scholarly journals Retrospective analysis of injury trends in recreational skiers and snowboarders in Erciyes Ski Centre

2018 ◽  
Vol 22 (6) ◽  
pp. 313-319
Author(s):  
G. Özen ◽  
E. Yilmaz ◽  
H. Koç ◽  
C. Akalan
Keyword(s):  
Lower Extremity ◽  
Upper Extremity ◽  
Injury Surveillance System ◽  
Lower Extremity Injuries ◽  
System A ◽  
Significant Difference ◽  
Body Location ◽  
Spss Software ◽  
Alpine Skiers ◽  
Extremity Injuries

Purpose: The purpose of this study is to investigate the important differences in overall rates and frequency of injury cases and injury characteristics between the recreational alpine skiers and snowboarders in Erciyes Ski Centre. Methods: The data for this research was obtained from the Erciyes Ski Centre Injury Surveillance System. A total of 834 injury cases that ski patrols registered injury cases caused by recreational alpine skiing and snowboarding during the 2002 to 2017 winter seasons were respectively examined. The injury cases were grouped according to the skiing disciplines. All data were analysed using SPSS software. Results: Injury cases were 690 skiers (82.7%) and 144 snowboarders (17.3%). 397 (57.5%) male and 293 (42.5%) female were skiers and 91 (63.2%) male and 53 (36.8%) female were snowboarders. There was no statistically significant difference between the gender ratios in skiers and snowboarders (p > .05). Data analysis indicated that there were statistically significant differences in the ratios of lower and upper extremity injuries between skiers and snowboarders ( p < .05 ). Skiers suffered more lower extremity injuries while snowboarders suffered more upper extremity injuries ( p < .05 ). Contusion was the most common injuries type in both skiers and snowboarders ( p < .05) . Conclusions: The lower extremity injuries in skiers and the upper extremity injuries in snowboarders were more common with respect to body location of injuries. For both the recreational activities, contusion was the most common injury type.

scholarly journals ORTHOPEDIC INJURIES IN ADOLESCENT GYMNASTS: A SYSTEMATIC REVIEW

2021 ◽  
Vol 9 (7_suppl3) ◽  
pp. 2325967121S0011
Author(s):  
Katie Kim ◽  
Michael Saper
Keyword(s):  
Lower Extremity ◽  
Upper Extremity ◽  
Weight Bearing ◽  
The Body ◽  
Adolescent And Young Adult ◽  
Body Region ◽  
Lower Extremity Injuries ◽  
Common Location ◽  
Orthopedic Injuries ◽  
Extremity Injuries

Background: Gymnastics exposes the body to many different types of stressors ranging from repetitive motion, high impact loading, extreme weight bearing, and hyperextension. These stressors predispose the spine and upper and lower extremities to injury. In fact, among female sports, gymnastics has the highest rate of injury each year. Purpose: The purpose of this study was to systematically review the literature on location and types of orthopedic injuries in adolescent (≤20 years) gymnasts. Methods: The Pubmed, Medline, EMBASE, EBSCO (CINAHL) and Web of Science databases were systematically searched according to the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) guidelines to identify all studies reporting orthopedic injuries in adolescent and young adult gymnasts. All aspects of injuries were extracted and analyzed including location, type and rates of orthopedic injuries. Results: Screening yielded 22 eligible studies with a total of 427,225 patients. Twenty of 22 studies reported upper extremity injuries of which four specifically focused on wrist injuries. Eight studies reported lower extremity injuries. Nine studies reported back/spinal injuries. Seven studies investigated each body location of injury; one study reported the upper extremity as the most common location for injury and six studies reported the lower extremity as the most common location for injury. Of those seven studies, five (23%) reported sprains and strains as the most common injury. One study reported fractures as the most common injury. Conclusion: There is considerable variation in reported injury location. Some studies focused specifically on the spine/back or wrist. The type of gymnastics each patient participated in was also different, contributing to which area of the body was more heavily stressed, or lacking. Current literature lacks data to fully provide evidence regarding which body region is more frequently injured and the type of injury sustained.

scholarly journals Epidemiology of Pediatric Baseball and Softball Player Injuries

2021 ◽  
Vol 9 (12) ◽  
pp. 232596712110525
Author(s):  
Ali S. Farooqi ◽  
Alexander Lee ◽  
Eric Abreu ◽  
Divya Talwar ◽  
Kathleen J. Maguire
Keyword(s):  
Lower Extremity ◽  
Sports Injuries ◽  
The United States ◽  
Injury Surveillance System ◽  
Baseball Players ◽  
Injury Rates ◽  
Lower Extremity Injuries ◽  
Youth Baseball ◽  
Extremity Injuries ◽  
Head Neck

