scholarly journals Pathogenic Factors Associated With Osgood-Schlatter Disease in Adolescent Male Soccer Players: A Prospective Cohort Study

2018 ◽  
Vol 6 (8) ◽  
pp. 232596711879219 ◽  
Author(s):  
Hiroyuki Watanabe ◽  
Meguru Fujii ◽  
Masumi Yoshimoto ◽  
Hiroshi Abe ◽  
Naruaki Toda ◽  
...  
Keyword(s):  
Cohort Study ◽  
Physical Function ◽  
Center Of Gravity ◽  
Soccer Players ◽  
Adolescent Male ◽  
Level Of Evidence ◽  
Factors Associated ◽  
Pathogenic Factors ◽  
Muscle Tightness ◽  
Support Leg

Background: A previous cross-sectional study reported that pathogenic factors associated with Osgood-Schlatter disease (OSD) in adolescent athletes include increased quadriceps muscle tightness, lower leg malalignment, and development of apophysitis in the tibial tuberosity. Purpose: To confirm these pathogenic factors associated with OSD in a longitudinal study with regard to physical function and performance. Study Design: Cohort study; Level of evidence, 2. Methods: In this study, 37 boys (mean age, 10.2 ± 0.4 years) were recruited from 2 soccer teams at an elementary school. This cohort study was conducted over an observation period of 1 year, with measurements recorded at baseline, followed by screening for OSD every 6 months. Variables evaluated at baseline included physical function (morphometry, joint flexibility, and lower extremity alignment), presence of Sever disease, and kicking motion. Results: Pathogenic factors associated with OSD in the support leg of adolescent male soccer players included height, weight, body mass index, quadriceps femoris muscle tightness in the kicking and support legs, and gastrocnemius muscle tightness, soleus muscle tightness, and medial longitudinal arch in the support leg. Additional factors included a diagnosis of Sever disease and distance from the lateral malleolus of the support leg’s fibula to the center of gravity during kicking. Conclusion: The onset of OSD was found to be affected by many factors, including developmental stage, physical attributes, and pre-existing apophysitis. In particular, a diagnosis of Sever disease and backward shifting of the center of gravity during kicking increased the risk of the subsequent onset of OSD, suggesting that these factors are very important as a possible focus for interventions.

Is Increased Kicking Leg Iliopsoas Muscle Tightness a Predictive Factor for Developing Spondylolysis in Adolescent Male Soccer Players?

2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Seira Takei ◽  
Suguru Torii ◽  
Shuji Taketomi ◽  
Soichiro Iwanuma ◽  
Michio Tojima ◽  
...  
Keyword(s):  
Predictive Factor ◽  
Soccer Players ◽  
Adolescent Male ◽  
Iliopsoas Muscle ◽  
Muscle Tightness

Factors associated with survival in Adult Patients with Traumatic Arrest: A Retrospective Cohort Study from US Trauma Centers

2020 ◽  
Author(s):  
Abdel-Badih Ariss ◽  
Rana Bachir ◽  
Mazen El Sayed
Keyword(s):  
Cohort Study ◽  
Hospital Discharge ◽  
Retrospective Cohort Study ◽  
Retrospective Cohort ◽  
Injury Severity ◽  
Motor Vehicle ◽  
Age Group ◽  
Trauma Centers ◽  
Level Of Evidence ◽  
Factors Associated

Abstract Background: Traumatic arrests (TA) increasingly affect young adults worldwide with low reported survival rates. This study examines factors associated with survival (to hospital discharge) in traumatic arrests transported to US trauma centers. Methods: This retrospective cohort study used the US National Trauma Databank 2015 dataset and included patients who presented to trauma centers with “no signs of life”. Univariate and bivariate analyses were done. Factors associated with survival were identified using multivariate regression analyses. Results: The study included 5,980 patients with traumatic arrests. Only 664 patients (11.1%) survived to hospital discharge. Patients were predominantly in age group 16-64 (84.6%), were mostly males (77.8%) and white (55.1%). Most were admitted to Level I (55.5%) or Level II trauma centers (31.6%). Injuries were mostly blunt (56.7%) or penetrating (39.3%). Mean ISS was 23.71 (± 20.79). Factors associated with decreased survival included: Age group ≥65 (Ref: 16-24), male gender, self-inflicted and other or undetermined types of injuries (Ref: assault), injuries to head & neck, injuries to torso and injury severity score (ISS) ≥ 16 (Ref: <16). While factors associated with increased survival included: All injury mechanisms (with the exception of Motor Vehicle Transportation (MVT)) (Ref: firearm), injuries to extremities or spine & back and all methods of coverage (Ref: self-pay).Conclusion: Patients with traumatic arrests have poor outcomes with only 11.1 % surviving to hospital discharge. Factors associated with survival in traumatic arrests were identified. These findings are important for devising injury prevention strategies and help guide trauma management protocols to improve outcomes in traumatic arrests. Level of evidence: Level III

scholarly journals The kick motion analysis of adolescent male soccer players with Osgood-Schlatter disease

