Sport Injuries - Prevention
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Sport Injuries - Prevention
General Information
NEWS:
A Good Coach Stresses Safety First
A Run on the Beach Can Bring Misery "Sprains and tendonitis are commonly diagnosed injuries after running on the sand, Ciccotti noted. Common, too, are other strains and inflammation of joints and tendons in the knee, lower leg and ankle -- even fractures."
ACL Tears Bring Women Long-Term Bone Loss
Amateur marathon runners risk heart trouble "Amateur marathon runners who run less than 40 miles per week during training often show signs of cardiac dysfunction after the race and some of these abnormalities may persist for up to a month after they cross the finish line, a study shows."
Asthma, Kids and Participation in Sports
Athletes Vulnerable to Dangerous Staph Infection
Athletes' Hunger to Win Fuels Eating Disorders
Avoid Oral Antibiotics for 'Swimmer's Ear' "Antiseptic or antibiotic ear drops should be front-line treatment for swimmer's ear, and doctors should use restraint in using oral antibiotics for the common condition."
Back to school means back to sports injuries
Basketball tops list of injury-producing sports "One of the most common injuries sustained in basketball, and many other sports, is a damaged anterior cruciate ligament (ACL) in the knee. Research has shown that females are more likely to tear an ACL than men. . Tonino and his colleagues offer safety guidelines that may prevent such serious injuries. For example, he suggests bending the knees and hips when landing from a jump, to reduce shock to the joints."
Boxing Delivers Lethal Blow to Brain Cells "Amateur boxing can knock out precious brain cells, Swedish researchers report."
Cheerleading-related injuries on the rise
Chest Protectors Don't Protect Young Athletes
Chocolate Milk May Improve Recovery After Exercise " 'The results of this study suggest that chocolate milk, with its high carbohydrate and protein content, may be considered an effective alternative to commercial FR and CR for recovery from exhausting, glycogen-depleting exercise,' the authors write."
Chocolate Milk: The New Sports Drink?
Diet Linked to Women's Stress Fractures "The old-school prescription for sore legs -- running less or wearing different shoes -- doesn't really help alleviate the pain, Reinking said. Diet appears to be the single most important factor, he said."
Don't Blame Racket for Tennis Elbow "Your swing, not your racket, may be the culprit when it comes to developing tennis elbow (tendonitis), experts report. An improperly-sized -- either too small or too large -- tennis racket grip does not cause the common malady, according to a study in the December issue of the American Journal of Sports Medicine. "
Experts say marathoners should drink when thirsty "How much fluid should a marathon runner drink while racing? The answer depends on a variety of factors, but the best approach is to replace fluids in response to thirst, according to experts from the International Marathon Medical Directors Association (IMMDA) . . Athletes should also pay attention to their bodies so that they decrease their fluid consumption if they start urinating more frequently than normal or feel bloated. Also, they note, the body's thirst mechanism may take longer than normal to be stimulated in older individuals, and those who exercise in cooler temperatures."
Hyponatremia May Be Common and Severe in Nonelite Marathon Runners
Ice-skaters at risk of head injuries "More children get hurt in-line skating than ice-skating, but ice skaters suffer more head and face injuries, according to a U.S. study."
Ice Skating Injuries a Slippery Problem
Knee Injury Can Spur Later Arthritis "Researchers are trying to identify the early signs of osteoarthritis in the knees of young people who've suffered an anterior cruciate ligament (ACL) injury."
Lacrosse puts men at risk of knee ligament injury "The ACL is a tough, fibrous band that runs from the thighbone to the shinbone, serving as a major stabilizer of the knee joint. When it tears, it's often due to a hard twisting motion. So ACL injuries are particularly common in sports that require lots of pivoting, jumping and sudden stops and starts, such as basketball, soccer, volleyball and lacrosse."
Low lumbar spine bone mineral density in both male and female endurance runners (Bone 2006)
Marathon runners at higher risk for skin cancer
Marathon Runners May Harbor Hidden Heart Disease "Cardiovascular disease can occur in healthy endurance athletes, such as marathon runners, but may be difficult to distinguish from the effects of training on the heart …"
Neurosurgeons urge ban on kids using ATVs "Children riding all-terrain vehicles (ATVs) are in danger of suffering disabling or even fatal head injuries, a team of neurosurgeons warns."