Background: Baseball and softball are popular sports in the United States and are responsible for a large number of youth sports injuries each year. Purpose: To investigate recent differences in youth baseball and softball injuries evaluated in nationwide emergency departments. Study Design: Descriptive epidemiology study. Methods: The National Electronic Injury Surveillance System (NEISS) database was examined for softball and baseball injuries in pediatric patients (age, 7-21 years) from 2010 through 2019. Patients were classified as children (age, 7-13 years), adolescents (age, 14-18 years), or young adults (age, 19-21 years). Case narratives were used to categorize injuries as contact injuries (hit by bat or ball), field injuries (sliding into base, collision with another player, catching, or running), throwing injuries, or other. Results: An unweighted total of 24,717 baseball injuries and 13,162 softball injuries were recorded. A nationwide estimate of 861,456 baseball injuries and 511,117 softball injuries were sustained during the studied time period, with estimated respective injury rates of 86,146 and 51,112 per year. Injured softball players were most commonly adolescent (47%) and female (92%), while injured baseball players were most commonly children (54%) and male (90%). There was a greater proportion of baseball-related injuries involving the head/neck (41%) as compared with softball-related injuries (30%) ( P < .01). Conversely, a greater proportion of softball-related injuries involved the lower extremity (32%) as compared with baseball-related injuries (19%) ( P < .01). When comparing diagnosis, softball injuries were more often sprains/strains (28%) than baseball injuries (18%) ( P < .01). When comparing mechanisms of injury, baseball athletes were more likely to be evaluated with contact injuries than were softball athletes (49% vs 40%, P < .01). Conclusion: Youth baseball athletes were more likely to be injured through contact mechanisms and had a higher proportion of injuries related to the head/neck/face, whereas softball injuries more frequently involved the lower extremity and resulted in a sprain/strain. League guidelines should focus on reducing contact injuries within youth baseball, and injury-prevention programs should focus on reducing lower extremity injuries in youth softball.

scholarly journals PEAK LOWER EXTREMITY SOCCER INJURIES OCCUR IMMEDIATELY FOLLOWING GROWTH IN ADOLESCENTS: AN EPIDEMIOLOGIC REVIEW OF EMERGENCY DEPARTMENT VISITS

2020 ◽  
Vol 8 (4_suppl3) ◽  
pp. 2325967120S0021
Author(s):  
Aidan P. Wright ◽  
Aaron J. Zynda ◽  
Jane S. Chung ◽  
Philip L. Wilson ◽  
Henry B. Ellis ◽  
...  
Keyword(s):  
Emergency Department ◽  
Lower Extremity ◽  
Emergency Departments ◽  
Skeletal Maturity ◽  
Epidemiologic Study ◽  
The United States ◽  
Emergency Department Visits ◽  
Injury Surveillance System ◽  
Lower Extremity Injuries ◽  
Extremity Injuries

BACKGROUND: Soccer has become the most popular youth sport in the world. Within the last decade, there has been limited epidemiologic research on pediatric soccer-related injuries based on sex and age. PURPOSE: To examine trends associated with soccer injuries presenting to emergency departments and to describe differences in injury pattern and location based on sex and age during periods of growth. METHODS: An epidemiologic study was conducted utilizing publicly accessible data from the National Electronic Injury Surveillance System (NEISS). The NEISS compiles Emergency Department (ED) data on all injuries presenting to the approximately 100 participating network hospitals in the United States. Information on all soccer-related injuries occurring in ages 7-19 from January 2009 – December 2018 was extracted and summary statistics were calculated. RESULTS: Approximately 54,287 pediatric soccer-related injuries were identified. The average age for all injuries was 13.3 years, and males (60.50%) presented more often than females (39.50%). Concussions and head injuries (15.57%) were most commonly reported overall, with a greater percentage occurring in females than males (17.44% vs. 14.35%). The ankle (15.3%) was the second most common injury location with females also presenting more commonly than males (18.71% vs. 13.62%). Age and sex-based evaluation noted peaks in lower extremity injuries in females younger than in males. Both ankle (F=13-15 years, M=15-17 years) and knee (F=14 years, M=16 years) injuries peaked at ages coinciding with recognized sex-based lower extremity skeletal maturity (Figure 1). CONCLUSION: Peak pediatric soccer-related ankle and knee injuries presenting to emergency departments occur at different ages in females and males and appear to, on average, coincide with maturation (age 14 in females and 16 in males). Lower extremity injuries significantly increase nearing the completion of lower extremity growth, and may indicate appropriate timing for differential sex-specific injury prevention programs within soccer. [Figure: see text]

