scholarly journals SESAMOID INJURIES IN PEDIATRIC AND ADOLESCENT ATHLETES PRESENTING TO SPORTS MEDICINE CLINIC

2019 ◽  
Vol 7 (3_suppl) ◽  
pp. 2325967119S0018
Author(s):  
Andrea Stracciolini ◽  
Bridget W. Dahlberg ◽  
Bridget Quinn ◽  
Dai Sugimoto ◽  
Cynthia Stein
Keyword(s):  
Diagnostic Imaging ◽  
Strong Correlation ◽  
Sports Medicine ◽  
Female Athletes ◽  
Return To Sport ◽  
Clinic Visit ◽  
Male Athletes ◽  
Medicine Clinic ◽  
The Mean ◽  
Performing Artist

Background Sesamoid injuries of the first metatarsal phalangeal joint in athletes occur with sports that place repetitive stress on the plantar aspect of the great toe. Performing artist athletes are particularly at risk for injury given the load placed on the hallucal sesamoid bone often inherent in the activity. Risk factors may include choice of sport, volume of training, sex, bone density, BMI and biomechanical profile of the lower extremity. Hallucal sesamoid evaluation and treatment remains poorly defined in the literature. The aim of this study is to analyze all sesamoid injuries presenting to a sports medicine clinic. The goal of the study is to increase understanding of the injury profile, diagnostic evaluation, treatment regime, and return to sport of athletes with hallucal sesamoid injuries. The long-term goal is to develop evaluation and treatment algorithms that serve to guide clinical decision-making, and improve time to return to sport. Methods A comprehensive retrospective chart review was conducted of athletes presenting to a tertiary level sports medicine clinic located within a pediatric medical center. Electronic medical records were searched using the search term sesamoid. To be included in the study, the injury had to definitively involve the hallucal sesamoid and be related to sports participation. Exclusion criteria included patients with a chronic disease or condition that might affect bone healing or confuse the diagnosis of sesamoid injury, prior history of surgery to the foot, and insufficient management records. Descriptive statistics were used to analyze outcome variables including specific diagnosis, clinical prognoses, diagnostic imaging tools and treatment types. Additionally, a correlation analysis was performed for time from pain onset to first clinic visit, and time to return to participation. Little or no correlation was considered 0.00-0.25, weak correlation was considered 0.25-0.50, moderate correlation was considered 0.50-0.75 and strong correlation was considered 0.75 -1.00. Results 326 athletes with 359 hallucal sesamoid injuries were identified. The mean age of the cohort was 15.8 ± 3.8 years (median: 15.3, 95% CIs: 15.46 – 16.24); 86% (n=309) were female and 14% (n=50) of the injuries were male. The mean BMI of the cohort was 21.28 ± 3.5 mg/kg2. Table 1 presents the sports for the athletes in the cohort. The leading sports included 40% (n=144) dance, 13% (n=48) running, and 13% (n=47) soccer. Activities that top the list for females include dance 44% (n=137) and running 13% (n=39). In comparison, male athletes participated in soccer (20%, n=10), running (18%, n=9), and football (10%, n=5) as well as other diverse sports. The most common injuries across both sexes were sesamoiditis (30%, n=107), followed by sesamoid stress fracture (13%, n=46). Table 2 Where self-reported data on dance/sport practice time was recorded, 31% (n=65) reported practicing 10-15 hours per week. Figure 1 The average reported time between injury or the onset of pain to the first clinic visit was 143 days (median: 42, 95% CIs:116.87-169.15). The mean time between pain onset and first clinic visit was greater for female athletes as compared to male athletes (146 days and 119 days). The average time from first presentation to clinic to returning to participation was 115 days (median: 72, CIs:100.7-129.49). Spearman’s rho demonstrated a strong correlation between time from pain onset to first clinic visit and the time to return to participation in both males (? (rho) = 0.82, p < 0.001) and females (? = 0.79, p < 0.001). Males experienced a shorter duration from the first clinic visit to return to participation (mean: 72 days, median 33), than females (mean: 121 days, median 77). The most common diagnostic imaging modalities used were radiographs (72.14%, n=259) and MRI (56.55%, n=203). In both males and females the most common initial treatments included a combination of: walking boot (51.53%, n= 185), physical therapy (38.72%, n=139), and activity modification (34.82%, n=125). These remained the most popularly prescribed treatments in the second and third treatments as well. Conclusions/significance Female athletes participating in dance and running, and male soccer, running and football athletes lead the list for injury to the hallucal sesamoid. Sesamoiditis and sesamoid stress fracture were the leading diagnoses in this cohort. Athletes who presented to clinical attention sooner also returned to sport/dance sooner when compared to athletes who delayed seeking medical attention. Continued research will serve to support anticipatory guidance and education surrounding hallucal sesamoid clinical presentation and need for timely evaluation and treatment in order to minimize time loss from sport/performing artist activity. [Table: see text][Table: see text][Figure: see text]

