Management of sports-related and recreational knee Injuries in children: surgical aspects

2021 ◽  
Vol 15 (8) ◽  
pp. 2460-2467
Author(s):  
Talat Mahmood ◽  
Waqas Ali Khan ◽  
Javaid Iqbal ◽  
Syed Kashif Mehdi ◽  
Hafsa Talat ◽  
...  
Keyword(s):  
Soft Tissues ◽  
Sports Injuries ◽  
Knee Injuries ◽  
Anatomical Location ◽  
Training Tool ◽  
Growth Cartilage ◽  
Training Programmes ◽  
Surgical Aspects ◽  
Type Of Injury ◽  
Immature Skeleton

Sports -related knee injuries are common in children and the management of these injuries continues to evolve. Sports injuries in children affect both growing bone and soft tissues and can result in damage of growth mechanisms with subsequent lifelong, growth disturbance. With an increasing number of paediatric and adolescent athletes presenting with knee injuries. due to sports, a greater demand is put on clinicians and radiologists to assess the specific type of knee injury. Traumatic forces applied to the immature skeleton cause a different type of injury than those seen in adults due to the differences in vulnerability of the musculoskeletal system, especially at the site of the growth cartilage. An overview of several sport-related knee injuries of young athletes are presented, based on anatomical location and their management. The training programmes should be considered an important training tool that growing athletes can adjust to the changes in their bodies and could prevent knee injuries. Keywords: Sports-Related, paediatric, Children, Knee Injuries, Adolescent Sports Players, immature skeleton, growth cartilage.

Injury incidence and locomotor behaviours in polocrosse ponies

2020 ◽  
Vol 16 (1) ◽  
pp. 29-33 ◽  
Author(s):  
K. Yarnell ◽  
G. Starbuck ◽  
A. Riley ◽  
A. Woodhead
Keyword(s):  
Injury Risk ◽  
Gps Data ◽  
Injury Incidence ◽  
Limited Information ◽  
Physical Demands ◽  
The United Kingdom ◽  
Injury Risk Factors ◽  
Training Programmes ◽  
The Uk ◽  
Type Of Injury

There is currently limited information available regarding the physical demands of polocrosse and no information on the specific veterinary problems faced by polocrosse ponies in the United Kingdom. Polocrosse requires the ponies that compete to perform rapid acceleration, sharp turns and sudden halts. The study aim was to explore the injury incidence and type of injury, between the three positions played by polocrosse ponies. Injuries that resulted in withdrawal of a pony during outdoor tournaments in the UK over the 2015 and 2016 seasons were recorded. In addition, GPS data and locomotor behaviours were recorded during winter league tournaments in 2017 and compared between the different position ponies. Ponies that played in the defence position were significantly more likely to become injured (P<0.001) with lameness being the most common cause for withdrawal (P<0.001). Ponies playing in the attack position achieved the fastest speeds and covered the furthest distance. Defence ponies performed significantly more abrupt halts (P=0.007), walk to gallop transitions (P=0.017) and sudden changes in direction (P=0.01) than midfield ponies and more of each manoeuvre than attack ponies, although this was not significant. It is important that the physical demands placed upon polocrosse ponies are investigated further; this will allow identification of injury risk factors, inform training programmes and improve the performance and welfare of the horses involved.

scholarly journals Lesões Músculo-Esqueléticas em Remadores de Competição

2015 ◽  
Vol 28 (4) ◽  
pp. 427 ◽  
Author(s):  
Francisco Bernardes ◽  
Alfredo Mendes-Castro ◽  
José Ramos ◽  
Ovídio Costa
Keyword(s):  
Statistical Analysis ◽  
Anatomical Location ◽  
Lumbar Region ◽  
Confidence Levels ◽  
Injury Occurrence ◽  
Parametric Statistics ◽  
The Mean ◽  
Occurrence Type ◽  
Location Type ◽  
Type Of Injury