Prediction Rules for Selective Radiographic Assessment of Extremity Injuries in Children and Adolescents

PEDIATRICS ◽  
1990 ◽  
Vol 86 (1) ◽  
pp. 45-57
Author(s):  
Kenneth M. McConnochie ◽  
Klaus J. Roghmann ◽  
Joel Pasternack ◽  
David J. Monroe ◽  
Liberatore P. Monaco
Keyword(s):  
Lower Extremity ◽  
Children And Adolescents ◽  
Upper Extremity ◽  
Phase 1 ◽  
Logit Analysis ◽  
Phase 2 ◽  
Prediction Rules ◽  
Lower Extremity Injuries ◽  
Extremity Injuries ◽  
Point Tenderness

To assess the potential for selective use of roentgenography in evaluating extremity injuries, prediction rules were developed based on prospective observations for 617 injured children and adolescents examined in our Emergency Department (phase 1) and tested on 601 examined 1 year later (phase 2). Logit analysis produced best-fitting statistical models for phase 1 data with significant (P &lt; 0.05) direct effects of gross signs, point tenderness, activity not routine, swelling moderate or severe, time from injury &lt;6 hours, and pain with motion for upper extremity injuries; and, for lower extremity injuries, not knee injury, activity not routine, point tenderness, and foot injury. Prediction rules developed in phase 1 performed equally well when tested on phase 2 injuries. Data from both phases were combined, therefore, in analysis that produced risk estimates. For all injury types (ie, for injuries with all possible combinations of presence or absence of these findings), risk for fracture was derived. For upper extremity injuries, with a threshold risk for fracture of 20% used to select specific injury types for roentgenography, prediction rule outcomes were 18.1% of roentgenograms avoided and 5.3% of fractures missed. For lower extremity injuries, using a threshold risk of 10% to select injury types for roentgenography, outcomes were 25.8% of roentgenograms avoided and 5.3% of fractures missed. Alternative prediction rules allowed still greater roentgenogram avoidance, although missed fractures also increased. Risk of adverse functional outcome from missed fractures appeared small. Annual national cost savings from the elimination of 18.1% of upper and 25.8% of lower extremity roentgenographic evaluations was estimated at $103 million.

scholarly journals FEATURES OF SPORTS PERFORMANCE RELATED INJURIES OF ELITE TRACK AND FIELD ATHLETES IN LITHUANIA

2016 ◽  
Vol 4 (103) ◽  
pp. 24-31
Author(s):  
Linas Rekus ◽  
Lina Simaškaitė ◽  
Egidijus Šakalys
Keyword(s):  
Lower Extremity ◽  
Upper Extremity ◽  
Sports Medicine ◽  
Sports Injuries ◽  
Track And Field ◽  
Significance Level ◽  
Lower Extremity Injuries ◽  
Huge Impact ◽  
One Year ◽  
Extremity Injuries

Background. Sports injuries have a huge impact on performance of athletes in competitions. A lot of athletes do not obtain full recovery after injuries, which leads to trauma recurrence or higher severity injuries. Being aware of dominating anatomical regions and frequencies of occurrence of these traumas could help to prevent it and to protect athletes’ health. Methods. In 2013 Lithuanian professional athletes were asked to fill in questionnaires developed by using standardized methodology validated by the IOC and implemented by the IAAF during international track and field competitions. Data were collected, processed and analysed. Results were obtained using statistical methods, significance level of p ≤ .05 was considered statistically significant. Results. We investigated 33 athletes- sprinters and throwers (javelin and discus throwers, shot putters). They had 57 cases of traumatic injuries in one year period (2012–2013). Results of the study showed that injuries of lower extremity statistically significantly dominated comparing with upper extremity and head/trunk in both fields of sport. Injuries by anatomical region were: lower extremity – 67%, upper extremity – 12%, head and trunk – 21%. Most of all were injured: hamstrings 23%, inguinal 10.5%, lumbar 13% area. Comparing traumas between throwers and sprinters groups lower extremity injuries statistically significantly dominated in sprinters group, while upper extremity had been injured only in the throwers’ group. Analysing severity of the injuries we noticed that moderate and mild injuries were dominating. Mild and moderate severity injuries appeared leading to a higher risk of re-injury than high severity traumas. Recurrence of the same injury was noticed only in the group of sprinters – 57.9% of sprinters repeatedly suffered mostly from hamstring and inguinal traumas. Conclusions. According to the results of this study, sports medicine physicians could predict potential localization and recurrence of injuries and collaborating with coaches and athletes prepare opportune training programs to avoid harm.

