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1.
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
2.
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
3.
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
4.
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
5.
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
6.
Br J Sports Med ; 54(3): 159-167, 2020 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-31722935

RESUMO

OBJECTIVE: To analyse differences between athletic disciplines in the frequency and characteristics of injuries during international athletics championships. METHODS: Study design, injury definition and data collection procedures were similar during the 14 international championships (2007-2018). National medical teams and local organising committee physicians reported all newly incurred injuries daily on a standardised injury report form. Results were presented as number of injuries and number of injuries per 1000 registered athletes, separately for male and female athletes, and for each discipline. RESULTS: From a total of 8925 male and 7614 female registered athletes, 928 injuries were reported in male and 597 in female athletes. The discipline accounting for the highest proportion of injuries was sprints, for both men (24%) and women (26%). The number of injuries per 1000 registered athletes varied between disciplines for men and women: highest in combined events for male athletes (235 (95% CI 189 to 281)) and female athletes (212 (95% CI 166 to 257)), and lowest for male throwers (47 (95% CI 35 to 59)) and female throwers (32 (95% CI 21 to 43)) and for female race walkers (42 (95% CI 19 to 66)). Injury characteristics varied significantly between disciplines for location, type, cause and severity in male and female athletes. Thigh muscle injuries were the main diagnoses in the disciplines sprints, hurdles, jumps, combined events and race walking, lower leg muscle injuries in marathon running, lower leg skin injury in middle and long distance running, and trunk muscle and lower leg muscle injuries in throws. CONCLUSIONS: Injury characteristics differed substantially between disciplines during international athletics championships. Strategies for medical service provision (eg, staff, facilities) during athletics championships should be discipline specific and be prepared for targeting the main injuries in each discipline.


Assuntos
Traumatismos em Atletas/classificação , Traumatismos em Atletas/epidemiologia , Atletismo/lesões , Feminino , Humanos , Masculino , Atletismo/classificação
7.
Br J Sports Med ; 54(3): 168-175, 2020 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-31796464

RESUMO

OBJECTIVE: To describe injuries and illnesses across traditional and new sports among the participating athletes of the Buenos Aires 2018 Youth Olympic Summer Games (BA YOG) (6-18 October 2018). METHODS: We recorded the daily number of athlete injuries and illnesses (1) through the reporting of all National Olympic Committee (NOC) medical teams and (2) in the polyclinic and medical venues manned by the BA YOG 2018 medical staff. RESULTS: In total, 3.984 athletes from 206 NOCs were observed. NOCs and BA YOG 2018 medical staff reported 619 injuries and 334 illnesses, equalling 15.5 injuries and 8.4 illnesses per 100 athletes over the 13-day period. The eight new sports on the Youth Olympic programme (futsal, beach handball, karate, roller speed skating, kitesurfing, BMX freestyle, climbing and break dancing) fell in between the other sports with respect to injury and illness risk. Injury incidence was highest in rugby (43% of all rugby players), followed by boxing (33%) and badminton (24%), and lowest in swimming, archery, roller speed skating, equestrian, climbing and rowing (<5%). The highest incidences of illness were recorded in golf (20%), followed by triathlon (16%), beach volleyball and diving (both 14%). Of the illnesses, 50% affected the respiratory system and 15% the gastrointestinal system. Injury and illness incidences varied between continents with athletes representing Europe having significantly fewer injuries and illnesses compared with other continents, apart from a similar illness incidence to Asian athletes. CONCLUSION: The overall injury incidence of 15.5 injuries per 100 athletes was higher, while the overall illness incidence of 8.4 illnesses per 100 athletes was similar to previous youth and Olympic Games. The new sports did not differ significantly compared with the other sports with respect to injury and illness risk.


Assuntos
Traumatismos em Atletas/epidemiologia , Doença , Esportes Juvenis/classificação , Esportes Juvenis/lesões , Adolescente , Argentina , Feminino , Humanos , Masculino , Estudos Prospectivos , Distribuição por Sexo
9.
J Sports Sci ; 38(3): 238-247, 2020 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-31755824

