Sportverletzung-Sportschaden最新文献

{"title":"In-vivo stress measurements in kitesurfing and wakeboarding: implications on load control and preventive approaches - an in-vivo field study.","authors":"Frank Sander, Nina Neuse, Xiping Ren, Rainer Bader, Gerd Klinkmann, Christoph Lutter, Thomas Tischer","doi":"10.1055/a-2438-8740","DOIUrl":"10.1055/a-2438-8740","url":null,"abstract":"<p><p>The trend sports kitesurfing and wakeboarding are increasingly gaining popularity. Tricks and high jumps - both in the air and over obstacles - are performed with increasing difficulty. Repeated high loads on the body, particularly when landing after a jump, can lead to overuse and acute injuries directly related to peak forces, particularly in the lower extremities.There is a lack of detailed analyses of these forces resulting from wakeboarding or kitesurfing, although such data would be relevant for the analysis of injury mechanisms and the subsequent development of prevention strategies. This study is the first of its kind in which the loads on the lower extremity during wakeboarding and kitesurfing were subjected to in-vivo measurements during various maneuvers.Six wakeboarders and 12 kitesurfers (6 with loop bindings and 6 with fixed bindings) were investigated (mean age 33.1 ± 9.9 years). Jump height, hang time, acceleration, and the maximum vertical ground reaction force of both feet during takeoff and landing were recorded by means of sensor insoles (Moticon, Germany) on the feet of the athletes and simultaneously by a height and acceleration sensor (PIQ Sport Intelligence) on the board. A statistical analysis was performed.The data showed that wakeboarders were exposed to higher loads than kitesurfers, with significant differences occurring only between wakeboarders and kitesurfers with loop bindings and between kitesurfers with loop bindings and fixed bindings. High mean forces occurred during the landing of wakeboarders (rear foot 24.24 N/kg ± 8.82; front foot 20.33 N/kg ± 5.05) compared to kitesurfers with loop bindings (rear foot 12.09 N/kg ± 5.6; front foot 12.23 N/kg ± 4.92) as well as partially in kitesurfers with fixed shoe bindings (front foot 13.61 N/kg ± 5.92). Forces during lift-off were comparable in the rear foot (wakeboarders, kitesurfers with fixed bindings, kitesurfers with loop bindings 14.17 ± 6.37 vs. 16.39 ± 4.99 vs. 14.72 ± 5.13 N/kg). Similarly, despite the higher average acceleration force of the wakeboarders (4.16 g ± 1.02), there was no statistically significant difference (p = 0.166) compared to the kitesurfers.The in-vivo forces acting on the lower extremities during wakeboarding and kitesurfing are high (highest absolute values of 3012 N and relative values of 31.71 N/Kg). In addition, fixed boot bindings allow for the generation of higher forces than strap bindings. The results of our study have important implications on load control and preventive approaches in these two sports.</p>","PeriodicalId":51169,"journal":{"name":"Sportverletzung-Sportschaden","volume":" ","pages":"24-32"},"PeriodicalIF":0.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142683462","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Arthroscopic Repair versus Conservative Treatment for first-time Anterior Shoulder Dislocation.","authors":"Dengqiang Lei, Bo Tang, Yongjuan Li, Cheng Fan","doi":"10.1055/a-2278-6176","DOIUrl":"https://doi.org/10.1055/a-2278-6176","url":null,"abstract":"<p><p>To systematically compare the clinical efficacy of conservative treatment and arthroscopic one-stage repair for patients with first-time anterior dislocation of the shoulder. A retrieval and systematic review of randomized controlled studies of primary anterior shoulder dislocation with conservative versus arthroscopic repair was conducted and further pooled analysis was performed to compare the overall difference in clinical outcomes, including redislocation and revision surgery rates, shoulder function scores and related complications. Preliminary meta-analysis showed that the risk of anterior shoulder redislocation was 4.73-fold higher in patients treated conservatively than those undergoing arthroscopic repair (RR:4.73 [2.95-7.58], <i>p</i> < 0.000; I² = 0 %, <i>p</i> = 0.920),and that the revision surgery rate was 5.91 times higher in the conservative group than in the arthroscopic repair group (RR:5.91 [2.82-12.39], <i>p</i> < 0.000; I² = 0 %, <i>p</i> = 0.560).Early arthroscopic repair can significantly reduce the redislocation and revision surgery rates and also improve the shoulder joint function score, without serious complications. However, it is necessary to recognize the subset of patients with a higher risk of redislocation in young patients through a high quality, blinded, prospective cohort study when early arthroscopic repair intervention in this subset of high-risk patients will be of significant clinical value.</p>","PeriodicalId":51169,"journal":{"name":"Sportverletzung-Sportschaden","volume":"39 1","pages":"43-50"},"PeriodicalIF":0.