scholarly journals Using Telemedicine to Pre-Screen Sports Medicine Patients in the Ambulatory Setting Reduces Wait Times and Maximizes Provider-Patient Interaction

2019 ◽  
Vol 7 (7_suppl5) ◽  
pp. 2325967119S0041
Author(s):  
Alfred Atanda ◽  
Kathryn Leyden ◽  
Medical Student
Keyword(s):  
Patient Satisfaction ◽  
Knee Pain ◽  
Sports Medicine ◽  
Clinic Visit ◽  
Background Information ◽  
Full Time ◽  
Visit Time ◽  
Medicine Clinic ◽  
Exam Room ◽  
Room Time

Objectives: Gathering of background information during a clinic visit can be time-consuming. Some medical specialties have workflows that pre-screen patients ahead of time to minimize delays. Having background information ahead of time may decrease delays and ensure that the visit is focused on physical examination, diagnosis, and treatment. We have used telemedicine to treat established patients to reduce cost and resource utilization, while maintaining high levels of patient satisfaction. It is conceivable that telemedicine could also be used to pre-screen new patients prior to their in-person clinic visit. The goal of the current study was to evaluate whether utilizing telemedicine to pre-screen new patients to our sports medicine clinic would reduce time in the exam room waiting and being seen, and overall clinic times. Methods: From June 2018 through August 2018, we utilized videoconferencing telemedicine to pre-screen all new patients to a pediatric sports medicine clinic with a chief diagnosis of knee pain. Visits were performed by full-time telemedicine pediatricians who were provided appropriate training and an intake form describing which questions should be asked. All visits utilized the American Well software platform (Boston, USA) and were performed on the patient’s personal device. During the subsequent in-person visit, the overall timing of the visit was recorded including: time checked in, time waiting in waiting room, time waiting in exam room, time spent with provider, and time-checked out, were all recorded. Similar time points were recorded for matched control patients that did not undergo telemedicine pre-screening and were seen in the traditional manner. Inclusion criteria included: being brand new to the practice and unilateral knee pain. Results: There were eight pre-screened patients and ten control patients in this cohort. Compared to controls, pre-screened patients spent less time in the exam room (19 min vs. 31 min), higher percentage of the exam room time with the provider (58% vs. 34%), higher percentage of the overall visit time with the provider (29% vs. 19.5%), and less time for the overall visit (39 min vs. 52 min). Conclusion: Pre-screening patients to obtain background information can decrease exam room waiting time and overall visit time and maximize time during the visit spent with the provider. In addition, it could potentially be used to increase throughput through the clinic and improve patient satisfaction scores.

Confidence to Return to Play After ACL Reconstruction: An Evaluation of Quadriceps Strength Symmetry and Injury Mechanism in Male Athletes

2021 ◽  
pp. 194173812110438
Author(s):  
Rachel K. Straub ◽  
Francesco Della Villa ◽  
Bert Mandelbaum ◽  
Christopher M. Powers
Keyword(s):  
Female Athletes ◽  
Cruciate Ligament ◽  
Linear Regression Analysis ◽  
Return To Sport ◽  
Quadriceps Strength ◽  
Injury Mechanism ◽  
Return To Play ◽  
Negative Consequences ◽  
Male Athletes ◽  
The Relationship