2020 ◽  
Vol 8 (7_suppl6) ◽  
pp. 2325967120S0039
Author(s):  
Shuji Taketomi ◽  
Michio Tojima ◽  
Koji kaneoka ◽  
Sakae Tanaka ◽  
Suguru Torii ◽  
...  
Keyword(s):  
Motion Analysis ◽  
Knee Flexion ◽  
Three Dimensional ◽  
Angular Acceleration ◽  
Soccer Players ◽  
Adolescent Male ◽  
Tibial Tubercle ◽  
Ball Speed ◽  
Ball Impact ◽  
Muscle Tightness

Objectives: Osgood-Schlatter disease (OSD) is an injury during adolescence, in which inflammation occurs in the epiphyseal cartilage of the tibial tubercle by repeated traction of patellar tendon. OSD is associated with more in sports that involve jumping, kicking, and running, such as soccer. However, whether the kick motion of adolescent soccer players is related to onset of OSD remains unclear. The purpose of this study was to clarify the characteristics of kick motion in adolescent soccer players who developed OSD prospectively, using three-dimensional motion analysis system. Methods: A total of 29 Japanese adolescent male soccer players who were 12 years old (Hight 153.1 ± 6.9cm, Bodyweight 42.8 ± 7.0kg) joining the same soccer team were followed over a half year period. The team is a town recreation league team. At the baseline, all players went through the medical examination, ultrasonography of tibial tubercle and measurement of real-time kick motion using a three-dimensional motion analysis system (Qualisys track manager, Qualisys AB., Sweden). The three-dimensional angle of the lumbar spine, pelvis, hips, knees, ankles of both legs, the position of supporting leg and center of mass (COM) were calculated by 65 spherical markers on each anatomical landmark. COM was adjusted dividing by height. The ball speed, kicking time, angular velocity and angular acceleration were also calculated. The data of each phase was collected for the following eight events: foot contact, toe off, maximum hip extension, maximum knee flexion, ball impact, maximum hip flexion of kicking leg, and foot contact, maximum knee flexion of supporting leg. Phase duration was calculated as a percentage of the kick motion. The muscle tightness test of bilateral lower limbs (Iliopsoas, Hamstrings, Quadriceps, Gastrocnemius, Soleus muscle) were measured at the baseline and the follow-up. The participants were followed six months later, and OSD was diagnosed by tenderness and ultrasonography findings of the tibial tubercle and were divided into two groups: presence of OSD on supporting leg; OSD and absence of OSD; CON. All the factors calculated by the kick motion analysis at the baseline and the development of muscle tightness of bilateral lower limbs between OSD and CON were compared by using the unpaired t-test. Players who were diagnosed as OSD at the baseline (n=6) were excluded from the analysis. Results: There were 10 players of OSD and 13 players of CON. The growth of height, muscle tightness, ball speed, kicking time, phase duration in OSD were not different from CON. The sagittal translation of COM in OSD was significantly smaller than CON(p<0.05) before the ball impact phase. The knee angular acceleration of supporting leg was significantly larger in OSD(p<0.05) between the phase supporting leg lands and the flexion angle of its knee reaches the peak before the ball impact. The lateral bending angle of the pelvis toward the supporting leg in OSD was significantly smaller(p<0.05), and the maximum hip extension angle of kicking leg, lumbar rotation angle, kicking leg’s knee angular velocity and acceleration at the ball impact were smaller in OSD(p<0.1). Conclusion: The kick motion with small translation of COM before ball impact was associated to onset of OSD. OSD also showed smaller range of motion in proximal joints to the knees compared with CON. The large knee angular acceleration of supporting leg towards maximum knee flexion was found in OSD, which may increase the traction of quadriceps muscle to the tibial tubercle. [Figure: see text]

scholarly journals Factors associated with survival in adult patients with traumatic arrest: a retrospective cohort study from US trauma centers

