Sports Injuries at the Rio de Janeiro 2016 Summer Olympics: Use of                     Diagnostic Imaging Services

BackgroundAcute muscle injuries in elite athletes are responsible for a large portion of time loss injuries.AimTo describe the frequency, the anatomic distribution, and severity of imaging-detected acute muscle injuries among athletes who competed in the Rio de Janeiro 2016 Summer Olympics.MethodsWe recorded all sports injuries reported by the National Olympic Committee medical teams and the Organising Committee medical staff during the 2016 Summer Olympics. Imaging of acute muscle injuries was performed at the IOC’s polyclinic within the Olympic Village using ultrasound and 3.0 T and 1.5 T MRI scanners. The assessment of images was performed centrally by three musculoskeletal radiologists. The distribution of injuries by anatomic location and sports discipline and the severity of injuries were recorded.ResultsIn total, 11 274 athletes from 207 teams were included. A total of 1101 injuries were reported. Central review of radiological images revealed 81 acute muscle injuries in 77 athletes (66% male, mean age: 25.4 years, range 18–38 years). Athletics (track and field) athletes were the most commonly affected (n=39, 48%), followed by football players (n=9, 11%). The majority of injuries affected muscles from lower limbs (n=68, 84%), with the hamstring being the most commonly involved. Most injuries were grade 2 injuries according to the Peetrons classification (n=44, 54%), and we found 18 injuries exhibiting intramuscular tendon involvement on MRI.ConclusionImaging-detected acute muscle injuries during the 2016 Summer Olympics affected mainly thigh muscles in athletics disciplines.

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Sports injuries in the pelvis and hip: diagnostic imaging

European Journal of Radiology ◽

10.1016/s0720-048x(98)00043-6 ◽

1998 ◽

Vol 27 ◽

pp. S49-S59 ◽

Cited By ~ 56

Author(s):

Fosco De Paulis ◽

Angelo Cacchio ◽

Osvaldo Michelini ◽

Arcadio Damiani ◽

Raoul Saggini

Keyword(s):

Diagnostic Imaging ◽

Sports Injuries

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Diagnostic Imaging for Sports Injuries of the Shoulder and Upper Arm in Baseball Pitchers

The Radiologist ◽

10.1097/00042423-200203000-00004 ◽

2002 ◽

Vol 9 (2) ◽

pp. 101-113

Author(s):

HIDEFUMI FUJISAWA ◽

TAMIO KUSHIHASHI ◽

RYUTARO UKISU ◽

TAMAKI ICHIKAWA ◽

TAKASHI KITANOSONO ◽

...

Keyword(s):

Diagnostic Imaging ◽

Sports Injuries ◽

Upper Arm ◽

Baseball Pitchers

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Epidemiology of imaging-detected tendon abnormalities in athletes participating in the Rio de Janeiro 2016 Summer Olympics

British Journal of Sports Medicine ◽

10.1136/bjsports-2017-098187 ◽

2017 ◽

Vol 52 (7) ◽

pp. 465-469 ◽

Cited By ~ 5

Author(s):

Mohamed Jarraya ◽

Michel D Crema ◽

Lars Engebretsen ◽

Oleg M Teytelboym ◽

Daichi Hayashi ◽

...

Keyword(s):

Medical Staff ◽

Rio De Janeiro ◽

Sports Injuries ◽

Image Interpretation ◽

Supraspinatus Tendon ◽

Track And Field ◽

Anatomical Location ◽

Cross Sectional ◽

Olympic Village ◽

Medical Teams

BackgroundTendon abnormalities are prevalent among both elite and non-elite athletes. Cross-sectional imaging modalities are used to confirm and evaluate the severity of such lesions.AimTo describe the demographics, prevalence, anatomical location and characteristics of tendon abnormalities in athletes who participated in the Rio de Janeiro 2016 Summer Olympic Games.MethodsWe recorded all sports injuries reported by the National Olympic Committee (NOC) medical teams and the Organizing Committee medical staff during the Rio 2016 Summer Olympics. Diagnostic imaging was performed through the official IOC clinic within the Olympic Village, using digital ultrasound machines and 3T and 1.5T MR scanners. Image interpretation was performed centrally by board-certified musculoskeletal radiologists with expertise in sports injuries.ResultsIn total, 11 274 athletes (5089 women (45%), 6185 men (55%)) from 207 NOCs were included. NOC and Rio de Janeiro 2016 medical staff reported 1101 injuries. Central review of radiological images revealed 156 tendon abnormalities in 109 athletes (51.2% male, mean age: 26.8, range 18–39). The supraspinatus tendon was the most commonly involved tendon (31 cases, 19.9%), followed by the Achilles tendon (20 cases, 12.8%) and patellar and infraspinatus tendons (12 cases, 7.7%). Tendon abnormalities were most commonly seen in track and field athletes (54 abnormalities, 34.6%).Conclusion156 tendon abnormalities were reported, most commonly in track and field athletes, and involving mainly the shoulder tendons, as well as Achilles and patellar tendons.

