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1.
Artigo em Inglês | MEDLINE | ID: mdl-33799987

RESUMO

The purpose of this study was to establish consensus regarding a standardized approach to the diagnostic evaluation of ACL tears in pediatric/adolescent patients. Despite an abundance of literature evaluating management techniques, no standardized consensus exists regarding evaluation in these patients. A three-step classic Delphi technique was employed. The panel included 12 Orthopaedic Sports Medicine specialists from across the United States with training in pediatric and adult ACL injuries. Panelists were presented with four clinical vignettes. Consensus was established if ≥66% of respondents reached agreement. Across all four rounds of this study, 100% participation was achieved, and consensus was reached for a majority of diagnostic domains. For history, previous injuries, sports participation, and current symptoms were endorsed for all vignettes. The consensus radiographic sequences across all four vignettes included: standing AP, flexion (tunnel or notch view), lateral, long-leg alignment, and bone age (left hand) views. Radiographic interpretation responses met consensus with interpretations were split by gender. Cross-sectional imaging met consensus with 100% support for MRI. In this Delphi study, we identified a standardized diagnostic treatment approach derived from expert opinion applicable to all skeletally immature patients with ACL tears, which can serve as a framework for evaluation to aid clinical decision making.


Assuntos
Lesões do Ligamento Cruzado Anterior , Reconstrução do Ligamento Cruzado Anterior , Traumatismos em Atletas , Adolescente , Lesões do Ligamento Cruzado Anterior/diagnóstico por imagem , Lesões do Ligamento Cruzado Anterior/cirurgia , Traumatismos em Atletas/diagnóstico por imagem , Criança , Humanos , Imagem por Ressonância Magnética , Padrões de Referência
2.
Medicine (Baltimore) ; 100(14): e25423, 2021 Apr 09.
Artigo em Inglês | MEDLINE | ID: mdl-33832142

RESUMO

BACKGROUND: In recent years, the functional movement screen (FMS) and FMS training have attracted attention as a means of preventing injury, but no studies have examined the effect of such training in high-school baseball players. The aim of this study was to clarify the effect of FMS training on FMS score, physical function and baseball performance in high-school baseball players. METHODS: Subjects in this randomized controlled clinical trial were high-school male baseball players assigned to either an FMS training group (intervention group) or a control group. The intervention group performed FMS training 4 times per week for 12 weeks. FMS ability, physical function, and baseball performance were measured prior to the intervention, 8, 12, and 24 weeks after the intervention in the subjects' school environment. RESULTS: A total of 71 baseball players aged 15 to 17 years were recruited and assigned to either an intervention group (n = 37) or control group (n = 34). There was no significant difference in the characteristics of participants between the 2 groups. Most FMS scores improved to 12 weeks after continued training. In the intervention group compared with the control group, deep squat, hurdle step, inline lunge, active straight leg raise, trunk stability push-up and rotary stability FMS score, total FMS score and eyes closed single leg stance time significantly increased after 8 weeks of training. While hurdle step, inline lunge, active straight leg raise, trunk stability push-up, total FMS score, and eyes closed single leg stance time significantly increased, pitching ball speed significantly decreased at the end of the 12 week training period. Eyes closed single leg stance time and feeling of fatigue significantly improved 12 weeks after training. The number of subjects who scored less than 14 for the total FMS score in the intervention group compared with control group were significantly less after 8 and 12 weeks of FMS training. CONCLUSION: FMS training for 8 weeks contributes to improving FMS scores for high-school baseball players, but FMS scores go down if FMS training is not continued. TRIAL REGISTRATION: University Hospital Medical Information Network Center, Tokyo, Japan: UMIN000027553. Registered on May 30, 2017.