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Abdel-Badih Ariss ◽  
Rana Bachir ◽  
Mazen El Sayed
Keyword(s):  
Cohort Study ◽  
Hospital Discharge ◽  
Retrospective Cohort Study ◽  
Retrospective Cohort ◽  
Injury Severity ◽  
Motor Vehicle ◽  
Age Group ◽  
Trauma Centers ◽  
Level Of Evidence ◽  
Factors Associated

Abstract Background Traumatic arrests increasingly affect young adults worldwide with low reported survival rates. This study examines factors associated with survival (to hospital discharge) in traumatic arrests transported to US trauma centers. Methods This retrospective cohort study used the US National Trauma Databank 2015 dataset and included patients who presented to trauma centers with “no signs of life”. Univariate and bivariate analyses were done. Factors associated with survival were identified using multivariate regression analyses. Results The study included 5980 patients with traumatic arrests. Only 664 patients (11.1%) survived to hospital discharge. Patients were predominantly in age group 16–64 (84.6%), were mostly males (77.8%) and white (55.1%). Most were admitted to Level I (55.5%) or Level II trauma centers (31.6%). Injuries were mostly blunt (56.7%) or penetrating (39.3%). The median of the injury severity score (ISS) was 19 (interquartile range [IQR]: 9–30). Factors associated with decreased survival included: Age group ≥ 65 (Ref: 16–24), male gender, self-inflicted and other or undetermined types of injuries (Ref: assault), injuries to head and neck, injuries to torso and ISS ≥ 16 (Ref: < 16) and ED thoracotomy. While factors associated with increased survival included: All injury mechanisms (with the exception of motor vehicle transportation) (Ref: firearm), injuries to extremities or spine and back and all methods of coverage (Ref: self-pay). Conclusion Patients with traumatic arrests have poor outcomes with only 11.1% surviving to hospital discharge. Factors associated with survival in traumatic arrests were identified. These findings are important for devising injury prevention strategies and help guide trauma management protocols to improve outcomes in traumatic arrests. Level of evidence Level III.

Nonunion Rates in Hind- and Midfoot Arthrodesis in Current, Ex-, and Nonsmokers

2020 ◽  
pp. 107110072097126
Author(s):  
Jack Allport ◽  
Jayasree Ramaskandhan ◽  
Malik S. Siddique
Keyword(s):  
Risk Factor ◽  
Cohort Study ◽  
Relative Risk ◽  
Retrospective Cohort Study ◽  
Retrospective Cohort ◽  
Smoking Status ◽  
Time Frame ◽  
Modifiable Risk Factor ◽  
Level Of Evidence ◽  
Significant Difference

Background: Nonunion rates in hind or midfoot arthrodesis have been reported as high as 41%. The most notable and readily modifiable risk factor that has been identified is smoking. In 2018, 14.4% of the UK population were active smokers. We examined the effect of smoking status on union rates for a large cohort of patients undergoing hind- or midfoot arthrodesis. Methods: In total, 381 consecutive primary joint arthrodeses were identified from a single surgeon’s logbook (analysis performed on a per joint basis, with a triple fusion reported as 3 separate joints). Patients were divided based on self-reported smoking status. Primary outcome was clinical union. Delayed union, infection, and the need for ultrasound bone stimulation were secondary outcomes. Results: Smoking prevalence was 14.0%, and 32.2% were ex-smokers. Groups were comparable for sex, diabetes, and body mass index. Smokers were younger and had fewer comorbidities. Nonunion rates were higher in smokers (relative risk, 5.81; 95% CI, 2.54-13.29; P < .001) with no statistically significant difference between ex-smokers and nonsmokers. Smokers had higher rates of infection ( P = .05) and bone stimulator use ( P < .001). Among smokers, there was a trend toward slower union with heavier smoking ( P = .004). Conclusion: This large retrospective cohort study confirmed previous evidence that smoking has a considerable negative effect on union in arthrodesis. The 5.81 relative risk in a modifiable risk factor is extremely high. Arthrodesis surgery should be undertaken with extreme caution in smokers. Our study shows that after cessation of smoking, the risk returns to normal, but we were unable to quantify the time frame. Level of Evidence: Level III, retrospective cohort study.

scholarly journals Factors Influencing Creatine Kinase Response in Youth National Team Soccer Players

