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2.
Orthop Clin North Am ; 51(2): 227-233, 2020 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-32138860

RESUMO

Ulnar abutment (ulnocarpal impaction) syndrome may be a source of ulnar-sided wrist pain in the athlete. This condition results from excessive load transfer across the triangular fibrocartilage complex and ulnocarpal joints with characteristic degenerative changes. It frequently occurs in patients with either static or dynamic ulnar positive variance. Treatment is tailored to the athlete and their sporting demands. Surgical treatment focuses on addressing ulnar variance to unload the ulnocarpal joint, with multiple surgical options, including the metaphyseal closing wedge osteotomy achieving this goal. This review focuses on the presentation, biomechanics, and treatment options for ulnar abutment syndrome in the athlete.


Assuntos
Artralgia/terapia , Traumatismos em Atletas/terapia , Mau Alinhamento Ósseo/terapia , Ulna/lesões , Traumatismos do Punho/terapia , Artralgia/complicações , Artralgia/cirurgia , Traumatismos em Atletas/complicações , Traumatismos em Atletas/cirurgia , Mau Alinhamento Ósseo/complicações , Mau Alinhamento Ósseo/cirurgia , Humanos , Osteotomia , Ulna/cirurgia , Traumatismos do Punho/complicações , Traumatismos do Punho/cirurgia
5.
J Korean Med Sci ; 35(6): e37, 2020 Feb 17.
Artigo em Inglês | MEDLINE | ID: mdl-32056399

RESUMO

BACKGROUND: A kids café is a popular indoor playground in Korea that combines a playground for young children and a café for their caregivers. There have been no national reports about kids café-related injuries in Korea. This study investigated kids café-related injuries in Korea registered in a multicenter injury surveillance database and analyzed the risk factors for significant kids café-related injuries. METHODS: A multicenter cross-sectional study was performed using the Emergency Department-based Injury In-depth Surveillance registry in Korea between 2011 and 2016. Significant injury was defined as an injury requiring hospitalization or surgery. A multivariable logistic regression model was used to obtain the adjusted odds ratios (aORs) for factors associated with significant kids café-related injuries. RESULTS: Among 1,537,617 injured patients, we extracted 891 patients who were injured in kids cafés. Of these, 46 (5.2%) were admitted, and 39 (4.4%) underwent surgery. The most common injured anatomical site, injury type, and mechanism were lower extremity (28.2%), superficial injury (27.2%), and slip (27.1%), respectively. Among injury-inducing factors, significant injuries were most commonly caused by a trampoline (28.1%), and rock climbing equipment was the only risk factor in a kids café that led to significant injury after adjusting for age, sex, injury mechanism, and injured anatomical sites (aOR, 14.94; 95% confidence interval, 1.51-147.72). CONCLUSION: The rock climbing equipment in a kids café can cause serious injury to children. Establishing safety regulations for rock climbing equipment in kids cafés may have the greatest impact in reducing significant injuries requiring hospitalization or surgery.


Assuntos
Traumatismos em Atletas , Recreação , Ferimentos e Lesões , Adolescente , Traumatismos em Atletas/epidemiologia , Criança , Estudos Transversais , Bases de Dados Factuais , Feminino , Hospitalização , Humanos , Modelos Logísticos , Masculino , Razão de Chances , Sistema de Registros , República da Coreia/epidemiologia , Restaurantes , Fatores de Risco , Ferimentos e Lesões/epidemiologia
6.
Med Clin North Am ; 104(2): 313-325, 2020 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-32035571

RESUMO

Each year increasing numbers of people participate in a wider variety of athletic endeavors. Unlike previous generations, many patients remain in these activities later into their lives, some well beyond retirement. As the population ages and their activities continue, they are subject to injury of various forms affecting all aspects of their bodies.