Assuntos
Traumatismos em Atletas/prevenção & controle , Desempenho Atlético/fisiologia , Beisebol/fisiologia , Movimento/fisiologia , Condicionamento Físico Humano/métodos , Adolescente , Beisebol/lesões , Humanos , Masculino , Avaliação de Resultados em Cuidados de Saúde
3.
Bone Joint J ; 103-B(4): 718-724, 2021 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-33789477

RESUMO

AIMS: The aim of this study was to identify risk factors for recurrent instability of the shoulder and assess the ability to return to sport in patients with engaging Hill-Sachs lesions treated with arthroscopic Bankart repair and Hill-Sachs remplissage (ABR-HSR). METHODS: This retrospective study included 133 consecutive patients with a mean age of 30 years (14 to 69) who underwent ABR-HSR; 103 (77%) practiced sports before the instability of the shoulder. All had large/deep, engaging Hill-Sachs lesions (Calandra III). Patients were divided into two groups: A (n = 102) with minimal or no (< 10%) glenoid bone loss, and B (n = 31) with subcritical (10% to 20%) glenoid loss. A total of 19 patients (14%) had undergone a previous stabilization, which failed. The primary endpoint was recurrent instability, with a secondary outcome of the ability to return to sport. RESULTS: At a mean follow-up of four years (1.0 to 8.25), ten patients (7.5%) had recurrent instability. Patients in group B had a significantly higher recurrence rate than those in group A (p = 0.001). Using a multivariate logistic regression, the presence of glenoid erosion of > 10% (odds ratio (OR) = 35.13 (95% confidence interval (CI) 8 to 149); p = 0.001) and age < 23 years (OR = 0.89 (0.79 to 0.99); p = 0.038) were associated with a higher risk of recurrent instability. A total of 80 patients (78%) could return to sport, but only 11 athletes (65%) who practiced high-risk (collision or contact-overhead) sports. All seven shoulders which were revised using a Latarjet procedure were stable at a mean final follow-up of 36 months (11 to 57) and returned to sports at the same level. CONCLUSION: Patients with subcritical glenoid bone loss (> 10%) and younger age (≤ 23 years) are at risk of failure and reoperation after ABR-HSR. Furthermore, following this procedure, one-third of athletes practicing high-risk sports are unable to return at their pre-instability level, despite having a stable shoulder. Cite this article: Bone Joint J 2021;103-B(4):718-724.


Assuntos
Artroscopia/métodos , Lesões de Bankart/patologia , Lesões de Bankart/cirurgia , Adolescente , Adulto , Idoso , Traumatismos em Atletas/patologia , Traumatismos em Atletas/cirurgia , Feminino , Seguimentos , Humanos , Masculino , Pessoa de Meia-Idade , Recidiva , Estudos Retrospectivos , Fatores de Risco
4.
Artigo em Inglês | MEDLINE | ID: mdl-33805863

RESUMO

Playing through pain and injury is a common and accepted behavior in the athletic realm. The purpose of this research was to apply Tittle's control balance theory to explain why athletes engage in playing through pain and injury despite its risky nature. We hypothesized that playing through pain and injury is a form of submission described by Tittle and that it can be predicted by the concept of control deficit. To this end, we collected and used data from a sample of 410 professional soccer players from Guilan province, Iran, and tested several propositions derived from control balance theory. Hierarchical linear regression was used to analyze the data. The study findings demonstrate that players with more control deficits are more likely to play through pain and injury. This relationship is conditioned by self-control, opportunity, motivation, perceived benefits, and provocations. For example, the relationship between control deficit and playing through pain and injury is stronger for those with lower self-control. Our findings support the utility of control balance theory in explaining an act of submission (i.e., playing through pain and injury).


Assuntos
Traumatismos em Atletas , Futebol , Atletas , Traumatismos em Atletas/epidemiologia , Humanos , Irã (Geográfico)/epidemiologia , Dor/epidemiologia , Fatores de Risco
5.
Artigo em Inglês | MEDLINE | ID: mdl-33803535

RESUMO

The involvement of pre-adolescents in soccer is becoming more and more frequent, and this growing participation generates some concerns about the potential factors for sports injuries. The purpose of this study was to investigate sports injuries in younger (U9-U11) and older (U12-U13) children playing soccer at an elite level, analyzing potential anthropometric and maturity risk factors. A total of 88 elite soccer players aged 9-13 years were investigated. Weight, stature, and sitting height were measured at the start and at the end of the competitive season, computing the relative growth velocities. Additional body composition parameters were taken during a second survey. Maturity offset was calculated using predictive equations based on anthropometric traits such as years from age at peak height velocity (YPHV). Injuries suffered during the competitive season were recorded. Maturity and some anthropometric characteristics were significantly different according to the presence or absence of injuries among the players. Multiple logistic regression revealed that YPHV, body mass index (BMI), and calf muscle area were the factors most significantly correlated with injuries. Players with increased BMI, with decreased calf muscle area, and who were closer to their peak height velocity, were at a higher risk of injury. Findings showed that a monitoring program of anthropometric characteristics taking into account the maturational stage needs to be developed to prevent injuries.


