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Injury AND Risk AND Sport*

Leonard Achenbach, Werner Krutsch, Matthias Koch, Florian Zeman, Michael Nerlich, Peter Angele
PURPOSE: Side-to-side asymmetry in side-cutting manoeuvres is a known risk factor for severe knee injury. Potential leg asymmetry during ground contact times of different change-of-direction manoeuvres was evaluated in athletes by means of the recently developed SpeedCourt® system. The hypotheses were that ground contact times and the limb symmetry index are affected by age and the type of sports. METHODS: One-hundred and sixty-five athletes (149 men, 16 women, age 16...
October 12, 2018: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
Andreas Lundberg Zachrisson, Pia Desai, Jon Karlsson, Elias Johanesson, Stefan Grau
BACKGROUND: Overuse injuries (OI) are common in elite athletics. Previous studies have had athletes self-report injuries rather than having a medical professional provide a clear diagnosis. This might be a major reason for the inconsistencies in reported incident proportions of OI in elite athletics, in addition to the varying definitions of OI in current literature. Risk factors or combinations of risk factors (biomechanical, clinical, and training-related) have been shown to be important in the developmental process of OI...
October 13, 2018: BMC Musculoskeletal Disorders
Austin W Chen, Cortney S Archbold, Mark Hutchinson, Benjamin G Domb
Although recognized as the most well-trained providers to address musculoskeletal injuries, many orthopaedic surgeons do not routinely treat patients with nonmusculoskeletal issues in their clinical practice. Nonetheless, when serving as a team physician, an orthopaedic surgeon may need to initiate management of or manage many nonmusculoskeletal issues. Knowing how to accurately diagnose and initiate management of sports-related medical and surgical conditions is an important facet of being an orthopaedic team physician...
October 10, 2018: Journal of the American Academy of Orthopaedic Surgeons
Robin Mawson, Michael J Creech, Devin C Peterson, Forough Farrokhyar, Olufemi R Ayeni
BACKGROUND: Participation in youth soccer carries a significant risk of injury, most commonly non-contact injuries of the lower extremity. A growing body of research supports the use of neuromuscular interventions by teams to prevent such injuries, yet the uptake of these recommendations by soccer teams remains largely unexplored. The purposes of the study were to determine (1) the level of awareness by youth coaches of injury prevention programs and their efficacy; (2) the number of youth coaches that use these interventions; and (3) barriers and potential facilitators to implementing a sustainable injury prevention program...
October 11, 2018: Journal of Experimental Orthopaedics
Mutsumi Takahashi, Yogetsu Bando
AIM: Mouthguards can reduce the risk of sports-related injuries but the sheet material and thickness have a large effect on their efficacy and safety. The aim of this study was to investigate the effect of the thermoforming technique that moves the model position just before vacuum formation. MATERIALS AND METHODS: Ethylene-vinyl-acetate sheets of 4.0-mm thickness and a vacuum forming machine were used. The working model was placed with its anterior rim positioned 40 mm from the front of the forming table...
October 9, 2018: Dental Traumatology: Official Publication of International Association for Dental Traumatology
Shannon Cleary, Victoria Chi, Ronald Feinstein
PURPOSE OF REVIEW: The purpose of this review is to provide an updated summary on the unique aspects of caring for female youth and adolescent athletes. RECENT FINDINGS: Recent research on female athletes has led to a better understanding of injuries and conditions that are more likely to occur in female youth and adolescent athletes, including the frequency and severity of concussions, musculoskeletal injury such as involving the anterior cruciate ligament, and the female athlete triad...
October 8, 2018: Current Opinion in Pediatrics
Kathryn J Schneider, Alberto Nettel-Aguirre, Luz Palacios-Derflingher, Martin Mrazik, Brian L Brooks, Kaikanani Woollings, Tracy Blake, Carly McKay, Constance Lebrun, Karen Barlow, Kirsten Taylor, Nicole Lemke, Willem H Meeuwisse, Carolyn A Emery
OBJECTIVE: To examine rates of concussion and more severe concussion (time loss of greater than 10 days) in elite 13- to 17-year-old ice hockey players. METHODS: This is a prospective cohort study (Alberta, Canada). Bantam (13-14 years) and Midget (15-17 years) male and female elite (top 20% by division of play) youth ice hockey players participated in this study. Players completed a demographic and medical history questionnaire and clinical test battery at the beginning of the season...
