Fifth Metatarsal Fractures in Professional Soccer Players: Case Series

2020 ◽  
pp. 193864002091122
Author(s):  
Tiago Baumfeld ◽  
Ricardo Fernandes Rezende ◽  
Caio Nery ◽  
Jorge P. Batista ◽  
Daniel Baumfeld
Keyword(s):  
Surgical Treatment ◽  
Fracture Healing ◽  
Case Series ◽  
Clinical Results ◽  
Soccer Players ◽  
Return To Sports ◽  
Professional Soccer ◽  
Before And After ◽  
Metatarsal Fractures ◽  
Vas Scores

Objective. Fifth metatarsal fractures occur mainly in young athletes, with an estimated incidence of 1.8 per 1000 individuals per year. This study aims to evaluate the functional outcome of professional soccer players undergoing surgical treatment of fifth metatarsal base fractures. Methods. We appraised 34 soccer players operated on from July 2001 to June 2016. All individuals were assessed by the American Orthopedic Foot and Ankle Score (AOFAS) and Visual Analog Scale (VAS) before and after surgery, with a mean 23-month follow-up. The need for grafting, fracture healing, Torg classification, and return to sports were also evaluated. Results. There were 10 attackers, 7 offensive-defensive midfielders, 6 side defenders, 5 central defensive midfielders, 3 defenders, 2 goalkeepers, and 1 defensive midfielder, at an average age of 19 years. Preoperative and postoperative AOFAS averaged 42 and 99 points, respectively, whereas VAS scores were 6 and 0. The longer the time to get operated on, the greater was the need for grafting (P = .011). In our study, all fractures have consolidated. Return to sports occurred, on average, 73 days after surgical treatment, and it was not influenced by the time to get operated on, fracture healing, Torg classification, and grafting. Conclusion. Surgical treatment of the fifth metatarsal base fracture in professional soccer players presents good clinical results. Getting back to activities after surgery is not influenced by surgery time, fracture healing, Torg classification, and grafting. Levels of Evidence: Level IV: Therapeutic studies, Case series

scholarly journals TL 18073 - Medium-term follow-up after surgically treated fifth metatarsal fractures in professional soccer players

2019 ◽  
Vol 13 (Supl 1) ◽  
pp. 69S
Author(s):  
Luis Paulo Lemos ◽  
Tiago Baumfeld ◽  
Jorge Batista ◽  
Caio Augusto de Souza Nery ◽  
Daniel Baumfeld
Keyword(s):  
Surgical Treatment ◽  
Soccer Players ◽  
Return To Sports ◽  
Professional Soccer ◽  
Before And After ◽  
Metatarsal Fractures ◽  
Vas Scores ◽  
The Right ◽  
Without Bone Graft

Introduction: Fifth metatarsal fractures are among the most common forefoot injuries, especially in young athletes. The purpose of this paper is to evaluate the functional outcome of professional soccer players undergoing surgical treatment of Dameron’s zones II and III fifth metatarsal fractures with an intramedullary screw with or without bone graft. Methods: Thirty-four professional soccer players underwent operations from July 2001 to June 2016. All of them underwent an evaluation based on AOFAS and VAS scores before and after surgery, with a mean follow-up of 24 months. The need for grafting was evaluated in relation to the time for surgery. Additionally, the influence of time to surgery, fracture union, Torg’s classification and grafting were related to the time to return to sports. In addition, the player's position, age, complications and side of the lesion were also described. Results: There were 10 forwards, 07 center forwards, 06 full-backs, 05 midfielders, 03 defenders, 02 goalkeepers and 01 central defender, with an average of 19 years; the right side was affected in 44% of cases. The AOFAS average pre and postoperatively was 42 and 99, respectively, while the EVA was 6 and 0. The longer delay to operate, the greater was the need for grafting (p = 1.11%), each day increasing by 1,015 times the need for grafting. The return to activities was not influenced by the time to operate, time to union, Torg’s classification or graft use. Conclusion: Surgical treatment of a proximal fifth metatarsal fracture in professional soccer player presents good clinical outcomes and can be performed safely in these cases, with a low rate of complications.