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143558666","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"ACL plus ALL reconstruction restores normal knee stability and does not lead to lateral pain or signs of lateral overstrain.","authors":"David Insam, Florian Perwanger, Lorenz Fritsch, Philipp Ahrens, Jeske Christian, Stefan Hinterwimmer","doi":"10.1055/a-2503-6766","DOIUrl":"https://doi.org/10.1055/a-2503-6766","url":null,"abstract":"<p><p>ACL rupture is a common injury in recreational and professional athletes. Most ACL tears occur in combination with an ALL lesion. Combined reconstruction of the ACL and ALL reduces re-rupture rates by up to 3.1 times compared to isolated ACL reconstruction using hamstring tendons; however, it has not yet been established as the surgical standard. The purpose of this study was to investigate if patients benefit from ACL+ALL reconstruction in terms of translation and rotation stability, return to activity and return to sport, as well as to assess any potential negative effects of this technique.This is a multicentric study of retrospectively collected patients who were followed up 12.7 months postoperatively. The patient sample consisted of 55 patients (group 1: n=29, Munich/Germany, ACL+ALL, femoral ALL fixation with interference screw, and group 2: n=26, Bolzano/Italy, ACL+ALL, femoral ALL-fixation with SwiveLock). Clinical outcomes were evaluated through instrumental measurements with two different devices to assess translational anteroposterior and rotational stability and through patient-reported outcome measures (Lysholm Score, Activity Rating Scale, Tegner Score, VAS (PROMs)).A total of 55 patients (mean (± SD) age: 24.7 ± 7.8 years) with a mean follow-up of 12.7 ± 1.5 months were included. The mean anterior translation of all operated (ACL+ALL) knees was 3.2 ± 1.1 mm and was not significantly different from the values of the non-operated knees (2.6 ± 1.0 mm). The results of the anterior drawer test in internal rotation were 3.3 ± 1.1 mm for the operated knee vs. 2.7 ± 1.0 mm for the non-operated knee (p=0.0014). There were no further significant differences between the operated and non-operated knee regarding translation or internal and external rotation. The mean value for pain on the lateral side of the knee was 1.1 ± 1.3 on the VAS 0-10 pain scale. All other PROMs showed no relevant differences between pre-injury and post-operative.ALL reconstruction restores the function of the anterolateral ligament of the knee. In this study, knee joint stability regarding anteroposterior translation and rotation showed values almost identical to those of the healthy non-operated contralateral knee. It leads to excellent patient outcomes with near pre-injury levels regarding the relevant PROMs. In particular, combined reconstruction did not result in any clinically significant negative side-effects such as pain on the ALL incision site or signs of overstrain in the lateral knee.</p>","PeriodicalId":51169,"journal":{"name":"Sportverletzung-Sportschaden","volume":"39 1","pages":"16-23"},"PeriodicalIF":0.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143558665","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Incidence and Patterns of Overuse and Traumatic Injuries among Adolescent Elite Athletes in Canoe Sprint, Handball, and Triathlon.","authors":"Michael Cassel, Anne Schomöller, Lucie Risch, Tilman Engel, Theresa Joost, Josefine Stoll, Claudia Beckendorf, Frank Mayer","doi":"10.1055/a-2518-8985","DOIUrl":"https://doi.org/10.1055/a-2518-8985","url":null,"abstract":"<p><p>Adolescent elite athletes in Olympic sports often specialise at an early age, which increases the risk of overuse and traumatic injuries. The knowledge of injury patterns is a key aspect for prevention strategies. However, little is known about adolescent athlete's injury patterns in most Olympic sports. This study aimed to analyse the incidence and pattern of traumatic and overuse injuries in adolescent elite athletes from three Olympic sports with various physical demands.A retrospective data analysis was performed, including 348 initial orthopaedic consultations of adolescent elite athletes (m/f: 267/81, 15.9±1.7 years, 179±9 cm, 71±11 kg, 648±107 training hours/year). Athletes from handball (n=185), canoe sprint (n=112) and triathlon (n=51) presented at the local sports medicine centre. All consultations included a medical history obtained by a physician, an orthopaedic examination, and a documentation of anthropometric and training-related data. Injury patterns were classified for traumatic and overuse ratio, type, area, structure, and cause of injury. Incidence per 1000 hours (h) of exposure and injury ratio were analysed in the entire cohort and compared between sports.The mean injury incidence was 3.3/1000 h, while overuse injuries occurred approximately twice as often as traumatic injuries (2.0 versus 1.2/1000 