Assuntos
Traumatismos em Atletas , Futebol , Adolescente , Fatores Etários , Antropometria , Traumatismos em Atletas/epidemiologia , Estatura , Criança , Humanos
6.
Artigo em Inglês | MEDLINE | ID: mdl-33804081

RESUMO

The epidemiology of injuries in female soccer has been studied extensively in several national leagues. Even so, data on the first division Spanish league are limited. The objective of this study was to describe the epidemiology of the first division of the Spanish Women's Soccer League and to analyze data in relation to game position, circumstance, or the moment of injury. Fifteen teams and 123 players participated in the study. Players' characteristics and their injuries (location, type, diagnosis, circumstance, and moment) were collected. Injuries were described by their frequencies (number and percentage) and incidence rates (IR) with 95% confidence intervals (CIs). Lower limb injuries accounted for 86.8% of total injuries. Anterior cruciate ligament (ACL) and meniscus injuries occurred in totality in non-contact circumstance (0.35/1000 h; 95% CI, 0.18 to 0.62 and 0.23/1000 h; 95% CI, 0.10 to 0.45, respectively). Match injury IRs (19.02/1000 h; 95% CI, 14.89 to 23.97) were significantly higher than training (1.70/1000 h; 95% CI, 1.27 to 2.22). As a conclusion, structures such as the ACL or meniscus are most commonly injured in the non-contact circumstance in the first division of the Spanish Women's Soccer League. In addition, match situations involve a greater risk of injury than training, increasing the risk to the ankle and knee injuries as the season progresses.


Assuntos
Lesões do Ligamento Cruzado Anterior , Traumatismos em Atletas , Traumatismos do Joelho , Futebol , Ligamento Cruzado Anterior , Lesões do Ligamento Cruzado Anterior/epidemiologia , Traumatismos em Atletas/epidemiologia , Feminino , Humanos , Incidência
7.
J Orthop Sports Phys Ther ; 51(3): 91-93, 2021 03.
Artigo em Inglês | MEDLINE | ID: mdl-33645293

RESUMO

Sports injuries are multifactorial and have a complex web of risk factors. Thus, identifying risk factors plays a central role in designing prevention strategies. Following evidence-based practice principles, clinicians use the best available evidence to guide decisions about injury prevention. Here, we share a scenario familiar to the sports medicine community-risk factors for hamstring strain injury-and highlight some of the pitfalls that clinicians should watch out for when applying research to practice. J Orthop Sports Phys Ther 2021;51(3):91-93. doi:10.2519/jospt.2021.0104.


Assuntos
Traumatismos em Atletas/prevenção & controle , Medicina Baseada em Evidências , Terapia por Exercício , Músculos Isquiossurais/lesões , Força Muscular/fisiologia , Humanos , Fatores de Risco , Medicina Esportiva
8.
Artigo em Inglês | MEDLINE | ID: mdl-33668858

RESUMO

Guidance regarding the decision to remove an adolescent from athletic competition immediately following an acute concussive injury and the safe return of play in the short term is widely accepted and supported by clinical evidence, local institutional policies, and state and federal laws. There is considerably less guidance regarding the decision to permanently retire an adolescent athlete for medical reasons due to concussive injuries. In this article, we discuss the clinical and non-clinical considerations that should guide clinicians in discussions regarding the adolescent athlete's permanent retirement by emphasizing the ethical obligation to protect the child's right to an open future as possibly determinative in otherwise ambiguous cases.