<p><strong>Introduction:</strong> The objective of this study was the assessment of the injuries occurred over the competitive rowing lifetime of Portuguese senior rowers.<br /><strong>Material and Methods:</strong> We sent a questionnaire to all Portuguese senior rowers medalled in the national championships during the 2013-2014 season. We analysed biometric variables, anatomic location, type and circumstances of injury occurrence, type of treatment provided and time of inactivity. For statistical analysis we used parametric and non-parametric statistics with 95% confidence levels (p &lt; 0.05).<br /><strong>Results:</strong> The questionnaire was answered by 18 of the 18 female and 74 of the 77 male rowers. Females had significantly lower ages, heights and weights and rowed more often sculling boats (p &lt; 0.05). The number of years of practice, as well as the number of injuries per rower was similar, for both females and males. The mean age at the first injury was significantly lower in females (p &lt; 0.001), who also had more progressive lesions than acute ones, although not significantly. In both, the most frequent anatomical location and type of injury were the lumbar region and muscular pathology, with a higher occurrence in winter and spring, during land training. Females<br />sustained longer periods of inactivity, but not significantly.<br /><strong>Discussion:</strong> The results that were different from those reported by other authors may be related with differences in the studied populations or with other factors that need to be clarified.<br /><strong>Conclusion: </strong>The injuries sustained by the Portuguese competitive rowers, probably associated with a lower competitive exposure of our athletes, were less severe than those generally reported in the literature.</p>

scholarly journals Synovial Sarcoma of the Head and Neck: A Single Institution Review

Sarcoma ◽  
2017 ◽  
Vol 2017 ◽  
pp. 1-8 ◽  
Author(s):  
Vancheswaran Gopalakrishnan ◽  
Behrang Amini ◽  
Michael J. Wagner ◽  
Erica N. Nowell ◽  
Alexander J. Lazar ◽  
...  
Keyword(s):  
Head And Neck ◽  
Tumor Size ◽  
Soft Tissues ◽  
Local Therapy ◽  
Retrospective Chart Review ◽  
Progression Free Survival ◽  
Surgical Excision ◽  
Distant Recurrence ◽  
Anatomical Location ◽  
Synovial Sarcomas

Background. The prognosis and clinical characteristics of head and neck synovial sarcomas (HNSS) are unclear. Herein, we present an update using a cohort of patients treated at our institution. Methods. We performed a retrospective chart review of 44 patients diagnosed with primary HNSS between March 1990 and June 2012. Overall survival (OS) and progression-free survival (PFS) curves were estimated and hazard ratios (HRs) were calculated. Results. The entire cohort’s median PFS was 4.6 years, and 20 of the 44 (45%) patients developed either local or distant recurrence. Tumor size ≥ 5 cm (p=0.008, HR = 4.69; 95% CI = 1.34–16.38) and a primary presentation in the soft tissues of the neck (p=0.04, HR = 2.41; 95% CI = 1.003–5.82) were associated with significantly worse PFS. The OS and PFS of patients who received definitive local therapy versus those who received additional adjuvant systemic therapy did not differ significantly. Conclusion. Despite the treatment challenges associated with HNSS, our cohort of patients had a better prognosis than one might expect in this unfavorable anatomical location. Our findings suggest that tumor size and site are predictive of PFS and that wide surgical excision is of vital importance, since traditional cytotoxic chemotherapy has limited efficacy at this site.

scholarly journals Epidemiology of sports injuries in basketball: integrative systematic review

2018 ◽  
Vol 4 (1) ◽  
pp. e000468 ◽  
Author(s):  
Carlos Vicente Andreoli ◽  
Bárbara Camargo Chiaramonti ◽  
Elisabeth Biruel ◽  
Alberto de Castro Pochini ◽  
Benno Ejnisman ◽  
...  
Keyword(s):  
Systematic Review ◽  
Sports Injuries ◽  
Knee Injuries ◽  
Musculoskeletal Injuries ◽  
The Body ◽  
Lower Limbs ◽  
Integrative Review ◽  
Ankle Injuries ◽  
Upper Limbs ◽  
Sources Of Information

IntroductionBasketball is a contact sport with complex movements that include jumps, turns and changes in direction, which cause frequent musculoskeletal injuries in all regions of the body.ObjectiveThis is an integrative systematic review of the epidemiology of musculoskeletal injuries in basketball.MethodsThis is an integrative review based on the following sources of information: PubMed/MEDLINE, Embase, LILACS, BBO-Biblioteca Brasileira de Odontologia, IBECS-Índice Bibliográfico Espanhol em Ciências da Saúde, nursing journals, dental journals and core clinical journals in the last 10 years with studies addressing the general epidemiology of sports injuries in basketball.ResultsIn total, 268 articles were selected, of which 11 were eligible for the integrative review. A total of 12 960 injuries were observed, most of which occurred in the lower limbs (63.7%), with 2832 (21.9%) ankle injuries and 2305 (17.8%) knee injuries. Injuries in the upper limbs represented 12%–14% of the total injuries. Children and adolescents received head injuries more often compared with the other age and skill categories. In the adult category, there was an increased prevalence of injuries in the trunk and spine. In the upper limbs, hands, fingers and wrists were affected more frequently than the shoulders, arms and forearms. In the masters’ category, there was an increase in the incidence of thigh injuries.ConclusionThe lower limbs were the most affected, with the ankle and knee joints having the highest prevalence of injuries regardless of gender and category. Further randomised studies, increased surveillance and epidemiological data collection are necessary to improve knowledge on sports injuries in basketball and to validate the effectiveness of preventive interventions.