October 8, 2018: Clinical Journal of Sport Medicine: Official Journal of the Canadian Academy of Sport Medicine
Brittany Mann, Allison H Gruber, Shane P Murphy, Carrie L Docherty
CONTEXT: The lateral ankle sprain is one of the most common lower extremity injuries in sports. Previous research has found that some prophylactic ankle supports reduce the risk of recurrent ankle sprains and provide extra support to the joint. However, there is a continued concern that these supports may negatively influence performance. OBJECTIVE: To determine if wearing an ankle brace influences athlete performance and ankle kinematics during functional performance tests (FPTs)...
October 9, 2018: Journal of Sport Rehabilitation
Dustin R Grooms, Janet E Simon, Sara L Dalton, Thomas P Dompier, Zachary Y Kerr
CONTEXT: Participation in high school athletics carries a substantial risk of musculoskeletal injury, particularly to the knee. However, limited information is available on the care being provided by athletic trainers (ATs) for athletes with these injuries. DESIGN: Descriptive epidemiology study. SETTING: Data on athletic training facility (ATF) visits and AT services were collected from 147 high schools in 26 states. PATIENTS OR OTHER PARTICIPANTS: High school student-athletes who participated in 13 boys' sports and 14 girls' sports and sustained a diagnosed knee injury during the 2011-2012 through 2013-2014 academic years...
October 9, 2018: Journal of Athletic Training
Ingrid Barelds, Anke G van den Broek, Bionka M A Huisstede
BACKGROUND: Ankle bracing has been verified as being effective for secondary prevention of ankle injuries. However, new studies have recently been published that are not included in previous meta-analyses. Furthermore, the effects of bracing for primary prevention of ankle injuries are still unclear. OBJECTIVE: The objective of this article was to systematically review the literature about the effectiveness of ankle bracing on primary and secondary prevention of acute ankle injuries in athletes...
October 8, 2018: Sports Medicine
Analiza M Silva
Advances in body composition assessment enable a detailed body composition analyses and the respective organization at different levels. Sports-related professionals are interested in understanding how and which body components are relevant for improving performance, prevent injury risk, and monitor athletic health. The aim of this review is to propose an integrative model that links performance, injury risk, and athletic health with body components, and to report their cross-sectional and longitudinal associations...
October 4, 2018: European Journal of Clinical Nutrition
Emma Kate Zadow, Murray John Adams, Cecilia M Kitic, Sam Shi Xuan Wu, James William Fell
While athletes are often considered the epitome of health due to their physique and lowered potential for metabolic and cardiovascular diseases, they may also be at risk for the onset and development of venous thromboembolism (VTE). In an attempt to achieve and remain competitive, athletes are frequently exposed to numerous athlete-specific risk factors, which may predispose them to VTE through the disruption of factors associated with Virchow's triad (i.e., hypercoagulability, venous stasis, and vessel wall injury)...
October 4, 2018: Seminars in Thrombosis and Hemostasis
Xavier Duralde, Troy Jones, Timothy Griffith
Team medical management for professional sports teams is a demanding and high-risk activity. Every different sport has unique features and the stresses athletes place on themselves, be it from collisions or repetitive stress, result in specific challenges for the medical team and team organization in general. Injuries in professional sports are costly both to the player and organization. The challenges of managing a professional baseball team exemplify these concerns and correlate well with other professional sports...
