Physician and Sportsmedicine最新文献

{"title":"Seven-year prospective injury surveillance study of lateral ankle sprains in Japanese collegiate men's basketball: epidemiology and mechanisms.","authors":"Yuta Sekine, Sung-Gon Kim, Takayuki Komatsu, Takeshi Koyama, Seigo Hoshikawa, Eri Ito, Sayuri Uchino","doi":"10.1080/00913847.2026.2725556","DOIUrl":"10.1080/00913847.2026.2725556","url":null,"abstract":"<p><strong>Objectives: </strong>To investigate the incidence, characteristics, and injury mechanisms of lateral ankle sprain (LAS) among Japanese collegiate men's basketball players over seven competitive seasons and describe the epidemiological characteristics relevant to injury prevention.</p><p><strong>Methods: </strong>Injury surveillance data were obtained from the Kanto Collegiate Basketball Federation across the 2018/2019 and 2024/2025 seasons (27 team-seasons). LAS were extracted from all reported injuries classified according to the International Olympic Committee consensus statement on injury surveillance. Proportional differences in injury history, contact mechanism, movement type, and time loss (days absent from participation) were analyzed.</p><p><strong>Results: </strong>Of the 269 reported ankle sprains, 247 (91.8%) involved LAS. The median time loss was 6 days. Recurrent injuries accounted for 55.1% of LAS cases and resulted in a significantly longer time loss than new injuries (<i>p</i> = 0.022). Contact-related LAS accounted for 64% of the cases, with stepping on another player's foot being the most common mechanism (32%). Jumping was the most frequent movement-associated mechanism (35.2%), resulting in greater time loss than agility-related injuries (<i>p</i> = 0.023).</p><p><strong>Conclusion: </strong>LAS is highly prevalent among Japanese collegiate men's basketball players. The findings highlight the need for preventive strategies that address LAS and extrinsic injury mechanisms.</p>","PeriodicalId":51268,"journal":{"name":"Physician and Sportsmedicine","volume":" ","pages":"1-7"},"PeriodicalIF":1.6,"publicationDate":"2026-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148819935","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":"Changes in performance following oblique strains in Major League Baseball players.","authors":"Caleb Berta, Elizabeth Powell, Maxwell Harrell, Dev Dayal, Wilson Narducci, Camille Crane, Joshua Broussard, Henry Bonner, Walter Smith, Thomas Evely, Amit Momaya","doi":"10.1080/00913847.2026.2723859","DOIUrl":"10.1080/00913847.2026.2723859","url":null,"abstract":"<p><strong>Objective: </strong>Repetitive trunk rotation during pitching and batting predisposes the oblique muscles to strain. This study examined performance outcomes in Major League Baseball (MLB) pitchers and hitters following oblique strain.</p><p><strong>Methods: </strong>MLB pitchers and hitters who sustained an oblique strain between 2016 and 2023 were retrospectively identified. Players with Baseball Savant and Baseball Reference data for the seasons before and after injury were included; those injured in their debut season were excluded. Paired t-tests and linear regression compared pre- and post-injury performance across the 2015-2024 seasons.</p><p><strong>Results: </strong>Eighty-five hitters and 72 pitchers met inclusion criteria. Hitters declined in SLG (0.43 to 0.38), OBP (0.323 to 0.303), OPS (0.749 to 0.686), BABIP (0.307 to 0.280), average exit velocity (83.3 to 82.3 mph), hard-hit rate (25.3% to 23.0%), and hyperspeed (91.9 to 91.5 mph; all p < 0.001), as well as OPS+ (103.2 to 92.0; p = 0.002). Among pitchers, only SO/9 declined (9.13 to 8.44; p = 0.030). Time to return was not associated with post-injury performance in either group.         .</p><p><strong>Conclusion: </strong>Oblique strains were associated with broad declines in hitting performance but minimal change in pitching metrics. Rehabilitation counseling may be tailored by position, with hitters potentially requiring targeted strategies to restore rotational power.