Patient's Own Blood Cells Treat Tennis Elbow
Pumping iron can damage your eyes "Holding your breath while you're weight lifting can increase the risk of developing eye disease and potentially blindness, a study says."
Soccer Players at Risk for Mouth, Face Injuries "Amateur soccer players suffer a surprisingly high number of face and mouth injuries, a new report finds."
Sports Drink Can Be Tough on Teeth
Staph infections rising among athletes "Staph infections, in varying and sometimes deadly forms, are being reported in greater numbers across Ohio and nationwide as more virulent and resilient strains are infecting high school, college and professional athletes. Football players, wrestlers and even fencers have contracted methicillin-resistant staphylococcus aureus, or MRSA, a serious superbug once isolated to hospitals and health-care settings that has found its way into locker rooms, weight rooms and athletic training facilities. Despite widely available information about the dangers of skin infections, staph has continued spreading."
Stretch Away the Pain of Plantar Fasciitis "Here's how it works: Patients sit with one leg crossed over the other and stretch the arch of the foot by taking one hand and pulling the toes back toward the shin for a count of 10. The stretch needs to be repeated 10 times, and patients need to do at least three stretching sessions a day."
Study: Chocolate Milk Good for Athletes
Weightlifting Can Tear the Heart
Young tennis players warned against overtraining "The most common site of stress fractures was the midfoot, followed by the spine and the forefoot. Time to diagnosis averaged 7 weeks, and players had to wait around 15 weeks before returning to sports."
ARTICLES:
Asthma, Kids and Participation in Sports
Chronic Exertional Compartment Syndrome
Health Tip: Do I Heat or Ice My Sprain? Both will help it heal
"I'm Going to Alabama to See Dr. Andrews," Part 2: An Expert Interview With James Andrews, MD "Some orthopaedists don't know this, and there's research to support this, but a kid who has an injury to a major joint has a 5-fold increased risk for the development of degenerative arthritis in that joint regardless of how well we can treat it today. That's from a minor injury as a young athlete -- say, of the shoulder, the elbow, the knee, the hip, the ankle, regardless of how well it's treated. Problems may not show up early, but they show up later in the form of degenerative arthritis, and it comes on prematurely because of the injury."
Intermittent icing best for relief of sprain pain "Holding an ice pack on a sprained ankle for no more than 10 minutes at a time is more effective for easing pain than icing for a longer stretch of time, researchers report."
Many female athletes don't get proper nutrition
NGC - Ankle sprain. (2006)
Taking creatine no advantage to tennis players
Treating Sore Muscles and Tendons
JOURNAL ARTICLES:
5. Recent advances in sports medicine (Med J Aust. 2006)
A controlled clinical pilot trial to study the effectiveness of ice as a supplement to the exercise programme for the management of lateral elbow tendinopathy. (Br J Sports Med. 2006)
Acute Finger Injuries: Part I. Tendons and Ligaments (Am Fam Physician 2006;)
Amyotrophic lateral sclerosis in an Italian professional soccer player. (Parkinsonism Relat Disord. 2006)
Back pain and degenerative abnormalities in the spine of young elite divers A 5-year follow-up magnetic resonance imaging study. (Knee Surg Sports Traumatol Arthrosc. 2006)
Blow to chest can be fatal in child athletes "Children who play hockey, football, lacrosse or baseball risk sudden death from a hard blow to the chest even if they are clad in protective gear …"
Body-checking rules and childhood injuries in ice hockey. (Pediatrics. 2006) "CONCLUSIONS: Increased injuries attributable to checking were observed where checking was allowed. This study supports policies that disallow body checking to reduce ice hockey injuries in children."
Bone status in elite male runners. (Eur J Appl Physiol. 2006)
Bone Stress Injuries of the Ankle and Foot: An 86-Month Magnetic Resonance Imaging-based Study of Physically Active Young Adults. (Am J Sports Med. 2006) "CONCLUSION: Multiple, various-stage bone stress injuries of the ankle and foot may occur simultaneously in physically active young adults. When considering injuries that were missed by plain radiographs but detected by magnetic resonance imaging, the bones most often affected were the tarsal bones, of which the talus and calcaneus were the most prominent single bones and most common locations for higher grade (IV-V) bone stress injuries. With use of magnetic resonance imaging, early detection and grading of bone stress injuries are available, which enable early and appropriate injury management."