2021 ◽  
pp. 194173812199938
Author(s):  
Gabor Schuth ◽  
Gyorgy Szigeti ◽  
Gergely Dobreff ◽  
Peter Revisnyei ◽  
Alija Pasic ◽  
...  
Keyword(s):  
Creatine Kinase ◽  
Prediction Models ◽  
Soccer Players ◽  
Linear Regression Models ◽  
Level Of Evidence ◽  
Internal Load ◽  
Youth Soccer ◽  
National Team ◽  
Weekly Training ◽  
The Relationship

Background: Previous studies have examined the relationship between external training load and creatine kinase (CK) response after soccer matches in adults. This study aimed to build training- and match-specific CK prediction models for elite youth national team soccer players. Hypothesis: Training and match load will have different effects on the CK response of elite youth soccer players, and there will be position-specific differences in the most influential external and internal load parameters on the CK response. Study Design: Prospective cohort study. Level of Evidence: Level 4. Methods: Forty-one U16-U17 youth national team soccer players were measured over an 18-month period. Training and match load were monitored with global positioning system devices. Individual CK values were measured from whole blood every morning in training camps. The dataset consisted of 1563 data points. Clustered prediction models were used to examine the relationship between external/internal load and consecutive CK changes. Clusters were built based on the playing position and activity type. The performance of the linear regression models was described by the R2 and the root-mean-square error (RMSE, U/L for CK values). Results: The prediction models fitted similarly during games and training sessions ( R2 = 0.38-0.88 vs 0.6-0.77), but there were large differences based on playing positions. In contrast, the accuracy of the models was better during training sessions (RMSE = 81-135 vs 79-209 U/L). Position-specific differences were also found in the external and internal load parameters, which best explained the CK changes. Conclusion: The relationship between external/internal load parameters and CK changes are position specific and might depend on the type of session (training or match). Morning CK values also contributed to the next day’s CK values. Clinical Relevance: The relationship between position-specific external/internal load and CK changes can be used to individualize postmatch recovery strategies and weekly training periodization with a view to optimize match performance.

scholarly journals Factors Associated with Clostridioides (Clostridium) Difficile Infection and Colonization: Ongoing Prospective Cohort Study in a French University Hospital

2021 ◽  
Vol 18 (14) ◽  
pp. 7528
Author(s):  
Nagham Khanafer ◽  
Philippe Vanhems ◽  
Sabrina Bennia ◽  
Géraldine Martin-Gaujard ◽  
Laurent Juillard ◽  
...  
Keyword(s):  
Cohort Study ◽  
Clostridium Difficile ◽  
Good Clinical Practice ◽  
University Hospital ◽  
Factors Associated ◽  
Contact Precautions ◽  
Institutional Review ◽  
Virulent Strains ◽  
Scientific Meetings ◽  
Hospital Acquired

Introduction: Clostridioides (Clostridium) difficile can be isolated from stool in 3% of healthy adults and in at least 10% of asymptomatic hospitalized patients. C. difficile, the most common cause of hospital-acquired infectious diarrhea in the developed world, has re-emerged in recent years with increasing incidence and severity. In an effort to reduce the spread of the pathogen, published recommendations suggest isolation and contact precautions for patients suffering from C. difficile infection (CDI). However, asymptomatic colonized patients are not targeted by infection control policies, and active surveillance for colonization is not routinely performed. Moreover, given the current changes in the epidemiology of CDI, particularly the emergence of new virulent strains either in the hospital or community settings, there is a need for identification of factors associated with colonization by C. difficile and CDI. Methods and analysis: We are carrying out a prospective, observational, cohort study in Edouard Herriot Hospital, Hospices Civils de Lyon, a 900-bed university hospital in Lyon, France. All consecutive adult patients admitted on selected units are eligible to participate in the study. Stool samples or rectal swabs for C. difficile testing are obtained on admission, every 3–5 days during hospitalization, at the onset of diarrhea (if applicable), and at discharge. Descriptive and logistic regression analyses will be completed to mainly estimate the proportion of asymptomatic colonization at admission, and to evaluate differences between factors associated with colonization and those related to CDI. Ethics: The study is conducted in accordance with the ethical principles of the Declaration of Helsinki, French law, and the Good Clinical Practice guidelines. The study protocol design was approved by the participating units, the ethics committee and the hospital institutional review board (Comité de protection des personnes et Comission Nationale de l’Informatique et des Libertés; N°: 00009118). Dissemination: The results of this study will be disseminated by presenting the findings locally at each participating ward, as well as national and international scientific meetings. Findings will be shared with interested national societies crafting guidelines in CDI.

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