Ankle and Lower Leg Injuries in Professional Baseball Players

2020 ◽  
Vol 48 (4) ◽  
pp. 908-915 ◽  
Author(s):  
Christopher J. Lucasti ◽  
Myles Dworkin ◽  
William J. Warrender ◽  
Brian Winters ◽  
Steven Cohen ◽  
...  
Keyword(s):  
Surveillance System ◽  
Tracking System ◽  
Lower Leg ◽  
Injury Surveillance ◽  
Professional Baseball ◽  
Injury Surveillance System ◽  
Baseball Players ◽  
Minor League Baseball ◽  
Leg Injuries ◽  
Minor League

Background: Ankle and lower leg injuries are very common in sports, and numerous studies have discussed their diagnosis and management. Our study differs in that we report lower leg injuries in professional baseball players spanning the 2011-2016 seasons by utilizing a comprehensive injury surveillance system developed by Major League Baseball (MLB). Purpose: To determine the injury characteristics of ankle and lower leg injuries in professional baseball players during the 2011-2016 seasons by utilizing the MLB injury surveillance system. Study Design: Descriptive epidemiology study. Methods: Our study is a descriptive epidemiological evaluation through a retrospective review of injury data from the MLB Health and Injury Tracking System (HITS) since its implementation in 2010. We included any professional baseball player (MLB and Minor League Baseball [MiLB]) who was identified as having an ankle or lower leg injury between January 1, 2011, and February 28, 2017. Results: Over the study period, there were a total of 4756 injuries, of which 763 (16%) occurred in MLB players and 3993 (84%) occurred in MiLB players. The mean number of days missed for all players was 27.8 ± 141.4 days, with a median of 3 days. From 2011 through 2016, it was estimated that there were 414,912 athlete exposures (AEs) in MLB and 1,796,607 AEs in MiLB. Of the 4756 injuries recorded, 550 (12%) took place during the MLB regular season, and 3320 (70%) took place during the MiLB regular season. Injuries in MLB players, however, were 1.7 times more likely to require surgery ( P < .001). Additionally, rates of injury to the lower leg were stratified by position, with infield players experiencing injuries at a 1.6 times greater rate than any other position ( P < .001). Conclusion: In conclusion, this is the only epidemiological study to focus primarily on ankle and lower leg injuries in professional baseball players, utilizing an injury surveillance system developed by MLB.

scholarly journals Ankle and Lower Leg Injuries in Professional Baseball Players

2019 ◽  
Vol 4 (4) ◽  
pp. 2473011419S0028
Author(s):  
Christopher Lucasti ◽  
Myles Dworkin ◽  
William Warrender ◽  
David Pedowitz ◽  
Brian Winters ◽  
...  
Keyword(s):  
Surveillance System ◽  
Major League Baseball ◽  
Lower Leg ◽  
Injury Surveillance ◽  
Professional Baseball ◽  
Injury Surveillance System ◽  
Baseball Players ◽  
Leg Injuries ◽  
Minor League ◽  
Major League

Category: Ankle, Sports, Trauma Introduction/Purpose: The purpose of this study was to determine the injury characteristics of ankle and lower leg injuries in professional baseball players during the 2011-2016 seasons by utilizing the Major League Baseball (MLB) injury surveillance system. Methods: Our study is a descriptive epidemiological evaluation through a retrospective review from the MLB Health and Injury Tracking System (HITS) since its implementation in 2011. We included any professional baseball player (Major League and Minor League) who was identified as having an ankle or lower leg injury from January 1, 2011 through February 28th, 2017.Over the study period there were a total of 4,756 injuries of which 763 (16.0%) occurred in the Major League and 3,993 (84.0%) occurred in the Minor League. Results: The average number of days missed for all players was 27.8 days (+/-141.4 days) with a median of 3 days. From 2011 through 2016 it was estimated that there were 414,912 athlete exposures (AEs) in Major League Baseball and 1,796,607 AEs in the Minor Leagues. Of the 4,756 injuries recorded, 550 (11.6%) took place during the Major League regular season and 3,320 (69.8%) took place during the Minor League regular season. Major League injuries, however, were 1.7 times more likely to require surgery (p < .001). Additionally, rates of injury to the lower leg were stratified by position with infield players experiencing injuries at a 1.6 times greater rate than any other position (p < .001). Conclusion: In conclusion, the data from this study represents the only epidemiological study to focus primarily on lower leg injuries in professional baseball players utilizing an injury surveillance system developed by MLB.