RESUMO

Rugby union is a popular team sport that demands high levels of physical fitness and skill. The study aim was to examine trends in training volume and its impact on injury incidence, severity and burden over an 11-season period in English professional rugby. Data were recorded from 2007/08 through 2017/18, capturing 1,501,606 h of training exposure and 3,782 training injuries. Players completed, on average, 6 h 48 minutes of weekly training (95% CI: 6 h 30 mins to 7 h 6 mins): this value remained stable over the 11 seasons. The mean incidence of training-related injuries was 2.6/1000 player-hours (95% CI: 2.4 to 2.8) with a mean severity rising from 17 days in 2007/08 to 37 days in 2017/18 (Change/season = 1.773, P <0.01). Rate of change in severity was dependent on training type, with conditioning (non-gym-based) responsible for the greatest increase (2.4 days/injury/season). As a result of increasing severity, injury burden rose from 51 days absence/1000 player-hours in 2007/08 to 106 days' absence/1000 player-hours in 2017/18. Despite the low incidence of injury in training compared to match-play, training accounted for 34% of all injuries. Future assessments of training intensity may lead to a greater understanding of the rise in injury severity.


Assuntos
Traumatismos em Atletas/epidemiologia , Futebol Americano/lesões , Condicionamento Físico Humano/efeitos adversos , Condicionamento Físico Humano/tendências , Inglaterra/epidemiologia , Humanos , Incidência , Escala de Gravidade do Ferimento , Estudos Longitudinais , Condicionamento Físico Humano/métodos , Análise de Regressão
10.
Int J Sports Med ; 41(1): 54-58, 2020 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-31747701

RESUMO

This study aimed to investigate exposure adjusted injury incidence rates and profiles associated with training and competition in an elite taekwondo athlete population. 82 athletes were investigated for injuries over a period of 5 years. Individual fight time exposure for training and competition was recorded. The type and location of the injuries were classified and exposure-adjusted injury incidence rates (IIR) were calculated per 1000 h for training and competition. 66 athletes with a mean age of 19.3±4.2 years and 172 injuries were included in the final data assessment. The exposure adjusted IIR was significantly higher during competition (p<0.001) with a rate ratio of 6.33 (95% CI 4.58-8.69). Ankle and foot region as well as hand and wrist were most affected with significant higher IIR in competition (p<0.001). Joint injuries, fractures, and bruising occurred the most. Fractures occurred mainly to the hand and wrist region. Future investigations should focus on exposure adjusted injury data including analyses of the detailed mechanism leading to especially severe injuries to improve specific injury prevention in competition and promote evolution of protective gear.


Assuntos
Traumatismos em Atletas/epidemiologia , Comportamento Competitivo/fisiologia , Artes Marciais/lesões , Condicionamento Físico Humano/efeitos adversos , Adolescente , Adulto , Traumatismos do Tornozelo/epidemiologia , Feminino , Traumatismos do Pé/epidemiologia , Traumatismos da Mão/epidemiologia , Humanos , Incidência , Masculino , Estudos Prospectivos , Traumatismos do Punho/epidemiologia , Adulto Jovem
11.
J Shoulder Elbow Surg ; 29(1): 139-145, 2020 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-31521523

RESUMO

BACKGROUND: Evidence is scarce concerning the relationship of physical dysfunction of the trunk and lower extremities with elbow and shoulder pain in young baseball players. This study aimed to examine the association of joint flexibility of the trunk and lower extremities and dynamic postural control with elbow and shoulder pain among elite young baseball players. METHODS: We analyzed baseball players (aged 9-12 years) who participated in the National Junior Sports Clubs Baseball Festival. Range of motion in external rotation and internal rotation (IR) of the hip, as well as the finger-to-floor distance and heel-to-buttock distance, was measured. The straight-leg-raise test was also conducted. Dynamic postural control was evaluated using the Star Excursion Balance Test. Multivariable logistic regression analyses were conducted to examine the association of physical function with the elbow or shoulder pain incidence. RESULTS: Of 210 players surveyed, 177 without elbow or shoulder pain were included in the analysis. Of the participants, 16 (9.0%) reported having elbow or shoulder pain during the tournament. Participants with the incidence of elbow or shoulder pain had a significant restriction in hip IR of the stride leg compared with those without pain (35.8° vs. 43.7°, P = .022). There were no significant associations of other joint flexibilities and the Star Excursion Balance Test with elbow or shoulder pain. CONCLUSION: Decreased hip IR range of motion of the stride leg was significantly associated with the elbow or shoulder pain incidence. Players, coaches, and clinicians should consider the physical function of the trunk and lower extremities for the prevention of elbow and shoulder pain.