B-vitamins and exercise: does exercise alter requirements? (Int J Sport Nutr Exerc Metab. 2006) "Current research suggests that exercise may increase the requirements for riboflavin and vitamin B-6, while data for folate and vitamin B-12 are limited. Athletes who have poor diets, especially those restricting energy intakes or eliminating food groups from the diet, should consider supplementing with a multivitamin/mineral supplement."
Caffeine decreases exercise-induced myocardial flow reserve. (J Am Coll Cardiol. 2006)
Cheerleading-Related Injuries to Children 5 to 18 Years of Age: United States, 1990-2002 (PEDIATRICS 2005)
Childhood and Adolescent Sports-Related Overuse Injuries (Am Fam Physician 2006)
Cryotherapy for acute ankle sprains: A randomised controlled study of two different icing protocols. (Br J Sports Med. 2006) "CONCLUSION: Intermittent applications may enhance the therapeutic effect of ice in pain relief after acute soft tissue injury."
Distal tears of the hamstring muscles - Review of the literature and our results of surgical treatment. (Br J Sports Med. 2006)
Do exercise balls provide a training advantage for trunk extensor exercises? A biomechanical evaluation. (J Manipulative Physiol Ther. 2006) "CONCLUSIONS: The assumption that the use of an exercise ball will always create a greater challenge for the musculoskeletal system was not supported by the findings of this study. Likewise, in a healthy, young population, there does not appear to be any training advantage to performing extensor exercises on a ball versus a mat. However, in a rehabilitation scenario, these exercises performed on a ball could reduce low back loading and hence reduce the potential for reinjury."
Does long-distance running cause osteoarthritis? (J Am Osteopath Assoc. 2006) "Although there are not currently enough data to give clear recommendations to long-distance runners, it appears that long-distance running does not increase the risk of osteoarthritis of the knees and hips for healthy people who have no other counterindications for this kind of physical activity. Long-distance running might even have a protective effect against joint degeneration."
[Does running increase the risk of osteoarthritis?] (chweiz Rundsch Med Prax. 2006) "Runners do not show a higher risk of developing joint arthritis on their lower extremities. However, frequency of arthritis is significantly higher in inactive and obese persons."
Early diagnosis key for femoral stress fractures "The main goal of treatment is for an athlete to avoid the activity that caused the stress fracture in the first place, while maintaining conditioning with other types of exercise, after which he or she can gradually return to normal activity. In the current report, the researchers describe their approach for treating seven elite athletes, all of whom were able to return to their sport within 12 to 18 weeks of beginning treatment."
Effect of a liquid multivitamin/mineral supplement on anaerobic exercise performance. (Res Sports Med. 2006)
Effect of bodychecking on injury rates among minor ice hockey players (CMAJ 2006) "Interpretation: The introduction of bodychecking to 11-year-old players was associated with a large increase in injury rates. From a public health perspective, the age at which bodychecking is introduced in minor hockey should be raised."
Effect of daily physical activity on proximal femur. (Clin Biomech (Bristol, Avon). 2006)
Epidemiology of Musculoskeletal Injuries among High School Cross-Country Runners (American Journal of Epidemiology 2006)
Evidence of brain damage after high-altitude climbing by means of magnetic resonance imaging. (Am J Med. 2006) "CONCLUSIONS: We conclude that there is enough evidence of brain damage after high altitude climbing; the amateur climbers seem to be at higher risk of suffering brain damage than professional climbers."
Evidence-based approach to treatment of acute traumatic syndesmosis (high ankle) sprains. (Sports Med Arthrosc. 2006)
Exercise associated hyponatraemia: quantitative analysis to understand the aetiology. (Br J Sports Med. 2006) "CONCLUSIONS: Actions to prevent hyponatraemia should focus on minimising overdrinking relative to sweating rate and attenuating salt depletion in those who excrete salty sweat. This simulation demonstrates the complexity of defining fluid and electrolyte consumption rates during athletic competition."
Exercise-induced rhinitis: a common disorder that adversely affects allergic and nonallergic athletes. (Ann Allergy Asthma Immunol. 2006) "CONCLUSIONS: Exercise-induced rhinitis, predominantly rhinorrhea, commonly occurs in athletes regardless of underlying nasal allergy. A history specific to indoor and outdoor exercise triggers needs to be part of the complete rhinitis history so that specific treatment can be directed."
