI 1.15 to 1.30). Non-time-loss (NTL) injuries (resulting in participation restriction time under 24 hours) accounted for 64.8% and 53.6% of men's competition and practice injuries, respectively, and 53.9% and 51.3% of women's competition and practice injuries, respectively. Injuries to the lower extremity were the most common in competitions (men: 54.9%; women: 59.0%) and practices (men: 62.4%; women: 67.3%). The most common injury in men's and women's basketball was ankle sprain (17.9% and 16.6%, respectively). CONCLUSIONS: NTL injuries account for over half of all injuries in basketball. Most injuries were lower extremity injuries, specifically ankle sprains. While rule changes have been implemented to make basketball safer, continued research is needed to assess the effectiveness of these changes.


Assuntos
Traumatismos em Atletas/epidemiologia , Basquetebol/lesões , Traumatismos do Tornozelo/epidemiologia , Atletas , Feminino , Humanos , Incidência , Masculino , Estudantes , Universidades
19.
Sports Med ; 48(1): 189-205, 2018 01.
Artigo em Inglês | MEDLINE | ID: mdl-28887759

RESUMO

BACKGROUND: Many factors are thought to contribute to chronic ankle instability (CAI). Multiple systematic reviews have synthesised the available evidence to identify the primary contributing factors. However, readers are now faced with several systematic reviews that present conflicting findings. OBJECTIVE: The aim of this systematic review and meta-analysis was to establish the statistical significance and effect size of primary factors contributing to CAI and to identify likely reasons for inconsistencies in the literature. METHODS: Relevant health databases were searched: CINAHL, MEDLINE, PubMed, Scopus and SPORTDiscus. Systematic reviews were included if they answered a focused research question, clearly defined the search strategy criteria and study selection/inclusion and completed a comprehensive search of the literature. Included reviews needed to be published in a peer-reviewed journal and needed to review observational studies of factors and/or characteristics of persons with CAI, with or without meta-analysis. There was no language restriction. Studies using a non-systematic review methodology (e.g. primary studies and narrative reviews) were excluded. Methodological quality of systematic reviews was assessed using the modified R-AMSTAR tool. Meta-analysis on included primary studies was performed. RESULTS: Only 17% of primary studies measured a clearly defined CAI population. There is strong evidence to support the contribution of dynamic balance, peroneal reaction time and eversion strength deficits and moderate evidence for proprioception and static balance deficits to non-specific ankle instability. CONCLUSIONS: Evidence from previous systematic reviews does not accurately reflect the CAI population. For treatment of non-specific ankle instability, clinicians should focus on dynamic balance, reaction time and strength deficits; however, these findings may not be translated to the CAI population. Research should be updated with an adequately controlled CAI population. SYSTEMATIC REVIEW REGISTRATION: PROSPERO 2016, CRD42016032592.


Assuntos
Traumatismos do Tornozelo/epidemiologia , Instabilidade Articular/epidemiologia , Entorses e Distensões/epidemiologia , Tornozelo , Articulação do Tornozelo/fisiopatologia , Humanos , Instabilidade Articular/fisiopatologia , Propriocepção
20.
Afr Health Sci ; 18(2): 321-332, 2018 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-30602959

RESUMO

Aim: We aimed to review the biomechanics of lower limb injuries caused by frontal-impact road traffic collisions. Methods: In this narrative review, we identified articles through pubmed, Scopus and Science Direct search engines for the period of 1990-2014. Search terms included: "biomechanics", "lower limb injury", "hip injury", "knee injury", "foot and ankle injury" and "frontal impact collision". We studied factors affecting the anatomical site, frequency and severity of the injuries. Results: The most common reported mechanisms of injury were: the impaction of the knee with the dashboard resulting in acetabular fracture or posterior hip dislocation; and toepan intrusion in combination with forceful application of the brake resulting in foot and ankle fractures. The probability of an occupant sustaining significant injury to the hip is increased in taller males, and being out of position during the collision. The probability of an occupant sustaining a fracture to the foot and ankle is increased in shorter female occupants with a large overlap impact or a near oblique collision. Conclusion: Understanding the biomechanics of frontal-impact road traffic collisions is useful in alerting clinicians to the potential lower limb injuries sustained in these collisions.


Assuntos
Acidentes de Trânsito/estatística & dados numéricos , Extremidade Inferior/lesões , Ferimentos e Lesões/epidemiologia , Adulto , Traumatismos do Tornozelo/epidemiologia , Fenômenos Biomecânicos , Feminino , Traumatismos do Pé/epidemiologia , Traumatismos do Pé/etiologia , Humanos , Traumatismos do Joelho/epidemiologia , Traumatismos da Perna/epidemiologia , Masculino , Emirados Árabes Unidos/epidemiologia
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