Assuntos
Beisebol/lesões , Articulação do Quadril/fisiologia , Dor Musculoesquelética/epidemiologia , Rotação , Dor de Ombro/epidemiologia , Traumatismos em Atletas/epidemiologia , Estudos de Casos e Controles , Criança , Cotovelo , Humanos , Incidência , Masculino , Equilíbrio Postural , Amplitude de Movimento Articular
12.
Br J Sports Med ; 54(1): 38-43, 2020 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-30796104

RESUMO

OBJECTIVE: To describe the epidemiology of sports injury at the Pyeongchang 2018 Paralympic Winter Games. METHODS: 567 athletes from 49 countries were monitored daily for 12 days over the Pyeongchang 2018 Paralympic Winter Games (6804 athlete days). Injury data were obtained daily from teams with their own medical support (41 teams and 557 athletes) and teams without their own medical support (8 teams and 10 athletes) through two electronic data capturing systems. RESULTS: 112 of 567 athletes (19.8%) reported a total of 142 injuries, with an injury incidence rate (IR) of 20.9 per 1000 athlete days (95% CI 17.4 to 25.0). The highest IR was reported for para snowboard (IR of 40.5 per 1000 athlete days [95% CI 28.5 to 57.5]; p<0.02), particularly in the lower limb and head/face/neck anatomical areas. Across all sports at the Games, acute traumatic injuries (IR of 16.2 per 1000 athlete days [95% CI 13.2 to 19.8]) and injuries to the shoulder/arm/elbow complex (IR of 5.7 per 1000 athlete days [95% CI 4.2 to 7.8]) were most common. However, most injuries (78.9%) did not require time loss. CONCLUSION: The new Paralympic Winter Games sport of Para snowboard requires attention to implement actions that will reduce injury risk. The shoulder was the most injured single joint-a consistent finding in elite para sport.


Assuntos
Traumatismos em Atletas/epidemiologia , Esportes na Neve/lesões , Esportes para Pessoas com Deficiência/estatística & dados numéricos , Adolescente , Adulto , Distribuição por Idade , Idoso , Aniversários e Eventos Especiais , China/epidemiologia , Comportamento Competitivo , Feminino , Humanos , Incidência , Masculino , Pessoa de Meia-Idade , Estudos Prospectivos , Distribuição por Sexo , Lesões do Ombro/epidemiologia , Adulto Jovem
13.
Br J Sports Med ; 54(1): 44-48, 2020 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-31527043

RESUMO

OBJECTIVES: To describe the incidence, type, aetiology and severity of injuries sustained by the International Ski Federation World Cup level female ski jumpers during the 2017-18 season. DESIGN: Prospective cohort study. METHODS: Sixty-seven female ski jump athletes from 16 countries were followed throughout the 17-week winter season. Preseason baseline demographic data and injury history were recorded via questionnaire. Prospective biweekly reports and retrospective end-of-season interviews provided data on all injuries requiring medical attention. RESULTS: Seventeen injuries were recorded, corresponding to an incidence of 25.4 injuries/100 athletes/season. The incidence of time-loss and severe injuries were found to be 17.9 and 4.5, respectively. The knee was the most common site of injury (4/17; 23.5%). Fourteen injuries occurred on the ski jump hill and crash-landing was the most common mechanism of injury (10/14; 71%). Eighty-five per cent of all moderate and severe injuries occurred in snow or windy conditions. Length of jumps resulting in injury averaged 83.7% (95% CI 72.9% to 94.4%) of hill size. Moderate injuries causing 8-28 days absence from training activities were most common (7/17; 41%) and there were three severe injuries necessitating >4 weeks absence. CONCLUSION: Injuries among elite female ski jumpers are common and the majority are acute, resulting in time loss from training and competition. The knee was the most common site of injury and poor weather conditions may be a risk factor. Future studies are needed to identify risk factors for injury and to guide injury prevention initiatives.


Assuntos
Traumatismos em Atletas/epidemiologia , Esqui/lesões , Aniversários e Eventos Especiais , Traumatismos em Atletas/etiologia , Traumatismos em Atletas/prevenção & controle , Comportamento Competitivo/fisiologia , Transtornos Traumáticos Cumulativos/epidemiologia , Transtornos Traumáticos Cumulativos/prevenção & controle , Feminino , Humanos , Incidência , Traumatismos do Joelho/epidemiologia , Traumatismos do Joelho/etiologia , Traumatismos do Joelho/prevenção & controle , Condicionamento Físico Humano , Estudos Prospectivos , Estudos Retrospectivos , Fatores de Risco , Índices de Gravidade do Trauma , Tempo (Meteorologia)
14.
J Sports Sci Med ; 18(4): 780-788, 2019 12.
Artigo em Inglês | MEDLINE | ID: mdl-31827363