scholarly journals Mid-term follow-up after surgical treatment of fifth metatarsal base fractures in professional soccer players

2019 ◽  
Vol 13 (2) ◽  
pp. 154-159
Author(s):  
Luis Paulo Vilela Lemos ◽  
Tiago Soares Baumfeld ◽  
Benjamim Dutra Macedo ◽  
Caio Augusto De Souza Nery ◽  
Jorge P. Batista ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Case Series ◽  
Return To Sport ◽  
Soccer Players ◽  
Level Of Evidence ◽  
Time To Surgery ◽  
Vas Score ◽  
Professional Soccer ◽  
The Mean

Objective: Fifth metatarsal fractures occur mainly in young athletes, with an estimated incidence of 1.8 per 1,000 people a year. The objective of this study was to evaluate the functional outcome of professional soccer players subjected to surgical treatment of fifth metatarsal base fractures. Methods: A total of 34 soccer players who underwent surgery from July 2001 to June 2016 were evaluated. All participants were evaluated by the American Orthopedic Foot and Ankle Score (AOFAS) and visual analogue scale (VAS) score before and after surgery, with a mean follow-up of 23 months. The need for grafting relative to time to surgery, time to fracture consolidation and Torg classification and graft use relative to return to sport were valuated. Results: There were 10 forwards, 7 offensive midfielders, 6 fullbacks, 5 center midfielders, 3 defenders, 2 goalkeepers and 1 defensive midfielder, with a mean age of 19 years. The mean pre- and postoperative AOFAS was 42 and 99 points whereas the mean VAS score was 6 and 0, respectively. The longer the time to surgery, the greater was the need for grafting (p=0.011). The time to return to sport was not influenced by the time to surgery, time to consolidation, Torg classification or graft use. Conclusion: The surgical treatment of fifth metatarsal base fractures in professional soccer players showed good clinical results. The return to activities after surgery is not influenced by the time to surgery, time to consolidation, Torg classification or grafting. Level of Evidence IV; Therapeutic Studies; Case Series.

scholarly journals LATARJET PROCEDURE ON ANTERIOR SHOULDER INSTABILITY IN PROFESSIONAL SOCCER PLAYERS

2020 ◽  
Vol 28 (2) ◽  
pp. 84-87
Author(s):  
GUILHERME AUGUSTO STIRMA ◽  
EWERTON BORGES DE SOUZA LIMA ◽  
DEGINALDO HOLANDA CHAVES ◽  
PAULO SANTORO BELANGERO ◽  
CARLOS VICENTE ANDREOLI ◽  
...  
Keyword(s):  
Shoulder Instability ◽  
Case Series ◽  
Physical Contact ◽  
Soccer Players ◽  
Anterior Shoulder Instability ◽  
Return To Sports ◽  
Latarjet Procedure ◽  
Glenohumeral Instability ◽  
Professional Soccer ◽  
The Mean

ABSTRACT Anterior glenohumeral instability is a frequent cause of professional soccer players’ removal, reduced performance, and prolonged recovery. Players are subjected to intense physical contact and high performance, thus demanding lower rates of recurrence after surgical correction so they can return to sport quickly. Objective: To assess professional soccer players treated by the Lartajet technique considering the rate and time of return to sports activities, complications or failures. Methods: Analysis held between 2010 and 2018 of professional soccer players diagnosed with anterior shoulder instability operated by the open procedure of Lartajet in our service. Results: The mean return to professional sports was 93.5 days. The mean time of surgery in relation to the first dislocation was 12.4 months. Each athlete had 4.3 shoulder dislocations until the procedure was performed. The rate of recurrence was zero and subluxation was not observed. Conclusion: The Latarjet procedure allowed all professional athletes to return to competitive activities quickly, without dislocations and subluxation, negative seizure and without complications during follow-up. Level of evidence IV, Case series.

