Injuries in Short Track Speed Skating

2003 ◽  
Vol 31 (4) ◽  
pp. 507-510 ◽  
Author(s):  
Andrew Quinn ◽  
Victor Lun ◽  
John McCall ◽  
Tom Overend
Keyword(s):  
Acute Onset ◽  
Time Loss ◽  
Pattern Of Injury ◽  
Speed Skating ◽  
Competitive Season ◽  
Insidious Onset ◽  
High Incidence ◽  
Elite Level ◽  
Location Type ◽  
Type Of Injury

Background Little is known about the pattern of injury in short track speed skating. Purpose To investigate the incidence and characteristics of injuries in short track speed skating. Study Design Retrospective study. Methods Ninety-five of 150 elite-level skaters (63.3%) were surveyed to collect information on training and competition load as well as on injuries sustained during the 1999—2000 competitive season. Injuries were characterized in terms of anatomic location, type of injury, time loss from training and competition, and circumstance of injury (acute onset during competition, on-ice practice, off-ice training, or insidious onset). Results Sixty-one of the 95 skaters (64.2%) reported sustaining at least one injury. The knee, ankle, spine, leg, and groin were the most commonly reported sites of injury. Skaters were also asked to list previous on-ice injuries. The two most common injuries occurring on-ice before the 1999—2000 season were lacerations from the knee down (11.1%) and ankle fractures (10.2%). Conclusion The results of this study suggest that there is a high incidence of injury in competitive short track speed skating.

Injury incidence and characteristics for elite, male, artistic USA gymnastics competitions from 2008 to 2018

2020 ◽  
pp. bjsports-2019-101297
Author(s):  
David William Kruse ◽  
Andrew Seiji Nobe ◽  
John Billimek
Keyword(s):  
Athletic Trainers ◽  
Common Type ◽  
Injury Incidence ◽  
Muscle Strain ◽  
Time Loss ◽  
Certified Athletic Trainers ◽  
Injury Site ◽  
The Usa ◽  
Location Type ◽  
Type Of Injury

ObjectivesTo determine the injury incidence and characteristics for elite, male, artistic USA gymnasts during gymnastics competitions, held in the USA, from 2008 to 2018.MethodsInjury documentation performed by lead physician and certified athletic trainers at elite junior and senior USA Gymnastics competitions from 2008 to 2018 were reviewed and compiled into an excel database. Injury incidence was computed per 1000 registered gymnasts by competition setting as well as injury location, type, cause, severity, and setting.ResultsFrom 2008 to 2018, 180 injuries were reported in a total of 2102 gymnasts with injury incidence of 85.6 per 1000 gymnasts (95% CI 73.4 to 97.8). The most common injury site was at the ankle (16.7 per 1000 gymnasts, 95% CI 10.9 to 22.4), and muscle strain/rupture/tear was the most common type of injury (28.5 per 1000 gymnasts, 95% CI 21.2 to 35.9). The most common cause was contact with surface (56.1 per 1000 gymnasts, 95% CI 46.1 to 66.2), and the event where most injuries were sustained was the vault (21.9 per 1000 gymnasts, 95% CI 15.4 to 28.4). Incidence of time loss injuries was 38.5 per 1000 gymnasts (95% CI 30.1 to 47.0). Injury incidence was higher during competition (58.5 per 1000 gymnasts, 95% CI 48.2 to 68.8) than during training (27.1 per 1000 RG, 95% CI 19.9 to 34.3; RR 2.16, 95% CI 1.59 to 2.94, p<0.001); injury incidence was greater at Olympic Trials (RR 3.23, 95% CI 1.24 to 8.47, p=0.017) than at National Qualifier meets. We report concussion incidence in gymnastics (5.7 per 1000 gymnasts, 95% CI 2.3 to 9.2).ConclusionsThis is the largest injury study to date for male artistic gymnasts (180 injuries, 2102 gymnasts, 11 years).

scholarly journals CHRONIC TRAUMATIC DISLOCATION OF II-V METACARPAL BONES: CASE REPORT

2014 ◽  
Vol 2 (4) ◽  
pp. 61-65
Author(s):  
Vladimir Ivanovich Zavarukhin ◽  
Ekaterina Sergeevna Morenko ◽  
Sergey Ivanovich Golyana ◽  
Anton Vladimirovich Govorov
Keyword(s):  
Clinical Manifestations ◽  
Primary Treatment ◽  
Long Term Results ◽  
Carpometacarpal Joints ◽  
Results Of Treatment ◽  
Metacarpal Bones ◽  
High Incidence ◽  
Traumatic Dislocation ◽  
Type Of Injury