Assuntos
Traumatismos em Atletas , Concussão Encefálica , Medicina Esportiva , Esportes , Adolescente , Criança , Humanos , Aposentadoria
9.
Artigo em Inglês | MEDLINE | ID: mdl-33671704

RESUMO

Taekwondo has been reported to be one of the most injurious sports in the summer Olympics, however, there is a dearth of data about injury profiles for junior athletes. Therefore, we aimed to identify the incidence and profiles of the injuries and illnesses that occurred during the 2018 World Taekwondo Junior Championships and recorded using an online system. Among the 889 athletes, 67 injuries and four illnesses were reported, corresponding to an overall clinical incidence of 7.5 injuries (95% confidence interval [CI]: 5.7-9.3) and 0.5 illnesses (0.1-0.9) per 100 athletes. The most frequent injuries were lower extremity injuries (n = 33, 3.71% of all athletes), mostly in the foot/toe (n = 11, 1.2% of athletes), followed by head and trunk injuries, mostly in the face (n = 14, 1.6% of athletes), and upper extremity injuries, mostly in the fingers (n = 6, 0.7% of athlete). Contusions (n = 37, 4.2% of athlete) were the most frequent injury type, followed by ligament ruptures/sprains and laceration. The most common injury mechanism was contact during an opponent attack (n = 51, 5.7% of athlete). Three mild concussions none resulted in time loss (none required hospital transfer or had prolonged recovery). The respiratory system was the most affected by illness, with pain and fever as symptoms. Environmental factors were the most common cause of illness. This study shows that 7.5 per 100 athletes (38.5/1000 athlete-exposures and 6.9/1000 min-exposures) had new or recurrent injuries, whereas 0.5 per 100 athletes experienced illness. In conclusion, the data shows male athletes reported more injuries than females and the most common cause of injury was due to contact between athletes. Contusions, ligament rupture/sprains, laceration and fractures to the lower extremities, head, and trunk were the most common injury. Knowing these injury profiles of junior taekwondo athletes can help taekwondo stakeholders, especially medical staff to prepare accordingly to ensure the safety of the athletes.


Assuntos
Traumatismos em Atletas , Artes Marciais , Entorses e Distensões , Atletas , Traumatismos em Atletas/epidemiologia , Estudos Epidemiológicos , Feminino , Humanos , Incidência , Masculino
10.
Can Vet J ; 62(3): 253-260, 2021 03.
Artigo em Inglês | MEDLINE | ID: mdl-33692580

RESUMO

A survey was used to investigate injuries in dogs competing in flyball. Complete surveys were obtained from 272 respondents with 589 dogs. In the past year, 23.3% of dogs were injured, with 34.1% injured during their career to date. Common injury sites were paws/digits, back, shoulder, and iliopsoas muscle/groin. Injury in previous years, modified by weight:height ratio, was a significant risk factor for injury. Dogs > 2 y of age had increased risk of injury, as did dogs with best times < 4.0 s. Canadian dogs had increased risk of injury (30.7% injured) compared to United States dogs (20.1% injured). This relationship was modified by participation in other sports, which generally reduced risk of injury in Canadian dogs. Further investigation of risk factors should include differences in training and competition between the United States and Canada, as well as injury prevention strategies.


Assuntos
Traumatismos em Atletas , Doenças do Cão , Animais , Traumatismos em Atletas/veterinária , Canadá/epidemiologia , Doenças do Cão/epidemiologia , Doenças do Cão/etiologia , Cães , Internet , Fatores de Risco , Inquéritos e Questionários , Estados Unidos/epidemiologia
11.
Curr Psychiatry Rep ; 23(4): 15, 2021 03 02.
Artigo em Inglês | MEDLINE | ID: mdl-33656641

RESUMO

PURPOSE OF REVIEW: Sport-related concussion (SRC) is a significant public health problem. Understanding the behavioral and personal factors that influence risk and incidence of SRC is critically important for appropriate care and management. Sensation-seeking and impulsivity have been posited to be two such factors that may be significantly associated with SRC. We performed a focused review of recent evidence of the relationships between sensation-seeking and impulsivity in athletes with SRC. RECENT FINDINGS: While the research is relatively limited, extant findings demonstrate a significant relationship between sensation-seeking and contact sport participation and risk of prior and future SRC. Impulsivity appears to be common among athletes competing in high contact sports and may contribute to neural and functional brain changes following SRC; however, causal relationships between impulsivity, contact sport participation, and SRC have not been demonstrated. Both sensation-seeking and impulsivity are significantly associated with SRC in collegiate athletes. Interventions designed to ameliorate high levels of these constructs may prove to be beneficial avenues to reducing SRC risk and improving patient care and outcomes.