RESUMO

Tendinopathy is a critical medical condition that often hinders level of participation for professional and young athletes in many sports. The purpose of the study was to describe the incidence and severity of tendinopathy in a multi-sport club with professional and youth teams. We performed a retrospective epidemiological study. Incidence of tendinopathy in players (n = 3839; 8-38 years, professional and youth) was reviewed over 8 seasons (2008-2016) in 5 team sports: football, basketball, handball, roller hockey, and futsal. Team physicians diagnosed and classified tendinopathies according to anatomical location, sport types, playing category, sex, playing surface, lost training time, and severity (time to return to play). Injuries were coded using OSICS-10, and incidence of tendinopathies were calculated as the number of injuries per 100 players per season. The total relative frequency of tendinopathy (versus total injuries) was 22% (843/3839) over 8 seasons from 360 in youth and 483 in professional teams. The incidence of injury was the highest in professional basketball [69.9, 95%CI: (58.0-81.4)] followed by professional roller hockey [64.4, 95%CI: (47.3-85.6)], and professional futsal [36.2, 95%CI: (27.3-47.1)]. The most incidences commonly affected tendons were the patellar [11.7, 95%CI: (10.0-13.5)] and Achilles [10.3, 95%CI: (8.5-12.5)]. Tendinopathies represent a significant number of injuries in team sports and are more common in professional than youth teams, especially basketball and roller hockey. Additional studies are needed to understand associated time-loss and impact on performance, and to develop prevention strategies for high risk sports.


Assuntos
Traumatismos em Atletas/epidemiologia , Tendinopatia/epidemiologia , Adolescente , Adulto , Traumatismos em Atletas/classificação , Criança , Humanos , Incidência , Sistema de Registros , Estudos Retrospectivos , Volta ao Esporte , Estações do Ano , Espanha/epidemiologia , Tendinopatia/classificação , Adulto Jovem
15.
Curr Sports Med Rep ; 18(11): 394-400, 2019 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-31702721

RESUMO

Participation in skiing, and especially snowboarding, continues to rise. As participation and level of competition in these winter sports increases, the number of injuries increases as well. Upper-extremity injuries are more common in snowboarding, whereas lower-extremity injuries are more common in skiing. Head injuries, particularly concussions, are common in both sports. Special consideration in these sports should be given to environmental conditions, such as high altitude and ultraviolet radiation. The purpose of this review is to discuss the most common musculoskeletal injuries seen in skiing and snowboarding, as well as considerations for initial assessment of these injuries and triage to the appropriate level of care. It is important for sports medicine physicians covering these sports to understand initial assessment and treatment of these injuries. Due to the potential for severe injuries in these sports, it is important to be able to quickly recognize an injury that needs to be assessed and treated urgently or emergently. With the increased participation and number of injuries in these sports, it also is important to consider prevention strategies that may minimize risk of injury.


Assuntos
Traumatismos em Atletas/classificação , Esqui/lesões , Altitude , Traumatismos em Atletas/epidemiologia , Traumatismos Craniocerebrais , Humanos , Medicina Esportiva , Raios Ultravioleta
16.
J Comput Assist Tomogr ; 43(6): 981-985, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31738202

RESUMO

BACKGROUND: Athletes are prone to both acute and chronic overuse injuries of the elbow joint. The purpose of this study was to describe the frequency, anatomic distribution, and severity of magnetic resonance imaging (MRI)-detected elbow joint injuries among athletes who competed in the Rio de Janeiro 2016 Summer Olympics. METHODS: All sports injuries reported by the National Olympic Committee medical teams and the Organizing Committee medical staff during the 2016 Summer Olympics were analyzed. Magnetic resonance imaging was performed at the International Olympic Committee's polyclinic within the Olympic Village, using 3- and 1.5-T scanners. The MRIs were read centrally and retrospectively by musculoskeletal radiologists with expertise in sports injuries. The distribution of elbow joint injuries by anatomic location and sports discipline and the severity of injuries were recorded. RESULTS: A total of 1101 injuries were reported in the 11,274 athletes from 207 teams at the Games. Central review of MRI revealed elbow joint injuries in 15 athletes (60% male; median age, 22 years; range, 18-39 years). Ligamentous injuries were most common, with injuries of the ulnar collateral ligament being the most prevalent (n = 12; 80%), followed by the common flexor tendon (n = 8; 53%). Osseous injuries were far less common (n = 3; 20%), with no acute fractures seen. Weightlifting (n = 4; 27%) and judo (n = 4; 27%) athletes were most commonly affected. CONCLUSION: Magnetic resonance imaging-detected elbow injuries during the 2016 Summer Olympics affected mainly the ulnar collateral ligament and the common flexor tendon, with the highest occurrence in weight lifting and judo.


