Application of the British Athletics Muscle Injury Classification in Collegiate Football Athletes: A Retrospective, Observational Study.

IF 2.7 2区医学 Q1 SPORT SCIENCES

Sports Health-A Multidisciplinary Approach Pub Date : 2025-03-27 DOI:10.1177/19417381251326531

William Hollabaugh, Tyler Hill, Claudia Davidson, Jacquelyn Pennings, Nicholas Strasser, Lauren Porras, Charles Cox, Robert Fitch

{"title":"Application of the British Athletics Muscle Injury Classification in Collegiate Football Athletes: A Retrospective, Observational Study.","authors":"William Hollabaugh, Tyler Hill, Claudia Davidson, Jacquelyn Pennings, Nicholas Strasser, Lauren Porras, Charles Cox, Robert Fitch","doi":"10.1177/19417381251326531","DOIUrl":null,"url":null,"abstract":"Background: Lower extremity muscle tears are common sports injuries. The British Athletics Muscle Injury Classification (BAMIC) may provide clinical guidance for tears although its value in American football and college athletes is unknown.Hypothesis: Clinical outcomes, specifically time to return to play (RTP) (TRTP), in college American football athletes with activity-related hamstring (HS) and quadriceps (QD) tears will be associated with BAMIC.Study design: Retrospective cohort study.Level of evidence: Level 3.Methods: American football college athletes who sustained a HS or QD tear and underwent magnetic resonance imaging within 7 days at 1 institution during the 2023 season were included. TRTP and reinjury rate (RIR) for HS and QD tears classified by BAMIC and injury characteristics were evaluated.Results: Of the 24 HS and 10 QD tears in 21 (17.3%) of 121 athletes (20 ± 1.2 years; 100.0% male), most (60.0%) were BAMIC 2a-3b. Most (89.3%) injuries occurred before the season, and all occurred in practice. Overall median TRTP was 26 days (interquartile range, 17.8-33.0), translating to about 4 weeks missed play. The RIR was 19.0% (4/21). Most (75.0%) reinjuries occurred before RTP. There was no significant relationship between BAMIC and TRTP, although TRTP was less for grade 0 injuries and greater TRTP for injury site \"c,\" albeit with small effect sizes.Conclusion: Activity-related HS and QD tears are common in American football college athletes, particularly in preseason and practice. Injured athletes missed about 3 to 4 games, regardless of BAMIC, with 1 in 5 athletes suffering a reinjury. There was no relationship between BAMIC or muscle group and TRTP.Clinical relevance: This appraisal of BAMIC in college and American football athletes highlights the prevalence of muscle tears and the need for prevention. Although BAMIC lacked value in this study, larger studies are needed to evaluate BAMIC in this population.","PeriodicalId":54276,"journal":{"name":"Sports Health-A Multidisciplinary Approach","volume":" ","pages":"19417381251326531"},"PeriodicalIF":2.7000,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11951125/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Sports Health-A Multidisciplinary Approach","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1177/19417381251326531","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"SPORT SCIENCES","Score":null,"Total":0}

引用次数: 0

Abstract

Background: Lower extremity muscle tears are common sports injuries. The British Athletics Muscle Injury Classification (BAMIC) may provide clinical guidance for tears although its value in American football and college athletes is unknown.

Hypothesis: Clinical outcomes, specifically time to return to play (RTP) (TRTP), in college American football athletes with activity-related hamstring (HS) and quadriceps (QD) tears will be associated with BAMIC.

Study design: Retrospective cohort study.

Level of evidence: Level 3.

Methods: American football college athletes who sustained a HS or QD tear and underwent magnetic resonance imaging within 7 days at 1 institution during the 2023 season were included. TRTP and reinjury rate (RIR) for HS and QD tears classified by BAMIC and injury characteristics were evaluated.