Habitual Floor Activities Increase Risk of Knee Osteoarthritis. (lin Orthop Relat Res. 2006) "Squatting and side-knee bending positions increased the relative risk of radiographic knee osteoarthritis. All types of floor activities except kneeling increased the risk of moderate to severe radiographic knee osteoarthritis. Squatting and lotus positions increased the relative risk of knee pain with radiographic osteoarthritis. Our data suggest habitual lifetime squatting, lotus, and side-knee bending positions increase the risk of knee osteoarthritis."
HDL capacity to inhibit LDL oxidation in well-trained triathletes. (Life Sci. 2006)
Heel pain: Diagnosis and treatment, step by step (Cleveland Clinic Journal of Medicine 2006)
Helmet use and risk of head injuries in alpine skiers and snowboarders. (JAMA. 2006) "CONCLUSION: Wearing a helmet is associated with reduced risk of head injury among snowboarders and alpine skiers."
Infectious episodes before and after a marathon race. (Scand J Med Sci Sports. 2006) "This study does not support the theory of increased infection rate after exhaustive long-distance running ("The Open Window Theory") in recreational runners, but suggests that the sometimes experienced increased rate of infections among athletes can be caused by strenuous exercise too soon after an infection."
Influence of sports participation and menarche on bone mineral density of female high school athletes. (J Sci Med Sport. 2006) "These results indicate that near year-round participation in structured weight-bearing sports during early adolescence may help young girls optimize bone mineral accrual during these critical years, and may decrease their risk of osteoporosis with advancing age."
Injury Prevention in Child and Adolescent Sport: Whose Responsibility Is It? (Clin J Sport Med. 2006)
Injury risk from popular childhood physical activities: results from an Australian primary school cohort. (Inj Prev. 2006) "The highest injury risks per exposure time occurred for tackle-style football (2.18/1000 h), wheeled activities (1.72/1000 h) and tennis (1.19/1000 h). Overall, boys were injured more often than girls; however, the differences were non-significant or reversed for some activities including soccer, trampolining and team ball sports."
Iron status of female collegiate athletes involved in different sports. (Biol Trace Elem Res. 2006)
[Is competitive running associated with osteoarthritis of the hip or the knee?] (Orthopade. 2006) "CONCLUSIONS: Osteoarthritis of the knee joint is rare in former elite marathon runners. The risk of osteoarthritis of the hip joint seems to be higher than in control subjects who do not engage in much sport."
Long-term outcome after structural failure of rotator cuff repairs. (J Bone Joint Surg Am. 2006)
Long-term results after functional nonoperative treatment of achilles tendon rupture. (Foot Ankle Int. 2006)
Lumbar spine injuries in athletes (Neurosurgical Focus 2006)
Lumbar spine MRI in the elite-level female gymnast with low back pain. (Skeletal Radiol. 2006) "RESULTS: Anterior ring apophyseal injuries (9/19) and degenerative disk disease (12/19) were common. Spondylolysis (3/19) and spondylolisthesis (3/19) were found. Focal bone-marrow edema was found in both L3 pedicles in one gymnast. History and physical exam revealed four gymnasts with current low back pain at the time of imaging. There were findings confined to those athletes with current low back pain: spondylolisthesis, spondylolysis, bilateral pedicle bone-marrow edema, and muscle strain."
Mobilisation with movement and exercise, corticosteroid injection, or wait and see for tennis elbow: randomised trial (BMJ 2006) "Conclusion Physiotherapy combining elbow manipulation and exercise has a superior benefit to wait and see in the first six weeks and to corticosteroid injections after six weeks, providing a reasonable alternative to injections in the mid to long term. The significant short term benefits of corticosteroid injection are paradoxically reversed after six weeks, with high recurrence rates, implying that this treatment should be used with caution in the management of tennis elbow."
Myocardial Injury and Ventricular Dysfunction Related to Training Levels Among Nonelite Participants in the Boston Marathon (Circulation. 2006) "Conclusions— Completion of a marathon is associated with correlative biochemical and echocardiographic evidence of cardiac dysfunction and injury, and this risk is increased in those participants with less training."
Nonspondylolytic etiologies of lumbar pain in the young athlete. (Curr Sports Med Rep. 2006)
Nonunion of olecranon stress fractures in adolescent baseball pitchers: a case series of 5 athletes. (Am J Sports Med. 2006)
Nutrition on match day. (J Sports Sci. 2006)
Overuse a danger for young baseball pitchers "Adolescent baseball pitchers who regularly throw past the point of fatigue are more than 30 times more likely than their peers who never do to seriously injure their elbow or shoulder, a new study shows."