Elbow Injuries in Professional Baseball: Epidemiological Findings From the Major League Baseball Injury Surveillance System

2017 ◽  
Vol 45 (10) ◽  
pp. 2319-2328 ◽  
Author(s):  
Michael G. Ciccotti ◽  
Keisha M. Pollack ◽  
Michael C. Ciccotti ◽  
John D’Angelo ◽  
Christopher S. Ahmad ◽  
...  
Keyword(s):  
Injury Prevention ◽  
Surveillance System ◽  
Injury Surveillance ◽  
Professional Baseball ◽  
Injury Surveillance System ◽  
Baseball Players ◽  
Elbow Injury ◽  
Minor League ◽  
Major League ◽  
Elbow Injuries

Background: Elbow injuries cause significant disability for the throwing athlete. Scant data are available on the distribution and characteristics of these injuries in elite baseball players. No study exists that focuses solely on the epidemiological characteristics of elbow injuries in professional baseball players using a comprehensive injury surveillance system. Hypothesis: Professional baseball players have a high occurrence of elbow injuries influenced by factors including length of time playing, time period within the annual baseball season, and specific position played. Study Design: Descriptive epidemiological study. Methods: Data on elbow injuries occurring during the 2011-2014 seasons were collected from Major League Baseball’s Health Injury and Tracking System, a comprehensive injury surveillance system. Each specific type of elbow injury was evaluated with respect to overall injury rate, years as a professional player, mechanism of injury, treatment, average time lost, and return to play. Results: During the study period, 3185 elbow injuries (n = 430 Major League; n = 2755 Minor League) occurred. The mean number of days missed and percentage requiring surgery were similar between Major and Minor League players. Overall, 20.0% (650/3185) of the injuries required surgical treatment. Pitchers were the most likely to incur an elbow injury (40.0% of injured athletes were pitchers), were the most likely to require surgery (34.2% of injured pitchers required surgery), and had the greatest mean number of days missed when treated nonsurgically (33.2 days). Medial injuries composed 42.1% (1342/3185) of all elbow injuries. Of all elbow surgeries performed during the study period, the highest percentage involved ligaments (372/650; 57.2%). Conclusion: Elbow injuries are a considerable source of disability in professional baseball players. Pitchers are most likely to incur these injuries, are most likely to require surgery, and have the highest mean number of days missed when treated nonsurgically. The most common injuries involve the medial elbow, with ligament injuries most often requiring surgery. This study represents the only investigation to date using a comprehensive injury surveillance system to examine elbow injuries in professional baseball players. It provides a basis for injury prevention and treatment recommendations, establishes the most thorough framework for determining elbow injury risk, and focuses continued research on elbow injury prevention in the elite baseball player.

scholarly journals Analysis of Non-Game Injuries in Major League Baseball

2019 ◽  
Vol 7 (12) ◽  
pp. 232596711988849
Author(s):  
Amanda Esquivel ◽  
Michael T. Freehill ◽  
Frank C. Curriero ◽  
Kevin L. Rand ◽  
Stan Conte ◽  
...  
Keyword(s):  
Recent Literature ◽  
Major League Baseball ◽  
Tracking System ◽  
Injury Rate ◽  
Primary Diagnosis ◽  
Professional Baseball ◽  
Baseball Players ◽  
Minor League Baseball ◽  
Minor League ◽  
Major League