scholarly journals Ultrasound-guided percutaneous needle electrolysis and rehabilitation and reconditioning program following a hamstring injury reduces “return to play” time in professional soccer players: A case series

2020 ◽  
Vol 03 (01) ◽  
pp. 038-044
Author(s):  
Sergio Jiménez-Rubio ◽  
Fermín Valera-Garrido ◽  
Francisco Minaya-Muñoz ◽  
Archit Navandar
Keyword(s):  
Ultrasound Imaging ◽  
High Performance ◽  
Treatment Protocol ◽  
Case Series ◽  
Return To Play ◽  
Soccer Players ◽  
Hamstring Injury ◽  
Semitendinosus Muscle ◽  
Professional Soccer ◽  
Before And After

AbstractThis case series follows the treatment protocol after a grade 2 injury to the proximal semitendinosus muscle using US-guided Percutaneous Needle Electrolysis (PNE) and Rehab & Reconditioning program (RRP) in two professional soccer players. The injury was diagnosed using magnetic resonance imaging (MRI) and ultrasound imaging. The players received one session of PNE 48 hours after the injury. The indoor's phase of the RRP started 24 hours after the PNE technique and then the player proceeded to perform an on-field's phase, following which the players returned to train with the team. The effectiveness of the program was measured by comparing the match-performance data collected through Global Positioning System (GPS) in two matches before and five matches after injury and with ultrasound imaging analyzing the evolution of the muscle injury. No adverse effects were identified during or after the US-Guided PNE technique. Both players missed a single competitive game because of injury (layoff= 16 and 14 days). The GPS variables studied showed similar values before and after injury. PNE and PRR protocol improves the results of the initial phase of muscle repair and reduces the time to return to training and return to play, maintaining the GPS parameters that the players need in high performance.

Impact of COVID-19 Lockdown on Serie A Soccer Players’ Physical Qualities

2021 ◽  
Author(s):  
Ermanno Rampinini ◽  
Federico Donghi ◽  
Marco Martin ◽  
Andrea Bosio ◽  
Marco Riggio ◽  
...  
Keyword(s):  
Aerobic Fitness ◽  
Mixed Models ◽  
Peak Power ◽  
Vertical Jump ◽  
Soccer Players ◽  
Limited Evidence ◽  
Professional Soccer ◽  
Home Based ◽  
Before And After ◽  
Different Seasons

AbstractIn March 2020, the COVID-19 pandemic forced most activities in Italy, including soccer, to cease. During lockdown, players could only train at home, with limited evidence regarding the effect of this period. Therefore, this study aimed to investigate the effect of COVID-19 lockdown on professional soccer players’ physical performance. Aerobic fitness and vertical jump were assessed before and after four periods in two different seasons: COVID-19 lockdown, competitive period before lockdown, competitive period and summer break of the 2016–2017 season. Linear mixed models were used to examine within-period changes and between-period differences in changes observed during COVID-19 lockdown and the three other periods. Within-period changes in aerobic fitness showed a significant improvement following COVID-19 lockdown (p<0.001) and a significant decline during summer break (p<0.001). Between-period differences were significant in the comparison of COVID-19 lockdown with both the competitive 2019–2020 season (p<0.01) and summer break (p<0.001). For the vertical jump, only the between-period comparison revealed significant differences as the changes associated with COVID-19 lockdown were worse than those of the two competitive periods, for both absolute (p<0.05; p<0.001) and relative peak power (p<0.01; p<0.001). Home-based training during lockdown was effective to improve aerobic fitness, although it did not allow players to maintain their competitive period’s power levels.

scholarly journals Return to Sports After Bone Marrow–Derived Cell Transplantation for Osteochondral Lesions of the Talus

Cartilage ◽  
2016 ◽  
Vol 8 (1) ◽  
pp. 80-87 ◽  
Author(s):  
Francesca Vannini ◽  
Marco Cavallo ◽  
Laura Ramponi ◽  
Francesco Castagnini ◽  
Simone Massimi ◽  
...  
Keyword(s):  
Bone Marrow ◽  
Cell Transplantation ◽  
Case Series ◽  
Clinical Results ◽  
Osteochondral Lesions ◽  
Return To Sports ◽  
One Step ◽  
American Orthopaedic ◽  
Return To Activity