Assuntos
Traumatismos em Atletas , Atividades de Lazer , Administração dos Cuidados ao Paciente/métodos , Traumatismos em Atletas/classificação , Traumatismos em Atletas/etiologia , Traumatismos em Atletas/prevenção & controle , Traumatismos em Atletas/terapia , Comportamentos de Risco à Saúde/fisiologia , Humanos , Comportamento Sedentário , Fatores de Tempo
8.
Curr Sports Med Rep ; 19(1): 8-10, 2020 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-31913917

RESUMO

A 49-year-old female with history of daily inhaled corticosteroid use for asthma presented to a concussion clinic 7 wk after sport-related head injury with headache, visual blurring, dizziness, nausea, fatigue, polydipsia, and polyuria. Examination revealed difficulty with vestibuloocculomotor testing due to nausea and visual straining. Cranial computed tomography/magnetic resonance imaging was unremarkable. Laboratory testing revealed critically low serum cortisol, hypernatremia, and urine studies suggesting diabetes insipidus. The patient was referred to the emergency department. Intravenous fluid resuscitation, corticosteroids, and desmopressin led to significant symptomatic relief. She was maintained on oral hydrocortisone after cosyntropin test revealed adrenal insufficiency. Her clinical picture suggested chronic subclinical adrenal suppression from inhaled corticosteroids which was exacerbated by hypopituitarism from concussion combined with diabetes insipidus. Adrenal insufficiency should be considered in athletes with history of corticosteroid use and endocrine-related symptoms after concussion, because this can create significant morbidity and can mimic traditional symptoms of concussion.


Assuntos
Insuficiência Adrenal/etiologia , Traumatismos em Atletas/complicações , Concussão Encefálica/complicações , Hipopituitarismo/etiologia , Corticosteroides/efeitos adversos , Feminino , Humanos , Pessoa de Meia-Idade
9.
Curr Sports Med Rep ; 19(1): 11-16, 2020 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-31913918

RESUMO

Overhead athletes are susceptible to many injuries, particularly in the shoulder and lumbar spine. Due to the heterogeneity of these two regional injuries, it is difficult to pinpoint the exact origin. A potential contributing factor that should be thoroughly evaluated is the thoracic spine. It can be challenging to quantify exactly how much thoracic spine mobility or lack thereof plays a role toward injury. Despite this, when examining mechanics of an overhead athlete, if neuromuscular control of the thorax is impaired, adjacent motion segments often take the brunt of the required movements. This article addresses the need to incorporate the thoracic spine when analyzing the entire kinetic chain. Clinical pearls regarding thoracic neuromuscular control and rehabilitation were explored, as well as a review of recent literature. Further investigation of thoracic spine therapeutic interventions should be considered when treating overhead athletes.


Assuntos
Traumatismos em Atletas , Transtornos Traumáticos Cumulativos , Traumatismos da Coluna Vertebral , Atletas , Humanos , Masculino , Amplitude de Movimento Articular , Espondilólise/fisiopatologia , Adulto Jovem
10.
Curr Sports Med Rep ; 19(1): 17-23, 2020 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-31913919

RESUMO

Equestrian sports represent a variety of activities involving a horse and rider. Due to the unpredictable nature of horses, their height, and potential high speeds involved, equestrian athletes are at risk of head and spinal injuries. This review describes the epidemiology, injury mechanisms, and risk factors for equestrian sports-related head and spinal injuries. Traumatic brain injuries, including concussions, are more common than spinal injuries. Both injury types are most commonly related to a rider fall from a horse. Spinal injuries are less common but are associated with potentially significant neurological morbidity when spinal cord injury occurs. An improved understanding of preventable injury mechanisms, increased certified helmet use, improved helmet technologies, and educational outreach may help to address the risk of head and spinal injuries in equestrian sports.