Background: Numerous studies have investigated injuries and treatments in the baseball athlete. The majority of these studies have focused on the throwing shoulder and elbow. However, more recent literature is reporting injuries to other regions in this cohort, including the knee, head, hip, and hamstring. Purpose/Hypothesis: The purpose of the current study was to determine the number and type of injuries in Major League Baseball (MLB) and Minor League Baseball (MiLB) players that do not occur during the actual game but are related to baseball participation. Our hypothesis was that there would be a substantial number of injuries that occurred in professional baseball players during non-game situations. Study Design: Descriptive epidemiological study. Methods: Deidentified, anonymous data were collected from the 2011 through 2016 seasons from the MLB Health and Injury Tracking System (HITS) medical record database. All injuries that were identified as a primary diagnosis and resulted in at least 1 day out of play from both MLB and MiLB were examined. Injuries were categorized as occurring during the game (“game” injuries) or not during the game. A “non-game” injury was defined as occurring at any time other than during the scheduled game from the first to last pitch. Results: There were 51,548 total injuries in MLB and MiLB players from 2011 to 2016, almost 40% of which were attributed to non–game-related injuries (n = 19,201; 37.2%). The remainder occurred during a game (n = 32,347; 62.8%). A significantly greater percentage of non-game injuries were season ending (10.8%) compared with the percentage of game-related season-ending injuries (8.4%) ( P < .0001). Pitchers had significantly more non–game-related injuries than game-related injuries ( P < .0001). Conclusion: A large number of injuries occur in professional baseball outside of actual games. MiLB players, specifically pitchers, are particularly at risk for these types of injuries. It is feasible that the overall injury rate in professional baseball players could be reduced by analyzing these injuries in more detail to develop prevention strategies.

Epidemiology and Impact of Hand and Wrist Injuries in Major and Minor League Baseball

Hand ◽  
2019 ◽  
pp. 155894471986445 ◽  
Author(s):  
Peter Charles Rhee ◽  
Christopher L. Camp ◽  
John D’Angelo ◽  
Vishal S. Desai ◽  
Steven S. Shin ◽  
...  
Keyword(s):  
Tracking System ◽  
Return To Play ◽  
Wrist Injuries ◽  
Injury Surveillance System ◽  
Baseball Players ◽  
Minor League Baseball ◽  
Scaphoid Fractures ◽  
System A ◽  
Minor League ◽  
Major League

Background: Professional baseball players are at risk of acute and chronic injuries to their upper extremities. Methods: Major League Baseball’s Health and Injury Tracking System, a prospective injury surveillance system, was used to identify and characterize all hand and wrist injuries sustained by all Major League Baseball (MLB) and Minor League Baseball (MiLB) players during the pre-, regular, and postseason throughout 2011-2016. Injuries were included if they resulted in at least 1 day out of play and were sustained during standard baseball activities. Days missed were defined as the time between injury and the first time in which a player was cleared to return to play. Results: During the study period, there were 4478 hand and 1748 wrist injuries throughout MLB and MiLB, which resulted in a total of 105 246 days out of play. This was equivalent to the length of 575 individual MLB player seasons, and the mean days missed per injury was 17 days. Most injuries were traumatic in nature, with 43% (n = 2672) of players injured after being hit by a baseball that mainly occurred during batting (n = 2521; 40%). Injuries that most frequently required surgical intervention were hook of hamate fractures (72%) and scaphoid fractures (60%). Conclusions: Understanding the epidemiology and impact of hand and wrist injuries in MLB and MiLB players may lead to improved management of these injuries and reduce time away from play. Most importantly, preventive measures and/or enhanced protective gear may be developed to minimize these types of injuries in MLB and MiLB.

scholarly journals Hamstring Injury Trends in Major and Minor League Baseball: Epidemiological Findings From the Major League Baseball Health and Injury Tracking System

2019 ◽  
Vol 7 (7) ◽  
pp. 232596711986106
Author(s):  
Kelechi R. Okoroha ◽  
Stan Conte ◽  
Eric C. Makhni ◽  
Vincent A. Lizzio ◽  
Christopher L. Camp ◽  
...  
Keyword(s):  
Major League Baseball ◽  
Platelet Rich Plasma ◽  
Tracking System ◽  
Hamstring Injury ◽  
Professional Baseball ◽  
Baseball Players ◽  
Minor League Baseball ◽  
Hamstring Injuries ◽  
Minor League ◽  
Major League

