Kira-Henriette Liebau, Caroline Voigt, Sina Gräber, Parisa Paroustad, Björn Lembcke, Christoph Lutter, Andrzej Jasina
{"title":"Die Wirbelsäule im Kampfsport: Besonderheiten bei Masters-Athleten und Athletinnen","authors":"Kira-Henriette Liebau, Caroline Voigt, Sina Gräber, Parisa Paroustad, Björn Lembcke, Christoph Lutter, Andrzej Jasina","doi":"10.1016/j.orthtr.2025.10.001","DOIUrl":"10.1016/j.orthtr.2025.10.001","url":null,"abstract":"<div><div>In den vergangenen Jahren ist ein deutlicher Anstieg der Anzahl der Athlet*innen im Masters-Bereich auf Leistungssportniveau zu verzeichnen. Dabei erfreuen sich auch Kampfsportarten wie Karate, Taekwondo oder Tai-Chi wachsender Beliebtheit. Diese Disziplinen fördern nachweislich Kraft, Gleichgewicht, Mobilität sowie das psychische Wohlbefinden älterer Athlet*innen und leisten damit einen wichtigen Beitrag zur Gesundheitsprävention. Mit zunehmendem Alter, höherem sportlichen Rang und Trainingsjahren steigt jedoch auch die Inzidenz von Verletzungen. Besonders in Kontaktsportarten kommt es vermehrt zu Verletzungen der Wirbelsäule. Bei Masters-Athlet*innen treten degenerative Veränderungen der Wirbelsäule wie Facettengelenksarthropathien, Myelopathien und Stressfrakturen gehäuft auf. Trotz des erhöhten Verletzungsrisikos überwiegen die positiven gesundheitlichen Effekte regelmäßiger körperlicher Aktivität deutlich. Dennoch ist ein fundiertes Verständnis der zugrundeliegenden Verletzungsmechanismen sowie präventiven Maßnahmen essentiell, um schwerwiegende Verletzungen mit potenziell langfristigen gesundheitlichen Folgen zu vermeiden. Zur Identifikation altersspezifischer Verletzungsmuster und zur Entwicklung zielgerichteter Präventionsstrategien im Trainingsalltag sind weitere empirische Untersuchungen, insbesondere in der Altersgruppe ab 35 Jahren, dringend erforderlich.</div></div><div><div>The demographic of athletes aged 35 and above competing at the professional level has seen a notable surge in recent years. Martial arts disciplines, including karate, taekwondo, and tai chi, have gained considerable traction within this age group. Engaging in these martial arts not only enhances strength, balance, and mobility but also promotes mental well-being among older athletes, effectively serving as preventive strategies against age-related decline. However, it is important to note that with advancing age, higher ranks, and extended periods of training, the incidence of injuries also escalates, particularly in contact sports where spinal injuries are prevalent and can lead to long-term repercussions. Master athletes often exhibit degenerative spinal changes, such as facet joint arthropathies, myelopathies, and stress fractures. While the health benefits derived from regular exercise significantly outweigh the associated risks of injury, it remains crucial to comprehend the mechanisms of injury and explore preventive strategies to mitigate the risk of severe injuries with lasting effects. Further research, especially focused on the 35-and-older demographic, is imperative to identify age-specific injury patterns and develop tailored preventive measures within regular training regimens.</div></div>","PeriodicalId":38801,"journal":{"name":"Sports Orthopaedics and Traumatology","volume":"41 4","pages":"Pages 345-352"},"PeriodicalIF":0.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145738872","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"GOTS-Asien-Fellowship, by Bauerfeind","authors":"","doi":"10.1016/j.orthtr.2025.09.001","DOIUrl":"10.1016/j.orthtr.2025.09.001","url":null,"abstract":"","PeriodicalId":38801,"journal":{"name":"Sports Orthopaedics and Traumatology","volume":"41 4","pages":"Page 415"},"PeriodicalIF":0.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145738880","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Correlation between Q angle and foot muscle strength along with foot angles in professional Bharatanatyam dancers: An observational study","authors":"Pranoti Rajgopal Zawar, Ashwin Kshirsagar, Manibhadra Panda, Rohit Bhavthankar","doi":"10.1016/j.orthtr.2025.05.005","DOIUrl":"10.1016/j.orthtr.2025.05.005","url":null,"abstract":"<div><h3>Background</h3><div>Bharatanatyam dancers undertake frequent motions that require great mobility, strength, and endurance, putting their bodies under stress and making them at risk for injuries to knee and ankle caused by overuse that could have an influence on their health in the future.</div></div><div><h3>Methodology</h3><div>An observational study was done on 40 Bharatanatyam dancers based on enrollment criteria using simple random sampling. The outcome measure used was Q angle and foot angles were checked by universal goniometer<span> and foot muscles strength were measured by hand held (push-pull) dynamometer and toe-pro dynamometer.