Assuntos
Traumatismos em Atletas/prevenção & controle , Lesões Encefálicas Traumáticas/prevenção & controle , Traumatismos da Medula Espinal/prevenção & controle , Animais , Traumatismos em Atletas/epidemiologia , Lesões Encefálicas Traumáticas/epidemiologia , Dispositivos de Proteção da Cabeça , Cavalos , Fatores de Risco , Traumatismos da Medula Espinal/epidemiologia , Esportes
11.
Curr Sports Med Rep ; 19(1): 24-28, 2020 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-31913920

RESUMO

Soft tissue injuries to the head and neck are a common occurrence in sports. These anatomical regions are somewhat predisposed because of the "athletic stance" that is utilized in many close-contact sports. Although appropriate use of protective equipment, including mouth guards, helmets, and face shields, has reduced the incidence and severity of these injuries, they still occur regularly. To provide appropriate medical care, one must possess adequate knowledge of the superficial and deep anatomical structures, fundamental knowledge and skill in regard to wound care, and awareness of potential poor outcomes related to lacerations of unique structures, such as the mouth, eye, or ear.


Assuntos
Traumatismos em Atletas/diagnóstico , Traumatismos Craniocerebrais/diagnóstico , Traumatismos Faciais/diagnóstico , Lacerações/diagnóstico , Lesões do Pescoço/diagnóstico , Traumatismos em Atletas/terapia , Traumatismos Craniocerebrais/terapia , Traumatismos Faciais/terapia , Humanos , Lacerações/terapia , Lesões do Pescoço/terapia , Volta ao Esporte
12.
Curr Sports Med Rep ; 19(1): 29-34, 2020 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-31913921

RESUMO

Ocular injuries occur at a high rate in the United States and are a common complaint in the emergency department (ED). The CDC estimates that the annual rate for all-cause ocular injuries presenting to the ED is approximately 37.6 per 10,000 (1). The personal impact of ocular injury is an obvious one which necessitates urgent evaluation and possibly emergent ophthalmologic evaluation for vision preserving intervention. Specific sports and recreational activities increase the risk of injury; these include sports involving projectiles (i.e., target shooting, racquet sports, hockey pucks, lacrosse) as well as combat sports (i.e., martial arts, boxing, wrestling). Sideline physicians should be aware of the sports setting and be prepared for ocular injuries with the proper sideline equipment. Prompt recognition, management, and referral can lead to decreased morbidity in this select population.


Assuntos
Traumatismos em Atletas/diagnóstico , Traumatismos Oculares/diagnóstico , Traumatismos em Atletas/terapia , Traumatismos Oculares/terapia , Humanos , Estados Unidos
13.
Int J Sports Med ; 41(3): 168-174, 2020 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-31952082

RESUMO

The aim of this study was to investigate the risk factors and the incidence of injuries in high-intensity functional training (HIFT) practitioners. A survey was administered to 213 HIFT practitioners. Participants reported the number of injuries, the location of the injuries, and training exposure during the preceding six months and answered questions regarding potential risk factors for injury. We found there were 7.1 injuries for every 1000 hours of training. In addition, we found that individuals with experience in the modality (>2 years) were 3.77 times more likely to be affected by injury when compared with beginner individuals (<6 months) (CI95%=1.59-8.92; p=0.003). When the analysis was performed only for the competitive level, we found that practitioners competing at the national level were 5.69 times more likely to experience an injury than competitors who do not compete (CI95%=1.10-29.54; p=0.038). We also found that the injuries mainly affect the shoulder and lumbar regions. It was possible to conclude that subjects with a higher level of experience in the modality are more likely to be affected by injuries and that the shoulder and lumbar areas are most likely to be injured during HIFT.


Assuntos
Traumatismos em Atletas/epidemiologia , Condicionamento Físico Humano/efeitos adversos , Condicionamento Físico Humano/métodos , Adulto , Lesões nas Costas/epidemiologia , Comportamento Competitivo/fisiologia , Exercício , Feminino , Ginástica/lesões , Humanos , Incidência , Traumatismos do Joelho/epidemiologia , Masculino , Prevalência , Treinamento de Resistência/efeitos adversos , Estudos Retrospectivos , Fatores de Risco , Lesões do Ombro/epidemiologia , Traumatismos do Punho/epidemiologia , Adulto Jovem
14.
J Sports Sci ; 38(6): 612-618, 2020 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-31992133