Background: Hamstring strains are the most common injury for professional baseball players and can result in significant time on the disabled list. To date, no study has reported the current trends in hamstring strains in professional baseball. Hypothesis: Professional baseball players would have an increased incidence of hamstring strains from 2011 through 2016. Study Design: Descriptive epidemiology study. Methods: Injury data were prospectively collected from 2011 through 2016 for every Major League Baseball (MLB) and Minor League Baseball (MiLB) team and was recorded in the MLB Health and Injury Tracking System. Data collected for this study included date of injury, activity during injury, time lost, primary injury or reinjury status, and imaging findings as well as player demographic information related to level of play, age, and position for all hamstring injury events. Injury rates were reported as hamstring injuries per number of games. Results: From 2011 to 2016, there were 2633 hamstring strains in professional baseball players. The rate of hamstring strains increased in MLB from a low of 1 injury every 39 games in 2011 to a high of 1 injury every 30 games in 2016. In MiLB, there were 2192 hamstring strains, with 1 injury every 35 games in 2011 compared with 1 injury every 30 games in 2016. The majority of injuries occurred in the infielder positions (37.5%) and resulted from base running (>50%), most commonly from home to first base. The most common hamstring injury was a grade 2 injury to the distal biceps femoris. The mean time missed after a hamstring injury was 14.5 days. Grade 3 and grade 2 hamstring strains resulted in significantly more days missed compared with grade 1 injuries ( P = .005 and P = .002, respectively). The rate of recurrent hamstring injuries was 16.3% for MLB and 14.2% for MiLB. Recurrent hamstring injuries resulted in more time lost than primary injuries (mean, 16.4 vs 14.5 days, respectively; P = .02). A total of 42 injuries were treated with platelet-rich plasma, and 19 were treated with surgery. The number of injuries treated with platelet-rich plasma increased in successive years. Conclusion: The rate of hamstring strains in professional baseball players has increased over the past 6 years and has resulted in a significant loss of playing time. Study results indicated that these injuries are affected by injury characteristics, position played, running to first base, seasonal timing, and history of hamstring injuries.

scholarly journals Epidemiology and Impact of Abdominal Oblique Injuries in Major and Minor League Baseball

2017 ◽  
Vol 5 (3) ◽  
pp. 232596711769402 ◽  
Author(s):  
Christopher L. Camp ◽  
Stan Conte ◽  
Steven B. Cohen ◽  
Matthew Thompson ◽  
John D’ Angelo ◽  
...  
Keyword(s):  
Platelet Rich Plasma ◽  
Tracking System ◽  
Injury Rate ◽  
Professional Baseball ◽  
Baseball Players ◽  
Injury Rates ◽  
Minor League Baseball ◽  
Time Out ◽  
Minor League ◽  
Plasma Injection

Background: Oblique injuries are known to be a common cause of time out of play for professional baseball players, and prior work has suggested that injury rates may be on the rise in Major League Baseball (MLB). Purpose: To better understand the current incidence of oblique injuries, determine their impact based on time out of play, and to identify common injury patterns that may guide future injury prevention programs. Study Design: Descriptive epidemiological study. Methods: Using the MLB Health and Injury Tracking System, all oblique injuries that resulted in time out of play in MLB and Minor League Baseball (MiLB) during the 2011 to 2015 seasons were identified. Player demographics such as age, position/role, and handedness were included. Injury-specific factors analyzed included the following: date of injury, timing during season, days missed, mechanism, side, treatment, and reinjury status. Results: A total of 996 oblique injuries occurred in 259 (26%) MLB and 737 (74%) MiLB players. Although the injury rate was steady in MiLB, the MLB injury rate declined ( P = .037). A total of 22,064 days were missed at a mean rate of 4413 days per season and 22.2 days per injury. The majority of these occurred during batting (n = 455, 46%) or pitching (n = 348, 35%), with pitchers losing 5 days more per injury than batters ( P < .001). The leading side was injured in 77% of cases and took 5 days longer to recover from than trailing side injuries ( P = .009). Seventy-nine (7.9%) players received either a corticosteroid or platelet-rich plasma injection, and the mean recovery time was 11 days longer compared with those who did not receive an injection ( P < .001). Conclusion: Although the rate of abdominal oblique injuries is on the decline in MLB, this is not the case for MiLB, and these injuries continue to represent a significant source of time out of play in professional baseball. The vast majority of injuries occur on the lead side, and these injuries result in the greatest amount time out of play. The benefit of injections for the treatment of oblique injuries remains unknown.