scholarly journals Epidemiology of Upper Extremity Soccer Injuries Among High School– and College-Aged Players in the United States: An Analysis of the 1999-2016 NEISS Database

2018 ◽  
Vol 10 (6) ◽  
pp. 552-557 ◽  
Author(s):  
Wesley M. Durand ◽  
Avi D. Goodman ◽  
Patricia Giglio ◽  
Christine Etzel ◽  
Brett D. Owens
Keyword(s):  
High School ◽  
Upper Extremity ◽  
The United States ◽  
High Energy ◽  
Soccer Players ◽  
Level Of Evidence ◽  
Injury Surveillance System ◽  
Aged Patients ◽  
Lower Extremity Injuries ◽  
Extremity Injuries

Background: Although lower extremity injuries are more common than upper extremity injuries in high school– and college-aged soccer players, upper extremity injuries may be equally severe. The epidemiology of upper extremity injuries is poorly characterized in this population. Hypothesis: Upper extremity injuries are an important contributor to soccer-related morbidity among high school– and college-aged players. Study Design: Descriptive epidemiology study. Level of Evidence: Level 3. Methods: The National Electronic Injury Surveillance System (NEISS) is a nationally representative sample of 100 hospital emergency departments (EDs). Each record contains demographic and injury information. Records from 1999 to 2016 were analyzed, including patients between the ages of 14 and 23 years with a soccer-related injury sustained at school or during an athletic event. Results: A total of 1,299,008 high school– or college-aged patients presented to the ED for a soccer-related injury from 1999 to 2016, of which 20.4% were in the upper extremity. Patients were predominantly male (58.0%) and high school–aged (81.4%). Males constituted a greater proportion of upper extremity injuries when compared with other injury locations (63.5% male for upper extremity). Upper extremity injuries were more likely to be fractures (43.7% vs 13.9%) and dislocations (7.1% vs 3.4%) and less likely to be strains/sprains (27.8% vs 56.6%). Males suffered more shoulder dislocations (81.8% males among patients with shoulder dislocation vs 57.8% among those with other injuries), finger dislocations (72.0% vs 58.0%), upper arm fractures (74.9% vs 57.6%), and forearm fractures (68.3% vs 57.3%). Conclusion: Upper extremity injuries are frequent in high school– and college-aged soccer players presenting to the ED. Efforts to reduce soccer-related injuries should include strategies targeting the upper extremity, perhaps reducing the incidence of high-energy falls. Clinical Relevance: Efforts to reduce soccer-related injuries should include strategies targeting upper extremity injuries, particularly among males and college-aged players.

Injuries in Austrian football players: Are they an issue?

2018 ◽  
Vol 33 (01) ◽  
pp. 43-50
Author(s):  
Felix Fischer ◽  
Christian Hoser ◽  
Cornelia Blank ◽  
Wolfgang Schobersberger ◽  
Caroline Hepperger ◽  
...  
Keyword(s):  
Lower Extremity ◽  
Consensus Statement ◽  
Football Players ◽  
Muscle Injuries ◽  
Match Play ◽  
Lower Extremity Injuries ◽  
Risk Of Injury ◽  
Significant Difference ◽  
Load Characteristics ◽  
Extremity Injuries

Abstract Purpose and Hypothesis With its load characteristics, the team sport of football places high physical demands on players and thus is associated with a high risk of injury. Therefore, the purpose of this study was to collect information about injuries suffered by football players in Austria during training or matches to enable participating clubs to learn about injuries. Methods One hundred and forty-five players from seven teams with age ranging from 16 to 38 years participated in this prospective study during the 2015/16 season. Injury surveillance was conducted according to the consensus statement of Fuller et al. (2006). Results During the period of study, a total of 83 injuries were recorded, which represents an overall incidence of 4.5 injuries/1000 hours (2.3 injuries/1000 hours in training and 14.2 injuries/1000 hours of match play). There was a significant difference for older age in injured players compared to non-injured players (p = 0.019). No differences in BMI were detected (p = 0.427). Ninety-four percent of all injuries occurred in the lower extremity, with the thigh (25.8 %), ankle (19.3 %) and knee (13.3 %) being the major locations of injuries. Muscle tendon injuries were the most common non-contact injuries (78.9 %). Conclusion Lower extremity injuries are the most common injury in Austrian football. The incidence of muscle injuries is high, especially injuries of the posterior thigh. There are promising preventive strategies for the most common injury types. The implementation of these strategies is essential in order to reduce the incidence or recurrence of these football injuries.

scholarly journals Peculiarities of Sports Injures of Sprint and Throwing Cohorts in Track and Field Athletics