Objective Arthroscopic “one-step” technique based on bone marrow–derived cell transplantation (BMDCT) have achieved good results in repairing osteochondral lesions of the talus (OLT), overcoming important drawbacks of older techniques. It may be particularly adequate for the treatment of athletes in order to permit a safe and stable return to sports. The aim of this study was to report the results at 48 months of a series of athletes and the factors influencing the return to sports. Design Case series. A total of 140 athletes underwent a “one-step” BMDCT repair of OLT. All the patients had the cells harvested from the iliac crest, condensed and loaded on a scaffold, and then implanted. Patients were evaluated clinically by the American Orthopaedic Foot and Ankle Society (AOFAS) scores and Halasi score. Results AOFAS score improved from 58.7 ± 13.5 preoperatively to 90.6 ± 8.6 ( P < 0.005) at 24 months, and to 90.9 ± 10.7 at 48 months. Halasi score was 6.88 ± 1.8 preinjury, 4.08 ± 1.7 preoperatively, and 5.56 ± 2.0 at final follow-up. At the final follow-up, all the patients (beside 1 failure and 3 lost) were able to return to activity and 72.8% were able to resume sports at preinjury level. Conclusions “One-step” BMDCT repair of OLT had good clinical results that was durable over time in athletes, permitting a return to sports at preinjury level in the majority of patients. The preoperative presence of impingement and articular degeneration were the main negative prognostic factors.

scholarly journals Associations Between Selected Training-Stress Measures and Fitness Changes in Male Soccer Players

2019 ◽  
Vol 14 (8) ◽  
pp. 1050-1057 ◽  
Author(s):  
Alireza Rabbani ◽  
Mehdi Kargarfard ◽  
Carlo Castagna ◽  
Filipe Manuel Clemente ◽  
Craig Twist
Keyword(s):  
Heart Rate ◽  
High Intensity ◽  
Soccer Players ◽  
Running Performance ◽  
Total Distance ◽  
Professional Soccer ◽  
Before And After ◽  
Body Load ◽  
Training Stress ◽  
Training Impulse

Purpose: To investigate the relationship between accumulated global positioning system–accelerometer-based and heart rate–based training metrics and changes in high-intensity intermittent-running capacity during an in-season phase in professional soccer players. Methods: Eleven male professional players (mean [SD] age 27.2 [4.5] y) performed the 30-15 Intermittent Fitness Test (30-15IFT) before and after a 5-wk in-season training phase, and the final velocity (VIFT) was considered their high-intensity intermittent-running capacity. During all sessions, Edwards training impulse (Edwards TRIMP), Banister TRIMP, Z5 TRIMP, training duration, total distance covered, new body load (NBL), high-intensity running performance (distance covered above 14.4 km·h−1), and very-high-intensity running performance (distance covered above 19.8 km·h−1) were recorded. Results: The players’ VIFT showed a most likely moderate improvement (+4.3%, 90% confidence limits 3.1–5.5%, effect size 0.70, [0.51–0.89]). Accumulated NBL, Banister TRIMP, and Edwards TRIMP showed large associations (r = .51–.54) with changes in VIFT. A very large relationship was also observed between accumulated Z5 TRIMP (r = .72) with changes in VIFT. Large to nearly perfect within-individual relationships were observed between NBL and some of the other training metrics (ie, Edwards TRIMP, Banister TRIMP, training duration, and total distance) in 10 out of 11 players. Conclusions: Heart rate–based training metrics can be used to monitor high-intensity intermittent-running-capacity changes in professional soccer players. The dose–response relationship is also largely detected using accelerometer-based metrics (ie, NBL) to track changes in high-intensity intermittent-running capacity of professional soccer players.