October 2, 2018: Journal of the American Academy of Orthopaedic Surgeons
Joshua Robert Zadro, Evangelos Pappas
Following an anterior cruciate ligament (ACL) injury, patients are often reassured that timely surgery followed by intensive physiotherapy will "fix their knee". Not only does this message create a false perception of uncomplicated return to sport (RTS), it also ignores the large body of evidence demonstrating a high RTS re-injury rate following ACL reconstruction. In this article, we propose an individualised approach to the management of ACL injuries that targets a shift away from early surgery and towards conservative management, with surgery 'as needed' and rehabilitation tailored to the patient's RTS goals...
October 4, 2018: Sports Medicine
Brian R Kupchak
Hemostasis is the ability of the body to control blood loss following vascular injury. The process is composed of a complex array of pathways made up of the coagulation and fibrinolytic systems that allow the fluid blood to clot after injury and then the subsequent breakdown of the clot, permitting repair of the injured tissue. Studies to date have shown exercise to be a stimulating factor in both the coagulation and fibrinolytic pathways. Additionally, air travel has been shown to be a risk factor for thrombosis...
October 3, 2018: Seminars in Thrombosis and Hemostasis
Melissa D McCradden, Michael D Cusimano
Background: Sport-related concussion is a significant public health concern. Little research has been conducted on sport-related concussion and injury prevention strategies in competitive sledding sports like bobsleigh, luge, and skeleton. Athletes have identified "sled head" as a key concern due to its symptom burden. Purpose: To summarize our knowledge of the prevalence of concussion and related symptoms in sledding sports; to utilize Haddon's Matrix to inform and define strategies for injury prevention...
2018: Frontiers in Neurology
J Michio Clark, T Blaine Hoshizaki, Michael D Gilchrist
Goaltenders in the sport of ice hockey are at high risk for concussions from falls to the ice, player collisions and puck impacts. However, current methods used to certify helmets only consider head accelerations for drop tests which may not describe all common injury mechanisms relating to concussion. The purpose of this study was to describe the characteristics of 3 events associated with concussions for ice hockey goaltenders. A helmeted medium National Operating Committee on Standards for Athletic Equipment (NOCSAE) headform was impacted under conditions representing 3 injury events...
October 2, 2018: Sports Biomechanics
Abdulhamit Misir, Turan Bilge Kizkapan, Kadir Ilker Yildiz, Yavuz Arikan, Rasit Ozcafer, Engin Cetinkaya
PURPOSE: The purpose of this study was to evaluate the role of surgeons' experience with meniscal repairs and meniscectomy decisions, and to determine the factors affecting the disagreement between meniscal repairs and meniscectomy decisions. METHODS: In total, 223 patients with meniscal tears, 106 meniscal repairs, and 117 meniscectomies were included. Six orthopedic surgeons (3: > 5 years; 3: < 5 years' arthroscopy experience) were blinded, and they independently reviewed all preoperative MR images for over a month...
September 29, 2018: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
David R Howell, Roger Zemek, Anna N Brilliant, Rebekah C Mannix, Christina L Master, William P Meehan
BACKGROUND: Although most children report symptom resolution within a month of a concussion, some patients experience persistent postconcussion symptoms (PPCS) that continues for more than 1 month. Identifying patients at risk for PPCS soon after an injury can provide useful clinical information. PURPOSE: To determine if the Predicting Persistent Post-concussive Problems in Pediatrics (5P) clinical risk score, an emergency department (ED)-derived and validated tool, is associated with developing PPCS when obtained in a primary care sports concussion setting...
September 28, 2018: American Journal of Sports Medicine
Jitka Marencakova, Tomas Maly, Dai Sugimoto, Tomas Gryc, Frantisek Zahalka
OBJECTIVE: The unique foot morphology and distinctive functions facilitate complex tasks and strategies such as standing, walking, and running. In those weight-bearing activities, postural stability (PS) plays an important role. Correlations among foot type, PS, and other musculoskeletal problems that increase sport injury risk are known. However, long-term associations among the foot type, the PS, and body weight (BW) distribution are lacking. Thus, the purpose of this study was to longitudinally identify changes in foot morphology, PS, and symmetry in BW distribution during adolescence among elite male soccer players...
2018: PloS One
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