RESUMO

The objective was to evaluate the effectiveness of an exercise-based warm-up programme ("VolleyVeilig") on the one-season occurrence of musculoskeletal injuries among recreational adult volleyball players. A prospective randomised controlled trial was conducted over the 2017-2018 volleyball season. Recreational adult volleyball players were allocated either to an intervention or control group. The Dutch version of the Oslo Sports Trauma Research Centre questionnaire was used to register and monitor acute and overuse injuries. A total of 672 volleyball players were enrolled: 348 in the intervention group (mean age: 30) and 324 in the control group (mean age: 27). The incidence rate of acute injury was 21% lower in the intervention group, namely 8.9 versus 11.3 per 1,000 h in the control group (Cox mixed effects crude model: hazard ratio = 0.82 [95%CI: 0.69-0.98]; Cox mixed effects adjusted model: 0.85 [95%CI: 0.71-1.02]). No significant difference in mean prevalence of overuse injury was found between the intervention (4.8%) and control (4.2%) groups. The severity of injuries was not significantly different between groups, while injury burden was slightly lower in the intervention group. The exercise-based warm-up programme led to a trend in less acute injuries among recreational adult volleyball players.


Assuntos
Sistema Musculoesquelético/lesões , Voleibol/lesões , Exercício de Aquecimento , Adulto , Traumatismos em Atletas/epidemiologia , Traumatismos em Atletas/prevenção & controle , Transtornos Traumáticos Cumulativos/epidemiologia , Transtornos Traumáticos Cumulativos/prevenção & controle , Feminino , Humanos , Incidência , Masculino , Países Baixos/epidemiologia , Prevalência , Estudos Prospectivos , Índices de Gravidade do Trauma , Adulto Jovem
15.
Einstein (Sao Paulo) ; 18: eRC4778, 2020.
Artigo em Inglês, Português | MEDLINE | ID: mdl-31994610

RESUMO

This is a case report of a previously healthy athlete who did not use oral anticoagulant, suffered a rupture of the distal biceps brachii tendon, and evolved with arm compartment syndrome. An emergency fasciotomy and the repair of the tendon were performed. After surgery the patient had a good recovery of the paresthesia and sensibility. This complication is rare and, when reported, is usually associated with patients who use anticoagulant therapy. Due to growth of rupture of distal biceps tendon cases, physicians should be aware that this complication must be treated as an emergency.


Assuntos
Traumatismos do Braço/complicações , Síndromes Compartimentais/etiologia , Traumatismos dos Tendões/complicações , Idoso , Traumatismos do Braço/cirurgia , Traumatismos em Atletas/complicações , Traumatismos em Atletas/cirurgia , Síndromes Compartimentais/cirurgia , Articulação do Cotovelo/lesões , Articulação do Cotovelo/cirurgia , Fasciotomia/métodos , Humanos , Masculino , Ruptura , Traumatismos dos Tendões/cirurgia , Resultado do Tratamento
16.
Int J Sports Med ; 41(3): 182-188, 2020 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-31902127

RESUMO

Female athletes are at an elevated risk for tearing their anterior cruciate ligament, compared to their male counterparts. Though injury screening clinical tests and neuromuscular training programs have been widely implemented, injury rates remain high among female athletes. The purpose of this study was to examine the relationship between serum relaxin concentrations and knee valgus during three clinical tests (single leg squat, drop vertical jump, and single leg crossover dropdown). Twenty-two female athletes volunteered. Participants were scheduled for collection during the mid-luteal phase, when serum relaxin concentrations are known to be measurable. Blood samples were collected, and serum relaxin concentrations were quantified. Kinematic data were collected while participants performed the three clinical tests. Regression analyses revealed statistically significant relationships between serum relaxin concentrations and knee valgus throughout all tests. These findings suggest that serum relaxin concentrations and knee valgus are not independent of each other and more holistic approaches may be necessary to truly map out the risk for injury and ultimately reduce the rate of anterior cruciate ligament injuries. Thus, concluding that knee valgus, a highly utilized modifiable biomechanical risk factor, and relaxin, a hormone that has been associated with anterior cruciate ligament injury in female athletes, are related to each other.