Dislocations in the carpometacarpal joints of three-phalanx fingers are rare form of injury. Their clinical manifestations are often veiled by swelling, and radiographs in standard views provide little information, which leads to difficulty in diagnosis and a high incidence of unidentified dislocations in the primary treatment. The article describes the basic provisions of the diagnosis and treatment of this type of injury, a clinical case of surgical treatment of undiagnosed dislocations of II-V metacarpal bones in the acute period, and long-term results of treatment.

scholarly journals Can Elastosonography Be Useful in Improving Diagnosis and Prognosis of Acute Muscle Injuries?

Joints ◽  
2018 ◽  
Vol 06 (02) ◽  
pp. 116-121
Author(s):  
Marco Cianforlini ◽  
Serena Ulisse ◽  
Valentino Coppa ◽  
Marco Grassi ◽  
Marco Rotini ◽  
...  
Keyword(s):  
Cohort Study ◽  
Young Male ◽  
Muscle Injuries ◽  
Level Of Evidence ◽  
Muscle Disorders ◽  
Diagnosis And Prognosis ◽  
Observational Cohort ◽  
Location Type ◽  
Type Of Injury

Purpose The objective of this study was to investigate the ability of elastosonography (USE) in the identification of different grades of muscular injuries, comparing its effectiveness with traditional ultrasound (US) survey and by relating the results to the clinical classification of muscular pain. Methods In the period between August 2014 and May 2016, we conducted a prospective cohort study on a population of 34 young male professional athletes belonging to the same under-17 football club (Ancona 1905). Injuries were recorded according to location, type, mechanism, recurrence, and whether they occurred with or without contact. Muscle pain was classified, after a physical examination, according to the classification of Mueller-Wohlfahrt et al. All athletes were evaluated by musculoskeletal US and USE in hours following the trauma/onset of pain. Results Seventy injuries were documented among 19 players. Muscle/tendon injuries were the most common type of injury (49%). USE showed areas of edema in nine lesions that were negative at the US examination and previously classified as fatigue-induced muscle disorders. These nine players took more time to return to physical activity compared with others with injuries classified into the same group, but negative at USE evaluation. Conclusion USE is a valuable aid in the diagnosis and prognostic evaluation of muscle injury, as it detects pathologic changes that are not visible with the B-mode US. Level of Evidence This is a Level III, observational cohort study.

scholarly journals Lesões Músculo-Esqueléticas em Remadores de Competição

2015 ◽  
Vol 28 (4) ◽  
pp. 427 ◽  
Author(s):  
Francisco Bernardes ◽  
Alfredo Mendes-Castro ◽  
José Ramos ◽  
Ovídio Costa
Keyword(s):  
Statistical Analysis ◽  
Anatomical Location ◽  
Lumbar Region ◽  
Confidence Levels ◽  
Injury Occurrence ◽  
Parametric Statistics ◽  
The Mean ◽  
Occurrence Type ◽  
Location Type ◽  
Type Of Injury

<p><strong>Introduction:</strong> The objective of this study was the assessment of the injuries occurred over the competitive rowing lifetime of Portuguese senior rowers.<br /><strong>Material and Methods:</strong> We sent a questionnaire to all Portuguese senior rowers medalled in the national championships during the 2013-2014 season. We analysed biometric variables, anatomic location, type and circumstances of injury occurrence, type of treatment provided and time of inactivity. For statistical analysis we used parametric and non-parametric statistics with 95% confidence levels (p &lt; 0.05).<br /><strong>Results:</strong> The questionnaire was answered by 18 of the 18 female and 74 of the 77 male rowers. Females had significantly lower ages, heights and weights and rowed more often sculling boats (p &lt; 0.05). The number of years of practice, as well as the number of injuries per rower was similar, for both females and males. The mean age at the first injury was significantly lower in females (p &lt; 0.001), who also had more progressive lesions than acute ones, although not significantly. In both, the most frequent anatomical location and type of injury were the lumbar region and muscular pathology, with a higher occurrence in winter and spring, during land training. Females<br />sustained longer periods of inactivity, but not significantly.<br /><strong>Discussion:</strong> The results that were different from those reported by other authors may be related with differences in the studied populations or with other factors that need to be clarified.<br /><strong>Conclusion: </strong>The injuries sustained by the Portuguese competitive rowers, probably associated with a lower competitive exposure of our athletes, were less severe than those generally reported in the literature.</p>

High Incidence of Non-Neutropenic Infections Induced by Rituximab Plus Chemotherapy and Associated with Hypogammaglobulinemia: A Frequently Unrecognized and Easily Treatable Complication.