</p>","PeriodicalId":51268,"journal":{"name":"Physician and Sportsmedicine","volume":" ","pages":"1-6"},"PeriodicalIF":1.6,"publicationDate":"2026-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148800575","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":"Variability in baseline concussion symptom burden and symptom reporting among UK student-athletes with neurodevelopmental, psychological, or mental health conditions.","authors":"Russell Clash, Julie Gooderick","doi":"10.1080/00913847.2026.2715348","DOIUrl":"10.1080/00913847.2026.2715348","url":null,"abstract":"<p><strong>Objective: </strong>To examine variability in baseline concussion symptom burden and symptom reporting among UK university student athletes (SA) with preexisting neurodevelopmental, psychological, or mental health (NP/MH) conditions, with/without concussion history (CH), to inform clinical interpretation and best practice.</p><p><strong>Methods: </strong>A total of 404 SA (male = 188, female = 216) from the University of Chichester, across 12 sports, completed baseline screening using the Sports Concussion Assessment Tool (SCAT) 22‑item symptom checklist (severity scored 0 = none to 6 = severe; total severity score range 0-132) prior to participation over three university sports seasons. Symptom distributions were summarized using medians and interquartile ranges (IQR). Prevalence of ≥1 symptom was compared using <i>χ²</i> tests, with differences in symptom burden between concussion groups within NP/MH conditions assessed using Mann-Whitney U tests. Hierarchical linear regression analyses examined variance in symptom burden determined by NP/MH diagnosis and CH.</p><p><strong>Results: </strong>SA with NP/MH diagnosis reported a higher overall symptom burden than those without. SA without NP/MH diagnosis but with CH had a greater symptom count (<i>p</i> < .001) and severity (<i>p</i> < .002). Hierarchical regression indicated that NP/MH explained 12% of variance in symptom count (R² = .12) and 16% in symptom severity (R² = .16), with previous concussion and depression/anxiety adding significant incremental variance (<i>p</i> < .001). Chi-square analysis showed that SA with NP/MH and CH were more likely to report ≥1 symptom (<i>χ²</i> (1) = 9.96, <i>p</i> < .001). Symptom pattern analysis revealed difficulty concentrating, fatigue/low energy, and trouble sleeping as the most frequent baseline symptoms, with females reporting consistent prevalence.</p><p><strong>Conclusion: </strong>Preexisting NP/MH conditions and CH can substantially influence baseline symptom reporting in UK SA. Clinicians should consider these factors when interpreting SCAT symptom checklists, as variability is expected, and the management of SA return to sport is often determined by baseline values.</p>","PeriodicalId":51268,"journal":{"name":"Physician and Sportsmedicine","volume":" ","pages":"1-13"},"PeriodicalIF":1.6,"publicationDate":"2026-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148702724","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":"Match schedule variability, not volume, is associated with severe muscle injury in elite football.","authors":"Haneef A Khan, Najeeb Baig, Ilyaas Rasheed, Amina Khan","doi":"10.1080/00913847.2026.2657258","DOIUrl":"10.1080/00913847.2026.2657258","url":null,"abstract":"<p><strong>Aims and objectives: </strong>To determine whether week-to-week schedule variability predicts severe muscle injury in elite football when controlling for absolute workload, and to evaluate this relationship using a time-varying exposure model.</p><p><strong>Materials and methods: </strong>We conducted a retrospective cohort study of 30,097 player-seasons from Europe's top five leagues between 2012 and 2024. Match schedule variability was calculated using a 4-week rolling window for every week of the season. Match schedule variability, defined as the Coefficient of Variation (CV) of weekly match minutes over the same 4-week rolling window; this term is used consistently throughout to refer to this operational measure. We used logistic regression with clustered standard errors to estimate the odds of severe muscle injury (>28 days absence) in the subsequent week, controlling for mean workload, age, position, and time-varying injury history.