scholarly journals PREVALENCE OF INJURIES IN BRAZILIAN RECREATIONAL STREET RUNNERS: META-ANALYSIS

2019 ◽  
Vol 25 (2) ◽  
pp. 161-167 ◽  
Author(s):  
Wyngrid Porfirio Borel ◽  
José Elias Filho ◽  
Juliano Bergamaschine Mata Diz ◽  
Poliana Fernandes Moreira ◽  
Priscila Monteiro Veras ◽  
...  
Keyword(s):  
Associated Factors ◽  
Low Cost ◽  
Meta Analysis ◽  
Random Effect ◽  
Random Effect Model ◽  
Knee Injuries ◽  
Muscle Injuries ◽  
Level Of Evidence ◽  
Meta Regression Analysis ◽  
Type Of Injury

ABSTRACT Street running is an accessible, low-cost form of exercise. However, the occurrence of musculoskeletal injuries may hinder regular practice. This study aimed at estimating the prevalence of injuries in Brazilian street runners and the associated factors. A meta-analysis of Brazilian studies was performed to investigate the prevalence and risk factors of injuries in male and female recreational street runners aged ≥18 years. We excluded systematic review studies, research conducted on professional athletes or triathletes, and duplicate articles. The following databases were used: SciELO, LILACS, PubMed, Web of Science, and Google Scholar. Keywords such as “prevalence,” “injury,” “recreational street runners,” and “Brazil” were used. Prevalence analysis was performed using the random effect model, and a funnel plot was used to assess publication bias. Then the Begg-Mazumdar and Egger tests were applied to quantify the graph results. The Prevalence Critical Appraisal Instrument was used to evaluate the methodological quality of the studies. Associated factors were analyzed with meta-regression analysis. Twenty-three studies with 3,786 runners were included in the review. The prevalence of injury was 36.5% (95% confidence interval [CI] 30.8-42.5%), and a running distance per week greater than 20 km was a predictive variable of injuries. A higher prevalence of injuries was observed in men than in women (28.3%, 95% CI 22.5-35.0%), the knee was the most affected site of injury (32.9%, 95% CI 26.7-39.6%), and muscle injuries were the most frequent type of injury (27.9%, 95% CI 18.2-40.1%). This is the first national meta-analysis conducted to investigate the prevalence of injuries in recreational street runners. Although the prevalence of injuries was moderate, caution is required in terms of the weekly duration of running. Male runners are more susceptible, and muscle and knee injuries are the most common. Level of evidence II, Systematic reviewb of Level II Studies.

Audit of specialist registrar training in tympanomastoid surgery for chronic otitis media

2005 ◽  
Vol 120 (3) ◽  
pp. 193-199 ◽  
Author(s):  
S Mahendran ◽  
A M D Bennett ◽  
S E M Jones ◽  
B A Young ◽  
P R Prinsley
Keyword(s):  
Otitis Media ◽  
Bone Conduction ◽  
Chronic Otitis Media ◽  
East Anglia ◽  
Training Tool ◽  
Specialist Registrar ◽  
Microsoft Access ◽  
Training Scheme ◽  
Minimum Interval ◽  
Training Programmes