scholarly journals Comparative Analysis of the Nonoperative Treatment of Elbow Ulnar Collateral Ligament Injuries in Professional Baseball Players with and without Platelet-Rich Plasma

2018 ◽  
Vol 6 (7_suppl4) ◽  
pp. 2325967118S0008 ◽  
Author(s):  
Peter Douglas McQueen ◽  
Christopher L. Camp ◽  
Aakash Chauhan ◽  
Brandon J. Erickson ◽  
Hollis G. Potter ◽  
...  
Keyword(s):  
Recovery Time ◽  
Platelet Rich Plasma ◽  
Ulnar Collateral Ligament ◽  
Nonoperative Treatment ◽  
Return To Play ◽  
Professional Baseball ◽  
Collateral Ligament ◽  
Baseball Players ◽  
Minor League Baseball ◽  
Minor League

Objectives: In the setting of ulnar collateral ligament (UCL) injury, surgical reconstruction of the UCL is not always selected, as it leads to a prolonged recovery time and return to play rates between 67-95%. To date, there is limited data on outcomes following nonoperative treatment in this population. Orthobiologics, such as platelet-rich plasma (PRP), have recently been used as an adjunct therapy for standard nonoperative treatment including rest and physical therapy for UCL injuries. The objective of this study was to determine if the addition of PRP injections in professional baseball players with UCL injuries reduces recovery time, lowers the likelihood of surgery, and increases the return to play rate compared to traditional nonoperative treatment. Methods: The Health and Injury Tracking System (HITS) database was searched from 2011-2015 for Major and Minor league baseball players with Grade I, II or III UCL injuries. Standard demographic, injury, and return to play data was obtained for all players. MRI’s for 353 athletes were reviewed by a musculoskeletal radiologist and graded accordingly. Outcomes were compared between players who received PRP injections in addition to traditional nonoperative treatment (PRP group) and players who received traditional nonoperative treatment alone (No PRP group). Statistical analysis was performed using Student’s T-test and Chi-square for parametric data. Kaplan Meier’s analysis was used for estimating longevity of the treatment. Results: A total of 544 Major and Minor League Baseball players with UCL tears underwent an initial course of nonoperative treatment (active rest & rehabilitation) for their injury between 2011-2015. Of these, 133 underwent PRP injections plus rehab and 411 underwent rehab alone. There was a significantly higher proportion of Major League Baseball players in the PRP group compared to the No PRP group (25.6% vs 9.0%, P<0.001). There was no difference between the two cohorts in regard to the grade of UCL tear (Figure 1). The players in the PRP group had a significantly longer time before returning to a throwing program compared to the No PRP group (64 days vs 51 days, P<0.001). The mean time from injury date to PRP injection was 14.5 days, which may explain the difference in time to return to throwing. The return to play rate in a live game without surgery was significantly lower in the PRP group compared to the No PRP group (46% vs 57%, P=0.03). There was no difference in the proportion of athletes requiring UCL reconstruction (58% vs 51%) or the time to surgery (154 days vs 178 days) between the two groups. Kaplan Meier survivor analysis showed no difference between the PRP and No PRP groups with regard to longevity of the native UCL (Figure 2). Conclusion: Among Major and Minor League Baseball players who were treated nonoperatively for a UCL injury between 2011-2015, 24% underwent PRP injections prior to rehab. Compared to traditional nonoperative rehab alone program, players who received PRP injections experienced a significantly longer time before returning to throwing, which may be in part due to the delay between the injury date and PRP injection. PRP injections did not appear to have a significant effect on the likelihood of surgical intervention.