Assuntos
Traumatismos em Atletas , Concussão Encefálica , Atletas , Traumatismos em Atletas/epidemiologia , Concussão Encefálica/epidemiologia , Humanos , Comportamento Impulsivo , Sensação
12.
Am J Sports Med ; 49(4): 1049-1058, 2021 03.
Artigo em Inglês | MEDLINE | ID: mdl-33719607

RESUMO

BACKGROUND: Many youth athletes focus on 1 sport to gain a competitive advantage, but early sport specialization may increase risk of overuse injuries and burnout. College athletes have successfully achieved advanced status; therefore, the study of their specialization patterns is a method to assess how specialization affects an athletic career. PURPOSE: To determine trends in sport specialization by sex, sport, and decade of participation in National Collegiate Athletic Association (NCAA) athletes and assess the effect of specialization on scholarship attainment, injury, and attrition. STUDY DESIGN: Cohort study; Level of evidence, 3. METHODS: An electronic survey was distributed to NCAA athletes who participated from 1960 to 2018. Survey topics included sex, sport, decade of participation, scholarship status, ≥30-day time-loss injuries sustained in college, orthopaedic surgery in college, career length, and age of single-sport specialization. Early specialization was defined as specialization in a single sport before age 15 years. Rates of early specialization were calculated for each sport, sex, individual and team sports, and decade of participation. Rates of scholarship attainment, injury, and attrition were compared between groups. Univariate associations were queried with logistic regression analysis to determine predictors of specialization, scholarship attainment, injury, and early attrition. RESULTS: Of 1550 athletes who participated (17% response rate), 544 (35.1%) were women. Overall, 18.1% of athletes specialized before age 15 years (n = 281). Athletes in gymnastics, tennis, swimming and diving, and soccer were significantly more likely to specialize early, whereas football and baseball athletes were more likely to specialize late (P < .05 for all groups). Early specialization was more common among women (23.4% vs 15.2%; odds ratio, 1.72; P < .01). There was a trend toward earlier specialization for recent college graduates, with graduates from the last decade more likely to be classified as early specialization than those from previous decades (P = .036). Scholarship attainment was overall equivalent between groups. Time-loss injuries, lower extremity injuries, and orthopaedic surgery in college were not statistically different between groups. Career lengths were similar, but burnout was more common among early specialization athletes (10.5% vs 7.0%; odds ratio, 3.76; P < .01). CONCLUSION: Less than one-fifth of NCAA athletes surveyed specialized before age 15 years, and neither scholarship attainment nor time-loss injury rate was affected by early specialization. Early specialization is on the rise but is associated with increased burnout.


Assuntos
Traumatismos em Atletas , Transtornos Traumáticos Cumulativos , Adolescente , Atletas , Traumatismos em Atletas/epidemiologia , Estudos de Coortes , Bolsas de Estudo , Feminino , Humanos , Masculino , Fatores de Risco , Especialização
13.
Am J Sports Med ; 49(5): 1348-1354, 2021 04.
Artigo em Inglês | MEDLINE | ID: mdl-33729858

RESUMO

BACKGROUND: Sports-related concussion is a worldwide problem. There is a concern that an initial concussion can cause prolonged subclinical disturbances to sensorimotor function that increase the risk of subsequent injury. The primary aim of this study was to examine whether a history of sports-related concussion has effects on static and dynamic balance performance in adolescent rugby players. HYPOTHESIS: Dynamic balance would be worse in players with a history of concussion compared with those with no history of concussion. STUDY DESIGN: Cross-sectional study; Level of evidence, 3. METHODS: Male adolescent rugby players aged 14 to 18 years from 5 schools were recruited before the start of the 2018-2019 playing season. Participants completed questionnaires and physical tests, including dynamic Y balance and single-leg static balance (eyes closed) tests, while performing single and dual tasks. Dynamic balance was assessed using inertial sensor instrumentation. Dependent variables were normalized reach distance and the sample entropy (SEn) of the 3 axes (x, y, and z). RESULTS: Of the 195 participants, 100 reported a history of concussion. Those with a history of concussion demonstrated higher SEn in all directions, with highest values during anterior (standardized mean difference [SMD], 0.4; 95% CI, 0.0-0.7; P = .027) and posteromedial (SMD, 0.5; 95% CI, 0.2-0.9; P = .004) reach directions compared with those with no history. There was no difference between groups (concussion history vs control) in traditional Y balance reach distances in the anterior or posteromedial directions or single-leg static balance during both single- (P = .47) and dual-task (P = .67) conditions. CONCLUSION: Adolescent rugby union athletes with a history of concussion had poorer dynamic balance during performance tasks compared with healthy controls. Static single-leg balance tests, either single or dual task, may not be sensitive enough to detect sensorimotor deficits in those with a history of concussion.