Assuntos
Traumatismos em Atletas/diagnóstico por imagem , Articulação do Cotovelo/lesões , Cotovelo/lesões , Traumatismos dos Tendões/diagnóstico por imagem , Adulto , Atletas , Traumatismos em Atletas/epidemiologia , Brasil , Cotovelo/diagnóstico por imagem , Articulação do Cotovelo/diagnóstico por imagem , Feminino , Humanos , Imagem por Ressonância Magnética/instrumentação , Masculino , Estudos Retrospectivos , Índice de Gravidade de Doença , Traumatismos dos Tendões/epidemiologia , Adulto Jovem
17.
Lakartidningen ; 1162019 Nov 14.
Artigo em Sueco | MEDLINE | ID: mdl-31742653

RESUMO

In Sweden equestrian sport activities are the sixth most popular sport and predominantly women and girls are engaged. Horses are prey animals and humans are predators, and the two species therefore act in completely different ways. It is well known that accidents can occur when horses and humans interact. Literature from different countries in the world reveals that most accidents happen to females and also children are at risk. The most common accident is when a rider falls from a horse, but also unmounted humans are at risk for injuries. Most of the injuries are uncomplicated, but there are several reports of serious injuries and death. Prevention of injuries is very important. Education about how horses behave and react in different situations and how to communicate with horses according to Natural Horsemanship strategies make the horses less inclined to escape. The effectiveness of helmets in preventing serious head injury has been well established.


Assuntos
Traumatismos em Atletas , Cavalos , Ferimentos e Lesões , Prevenção de Acidentes , Acidentes/estatística & dados numéricos , Adolescente , Adulto , Animais , Traumatismos em Atletas/epidemiologia , Traumatismos em Atletas/prevenção & controle , Criança , Humanos , Equipamentos de Proteção , Suécia/epidemiologia , Ferimentos e Lesões/epidemiologia , Ferimentos e Lesões/prevenção & controle , Adulto Jovem
18.
Orthopade ; 48(12): 1005-1012, 2019 Dec.
Artigo em Alemão | MEDLINE | ID: mdl-31705177

RESUMO

BACKGROUND: Sport climbing is rapidly becoming a popular trend sport, which has resulted in a surge of climbing-specific injuries. OBJECTIVES: The goal of this paper is to delineate the incidence of climbing-specific injuries focusing on finger and shoulder injuries. Furthermore, we aim to illustrate clinical symptoms and therapeutic strategies based on the current literature. MATERIALS AND METHODS: The incidence of climbing-specific injuries in a large patient population was recorded and diagnosis and treatment options were assessed considering the current literature. RESULTS: Finger and shoulder injuries are the most common entities in sport climbing. With regard to finger injuries, more than 30 different differential diagnoses were identified, with pulley injuries, tenosynovitis, epiphyseal fractures, as well as lumbrical muscle tears being of the greatest importance due to their climbing-specific nature. With regard to shoulder injuries, SLAP lesions play a particularly important role, currently representing the fifth most common diagnosis in the patient population analyzed. Further pathologies that are becoming increasingly important among sport climbers are injuries of the rotator cuff, long biceps tendon ruptures, impingement syndromes and injuries caused by shoulder dislocations (e.g. Bankart lesions). CONCLUSIONS: Finger injuries are common in sports climbing and can be challenging to diagnose and treat correctly. The number of shoulder injuries is expected to rise as new competition modalities and sub-disciplines (e.g. bouldering) increasingly stress athletes' musculoskeletal systems. An increase of degenerative injuries in long-time climbers is expected due to changes in the sport.