Prevalence of the Female Athlete Triad Syndrome Among High School Athletes (Arch Gen Psychiatry 2006)
Pre-exercise Stretching and Sports Related Injuries: Knowledge, Attitudes and Practices. (Clin J Sport Med. 2006)
Rapid rehabilitation programme following sacral stress fracture in a long-distance running female athlete. (Arch Orthop Trauma Surg. 2006)
Risk assessment for creatine monohydrate. (Regul Toxicol Pharmacol. 2006) "The OSL risk assessment method indicates that the evidence of safety is strong at intakes up to 5g/d for chronic supplementation, and this level is identified as the OSL. Although much higher levels have been tested under acute conditions without adverse effects and may be safe, the data for intakes above 5g/d are not sufficient for a confident conclusion of long-term safety."
Role of MRI in prevention of metatarsal stress fractures in collegiate basketball players. (AJR Am J Roentgenol. 2006)
Rotational Changes at the Knee after ACL Injury Cause Cartilage Thinning. (Clin Orthop Relat Res. 2006)
Rotator Cuff Contusions of the Shoulder in Professional Football Players: Epidemiology and Magnetic Resonance Imaging Findings. (Am J Sports Med. 2006) "Conclusion: Rotator cuff contusions accounted for nearly half of all shoulder injuries in the football players in this study. Magnetic resonance imaging is an extremely useful tool in determining severity of injury and integrity of the rotator cuff. The majority of athletes are able to return to sports with conservative treatment; a minority of shoulders might progress to more severe injuries such as rotator cuff tears."
Sport and Exercise-induced Migraines. (Curr Sports Med Rep. 2006)
Sports-Related Injuries Among High School Athletes --- United States, 2005-06 School Year (MMWR. 2006)
Stretching for prevention of achilles tendon injuries: a review of the literature. (Foot Ankle Int. 2006) "Studies examining stretching in injury prevention, the biomechanical properties of injuries to the Achilles tendon were compiled and reviewed. Although many theories have been published regarding the potential benefits and limitations of stretching, few studies have been able to definitively demonstrate its utility in injury prevention."
Survey of sport participation and sport injury in calgary and area high schools. (Clin J Sport Med. 2006)
Testosterone Prohormone Supplements. (Med Sci Sports Exerc. 2006)
The crucial ligaments (Current Orthopaedics 2006) "Anterior cruciate ligament (ACL) damage is a high-risk sports injury which, if not treated surgically, leads to significant medium- to long-term disability and degenerative change. ACL reconstruction should be carried out using autogenous tendon grafting a month to 6 weeks after injury. With appropriate rehabilitation, return to sports can occur at around 6 months."
The effects of caffeine on athletic agility. (J Strength Cond Res. 2006)
Trampoline injuries. (Br J Sports Med. 2006)
Traumatic Spinal Cord Injuries From Snowboarding. (Am J Sports Med. 2006) "CONCLUSION: It is fundamentally important that snowboarders, especially young men, be made aware of the spinal injury risk associated with jumping."
Treating the initial anterior shoulder dislocation--an evidence-based medicine approach. (Sports Med Arthrosc. 2006)
Update on the relationship between magnesium and exercise. (Magnes Res. 2006) " Strenuous exercise apparently increases urinary and sweat losses that may increase magnesium requirements by 10-20%. Based on dietary surveys and recent human experiments, a magnesium intake less than 260 mg/day for male and 220 mg/day for female athletes may result in a magnesium-deficient status. … Magnesium supplementation or increased dietary intake of magnesium will have beneficial effects on exercise performance in magnesium-deficient individuals. Magnesium supplementation of physically active individuals with adequate magnesium status has not been shown to enhance physical performance."
Using mouthguards to reduce the incidence and severity of sports-related oral injuries. (J Am Dent Assoc. 2006) "CLINICAL IMPLICATIONS: Participants in sporting and recreational activities are often susceptible to oral injury. To reduce the incidence and severity of sports-related oral trauma, the use of a properly fitted mouthguard is recommended in any athletic or recreational activity that carries a risk of injury."
Viewpoint: Skiers and Snowboarders -- Put on Your Helmets (Medscape General Surgery. 2006)
[Volume and electrolyte disturbances in endurance sport.] (Internist (Berl). 2006)
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