Assuntos
Traumatismos em Atletas , Concussão Encefálica , Futebol Americano , Adolescente , Atletas , Estudos Transversais , Humanos , Masculino , Equilíbrio Postural , Instituições Acadêmicas
14.
Med Probl Perform Art ; 36(1): 54-60, 2021 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-33647098

RESUMO

BACKGROUND: Demanding performance schedules in modern professional circus can result in less time for injury rehabilitation and strength and conditioning for injury prevention. Lower limb injuries are a common injury presentation in Cirque du Soleil touring show performers. OBJECTIVE: To examine the feasibility of introducing a calf raise exercise program in an established professional touring circus show over a 9-week period. METHODS: Twenty-nine professional Cirque du Soleil circus performers were recruited (mean age 31.28 [SD 4.99] yrs). Performers completed the Oslo Sports Trauma Research Centre Overuse (OSTRC) questionnaire each week for 18 weeks. In the second 9-week period, performers completed one set of single-leg calf raises to fatigue on each limb, once per day, every workday. Health problems between each 9-week period were compared. Feasibility was measured via program adherence and an end-of-study survey. Calf endurance was assessed by measuring the number of single leg calf raises to fatigue. RESULTS: Adherence was high throughout the program, with 93.5% of all exercise sessions completed. Endurance increased by a mean of 22.62 (SD 27.99) calf raises. No significant changes in the prevalence of self-reported soreness and injury were found: 51.9 (95%CI 44.4, 57.5) of the population reported lower limb injuries during the pre-intervention period and 52.5 (95%CI 49.2, 55.8) during the intervention. Similarly, no significant changes were found in severity scores: 20.7 (95%CI 17.7, 23.7) pre-intervention and 20.9 (95%CI 19.4, 22.4) during intervention. CONCLUSION: A single-leg calf raise exercise program can be feasibly introduced into a touring, performing professional circus show without increasing injury numbers or self-reported soreness. Furthermore, gains in calf raise endurance can be obtained during a 9-week intervention period.


Assuntos
Traumatismos em Atletas , Treino Aeróbico , Adulto , Exercício Físico , Estudos de Viabilidade , Humanos , Perna (Membro)
15.
Clin Sports Med ; 40(2): 241-258, 2021 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-33673884

RESUMO

Athletic injuries of the hip often require radiographs and advanced imaging for diagnosis. Plain radiographs evaluate for osseous injury, provide a structural context behind an athlete's symptoms and examination, and offer a backdrop for interpretation of advanced imaging. An understanding of normal anatomy, imaging findings, and radiographic measurements allows for recognition of pathoanatomy and ability to diagnose accurately. Advanced imaging modalities, including magnetic resonance imaging, computed tomography, and ultrasonography, each play a role in evaluation of the athlete's hip. Although MRI and CT provide high-resolution imaging of the hip, ultrasonography offers the unique ability to perform dynamic imaging and guided injections.


Assuntos
Quadril/diagnóstico por imagem , Traumatismos em Atletas/diagnóstico por imagem , Testes Diagnósticos de Rotina , Humanos , Imageamento Tridimensional/métodos , Injeções Intramusculares , Imagem por Ressonância Magnética/métodos , Radiografia , Tomografia Computadorizada por Raios X/métodos , Ultrassonografia
16.
Clin Sports Med ; 40(2): 301-310, 2021 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-33673888

RESUMO

Athletic injuries to the hip flexors and iliopsoas have been described in populations across all levels of competitive sports. Overall estimates of hip flexor pathology have ranged from 5% to 28% of injuries among high-risk sport specific groups. Although most of these injuries are successfully treated with conservative management, and high rates of return to play are observed, significant rehabilitation time can be involved. As the understanding of hip pathology with imaging modalities such as MRI has advanced, greater importance has been placed on accurately diagnosing hip flexor injuries and initiating rehabilitation protocols early to minimize time loss from sport.