h). Sport-specific total injury incidence was lowest in canoe sprint (1.6/1000 h) and highest in handball (4.7/1000 h). The traumatic versus overuse injury ratio was lowest in canoe sprint (0.13) and highest in handball (0.54). Injury incidence increased with age and training hours from 1.0/1000 h in young athletes (12-13 years) to 5.1/1000 h in older athletes (16-17 years). Type, area, structure and cause of injuries differed significantly between athletes of the three sports. Handball players presented with various traumatic and overuse pathologies, mostly located in the lower extremity. Canoeists and triathletes mainly suffered from tendon overload and muscle injuries of the extremities and the lower back.Both the total incidence and the ratio of traumatic versus overuse injuries differ between athletes participating in handball, canoe sprint, and triathlon. Overuse injuries occurred approximately twice as often as traumatic injuries in the present cohort. Further investigation is required to evaluate whether the variety of injuries seen in individual and team sports is to be taken into consideration in the development of prevention strategies.</p>","PeriodicalId":51169,"journal":{"name":"Sportverletzung-Sportschaden","volume":"39 1","pages":"33-42"},"PeriodicalIF":0.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143558667","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[The preventive flexion osteotomy at the head of the tibia].","authors":"Benoit Reuter, Mario Perl, Jörg Dickschas","doi":"10.1055/a-2306-6649","DOIUrl":"10.1055/a-2306-6649","url":null,"abstract":"<p><p>We present the case of a preventive tibial plateau flexion osteotomy in an adolescent patient who had a reduced posterior slope of the tibial plateau. The patient was asymptomatic and without instability at the time. However, magnetic resonance imaging (MRI) showed a dysmorphic posterior cruciate ligament, which was interpreted as an indication for osteotomy. This article demonstrates the surgical technique and postoperative outcome. The postoperative MRI shows a reorganization of the posterior cruciate ligament into a physiological ligament appearance.</p>","PeriodicalId":51169,"journal":{"name":"Sportverletzung-Sportschaden","volume":" ","pages":"181-185"},"PeriodicalIF":0.6,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141861597","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Why Median Severity and Ordinal Scale Severity Values should not be used for Injury Burden Results: A Critical Review.","authors":"Colin W Fuller","doi":"10.1055/a-2292-5263","DOIUrl":"https://doi.org/10.1055/a-2292-5263","url":null,"abstract":"<p><p>Injury burden is a composite measure of injury incidence and mean severity; this parameter has been reported as an output measure from injury surveillance studies in rugby for over 20 years. The benefits of reporting injury burden results have, more recently, been recognised in other sports. This wider use of injury burden as an output measure from injury surveillance studies has, however, highlighted misunderstandings about how to calculate, present and interpret injury burden data. The aim of this critical review is to explain why median severity and ordinal severity scales should not be used to calculate and report injury burden results in injury surveillance studies. Equations are presented to show how injury burden results should be calculated, and graphs and tables are presented to explain the errors that are introduced when median severity and ordinal scales of severity are used instead of mean severity. This critical review is intended to highlight the correct procedures for calculating, reporting and interpreting injury burden results in order to avoid incorrect results, conclusions and injury prevention recommendations being published.</p>","PeriodicalId":51169,"journal":{"name":"Sportverletzung-Sportschaden","volume":"38 4","pages":"192-198"},"PeriodicalIF":0.6,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142741233","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Suture Bridge Fixation in Treating Traumatic Femoral Osteochondral Injuries in Adults: A Case Study and Review of the Literature.","authors":"Quan Zhang, Qi Wang, Zhengang Cao","doi":"10.1055/a-2421-1997","DOIUrl":"10.1055/a-2421-1997","url":null,"abstract":"<p><p>Achieving anatomic reduction, securing fixation, and ensuring adequate compression are crucial steps in the internal fixation process for traumatic osteochondral defects. A variety of fixation methodologies have been in use, e.g., metal pins, bioabsorbable screws, and glue tissue adhesives, each of them yielding different outcomes. This study presents the outcomes of utilising the concept of suture bridge fixation for traumatic femoral osteochondral injury in a 34-year-old patient. Following a three-year follow-up, the patient demonstrated a return to normal activities with complete and pain-free knee mobility. In conclusion, it can be stated that suture bridges offer an alternative approach for the fixation of osteochondral fragments in the knee attributable to traumatic injuries.