Assuntos
Articulação do Joelho/fisiologia , Relaxina/sangue , Adolescente , Lesões do Ligamento Cruzado Anterior/fisiopatologia , Lesões do Ligamento Cruzado Anterior/prevenção & controle , Traumatismos em Atletas/fisiopatologia , Traumatismos em Atletas/prevenção & controle , Fenômenos Biomecânicos , Teste de Esforço , Feminino , Humanos , Análise de Regressão , Fatores de Risco , Adulto Jovem
17.
Int J Sports Med ; 41(3): 154-160, 2020 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-31902129

RESUMO

We evaluated a range of physical characteristics related to hamstring injuries, as well as the Nordic Hamstring Exercise compliance rate, and whether this influenced the rate hamstring injury. Subjects comprised 259 male soccer players from seven high schools randomly clustered into two groups, a Nordic Hamstring Exercise group and a control group. Training and match time were logged, as well as details of hamstring injury, and subsequent time lost to hamstring injury recorded over a period of 27 weeks. The Nordic Hamstring Exercise compliance rate, injury rate per 10000 playing hours and time-lost-to-sport-injury rate were calculated. The relative risk and hamstring injury severity were also calculated. The hamstring injury rate was 1.04/10 000 h in the control group and 0.88/10 000 h in the intervention group. The relative risk for hamstring injury was 1.14. The time-lost to injury rate was 1116.3/10 000 h in the control group and 113.7/10 000 h in the intervention group; with relative risk 9.81. The Nordic Hamstring Exercise in high school soccer players significantly reduced hamstring injury severity compared to a control intervention. Our results indicate that the time-lost to injury rate should be taken into account when analyzing the severity of hamstring injury.


Assuntos
Músculos Isquiotibiais/lesões , Condicionamento Físico Humano/métodos , Futebol/lesões , Adolescente , Traumatismos em Atletas/epidemiologia , Traumatismos em Atletas/prevenção & controle , Lesões nas Costas/epidemiologia , Lesões nas Costas/prevenção & controle , Humanos , Extremidade Inferior/lesões , Masculino , Volta ao Esporte , Fatores de Tempo , Índices de Gravidade do Trauma
19.
J Sports Sci ; 38(1): 86-93, 2020 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-31707915

RESUMO

The predictive value of the multiple hop test for first-time noncontact lateral ankle sprains. BACKGROUND: Lateral ankle sprains (LAS) are very common sports injuries, cause high health care costs and are associated with postural control deficits. From a preventive point of view, clinicians should dispose valid field tests to identify athletes at risk for a LAS. The aim of this study is to evaluate the predictive value of the multiple hop test (MHT) for first-time noncontact LAS. METHODS: Non-elite athletes (n = 232) performed the MHT at baseline. During a 12-month follow-up period, all noncontact LAS related to health care costs were recorded. Outcomes of the MHT (completion time, balance errors and perceived difficulty) between the injured and uninjured group were compared and odds ratios (OR) and relative risks (RR) were calculated using a logistic regression analysis. RESULTS: Ten first-time noncontact LAS were recorded (4.3%). Injured athletes made significantly more change-in-support strategy (CSS) errors when compared to uninjured athletes (p = .04). The OR of the number of CSS errors was 1.14 (p = .03), the RR 4.1 (p = .04). CONCLUSIONS: Athletes scoring > 12 CSS errors, have a four times increased risk for a first-time noncontact LAS. The MHT is a valid field test to identify athletes at risk for a first-time noncontact LAS.


Assuntos
Traumatismos do Tornozelo/diagnóstico , Traumatismos em Atletas/diagnóstico , Teste de Esforço/métodos , Entorses e Distensões/diagnóstico , Adolescente , Adulto , Traumatismos do Tornozelo/fisiopatologia , Traumatismos em Atletas/fisiopatologia , Feminino , Humanos , Masculino , Equilíbrio Postural/fisiologia , Valor Preditivo dos Testes , Fatores de Risco , Entorses e Distensões/fisiopatologia , Adulto Jovem
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