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Epidemiology of imaging-detected bone stress injuries in athletes participating in the Rio de Janeiro 2016 Summer Olympics

British Journal of Sports Medicine ◽

10.1136/bjsports-2017-098189 ◽

2017 ◽

Vol 52 (7) ◽

pp. 470-474 ◽

Cited By ~ 8

Author(s):

Daichi Hayashi ◽

Mohamed Jarraya ◽

Lars Engebretsen ◽

Michel D Crema ◽

Frank W Roemer ◽

...

Keyword(s):

Rio De Janeiro ◽

Sports Injuries ◽

Lower Extremities ◽

Stress Fractures ◽

Track And Field ◽

Anatomical Location ◽

Stress Reactions ◽

Bone Stress ◽

Stress Injuries ◽

Olympic Village

BackgroundBone stress injuries are common in high-level athletics.AimTo describe the demographics, frequency and anatomical location of stress injuries (ie, stress reaction and stress fractures) in athletes at the Rio de Janeiro 2016 Summer Olympic Games.MethodsWe recorded all sports injuries at the Rio de Janeiro 2016 Summer Olympics reported by the National Olympic Committee (NOC) medical teams and in the polyclinic and medical venues. Imaging was performed through the official IOC clinic within the Olympic Village, using digital X-ray cameras and 3T and 1.5T magnetic resonance (MR) scanners. Images were read centrally and retrospectively by musculoskeletal radiologists with expertise in sports injuries.Results11 274 athletes (5089 women (45%), 6185 men (55%)) from 207 NOCs participated in the study. 1101 injuries were reported. Imaging revealed 9 stress fractures (36%) and 16 stress reactions (64%) in 18 female and 7 male athletes (median age 25 years, age range 18–32). Stress injuries were mostly in the lower extremities (84%), particularly tibia (44%) and metatarsals (12%), with two in the lumbar spine (8%). Stress injuries were most common in track and field athletes (44%) followed by volleyball players (16%), gymnastics (artistic) (12%) and other type of sports.ConclusionsTwenty-five bone stress injuries were reported, more commonly in women, mostly in the lower extremities and most commonly in track and field athletes. Our study demonstrates the importance of early imaging with MRI to detect stress reactions before they can progress to stress fractures.

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Continuum of Care Following Sports-Related Concussion

American Journal of Speech-Language Pathology ◽

10.1044/2020_ajslp-19-00131 ◽

2020 ◽

Vol 29 (3) ◽

pp. 1389-1403

Author(s):

Jessica Brown ◽

Kelly Knollman-Porter

Keyword(s):

Young Adults ◽

Life Span ◽

Sports Injuries ◽

Continuum Of Care ◽

Medical Professional ◽

Structured Interviews ◽

Youth Athletes ◽

Speech Language Pathologist ◽

History Of ◽

Injury Reporting

Purpose Although guidelines have changed regarding federally mandated concussion practices since their inception, little is known regarding the implementation of such guidelines and the resultant continuum of care for youth athletes participating in recreational or organized sports who incur concussions. Furthermore, data regarding the role of speech-language pathologists in the historic postconcussion care are lacking. Therefore, the purpose of this retrospective study was to investigate the experiences of young adults with history of sports-related concussion as it related to injury reporting and received follow-up care. Method Participants included 13 young adults with history of at least one sports-related concussion across their life span. We implemented a mixed-methods design to collect both quantitative and qualitative information through structured interviews. Participants reported experiencing 42 concussions across the life span—26 subsequent to sports injuries. Results Twenty-three concussions were reported to a parent or medical professional, 14 resulted in a formal diagnosis, and participants received initial medical care for only 10 of the incidents and treatment or services on only two occasions. Participants reported concussions to an athletic trainer least frequently and to parents most frequently. Participants commented that previous experience with concussion reduced the need for seeking treatment or that they were unaware treatments or supports existed postconcussion. Only one concussion incident resulted in the care from a speech-language pathologist. Conclusion The results of the study reported herein shed light on the fidelity of sports-related concussion care management across time. Subsequently, we suggest guidelines related to continuum of care from injury to individualized therapy.

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