Background: A prospective audit of specialist registrars' (SRs') training in tympanomastoid surgery for chronic otitis media within the Anglia Regional Training Scheme is described. This audit recorded the surgical activity of the trainees and their contribution to operative procedures, and assessed the results of the procedures. This type of systematic approach to the audit of surgical training is important in light of the current shortened training programmes and increased accountability of trainers.Objectives: The study aimed to establish the levels of exposure to, supervision of and outcome of ear operations for chronic otitis media performed by ENT trainees in the East Anglia region.Method: A prospective, region-wide, minimum otology dataset-based proforma audit was undertaken, with compulsory SR participation. Proformas were completed at the time of operation (form one) and at a minimum interval of nine months post-operatively (form two). Data on form one included hospital, supervising consultant, name and training year of SR, contribution of SR (based on England Royal College of Surgeons guidelines interpreted by the SR), pre-operative audiology average (air conduction/bone conduction over 0.5, 1, 2 and 4 kHz), the pathology and the state of the ear at the time of surgery, and a breakdown of the procedure(s) undertaken. Form two recorded data relevant to form one as well as information regarding patient satisfaction and the operative result obtained, graded as ‘gold’ (no disease, dry ear and hearing average < 25 dB), ‘silver’ (two of these three) and ‘bronze’ (one of these three). All completed forms were analysed using Microsoft Access software.;>   Results: Completed copies of 409 form ones and 156 form twos were analysed. With advancing years, SRs' contributions to procedures increased without significant effect on the graded outcome, which appeared to be independent of SR year of training. Different regional hospitals were compared. Data collected also provided an otology training portfolio for SRs, forming part of their registrar in-training assessment (RITA).Conclusion: The East Anglia SR audit of SRs' training in tympanomastoid surgery for chronic otitis media was a powerful training tool. It demonstrated the safe progression of SR training in supervised ear surgery, with SRs' results being comparable to those for consultant-performed procedures.

Sports Members' Participation in Assessment of Incidence Rate of Injuries in Five Sports from Records of Hospital-Based Clinical Treatment

1998 ◽  
Vol 86 (2) ◽  
pp. 675-686 ◽  
Author(s):  
Johannes Kingma ◽  
Henk Jan Ten Duis
Keyword(s):  
Injury Severity Score ◽  
Incidence Rate ◽  
Severity Score ◽  
Injury Severity ◽  
Sports Injuries ◽  
Upper Extremities ◽  
University Hospital ◽  
Emergency Unit ◽  
Different Types ◽  
Type Of Injury

This study is about the incidence rate of sports injuries in five different types of sports, gymnastics, soccer, volleyball, hockey, and basketball, for which 5,154 patients were admitted to the Emergency Unit of the Groningen University Hospital during the period 1990 through 1994. Incidence rate had been computed by membership participation. Basketball had the highest incidence rate (231 injured persons per 10,000 participants), followed by hockey (158 injured persons per 10,000 participants). The highest mean Injury Severity Score, 2.39, was found for gymnastics which had the lowest incidence rate (7 injured persons per 10,000 participants). Gymnastics had the highest percentage (12%) clinically treated patients, whereas basketball had the smallest percentage (2%) of clinically treated patients. The most frequent type of injury was distorsion, except for hockey, in which contusion had the highest percentage of occurrence. For all five types of sports, the majority (about 90%) of the injuries were observed at either the lower or at the upper extremities.

scholarly journals SPORT INJURIES AND ITS MANAGEMENT THROUGH AYURVEDA

2021 ◽  
Vol 9 (5) ◽  
pp. 1116-1120
Author(s):  
Sonia Meend ◽  
Sunil Kumar
Keyword(s):  
Physical Activity ◽  
Sports Medicine ◽  
Sport Injury ◽  
Sports Injuries ◽  
Fast Recovery ◽  
Sport Injuries ◽  
Physical Damage ◽  
Meditation Technique ◽  
Mental Trauma ◽  
Type Of Injury

A sport injury is a type of injury which can be defined as any kind of injury, pain or physical damage that occurs during sports, exercise, or any physical activity. Sports medicine helps people in improving their performance in sports, fast recovery from injury and prevent future injuries. Ayurveda being the oldest science to serve mankind can prove to be the best science in management of the sport injuries. Various methods mentioned in Ayurveda classics like Vyayama (physical exercise), Abhyanga (an-ointment), Rasayana (rejuvenation) Therapy, Marma (vi- tal points) Therapy, yogic practices, Pranayamas (meditation technique) etc. proves to be a boon for a sports person for his performance as well as to overcome the physical and mental trauma suffered during the sport. Keywords: sport injury, sport medicine, Vyayama, Marma INTRODUCTION A sport injury is a type of injury which can be defined as any kind of injury, pain or physical damage that oc- curs during sports, exercise, or any physical activity. It is most commonly the musculoskeletal injuries which include muscle, bones, cartilage and associated tissue. Sports injuries can be caused by an accident, impact,

scholarly journals ANALYSIS OF CASES OF CEREBRAL COMMOTION AFTER ROAD ACCIDENTS IN KRASNODAR