Background: After anterior cruciate ligament reconstruction (ACLR), diminished quadriceps strength symmetry and reduced psychological readiness to return to play (RTP) increase the risk for subsequent injury. Although the relationship between quadriceps strength symmetry and psychological readiness to RTP has been reported to be influenced by injury mechanism in female athletes, it is unclear whether such a relationship exists in male athletes. Hypothesis: Quadriceps strength symmetry would be positively associated with greater psychological readiness to RTP after ACLR, regardless of injury mechanism. Study Design: Retrospective cohort. Level of Evidence: Level 3 (cohort study). Methods: Sixty male patients completed strength testing and the Injury-Psychological Readiness to Return to Sport Scale (I-PRRS) at an outpatient clinical facility as part of return to sport testing after ACLR. Linear regression analysis was used to assess the relationship between the I-PRRS and the independent variables of interest (quadriceps strength symmetry and injury mechanism). Results: For all patients combined, no symmetry × mechanism interaction was found ( P = 0.11). A significant positive relationship was found between quadriceps strength symmetry and the I-PRRS score ( P < 0.001, R2 = 0.31), after adjusting for time post-ACLR and injury mechanism. Conclusion: Greater quadriceps strength symmetry was associated with greater psychological readiness to RTP after ACLR in male athletes. In contrast to what has been reported in female athletes, this relationship was independent of injury mechanism. Clinical Relevance: Given the potential negative consequences of quadriceps strength deficits on one’s confidence to RTP, the need to restore quadriceps symmetry during the postoperative period is readily apparent. Low confidence or low psychological readiness to RTP may be indicative of quadriceps strength asymmetry or poor physical function in general.

scholarly journals Athletes’ Physical Performance in the System of the Sports Medicine Technologies Effectiveness Evaluation

2021 ◽  
Vol 20 (6) ◽  
pp. 119-125
Author(s):  
Anna A. Kish ◽  
Evgeny V. Goloborodko ◽  
Sergey M. Razinkin ◽  
Artem M. Komlev
Keyword(s):  
Heart Rate ◽  
Physical Performance ◽  
Sports Medicine ◽  
Female Athletes ◽  
Performance Testing ◽  
Bicycle Ergometer ◽  
Track And Field ◽  
Male Athletes ◽  
Specific Loading ◽  
Rowing Ergometer

Aim. To determine the effectiveness of the specific loading testing use in assessing the athletes’ physical performance. Material and methods. We present a post-hoc analysis of data from specific and nonspecific loading testing (bicycle ergometer, treadmill, rowing ergometer, and ski treadmill) of 23 oarsmen athletes (13 male (mean age 25.85±0.88 years) and 10 female (mean age 22.90±1.20 years); 125 track and field athletes (75 male athletes (mean age 24.74±0.91) and 50 female athletes (mean age 23.81±1.35)), 38 ski athletes (22 male athletes (mean age 21.3±2.4) and 16 female athletes (mean age 19.6±1.8)). Results and discussion. When assessing the physical performance of track and field athletes of various positions using a bicycle ergometer and a treadmill, the maximum oxygen consumption (MOC) parameter for throwers and jumpers was in the range of 29-55 ml/min/kg (it is more appropriate to use a statoergometer), for runners – 39-75 ml/min/kg (testing on a treadmill is preferable). The greatest efficiency and physiological validity was obtained by load testing using a rowing ergometer for rowing athletes and a ski roller treadmill for athletes of ski sports (the ratio of heart rate at the anaerobic metabolism threshold level to the heart rate “on failure” is ~ 97%). With bicycle ergometry, low values of MOC were obtained in athletes training for endurance, and, including on the treadmill, in athletes with the main strength load and implies the work of the muscles of the upper shoulder girdle and back. The functional and reserve capabilities of the athlete are not reflected in the data obtained that makes impossible to judge the level of his/her functional readiness. Conclusion. Sports medicine technologies reflecting the dynamic characteristics of athletes’ physical performance should be evaluated from the point of view of informativeness and efficiency of their application depending on the type of sport. Conclusion about the effectiveness of sports medicine technologies should be made considering the results of the functional and physical performance testing under the exertion, specific to a particular sport.

scholarly journals ARE THERE DIFFERENCE THE PSYCHOLOGICAL CHARACTERISTICS OF INDONESIAN SEA GAMES ATHLETES IN TERMS OF TEAM SPORTS BASED ON SEX?