</span></div></div><div><h3>Results</h3><div><span>The statistics of study shows very high to Strong positive relationship between Q angle and Foot angles (rearfoot and forefoot angles) on right side with r values (r = -0.921) (r = -0.875) respectively and on the left side shows high to very high positive relationship (r = -0.851) (r = -0.560). The Q angle and Foot muscles (plantar-flexors, dorsiflexors, invertors, evertors, </span>toe flexors and lesser digits) strength of right leg shows very high to Strong positive relationship (r = 0.926), (r = 0.933), (r = 0.936) (r = 0.882) (r = 0.897) and (r = 0.877) and of left leg shows high to very high positive relationship (r = 0.715), (r = 0.719), (r = 0.709) (r = 0.695) (r = 0.713) and (r = 0.725) respectively.</div></div><div><h3>Conclusion</h3><div>There is a significant relationship of Q angle and Foot muscles strength along with foot angles in professional Bharatanatyam dancers.</div></div><div><h3>Hintergrund</h3><div>Bharatanatyam-Tänzer führen häufig Bewegungen aus, die große Mobilität, Kraft und Ausdauer erfordern. Dadurch wird ihr Körper stark beansprucht, was das Risiko von Überlastungsverletzungen an Knie und Sprunggelenk erhöht und sich langfristig auf ihre Gesundheit auswirken kann.</div></div><div><h3>Methodik</h3><div>Eine Beobachtungsstudie wurde an 40 Bharatanatyam-Tänzern durchgeführt, die anhand von Einschlusskriterien mittels einfacher Zufallsstichprobe ausgewählt wurden. Die erhobenen Messwerte umfassten den Q-Winkel und die Fußwinkel, die mit einem universellen Goniometer gemessen wurden. Die Muskelkraft der Fußmuskulatur wurde mit einem Handheld-(Push-Pull)-Dynamometer und einem Toe-Pro-Dynamometer ermittelt.</div></div><div><h3>Ergebnisse</h3><div>Die statistische Analyse zeigt eine sehr hohe bis starke positive Korrelation zwischen dem Q-Winkel und den Fußwinkeln (Rückfuß- und Vorfußwinkel) auf der rechten Seite mit r-Werten von (r = -0,921) bzw. (r = -0,875) und auf der linken Seite eine hohe bis sehr hohe positive Korrelation mit (r = -0,851) bzw. (r = -0,560). Die Korrelation zwischen dem Q-Winkel und der Muskelkraft der Fußmuskulatur (Plantarflexoren, Dorsalflexoren, Invertoren, Evertoren, Zehenflexoren und Kleinzehenmuskeln) zeigte auf der rechten Seite eine sehr hohe bis starke positive Beziehung mit r-Werten von (r = 0,926),","PeriodicalId":38801,"journal":{"name":"Sports Orthopaedics and Traumatology","volume":"41 4","pages":"Pages 373-382"},"PeriodicalIF":0.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145738997","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Protokoll der Mitgliederversammlung des Vereins der Verbandsärzte Deutschland e.V.","authors":"","doi":"10.1016/j.orthtr.2025.09.003","DOIUrl":"10.1016/j.orthtr.2025.09.003","url":null,"abstract":"","PeriodicalId":38801,"journal":{"name":"Sports Orthopaedics and Traumatology","volume":"41 4","pages":"Pages 429-431"},"PeriodicalIF":0.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145738873","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Checkliste: Frakturen des distalen Humerus (Ellenbogen) bei Kindern und Adoleszenten","authors":"Carlo Camathias , Patrick Vavken","doi":"10.1016/j.orthtr.2025.10.004","DOIUrl":"10.1016/j.orthtr.2025.10.004","url":null,"abstract":"<div><div>Ellenbogenfrakturen bei Kindern stellen aufgrund der komplexen, sich entwickelnden Anatomie eine diagnostische und therapeutische Herausforderung dar. Diese Arbeit fokussiert auf die suprakondyläre Humerusfraktur (>50 % aller kindlichen Ellenbogenfrakturen) und Epikondylusfrakturen. Die Klassifikation, diagnostisches Vorgehen und altersspezifische Behandlungsstrategien werden dargestellt. Während undislozierte Frakturen konservativ behandelt werden können, benötigen dislozierte Frakturen meist eine operative Versorgung. Die Prognose ist bei adäquater Therapie überwiegend gut, jedoch können neurovaskuläre Komplikationen und Wachstumsstörungen auftreten. Individualisierte Richtlinien zur Sportrückkehr werden vorgestellt.</div></div><div><div>Elbow fractures in children present diagnostic and therapeutic challenges due to the complex, developing anatomy. This paper focuses on supracondylar humeral fractures (>50 % of all pediatric elbow fractures) and epicondylar fractures. Classification, diagnostic procedures, and age-specific treatment strategies are presented. While non-displaced fractures can be treated conservatively, displaced fractures usually require surgical intervention. With adequate therapy, prognosis is generally good; however, neurovascular complications and growth disturbances may occur. Individualized guidelines for return to sports are discussed.</div></div>","PeriodicalId":38801,"journal":{"name":"Sports Orthopaedics and Traumatology","volume":"41 4","pages":"Pages 404-409"},"PeriodicalIF":0.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145739002","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}