</p><p><strong>Results: </strong>Analysis of total volume revealed that rolling match workload was not significantly associated with injury risk (Adjusted OR 1.06, 95% CI 0.99-1.15, <i>p</i> = 0.102). However, schedule variability emerged as an independent risk factor. In multivariable models adjusting for rolling workload, age, position, and prior injury history, a one-standard-deviation increase in 4-week Schedule Variability (CV) was associated with increased odds of severe muscle injury (Adjusted OR 1.08, 95% CI 1.01-1.16, <i>p</i> = 0.02).</p><p><strong>Conclusion: </strong>Schedule instability is associated with increased injury risk. Injury prevention strategies should consider prioritizing load smoothing over simple volume restriction.</p>","PeriodicalId":51268,"journal":{"name":"Physician and Sportsmedicine","volume":" ","pages":"322-326"},"PeriodicalIF":1.6,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147629122","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":"Joint dislocations due to equestrian activity: what can a sports physician anticipate?","authors":"Randall T Loder, Alyssa L Walker, Laurel C Blakemore","doi":"10.1080/00913847.2026.2636506","DOIUrl":"10.1080/00913847.2026.2636506","url":null,"abstract":"<p><strong>Background: </strong>Horse riding is a common sport, but no study specifically addresses joint dislocations. The purpose of this study is to describe joint dislocations due to equines using a national emergency department (ED) database. Such data can be helpful in injury prevention strategies.</p><p><strong>Methods: </strong>The National Electronic Injury Surveillance System (NEISS) database for the years 2000-2023 was used. The NEISS database is a statistically representative sample of injuries seen in EDs across the US giving national estimates. Mechanism of injury was tabulated into groups: 1) did the patient fall from the horse 2) was the patient bucked, thrown, or kicked off of the horse, 3) was there equipment (tack) malfunction, 4) was the patient stepped on by the horse, 5) was the patient struck by/against an object, 6) was the patient kicked by the, 7) and others.</p><p><strong>Results: </strong>There were 625 dislocations which involved the shoulder (289, 46.2%), elbow (95, 15.2%), finger (85, 13.6%), acromioclavicular joint (48, 7.7%), patellofemoral joint (39, 4.8%), hip (22, 3.5%), pubic symphysis (16, 2.6%), and ankle (7, 1.1%). The average age was 41 years; 49.7% were male and 50.3% female. Mechanisms of injury were falling from the horse (54.1%), bucked/thrown off (27.7%), equipment malfunction (7.3%), stepped on by the horse (2.1%), struck by/against an object (1.9%), kicked (0.6%), and others (4.0%). Those with elbow dislocations were the youngest (average 32 years) and pubic symphysis the oldest (average 52 years) (<i>p</i> < 10^-4). Females had the highest percentage of patellofemoral dislocations (70.2%) and males the highest percentage of pubic symphysis dislocations (92.9%) (<i>p</i> = 0.0018).</p><p><strong>Conclusion: </strong>Although joint dislocations due to equestrian activity are uncommon, the majority occurred in the upper extremity. Male/female involvement is equal, different than the typical female predominance in equestrian activity and overall equestrian related injuries.</p>","PeriodicalId":51268,"journal":{"name":"Physician and Sportsmedicine","volume":" ","pages":"281-287"},"PeriodicalIF":1.6,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146259916","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 impact of physician factors on treatment recommendations in sports medicine.","authors":"Julia Lunt, Raj Dwivedi, Lovy Grewal, Matthew B Baird, Joshua Pacious, Kyle J Cassas, Vicki R Nelson","doi":"10.1080/00913847.2026.2634608","DOIUrl":"10.1080/00913847.2026.2634608","url":null,"abstract":"<p><strong>Purpose: </strong>The aim of this study is to evaluate differences in treatment of musculoskeletal injuries based on primary care sports medicine physician characteristics.