2020 ◽  
Vol 5 (1) ◽  
pp. 72
Author(s):  
Yahya Eko Nopiyanto ◽  
Alimuddin Alimuddin
Keyword(s):  
Female Athletes ◽  
Team Sports ◽  
Psychological Characteristics ◽  
Survey Method ◽  
Psychological Skills ◽  
Male Athletes ◽  
Significance Level ◽  
Psychological Characteristic ◽  
Research Findings ◽  
The Mean

The objective of this study is to investigate differences the psychological characteristic of Indonesian SEA Games athletes in terms of team sports based on sex. This research employed the quantitative approach using the survey method with a restrospective causal-comparative design. This research was population research. All subjects in the population were included in this research with a total of 83 athletes while 43 male athletes and 40 female athletes were from team sports. The data were collected using the Psychological Skills Inventory for Sports (PSIS) questionnaire and analyzed using the independent sample t test at the significance level of 0.05. The research findings revealed that there were significant differences in the psychological characteristics of Indonesian SEA Games athletes in terms of team sports based on sex with the mean score of male athletes = 150.1395 and female atheles = 139.3500 and sig. values = 0.000 < 0.05. There were significant differences in the psychological characteristics of Indonesian SEA Games athletes in terms of team sports based on sex.

Sex-Specific Differences in Perceived Injury Management and Prevention in High School Student-Athletes

2021 ◽  
Vol 1 (1) ◽  
pp. 30-37
Author(s):  
Eve Kantaros ◽  
Haylee Borgstrom
Keyword(s):  
High School ◽  
Injury Prevention ◽  
High School Student ◽  
Student Athletes ◽  
Female Athletes ◽  
Return To Sport ◽  
Male Athletes ◽  
Injury Management ◽  
Sex Disparities ◽  
Prevention Training

BACKGROUND: Sport-related injuries are common among high school student-athletes with specific sex disparities in injury risk. Many of these injuries may be avoidable with the use of injury prevention programs (IPPs). Sex differences in injury management and return to sport are not well understood. PURPOSE: To determine sex-specific differences in self-reported injury management and prevention strategies in high school student-athletes. DESIGN: Cross-sectional, survey-based study. METHODS: An anonymous 13-item electronic survey was distributed to all students in a private high school in December 2019 with responses recorded over a one-month study period. Primary outcomes were sex-specific differences in self-reported outcome measures assessing student-athlete experience during injury recovery and familiarity with IPPs. Groups were evaluated via descriptive statistics and differences between groups were compared. RESULTS: From a total of 190 responses, 106 were included in the analysis (63F, 43M, mean age 16.7 years). Female athletes reported decreased exposure to injury prevention training (44.4% vs 69.8%, p=0.01) and practice-based utilization of IPPs (23.8% vs 55.8%, p=0.001) compared to male athletes. Overall, reported utilization of IPPs was low regardless of sex at less than 40% for all athletes. Nearly 85% of female athletes compared to 51% of male athletes felt they could benefit from IPPs (p=0.001), yet fewer than half of female athletes reported ever having training in injury prevention. There were no statistically significant differences in measures of injury management or return to sport between sexes. Females reported similar major impact of injury on life and future plans compared to male athletes. CONCLUSIONS: Male athletes were 1.6x more likely to report injury prevention training and 2.4x more likely to report practice-based utilization of IPPs compared to female athletes. Sex-specific differences in injury management and return to sport were not identified. Better incorporation of IPPs, specifically at the high-school level, may help to address sex disparities in preventable sport-related injuries and allow student-athletes to maximize the myriad benefits of sport participation.