Score-Celebration Injuries among Soccer Players

2005 ◽  
Vol 33 (8) ◽  
pp. 1237-1240 ◽  
Author(s):  
Bülent Zeren ◽  
Haluk H. Öztekin
Keyword(s):  
Case Series ◽  
Adductor Muscle ◽  
Quadriceps Muscle ◽  
Self Control ◽  
Soccer Players ◽  
Level Of Evidence ◽  
Professional Soccer ◽  
Ligament Sprain ◽  
Serious Injury ◽  
And Behavior

Background Professional and amateur soccer players often perform dramatic on-field feats of celebration after scoring a goal. Injuries may occur during these activities. Purpose With the aim of preventing such “score-celebration injuries” in the future, the authors examine these events in professional soccer players and discuss potential avenues for prevention. Study Design Case series; Level of evidence, 4. Methods Over the course of 2 seasons (1996-1998), 152 soccer players were evaluated at an orthopaedic clinic for injuries incurred during matches. Nine players (6%) had injured themselves while celebrating after scoring goals in a match. The type of celebration, injury type, treatment, and mean duration of recovery were noted. Results Seven of the 9 patients were male professional soccer players with ages ranging between 17 and 29 years (mean age, 24 years). The injuries occurred when the playing ground was natural turf in 8 cases; most injuries occurred in the second half of the game. The types of celebration maneuvers were sliding (prone or supine) and sliding while kneeling in 5 cases, piling up on jubilant teammates in 3 cases, and being tackled while racing away in 1 case. Injuries included ankle, clavicle, and rib fractures; medial collateral ligament sprain; low back strain; hamstring and adductor muscle strain; quadriceps muscle sprain; and coccyx contusion. The mean duration for recovery was 6.2 weeks. Rival team players were usually not responsible for such trauma. Conclusion Exaggerated celebrations after making a goal, such as sliding, piling up, and tackling a teammate when racing away, can result in serious injury. In addition to general measures for preventing soccer injuries, coaches and team physicians should teach self-control and behavior modification to minimize the risk of such injuries. More restrictive rules, which penalize such behavior, may assist in the prevention of score-celebration injuries.

scholarly journals Ultrasound-Guided Percutaneous Needle Electrolysis and Rehab and Reconditioning Program for Rectus Femoris Muscle Injuries: A Cohort Study with Professional Soccer Players and a 20-Week Follow-Up

2020 ◽  
Vol 10 (21) ◽  
pp. 7912
Author(s):  
Fermín Valera-Garrido ◽  
Sergio Jiménez-Rubio ◽  
Francisco Minaya-Muñoz ◽  
José Luis Estévez-Rodríguez ◽  
Archit Navandar
Keyword(s):  
Ultrasound Image ◽  
Rectus Femoris ◽  
Return To Play ◽  
Soccer Players ◽  
Muscle Injuries ◽  
Professional Soccer ◽  
Before And After ◽  
Rectus Femoris Muscle ◽  
Femoris Muscle

Rectus femoris muscle strains are one of the most common injuries occurring in sports such as soccer. The purpose of this study was to describe the safety and feasibility of a combination of percutaneous needle electrolysis (PNE) and a specific rehab and reconditioning program (RRP) following an injury to the rectus femoris in professional soccer players. Thirteen professional soccer players received PNE treatment 48 h after a grade II rectus femoris muscle injury, followed by a the RRP 24 h later. Assessment of recovery from injury was done by registering the days taken to return to train (RTT), return to play (RTP), and structural and functional progress of the injured muscle was registered through ultrasound imaging and match-GPS parameters. Also, adverse events and reinjuries were recorded in the follow up period of twenty weeks. The RTT registered was 15.62 ± 1.80 days and RTP was 20.15 ± 2.79 days. After fourteen days, the ultrasound image showed optimal repair. Match-GPS parameters were similar before and after injury. There were no relapses nor were any serious adverse effects reported during the 20-week follow-up after the RTP. A combination of PNE and a specific RRP facilitated a faster RTP in previously injured professional soccer players enabling them to sustain performance and avoid reinjuries.

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