Assuntos
Traumatismos em Atletas/diagnóstico , Traumatismos dos Dedos/diagnóstico , Montanhismo/lesões , Lesões do Ombro/diagnóstico , Esportes , Traumatismos em Atletas/epidemiologia , Traumatismos dos Dedos/epidemiologia , Humanos , Incidência , Lesões do Ombro/epidemiologia , Traumatismos dos Tendões/epidemiologia
19.
Sports Health ; 11(6): 486-491, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31567052

RESUMO

CONTEXT: The incidence of sports-related concussion in females has been increasing in recent years. OBJECTIVE: To conduct a meta-analysis on sex-based differences in concussion incidence in various sports and to determine the effects of study design (retrospective vs prospective), setting (competition vs practice), and population (university and above vs high school and below) via a meta-regression. DATA SOURCES: PubMed (Medline), EMBASE, and Cochrane Library databases were searched from January 2000 to January 2018. STUDY SELECTION: Studies reporting sports-related concussion incidence data for both males and females (age ≥10 years) were included. STUDY DESIGN: Systematic review with meta-analysis and meta-regression. LEVEL OF EVIDENCE: Level 4. METHODS: The rate ratio was calculated as the concussion rate in females/males. Data were pooled using the DerSimonian-Laird random-effects model. RESULTS: Thirty-eight studies met the eligibility criteria and were included in the meta-analysis. Soccer and basketball demonstrated significantly higher incidence of concussions in females compared with males (rate ratio [95% CI], 1.76 [1.43-2.16] and 1.99 [1.56-2.54], respectively; P < 0.01). Sex-based differences in concussion incidence rates for baseball/softball, ice hockey, lacrosse, swimming/diving, and track and field were not statistically significant. In the meta-regression analysis, there were no significant effects on the rate ratio when evaluating study design, setting, and population. CONCLUSION: Concussion incidence rates were significantly higher in females than in males for soccer and basketball.


Assuntos
Traumatismos em Atletas/epidemiologia , Concussão Encefálica/epidemiologia , Basquetebol/lesões , Feminino , Humanos , Incidência , Masculino , Distribuição por Sexo , Futebol/lesões
20.
J Athl Train ; 54(11): 1179-1186, 2019 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-31580704

RESUMO

CONTEXT: Little is known about non-time-loss (NTL) injury patterns in basketball athletes. Knowledge of these patterns may aid in the development of prevention and management strategies for patients with these injuries. OBJECTIVE: To describe the epidemiology of time-loss (TL) and NTL injuries sustained by secondary school boys' and girls' basketball athletes. DESIGN: Descriptive epidemiology study. SETTING: Eighty-six unique schools provided data, with 84 and 83 contributing to boys' and girls' basketball, respectively. PATIENTS OR OTHER PARTICIPANTS: Athletes participating in secondary school-sponsored boys' and girls' basketball. MAIN OUTCOME MEASURE(S): Boys' and girls' basketball data from the National Athletic Treatment, Injury and Outcomes Network (NATION) injury-surveillance program (2011-2012 through 2013-2014 years) were analyzed. Injury counts, rates, and rate ratios (IRRs) were reported with 95% confidence intervals (CIs). RESULTS: The NATION captured 2653 injuries over 364 355 athlete-exposures (AEs) for boys' basketball and 2394 injuries over 288 286 AE for girls' basketball, producing rates of 7.28/1000 AEs (95% CI = 7.00, 7.56) for boys and 8.30/1000 AEs (95% CI = 7.97, 8.64) for girls. The overall injury rates were slightly lower for boys (IRR = 0.88; 95% CI = 0.83, 0.93). For boys, 559 (21.1%) injuries were TL and 2094 (78.9%) were NTL, producing a TL injury rate of 1.53/1000 AEs (95% CI = 1.40, 1.66) and an NTL injury rate of 5.75/1000 AEs (95% CI = 5.50, 5.99). For girls, 499 (20.8%) injuries were TL and 1895 (79.2%) were NTL, producing a TL injury rate of 1.73/1000 AEs (95% CI = 1.58, 1.88) and an NTL injury rate of 6.57/1000 AEs (95% CI = 6.28, 6.87). Rates of TL injuries were similar between boys' and girls' basketball (IRR = 0.89; 95% CI = 0.79, 1.00); NTL injury rates were lower for boys (IRR = 0.87; 95% CI = 0.82, 0.93). CONCLUSIONS: When NTL injuries were included, the rates of injury in boys' and girls' secondary school basketball were higher than previously reported.


Assuntos
Traumatismos em Atletas/epidemiologia , Basquetebol/lesões , Instituições Acadêmicas/estatística & dados numéricos , Adolescente , Traumatismos em Atletas/terapia , Feminino , Humanos , Incidência , Masculino , Receptor de Insulina , Estados Unidos
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