2018 ◽  
Vol 25 (3) ◽  
pp. 107-112
Author(s):  
V. A. PORODENKO ◽  
S. A. ANUPRIENKO ◽  
YU. A. SERGEEVA ◽  
V. V. SHUTOVA
Keyword(s):  
Soft Tissues ◽  
Craniocerebral Trauma ◽  
Medical Examination ◽  
Dynamic Monitoring ◽  
Outpatient Basis ◽  
Road Accidents ◽  
Continuous Sampling ◽  
Objective Evidence ◽  
Type Of Injury

Aim. To examine cases of diagnose setting for cerebral commotion after road accidents within Krasnodar city, to justify the diagnose, to analyze the level of harm committed.Materials and methods. A retrospect analysis has been done to 353 expert reports and forensic medical examination acts issued after road accidents which involved medically documented cerebral commotion. Analyzed cases have been detected by continuous sampling. Conditions taken into consideration: sex, age, circumstances, time, type of accident and type of involvement for injured people, localization and type of injury, reasons for cerebral commotion rejection from experts diagnose.Results. As a result, 199 cases have missed cerebral commotion as experts diagnose – 63.3% of these cases missed data for dynamic neurological examination of the person aggrieved, 30.7% of cases didn’t contain objective evidence of cerebral commotion, in 3.5% of cases medical outpatient card was not provided for examination by the investigator, in 2.5% of cases cerebral commotion diagnose was cancelled by clinicians after dynamic patient follow-up. In 39% of cases cerebral commotion was diagnosed in pedestrians, in 20% of cases in car drivers, in 19% of cases car passengers were injured. In nine cases (6%) there was an accident involving motorcyclists and cyclists, 4 (3%) cases were passengers of public transport. 77% of the injured people received medical care in a hospital, 23% – on an outpatient basis. In 78% of cases with cerebral commotion there were injuries of soft tissues of the head, fractures of the skull bones were revealed in 14%. Light damage to health on the grounds of a short-term disorder is established in 45% of cases, harm to health of average severity – in 20%, serious harm – in 31%, harm to health was not determined in 4%.Conclusion. The obtained results indicate that the diagnosis of cerebral commotion is established based on anamnesis and complaints, it doesn't reflect the objective symptoms of concussion. Dynamic monitoring of the course of craniocerebral trauma is not ensured, necessary laboratory and instrumental diagnostics are not carried out. It leads to the impossibility of taking this diagnosis into account when conducting forensic medical examination because of its unreasonableness.

scholarly journals Rankininkių rankų ir kojų traumų paplitimas, pobūdis ir priežastys

2018 ◽  
Vol 2 (19) ◽  
Keyword(s):  
Female Athletes ◽  
Sports Injuries ◽  
Knee Injuries ◽  
Athletic Injuries ◽  
Hand Injuries ◽  
Body Parts ◽  
Finger Injuries ◽  
Ligament Strain ◽  
Highly Skilled ◽  
Answering Questions

Background. Highly skilled athletes do not avoid sports injuries. In order to reduce the prevalence of injuries among female elite handball players, it is necessary to determine the most often injured body parts and the causes of injuries. The aim of the study was to determine the prevalence, nature and causes of injuries in Lithuanian female elite handball players. Methods. Fifteen Lithuanian elite female handball players participated in the study. The age of the subjects was 20.4 ± 3.03 yrs. The subjects were asked to complete a questionnaire, answering questions about the prevalence, localization, frequency and nature of athletic injuries. Results. The subjects have training sessions six times a week, one workout lasts more than one hour. During the last season, 80% of the subjects suffered injuries (67% acute, 13% chronic). The most common injuries were ligament strain (46.2%) or tear (38.5%), less frequent ligament or muscle rapture (30.8%), and the least frequent– fracture (15.4%). In most cases players suffered from finger (26%), and knee (20%) and ankle (20%) injuries. Elbows (9%) and wrists (7%) were less likely to be traumatized. Head (2%) and hip (2%) injuries were uncommon in handball. Conclusion. The vast majority of elite female handball players experienced injuries during the sports season. The most prevalent hand injuries in female athletes were finger injuries and acute ankle or knee injuries in legs. Keywords: handball, females, injuries

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