</p>","PeriodicalId":51169,"journal":{"name":"Sportverletzung-Sportschaden","volume":" ","pages":"186-191"},"PeriodicalIF":0.6,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142480117","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Treatment of Arthrogenic-Muscle-Inhibition in patients after knee-surgery with Motion-Activated-Neuromuscular stimulation - a case-series.","authors":"Christian Schoepp, Jörg Dickschas, Arno Schmeling, Florian Perwanger, Kaywan Izadpanah, Arthur Praetorius","doi":"10.1055/a-2365-9612","DOIUrl":"10.1055/a-2365-9612","url":null,"abstract":"<p><p>Arthrogenic muscle inhibition (AMI) presents a persistent challenge in postoperative knee rehabilitation and is often resistant to standard care. This case series examines the efficacy of Motion-Activated Neuromuscular Electrical Stimulation (mNMES) in addressing AMI refractory to rehabilitation after ACL (revision) surgery, patellar dislocation, trochleoplasty, or conservative treatment of the patellofemoral pain syndrome. Eight patients who had undergone extensive unsuccessful rehabilitation received six weeks of a novel mNMES treatment regimen. Outcome assessments included patient-reported outcome measures (PROMs) and AMI classification. Results revealed significant improvements in pain reduction, knee function, and AMI reduction. Despite study limitations, mNMES demonstrated promising outcomes and could be used as an adjunct to standard rehabilitation, offering potential for enhancing postoperative outcomes in patients refractory to conventional therapy. Further research is required to validate these findings and optimise treatment protocols.</p>","PeriodicalId":51169,"journal":{"name":"Sportverletzung-Sportschaden","volume":" ","pages":"172-180"},"PeriodicalIF":0.6,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142134403","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Intramuscular tendon injuries of the thigh: diagnostic evaluation, surgical treatment, and rehabilitation].","authors":"Stefan Hinterwimmer, Martin Mack, Andreas Wittke, Hans Friedl, Lorenz Fritsch","doi":"10.1055/a-2435-6976","DOIUrl":"https://doi.org/10.1055/a-2435-6976","url":null,"abstract":"<p><p>Intramuscular tendon injuries of the thigh muscles are a relatively common and significant problem in sports medicine, particularly in high-speed sports. MRI is a valuable tool for diagnosing and evaluating the severity of these injuries. Depending on the severity and chronicity of the injury, treatment options include conservative or surgical treatment. We present the typical MRI criteria for acute and chronic injuries to the intramuscular thigh tendons and provide a detailed description of the surgical treatment and technique. Both acute and chronic lesions can be successfully treated with surgery. In rehabilitation, MRI remains a valuable tool for monitoring, but functional tests such as EMG, force plate measurements and isokinetic testing should also be included. A return to competitive sport is typically possible within approximately four months.</p>","PeriodicalId":51169,"journal":{"name":"Sportverletzung-Sportschaden","volume":" ","pages":""},"PeriodicalIF":0.6,"publicationDate":"2024-11-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142689469","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Proprioceptive Sensation Levels of The Elbows of Physically Disabled Athletes.","authors":"Muhammed Yildiz, Mehmet Çebi","doi":"10.1055/a-2316-0594","DOIUrl":"https://doi.org/10.1055/a-2316-0594","url":null,"abstract":"<p><p>The aim of this study was to compare elbow joint proprioception measurements between physically disabled individuals who are active in sports and those who are not. The study included 30 athletes, 30 sedentary individuals, 30 physically disabled athletes, and 30 physically disabled sedentary individuals as volunteers. Elbow joint proprioception measurements were conducted using a sensitive digital goniometer with a precision of 1 degree. The joint position sense test method was used to perform the active angle repetition technique. Target angles were determined to be 30°, 60°, and 120°. A significant difference was observed in the comparison of proprioception between the dominant and non-dominant elbow joints of athletes and physically disabled sedentary individuals (p<0.05). Elbow joint proprioception was found to be highest in physically disabled athletes at the target angles. Conversely, the lowest elbow joint proprioception levels were found in physically disabled sedentary patients compared with the other groups.</p>","PeriodicalId":51169,"journal":{"name":"Sportverletzung-Sportschaden","volume":"38 3","pages":"150-154"},"PeriodicalIF":0.6,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141996891","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}