Prevalence of FAI Type in Adolescent Female Athletes with FAI Presenting to Sports Medicine Clinic

2016 ◽  
Vol 48 ◽  
pp. 509
Author(s):  
Joana Fraser ◽  
Dai Sugimoto ◽  
Emily Hanson ◽  
Yi-Meng Yen ◽  
Andrea Stracciolini
Keyword(s):  
Sports Medicine ◽  
Female Athletes ◽  
Adolescent Female ◽  
Medicine Clinic

Differences in Perceptions of Seriousness and Disrupting Effects of Athletic Injury as Viewed by Athletes and Their Trainer

1985 ◽  
Vol 61 (3_suppl) ◽  
pp. 1131-1134 ◽  
Author(s):  
Jane Crossman ◽  
John Jamieson
Keyword(s):  
State Anxiety ◽  
Sports Medicine ◽  
Female Athletes ◽  
Psychological Support ◽  
Athletic Injury ◽  
Medicine Clinic

Discrepancies between athletes' ratings of the seriousness and disruptive impart of an athletic injury and ratings by one experienced Sports Medicine Trainer were examined for 30 male and 13 female athletes undergoing treatment at a Sports Medicine Clinic. Overestimation of the seriousness or disruptive impart of the injury was significantly correlated with reports of more pain, higher state anxiety, and greater feelings of anger, apathy, loneliness, and inadequacy, and was more common among athletes competing at lower levels. These findings indicate need for psychological support for those athletes who overreact to injury.

scholarly journals Physical condition and heart rate rest of yogyakarta rugby pon team players during the COVID-19 pandemic

2020 ◽  
Vol 6 (3) ◽  
pp. 45
Author(s):  
Antonius Tri Wibowo
Keyword(s):  
Heart Rate ◽  
Strong Correlation ◽  
Female Athletes ◽  
Pearson Correlation ◽  
Vertical Jump ◽  
Male Athletes ◽  
Fitness Indicators ◽  
Pearson Correlation Analysis ◽  
Waking Up ◽  
Rugby Players

<p><strong>Aim:</strong> To identify the correlation between different fitness indicators of rugby players in training conditions during quarantine related to Covid-19.</p><p><strong>Material and methods. </strong>The study involved athletes from PON Rugby DIY (n = 28, including 15 male athletes and 13 female athletes). To assess the level of physical fitness, the following tests were used: to assess the level of strength, push ups for 1 minute (number) and squats for one minute (number) were used; the yo-yo test was used to assess the level of endurance; speed was assessed using a 40 meter running test (s); agility by performing an Illinois agility test; power (speed-strength abilities) was assessed by the value of the vertical jump (cm); and for the heart rate was determined by the athlete independently within 60 seconds after waking up. The data collection method in this study is test and questionnaire. Data analysis was performed using Pearson correlation analysis using SPSS V 25 software.</p><p><strong>Results</strong>. It was shown that endurance has a strong correlation with power with r value (0.651) and significant p = 0.000. Speed ??also has a strong correlation with strength, as evidenced by the r (0.538) value with a significant p = 0.003. Strength has a strong correlation with power, as evidenced by the value of r (0.561) with a significant value of p = 0.002. Speed ??has a very strong correlation with agility, as evidenced by the value (0.935) with a significant p = 0.000.</p><p><strong>Conclusions. </strong>It was found that endurance does not correlate with resting heart rate, and endurance does not correlate with strength, because the load of the training program was not optimally implemented by athletes in the Covid-19 quarantine.<strong></strong></p>

Management of the female anterior cruciate ligament: current concepts

2020 ◽  
Vol 5 (3) ◽  
pp. 123-127
Author(s):  
Nicholas Vaudreuil ◽  
Justin Roe ◽  
Lucy Salmon ◽  
Elvire Servien ◽  
Carola van Eck
Keyword(s):  
Anterior Cruciate Ligament ◽  
Sports Medicine ◽  
Female Athletes ◽  
Cruciate Ligament ◽  
Return To Sport ◽  
Acl Injury ◽  
Acl Injuries ◽  
Unique Challenge ◽  
Increased Risk ◽  
Anterior Cruciate