Blood ◽  
2005 ◽  
Vol 106 (11) ◽  
pp. 2445-2445
Author(s):  
Fernando Cabanillas ◽  
Orestes Pavia ◽  
Ezequiel Rivera
Keyword(s):  
Otitis Media ◽  
Single Agent ◽  
Female Gender ◽  
Acute Onset ◽  
Infusion Therapy ◽  
Factors Associated ◽  
Independent Variables ◽  
Kaplan Meier ◽  
High Incidence ◽  
Different Types

Abstract In the pivotal single agent Rituximab trial, hypogammaglobulinemia occurred in only 14% of cases and was not considered to be associated with any morbidity. Our experience with the combination of Rituximab plus chemotherapy (R-Chemo) seemed to differ from the single agent experience and suggested that this complication might occur commonly as a consequence of therapy, can lead to significant infectious morbidity and frequently is not recognized by clinicians. We thus analyzed our experience with R-Chemo in 97 patients (median age 58) to determine: 1- frequency and type of non-neutropenic infections (NNI). 2- frequency and type of hypogammaglobulinemia. 3- response to gammablobulin infusion therapy. 4- factors associated with development of NNI. To be considered as NNI, only those cases of bronchitis, sinusitis or pneumonia of acute onset and lasting over two weeks in spite of antibiotics or relapsing immediately after discontinuation of antibiotics, were counted. Others counted as NNI were infections requiring hospitalization in spite of normal neutrophils and Herpes Zoster (H.Z.). We observed a total of 40 episodes of NNI in 19 pts for a total of 19/97 (20%) pts who developed some type of NNI. A Kaplan-Meier cumulative estimate revealed that by 3 years, 43% of pts treated with R-Chemo were projected to have developed at least one NNI. Of the 19 pts with NNI, 15 had Ig levels studied and all 15 had hypogammaglobulinemia. The most frequently affected Ig were IgG (14/15) and IgM (13/14). Ig A was usually spared (only 6/14 cases affected). Types of NNI observed were 18 bronchitis, 16 sinusitis, 4 pneumonias, 3 otitis media, 2 FUOs and 3 H.Z. Some pts had combined episodes of different types of NNI (ex. sinusitis and bronchitis) and 7/19 required hospitalization. Ten pts. received gammaglobulin infusions and all 10 cases responded promptly. Gammaglobulin infusions were given sporadically and only when NNIs recurred; their effect was long lasting, frequently for as long as 6–12 months after administration. We examined sex, age (&lt;60 vs ≥60 ), histology (indolent vs aggressive), type of R-Chemo (Fludara+R vs other Chemo+R) for their correlation with development of NNI. Indolent histology, female sex and Fludara+R significantly correlated with NNI at P&lt;.05 but multivariate analysis first picked Fludara+R followed by female gender as the only 2 independent variables predictive of NNI. Figure 1 below illustrates the cumulative incidence of NNI according to type of R-Chemo regimen. Figure Figure Conclusions: 1-Clinicians should be aware of the exceedingly high incidence of NNI and hypogammaglobulinemia associated with R-Chemo, particularly with, but not limited to Fludara+R. 2- This can lead to significant morbidity including hospitalizations and is usually manifested as either bronchitis, sinusitis, pneumonia, otitis media, and non-neutropenic FUO, frequently of delayed onset. 3-Females who receive Fludara-R are particularly prone to develop NNI (incidence is 63% in females vs 10% males, p=.01). 4- Hypogammaglobulinemia leading to NNI is a frequent cause of hospitalization. 5-Treatment with gammaglobulin infusion is very effective and there is no need to repeat it monthly.