Assuntos
Atletas , Traumatismos em Atletas/diagnóstico , Lesões do Quadril/diagnóstico , Traumatismos em Atletas/terapia , Quadril , Humanos , Imagem por Ressonância Magnética
17.
Clin Sports Med ; 40(2): 323-338, 2021 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-33673890

RESUMO

Core muscle injury is a common but difficult problem to treat. Although it can affect all individuals, it is most commonly seen in male athletes in cutting, twisting, pivoting, and explosive sports. Owing to the high association of femoroacetabular impingement, we believe these individuals are best treated with a multidisciplinary approach involving both orthopedic and general surgeons. Conservative treatment should be the first step in management. When conservative means are unsuccessful, operative intervention to correct all the pathologic issues around the pubis can have extremely high success rates.


Assuntos
Traumatismos em Atletas , Músculos/lesões , Músculos Abdominais/lesões , Atletas , Impacto Femoroacetabular , Virilha/lesões , Humanos , Imagem por Ressonância Magnética , Masculino
18.
Clin Sports Med ; 40(2): 375-384, 2021 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-33673893

RESUMO

Pelvic avulsion fractures are common in youth athletes; many of these injuries can be treated conservatively. This article reviews the etiology, presentation, and management of the more common pelvic avulsion fractures, including anterior superior iliac spine, anterior inferior iliac spine, ischial tuberosity, and iliac crest avulsions. Adolescent pelvic avulsion fractures rely on the amount of fracture displacement to guide treatment. Conservative management includes rest and avoiding use of the muscle(s) that attach to the avulsed fragment. Operative treatment is reserved for widely displaced fractures or symptomatic nonunions. With appropriate treatment, young athletes frequently return to their same level of sport.


Assuntos
Traumatismos em Atletas/diagnóstico , Fratura Avulsão/diagnóstico , Pelve/lesões , Adolescente , Atletas , Traumatismos em Atletas/terapia , Tratamento Conservador/efeitos adversos , Fixação Interna de Fraturas/efeitos adversos , Fraturas Ósseas/terapia , Humanos , Ílio/lesões , Ílio/cirurgia , Ísquio/lesões , Ísquio/cirurgia
19.
Clin Sports Med ; 40(2): 385-398, 2021 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-33673894

RESUMO

This article provides concise and up-to-date information on the most common hip pathologies that affect adolescent athletes. We cover the evaluation and treatment of avulsion injuries, stress fractures, slipped capital femoral epiphysis (SCFE), femoroacetabular impingement, developmental dysplasia of the hip, Legg-Calve-Perthes disease, and coxa saltans focusing on minimizing advanced imaging and using conservative therapy when applicable. Although this is not an all-encompassing list of disorders, it is key to understand these hip pathologies because these injuries occur commonly and can also have detrimental complications if not diagnosed and addressed early, especially SCFE and femoral neck stress fractures.


Assuntos
Traumatismos em Atletas/diagnóstico , Lesões do Quadril/diagnóstico , Adolescente , Atletas , Impacto Femoroacetabular/diagnóstico , Fraturas de Estresse , Quadril , Articulação do Quadril , Humanos , Doença de Legg-Calve-Perthes/complicações , Doença de Legg-Calve-Perthes/diagnóstico , Doença de Legg-Calve-Perthes/terapia , Escorregamento das Epífises Proximais do Fêmur/complicações
20.
Clin Sports Med ; 40(2): 399-408, 2021 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-33673895

RESUMO

Hip injuries are common in the athletic population, typically occurring in sports as a result of contact or overuse. Previous literature describes differences in injury rates between male and female athletes, clinical presentation, treatment, and outcomes. In addition, anatomic differences in acetabular and femoral version, hip alpha angles, lateral center-edge angles, pelvic tilt, and knee biomechanics have been demonstrated. These differences may alter injury patterns between male and female athletes and contribute to differences in hip pathology. Therefore, individualized treatment and rehabilitation strategies should be taken into consideration in order to expedite an athlete's return to play.


Assuntos
Traumatismos em Atletas/epidemiologia , Lesões do Quadril/epidemiologia , Treinamento de Resistência , Acetábulo , Atletas , Fenômenos Biomecânicos , Feminino , Humanos , Joelho , Articulação do Joelho , Masculino , Caracteres Sexuais , Esportes
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