Female athletes represent a unique challenge for sports medicine providers. Care for skeletally mature female athletes requires an understanding of the distinct physiology, risk factors and injury patterns that have been described in this population. Anterior cruciate ligament (ACL) injuries are commonly observed in female athletes, especially in high-risk sports such as soccer, basketball, lacrosse and volleyball. Women have been shown to be at a higher risk for ACL injury compared with their male peers, even competing in the same sport. Several factors must be considered when discussing the increased risk of ACL injuries in women. Anatomic factors and altered landing mechanics alignment contribute to increased forces seen at the ACL. A variety of other factors including altered neuromuscular profiles, hormonal factors and genetic factors may all play a role in increased predisposition towards ACL injury. Prevention strategies for ACL such as proprioceptive training may be helpful, especially for at-risk activities such as landing and cutting drills. Optimal surgical management including graft choice is an area of debate. Postoperatively, return to sport protocols are not well standardised for female athletes. Women have a lower return to sport frequency, and psychological factors such as fear of reinjury are often cited as a predominant factor. Overall, the influence of female gender on ACL injury treatment has been an area of heavy research recently. However, more research is needed to elicit the reasons for physical and psychological differences between men and women in order to clarify optimal postoperative management.

Patient-Reported Outcome Scores and Rate of Return to Sport After Hip Arthroscopic Surgery: A Sex-Based Comparison in Professional and Collegiate Athletes

2021 ◽  
pp. 036354652110398
Author(s):  
Rachel M. Glein ◽  
Andrew E. Jimenez ◽  
Kara B. Miecznikowski ◽  
Benjamin R. Saks ◽  
Hari K. Ankem ◽  
...  
Keyword(s):  
Female Athletes ◽  
Arthroscopic Surgery ◽  
Return To Sport ◽  
Collegiate Athletes ◽  
Patient Reported Outcome ◽  
Harris Hip Score ◽  
Control Group ◽  
Male Athletes ◽  
Patient Reported

Background: No studies have compared outcomes and return to sport (RTS) after hip arthroscopic surgery between matched groups of male and female athletes with a minimum 2-year follow-up. Purpose: (1) To report minimum 2-year postoperative patient-reported outcome (PRO) scores and the RTS rate for elite female athletes undergoing hip arthroscopic surgery for femoroacetabular impingement (FAI) and (2) to compare clinical results with a matched control group of elite male athletes. Study Design: Cohort study; Level of evidence, 3. Methods: Data on all consecutive female athletes who underwent primary hip arthroscopic surgery performed at our institution between March 2009 and July 2018 were collected. Patients were eligible if they underwent hip arthroscopic surgery for labral tears or FAI and participated in collegiate or professional athletics within 1 year of surgery. Minimum 2-year postoperative PRO scores were collected for the modified Harris Hip Score (mHHS), Nonarthritic Hip Score (NAHS), Hip Outcome Score–Sport-Specific Subscale (HOS-SSS), and visual analog scale (VAS) for pain as well as RTS status. The percentages of patients achieving the minimal clinically important difference (MCID) and patient acceptable symptomatic state were recorded. These patients were matched to elite male athletes for comparison. Results: A total of 73 female hips were included, with a mean follow-up of 65.1 ± 27.9 months. They demonstrated a significant improvement from preoperatively to latest follow-up on the mHHS, NAHS, HOS-SSS, and VAS ( P < .05). When outcomes were compared with a control group of male athletes, female athletes demonstrated lower preoperative scores, similar postoperative scores, and a significantly greater magnitude of improvement (delta value) on the mHHS, NAHS, and VAS. Female athletes also achieved the MCID at higher rates than did male athletes for the HOS-SSS (85.1% vs 70.0%, respectively; P = .035) and NAHS (79.1% vs 62.9%, respectively; P = .037). RTS rates among patients who attempted were similar between the 2 groups (female: 75.4%; male: 83.1%; P = .409). Conclusion: Elite female athletes undergoing primary hip arthroscopic surgery for FAI demonstrated a significant improvement in PRO scores and a high RTS rate. Female athletes exhibited a greater improvement in PRO scores (mHHS, NAHS, VAS) and achieved the MCID (HOS-SSS, NAHS) at higher rates compared with a control group of male athletes.

Sign in / Sign up

Export Citation Format

Share Document