Dementia of acute onset in the Canadian Study of Health and Aging

2005 ◽  
Vol 17 (3) ◽  
pp. 451-459 ◽  
Author(s):  
Paige King ◽  
Pratima Devichand ◽  
Kenneth Rockwood
Keyword(s):  
Risk Factors ◽  
Acute Onset ◽  
Vascular Risk Factors ◽  
Adverse Outcomes ◽  
Vascular Risk ◽  
Canadian Study ◽  
People With Dementia ◽  
Gradual Onset ◽  
Insidious Onset ◽  
Onset Group

Background: Although most people with dementia experience an insidious onset of symptoms, in some cases onset can be acute. The importance of acute onset is unclear. Some reports suggest that it portends a worse course.Methods: We performed a secondary analysis of the clinical examination cohort (n=2914) of the Canadian Study of Health and Aging (CSHA). We defined “acute onset of dementia” from the Cambridge Examination for Mental Disorders in the Elderly (CAMDEX) questionnaire, conducted with an informant. People with dementia of acute onset were compared to those with dementia of insidious onset for development of adverse outcomes of death and institutionalization over 5years.Results: Of the 1132 people who had dementia, 130 (11.5%) met criteria for acute onset. Compared with gradual-onset dementia patients, those with acute-onset dementia were more often men (42% vs. 30%, p<0.05), resided in nursing homes (75% vs. 63%, p<0.05), had vascular risk factors (72% vs. 47%, p<0.05), and a Hachinski Ischemia Scale (HIS) score ≥7 (64% vs. 19%, p<0.05). More patients with dementia of acute onset than gradual onset were diagnosed with vascular dementia (55% vs. 13%; p<0.05). Adjusted hazard ratios (HRs) for survival and institutionalization in the acute-onset group were 0.93 [95% confidence interval (CI) 0.7–1.2] and 0.76 (95% CI 0.4–1.3), respectively, compared with the gradual-onset group.Conclusions: People with acute-onset dementia had more vascular risk factors than those with gradual-onset dementia across all dementia diagnoses, and lower risks of institutionalization but worse survival. Routine inquiry about the onset of dementia might help to better clarify prognoses in patients with dementia.

Skin conductance responsivity during acute episodes of schizophrenia as a predictor of symptomatic improvement

1979 ◽  
Vol 9 (1) ◽  
pp. 101-106 ◽  
Author(s):  
C. D. Frith ◽  
Marilyn Stevens ◽  
Eve C. Johnstone ◽  
T. J. Crow
Keyword(s):  
Skin Conductance ◽  
Marked Improvement ◽  
Poor Prognosis ◽  
Symptomatic Improvement ◽  
Acute Onset ◽  
Acute Episode ◽  
Poor Outcome ◽  
Active Medication ◽  
Skin Conductance Responses ◽  
Insidious Onset

SYNOPSISSkin conductance responses to a series of tones were measured in 41 patients during an acute episode of schizophrenia before they received treatment and after 4 weeks of treatment with either α-flupenthixol, β-fiupenthixol or placebo. Patients who did not habituate to the tones prior to treatment tended to show no symptomatic improvement during the course of treatment. Patients who habituated and also showed an acute onset of their current symptoms (‘Feighner negative’ patients) showed a marked improvement even without active medication. Skin conductance responsivity did not change with improvement in symptoms alone, but decreased in patients on active medication (α-flupenthixol).Non-habituation of skin conductance and insidious onset (i.e. fulfilment of the Feighner criteria) were found to be independent predictors of poor outcome. Taken together, these criteria may define a group of patients with particularly poor prognosis.

Factors associated with disease expression patterns in systemic lupus erythematosus patients: results from LUMINA (LXXVII), a multiethnic US cohort

Lupus ◽  
2016 ◽  
Vol 26 (6) ◽  
pp. 650-655 ◽  
Author(s):  
M F Ugarte-Gil ◽  
V R Pimentel-Quiroz ◽  
L M Vilá ◽  
J D Reveille ◽  
G McGwin ◽  
...  
Keyword(s):  
Disease Activity ◽  
Lupus Erythematosus ◽  
Expression Patterns ◽  
Damage Index ◽  
Acute Onset ◽  
Frequent Pattern ◽  
Categorical Variables ◽  
Disease Expression ◽  
Insidious Onset ◽  
Multivariable Analyses