Results: Of the 24 HS and 10 QD tears in 21 (17.3%) of 121 athletes (20 ± 1.2 years; 100.0% male), most (60.0%) were BAMIC 2a-3b. Most (89.3%) injuries occurred before the season, and all occurred in practice. Overall median TRTP was 26 days (interquartile range, 17.8-33.0), translating to about 4 weeks missed play. The RIR was 19.0% (4/21). Most (75.0%) reinjuries occurred before RTP. There was no significant relationship between BAMIC and TRTP, although TRTP was less for grade 0 injuries and greater TRTP for injury site "c," albeit with small effect sizes.

Conclusion: Activity-related HS and QD tears are common in American football college athletes, particularly in preseason and practice. Injured athletes missed about 3 to 4 games, regardless of BAMIC, with 1 in 5 athletes suffering a reinjury. There was no relationship between BAMIC or muscle group and TRTP.

Clinical relevance: This appraisal of BAMIC in college and American football athletes highlights the prevalence of muscle tears and the need for prevention. Although BAMIC lacked value in this study, larger studies are needed to evaluate BAMIC in this population.

查看原文本刊更多论文

英国田径肌肉损伤分类在大学足球运动员中的应用：一项回顾性观察研究。

背景：下肢肌肉撕裂是常见的运动损伤。英国田径肌肉损伤分类（BAMIC）可能为撕裂提供临床指导，尽管其在美式橄榄球和大学运动员中的价值尚不清楚。假设：美国大学橄榄球运动员与活动相关的腿筋（HS）和股四头肌（QD）撕裂的临床结果，特别是恢复比赛时间（RTP）（TRTP）将与BAMIC相关。研究设计：回顾性队列研究。证据等级：三级。方法：纳入2023赛季在1家机构接受7天内HS或QD撕裂并进行磁共振成像的美式橄榄球大学运动员。以BAMIC和损伤特征分类HS和QD撕裂的TRTP和再损伤率（RIR）进行评价。结果：121例运动员（20±1.2岁）中，24例HS和10例QD撕裂21例（17.3%）；男性占100%)，bamic2a -3b占60.0%。大多数（89.3%）的伤病发生在赛季前，并且全部发生在训练中。总体中位TRTP为26天（四分位数范围为17.8-33.0），相当于错过了大约4周的比赛。RIR为19.0%（4/21）。大多数（75.0%）再损伤发生在RTP之前。BAMIC和TRTP之间没有显著的关系，尽管0级损伤的TRTP较少，而“c”损伤部位的TRTP较大，尽管效应量较小。结论：与运动相关的HS和QD撕裂在美式橄榄球大学运动员中很常见，特别是在季前赛和训练中。受伤的运动员缺席了大约3到4场比赛，与BAMIC无关，五分之一的运动员再次受伤。BAMIC、肌群与TRTP均无相关性。临床相关性：这项对大学和美式橄榄球运动员BAMIC的评估强调了肌肉撕裂的普遍性和预防的必要性。尽管BAMIC在本研究中缺乏价值，但需要更大规模的研究来评估BAMIC在该人群中的应用。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Sports Health-A Multidisciplinary Approach Medicine-Orthopedics and Sports Medicine

CiteScore

6.90

自引率

9.10%

发文量

101

期刊介绍： Sports Health: A Multidisciplinary Approach is an indispensable resource for all medical professionals involved in the training and care of the competitive or recreational athlete, including primary care physicians, orthopaedic surgeons, physical therapists, athletic trainers and other medical and health care professionals. Published bimonthly, Sports Health is a collaborative publication from the American Orthopaedic Society for Sports Medicine (AOSSM), the American Medical Society for Sports Medicine (AMSSM), the National Athletic Trainers’ Association (NATA), and the Sports Physical Therapy Section (SPTS). The journal publishes review articles, original research articles, case studies, images, short updates, legal briefs, editorials, and letters to the editor. Topics include: -Sports Injury and Treatment -Care of the Athlete -Athlete Rehabilitation -Medical Issues in the Athlete -Surgical Techniques in Sports Medicine -Case Studies in Sports Medicine -Images in Sports Medicine -Legal Issues -Pediatric Athletes -General Sports Trauma -Sports Psychology