</p><p><strong>Methods: </strong>Retrospective review of treatment provided at a walk-in orthopedic clinic was extracted by chart review. Treatment patterns were compared by chi-square test including primary specialty (Emergency Medicine (EM), Family Medicine (FM), Orthopedics (OR) and Physical Medicine and Rehabilitation (PMR), and Internal Medicine (IM) and Pediatrics (Peds)), gender, and years of experience. Additionally, associations between physician characteristics and treatment recommendations were evaluated using multivariate logistic regression. Treatment options evaluated were advanced imaging, medications (including pain medication, oral steroids, muscle relaxers, etc.), steroid injections, physical therapies, durable medical equipment (DME), activity restrictions, and surgery or follow-up.</p><p><strong>Results: </strong>A total of 461 patient encounters were included. The frequency of medication recommendations among providers varied significantly with physician gender, primary specialty, and experience. Medication utilization was highest among male physicians and OR/PMR physicians. Physicians with more than 10 years of experience prescribed less medication compared to physicians with 0-5 years of experience. Physicians with greater than 10 years of experience recommended physical therapy more often than physicians with less experience.</p><p><strong>Conclusions: </strong>Data suggests there are differences in documented treatment recommendations based on the residency completed prior to sports medicine fellowship, physician gender, and experience. Increased diversity within Sports Medicine fellowship classes, such as including both males and females as well as FM trained physicians and EM trained physicians, can bring additional perspectives and experience to patient care.</p>","PeriodicalId":51268,"journal":{"name":"Physician and Sportsmedicine","volume":" ","pages":"275-280"},"PeriodicalIF":1.6,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146221801","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":"Exploring morpho-functional and cardiometabolic parameters in elite female athletes with extreme anthropometry.","authors":"Giuseppe Di Gioia, Armando Ferrera, Margherita Rigillo, Sara Monosilio, Federica Mango, Viviana Maestrini, Lucrezia Macori, Raffaella Spada, Maria Rosaria Squeo","doi":"10.1080/00913847.2026.2649722","DOIUrl":"10.1080/00913847.2026.2649722","url":null,"abstract":"<p><strong>Purpose: </strong>Exercise-induced cardiac adaptation in female athletes with extreme anthropometry remains poorly defined. The aim of this study is to analyze cardiovascular and hematological features of female athletes with extreme anthropometric indices.</p><p><strong>Methods: </strong>Olympic female athletes underwent medical evaluation including CPET and echocardiography. According to BMI and height athletes were divided into Group A (height > 186.1 cm and BMI < 27.7 kg/m²), Group B (height ≤ 186.1 cm and BMI > 27.7 kg/m²), and Group C (height 164-175 cm and BMI between 20.4 kg/m² and 23.5 kg/m²).</p><p><strong>Results: </strong>1137 athletes were enrolled (mean age 25.2 ± 5 years old, mean height 169.9 ± 8.1 cm, and mean BMI 22.1 ± 2.8 kg/m²). Athletes with extreme anthropometry showed same functional parameters (<i>p</i> = 0.071) although different relative VO₂max (VO₂ max = 39.8 ± 6.1 mL/min/kg in group C, 33.5 ± 5.5 mL/min/kg in group B, and 29.2 ± 7.4 mL/min/kg in group A, <i>p</i> < 0.0001), larger LV (LVEDD = 52.7 ± 3.2 mm in A, 50.9 ± 3.2 mm in B, and 49.4 ± 3 mm in control group, <i>p</i> < 0.0001), and, particularly in Group B, thicker IVS and PWT (<i>p</i> < 0.0001). Athletes with higher BMI showed a globally higher CV risk profile.</p><p><strong>Conclusion: </strong>Athletes with extreme anthropometry exhibit, especially those with a high BMI, worse cardiovascular risk despite the same cardiorespiratory function. Athletes with high BMI exhibit increased LV thickness, while athletes with high height showed increased LV dimensions. Indexing for weight should not be used in extreme anthropometry.