2018 ◽  
Vol 1 (88) ◽  
Author(s):  
Linas Rekus ◽  
Evelina Rekuvienė ◽  
Aušra Burkauskienė ◽  
Daiva Emilija Rekienė ◽  
Žibuoklė Senikienė ◽  
...  
Keyword(s):  
Lower Extremity ◽  
Upper Extremity ◽  
Training Programs ◽  
Body Part ◽  
Track And Field ◽  
Body Parts ◽  
Lower Extremity Injuries ◽  
Extremity Trauma ◽  
Upper Extremity Trauma ◽  
Extremity Injuries

Research background and hypothesis. The severity of recurrence of injuries in track and field athletics gives possibility to adjust training programs for athletes.  Research aim was to analyse which body parts are mostly injured and the severity of recurrence of injuries in track and field athletics gives possibility to adjust training programs for athletes.Research methods. Thirty six athletes were given questionnaires developed using standardized methodology validated by the IOC and implemented by the IAAF during international track and field competitions.Research results. There were 64 cases of injuries among 33 athletes: head and trunk cases – 12 (18.8%), upper extremity – 14 (21.9%), lower extremity – 38 (59.4%). In all cases lower extremity injuries dominated. In sprinters lower extremity injuries dominated and there was no upper extremity trauma. In throwers the upper and the lower extremity were equally vulnerable, mild and very mild injuries were observed. There was no difference between both groups in recurrence of the same trauma.Discussion and conclusions.  Estimating which body parts are mostly injured in sports gives the possibility to  adjust  training  programs  for  athletes,  increasing  the  amount  of  athletic  exercises  intended  for  the  functional preparation of those parts.  Injuries in track and field are frequent and dominating injuries are of lower extremity; there exist the possibility of recurrence of the injury in the same body part. Injuries prevalent in sprinter cohort are of lower extremities, and injuries prevalent in throwing cohort are of lower and upper extremities.Keywords: physiotherapy, Parkinson’s disease, reaction time.

scholarly journals Concussion in National Football League Athletes Is Not Associated With Increased Risk of Acute, Noncontact Lower Extremity Musculoskeletal Injury

2021 ◽  
Vol 9 (5) ◽  
pp. 232596712110034
Author(s):  
Toufic R. Jildeh ◽  
Fabien Meta ◽  
Jacob Young ◽  
Brendan Page ◽  
Kelechi R. Okoroha
Keyword(s):  
Lower Extremity ◽  
National Football League ◽  
Field Performance ◽  
Return To Play ◽  
Lower Extremity Injury ◽  
Extremity Injury ◽  
Lower Extremity Injuries ◽  
Increased Risk ◽  
Extremity Injuries ◽  
And Control

Background: Impaired neuromuscular function after concussion has recently been linked to increased risk of lower extremity injuries in athletes. Purpose: To determine if National Football League (NFL) athletes have an increased risk of sustaining an acute, noncontact lower extremity injury in the 90-day period after return to play (RTP) and whether on-field performance differs pre- and postconcussion. Study Design: Cohort study, Level of evidence, 3. Methods: NFL concussions in offensive players from the 2012-2013 to the 2016-2017 seasons were studied. Age, position, injury location/type, RTP, and athlete factors were noted. A 90-day RTP postconcussive period was analyzed for lower extremity injuries. Concussion and injury data were obtained from publicly available sources. Nonconcussed, offensive skill position NFL athletes from the same period were used as a control cohort, with the 2014 season as the reference season. Power rating performance metrics were calculated for ±1, ±2, and ±3 seasons pre- and postconcussion. Conditional logistic regression was used to determine associations between concussion and lower extremity injury as well as the relationship of concussions to on-field performance. Results: In total, 116 concussions were recorded in 108 NFL athletes during the study period. There was no statistically significant difference in the incidence of an acute, noncontact lower extremity injury between concussed and control athletes (8.5% vs 12.8%; P = .143), which correlates with an odds ratio of 0.573 (95% CI, 0.270-1.217). Days (66.4 ± 81.9 days vs 45.1 ± 69.2 days; P = .423) and games missed (3.67 ± 3.0 vs 2.9 ± 2.7 games; P = .470) were similar in concussed athletes and control athletes after a lower extremity injury. No significant changes in power ratings were noted in concussed athletes in the acute period (±1 season to injury) when comparing pre- and postconcussion. Conclusion: Concussed, NFL offensive athletes did not demonstrate increased odds of acute, noncontact, lower extremity injury in a 90-day RTP period when compared with nonconcussed controls. Immediate on-field performance of skill position players did not appear to be affected by concussion.

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