Psychological Skills as Predictors of Performance and Survival in Professional Baseball

1995 ◽  
Vol 17 (4) ◽  
pp. 399-415 ◽  
Author(s):  
Ronald E. Smith ◽  
Donald S. Christensen
Keyword(s):  
Professional Baseball ◽  
Psychological Skills ◽  
Baseball Players ◽  
Minor League Baseball ◽  
Psychological Measures ◽  
Minor League ◽  
Rating Form ◽  
Expert Ratings ◽  
Physical Skills

The role of physical and psychological skills as predictors of performance and survival in professional baseball was studied in a sample of 104 minor league baseball players. Psychological and physical skills were largely uncorrelated with one another and appear to be measuring separate and independent skill domains. Preseason scores on the Athletic Coping Skills Inventory (ACSI-28) and coaches’/managers’ ratings of the same skills on an ACSI Rating Form each accounted for as much performance variance in batting average (approximately 20%) as did physical skills when differences in the latter were statistically controlled, and the psychological measures accounted for substantially more variance in pitchers’ earned run averages than did the expert ratings of physical skills. The psychological skills measures also predicted athletes’ survival in professional baseball 2 and 3 years after they were obtained. Bayesian hit rate anlayses indicated substantially increased survival predictability over simple base rate predictions.

Patterns of Specialization in Professional Baseball Players

2014 ◽  
Vol 8 (3) ◽  
pp. 261-275 ◽  
Author(s):  
Richard D. Ginsburg ◽  
Steven R. Smith ◽  
Nicole Danforth ◽  
T. Atilla Ceranoglu ◽  
Stephen A. Durant ◽  
...  
Keyword(s):  
Late Adolescence ◽  
Developmental Pathways ◽  
Professional Baseball ◽  
Baseball Players ◽  
Common Assumption ◽  
Minor League Baseball ◽  
Minor League ◽  
The Mean ◽  
Early Specialization ◽  
To Receive

Two developmental pathways to sport excellence have been described: early specialization and early sampling (Côté, Lidor, & Hackfort, 2009). Despite a common assumption that early specialization (defined as playing one sport exclusively and intensely before age 12) is a necessary precursor to success at the collegiate or professional levels, research to support this assumption remains unclear. To add to this literature, the current study was a survey of 708 minor league professional baseball players on the ages at which they began to specialize in their sport. Results indicated that most players sampled a diversity of sports up through late adolescence. Only 25% of players specialized before the age of 12 and the mean age of specialization was 15 years. Furthermore, those who specialized later were more likely to receive college scholarships. Finally, we examined patterns of specialization as a function of athletes’ home climate and culture. At least in this sample of professional minor league baseball players, an early sampling pathway seems to have fortified success at both the collegiate and professional levels.

Facilitating the Transition out of Professional Baseball Following Release: A Self-Determination Theory Perspective

2020 ◽  
Vol 34 (3) ◽  
pp. 209-219
Author(s):  
Johannes Raabe ◽  
Andrew D. Bass ◽  
Lauren K. McHenry ◽  
Rebecca A. Zakrajsek
Keyword(s):  
Transition Process ◽  
Psychological Needs ◽  
Basic Psychological Needs ◽  
Professional Baseball ◽  
Baseball Players ◽  
Minor League Baseball ◽  
Psychological Need ◽  
Minor League ◽  
Semistructured Interviews ◽  
Meaningful Connections

Approximately 90% of players in Minor League Baseball will be released at some point in their career. The purpose of this study was to qualitatively explore the role of individuals’ basic psychological needs during the release from professional baseball and throughout their subsequent transition to a new career. Semistructured interviews were conducted with 12 former Minor League Baseball players. Thematic analysis generated four themes: (a) The release resulted in immediate but temporary basic psychological need thwarting, (b) the “liberating experience” of the release allowed individuals to perceive autonomy in the transition out of affiliated baseball, (c) perceptions of competence served as the foundation for a positive transition to a new career, and (d) meaningful connections fostered individuals’ perception of relatedness in the transition out of affiliated baseball. The findings suggest that need fulfillment might act as a buffer between potential stressors in the transition process and athletes’ cognitive, emotional, and behavioral response.

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