Objective The objective of this study was to determine the association of disease expression patterns with demographic and clinical characteristics in SLE. Methods Patients from a multi-ethnic SLE cohort were included. Disease expression patterns were defined as acute SLE and insidious SLE; this group was divided into those who accrued three ACR criteria and then accrued the fourth (insidious pattern A) and those who have one or two and then accrued four criteria (insidious pattern B). Disease activity was ascertained with the SLAM-R and disease damage with SLICC/ACR damage index. Variables were compared using analysis of variance for numeric variables and χ2 for categorical variables. Multivariable analyses adjusting for possible confounders were performed. Results Six hundred and forty patients were included; the most frequent pattern was the insidious pattern B, with 415 (64.8%) patients, followed by the acute SLE group with 115 (18.0%) and the insidious pattern A with 110 (17.2%) patients. Patients from the insidious pattern A were older at diagnosis (pattern A: 39.8 vs pattern B: 36.7 vs acute: 32.4 years; p < 0.0001), more educated (13.6 vs 13.1 vs 12.1; p = 0.0008) and with a less active disease at baseline (8.8 vs 9.2 vs 10.7; p = 0.0227). Caucasian and Hispanic (Puerto Rico) ethnicities were overrepresented in this group (40.0% vs 27.7% vs 19.1% and 18.2% vs 17.1% vs 9.6%; p = 0.0003). Conclusions More insidious onset is associated with older age, Caucasian ethnicity, higher level of education, and lower disease activity than those with acute onset. However, after multivariable analyses, disease activity was not associated with any disease expression pattern.

The Varied Outcomes of Schizophrenia

1997 ◽  
Vol 42 (1) ◽  
pp. 34-43 ◽  
Author(s):  
Larry Davidson ◽  
Thomas H McGlashan
Keyword(s):  
Negative Symptoms ◽  
Cognitive Impairments ◽  
Acute Onset ◽  
Favourable Outcome ◽  
Research Literature ◽  
Cross Cultural ◽  
Poor Outcome ◽  
Affective Symptoms ◽  
Insidious Onset ◽  
Over Time

Objective: To review variations in outcomes in schizophrenia across individual, historical, and cross-cultural boundaries, as well as within specific domains of functioning. Method: Research literature on the outcomes of schizophrenia appearing within the last 8 years was reviewed. Results: First, a review of follow-up studies published in the developed world suggests that heterogeneity in outcome across individuals with schizophrenia remains the rule, with affective symptoms, later and acute onset, and responsiveness to biological treatments predictive of good outcome. Negative symptoms are associated with poor outcome, cognitive impairments, and incapacity in social and work domains. Deterioration appears to occur within the first few months of onset if not already in the prodrome, with recent early-course studies finding longer duration of untreated psychosis associated with insidious onset, negative symptoms, social and work incapacity, and poor outcome. Second, a review of recent cross-cultural and historical studies provides evidence that outcome varies across time and place, schizophrenia having a more favourable outcome in the developing world and becoming a more benign disorder over the course of this century. Third, a review of studies of the domains of functioning within individuals identifies 4 relatively independent dimensions of depression and negative, psychotic, and disorganized symptoms. Cognitive deficits, which are associated with negative symptoms, also constitute a relatively stable dimension over time, showing neither marked deterioration nor improvement once established early in the course of disorder. Conclusions: The early appearance and stability over time of negative symptoms and cognitive impairments call for assertive intervention efforts early in the course of disorder to prevent chronicity and prolonged disability.

scholarly journals Injury surveillance in taekwondo and judo during physiotherapy coverage of the seventh all Africa Games

2001 ◽  
Vol 57 (1) ◽  
pp. 32-34 ◽  
Author(s):  
J. S. Phillips ◽  
J. M. Frantz ◽  
S. L. Amosun ◽  
W. Weitz
Keyword(s):  
Early Diagnosis ◽  
Injury Prevention ◽  
Risk Ratio ◽  
Medical Staff ◽  
Injury Risk ◽  
Injury Severity ◽  
Upper Limbs ◽  
Severe Injuries ◽  
High Incidence ◽  
Type Of Injury

Objective: To obtain data relating to the incidence of injuries sustained during taekwondo and judo competitions at the 7th All Africa Games.Methods: Prospective recording of injuries sustained by athletes who sought physiotherapy services at the games. Details of type of injury, injury sites and injury severity were obtained.Results: Seventy athletes out of 390 participants reported injuries. The overall injury risk ratio was 0.18. Injuries reported were strains/sprains (65,6%), bruises/contusions (16.1%) and dislocations or fractures (12,9%). The upper limbs were more commonly injured. Of the injuries sustained, approximately 18%, 69% and 13% were respectively classified as mild, moderate and severe injuries.Conclusions: The high incidence of moderate to severe injuries highlights the need for injury prevention programs and the presence of medical staff at major tournaments in order to make early diagnosis and appropriate intervention.

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