</p>","PeriodicalId":51268,"journal":{"name":"Physician and Sportsmedicine","volume":" ","pages":"303-313"},"PeriodicalIF":1.6,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147492255","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":"Comparing external vs. internal rotation immobilization following primary anterior shoulder dislocation: a meta-analysis.","authors":"Marc Boutros, Guy Awad, Akinkunmi Adio, Jad Lawand, Zina Smadi, Adam Z Khan, Brian W Hill, John G Horneff, Joseph A Abboud","doi":"10.1080/00913847.2026.2647715","DOIUrl":"10.1080/00913847.2026.2647715","url":null,"abstract":"<p><strong>Background: </strong>Immobilization after primary anterior shoulder dislocation is a common strategy aimed at promoting capsulolabral healing and reducing recurrence risk. While internal rotation (IR) using a standard sling remains the conventional approach, external rotation (ER) braces have been introduced based on biomechanical studies suggesting improved labral coaptation. However, ER bracing has been associated with concerns regarding patient comfort and compliance. Several randomized controlled trials (RCTs) have reported inconsistent clinical outcomes. This meta-analysis aimed to compare functional and stability-related outcomes between ER and IR immobilization to evaluate whether ER offers a meaningful advantage.</p><p><strong>Methods: </strong>A systematic search was performed across PubMed, Scopus, Embase, and Google Scholar through 8 December 2025. Eligible studies included RCTs and comparative cohort studies examining ER versus IR immobilization following a first-time anterior shoulder dislocation. Seventeen studies met inclusion criteria, including a total of 1170 patients with first-time shoulder dislocation. Outcomes included the Western Ontario Shoulder Instability Index (WOSI), dislocation recurrence rate, Constant-Murley Score, return-to-sport rate, and shoulder apprehension. Each outcome was analyzed using the subset of studies reporting that outcome.</p><p><strong>Results: </strong>IR immobilization showed a statistically significant difference in WOSI scores (mean difference -2; 95% CI - 3 to -1; <i>p</i> = 0.002) that was clinically insignificant, as it fell below established importance thresholds. No significant differences were found between IR and ER groups in recurrence rate (<i>p</i> = 0.41), Constant score (<i>p</i> = 0.15), return-to-sport rate (<i>p</i> = 0.12), or shoulder apprehension (<i>p</i> = 0.22).</p><p><strong>Conclusion: </strong>IR and ER immobilization result in comparable functional and stability outcomes following primary anterior shoulder dislocation. Given similar recurrence and return-to-sport outcomes and no clinically meaningful difference in WOSI, routine use of ER bracing may not be warranted.</p>","PeriodicalId":51268,"journal":{"name":"Physician and Sportsmedicine","volume":" ","pages":"251-265"},"PeriodicalIF":1.6,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147476281","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":"Risk factors for growth-related knee pain in young male Japanese basketball players: results from a web-based parental survey.","authors":"Takeshi Koyama, Takayuki Irino, Keito Yaguchi, Shogo Sasaki, Yasuharu Nagano","doi":"10.1080/00913847.2026.2644839","DOIUrl":"10.1080/00913847.2026.2644839","url":null,"abstract":"<p><strong>Objectives: </strong>Growth-related knee pain is common among young athletes; however, risk factors may differ from those in adults. Understanding modifiable contributors is critical for injury prevention and healthy physical development. This study aimed to identify clinical and training-related factors associated with growth-related knee pain in young male Japanese basketball players.</p><p><strong>Methods: </strong>A total of 600 parents of young male basketball players aged 9-15 years (100 per grade, 4th-9th grades) completed a web-based parental questionnaire. Data collected included age, anthropometrics, leg dominance, playing position, training surface, weekly training volume, and sport specialization. Parents reported whether their child experienced knee pain within the past 12 months and the suspected cause (growth-related pain, contusion, fracture, sprain, or other). Univariate analyses (independent t-tests and chi-square tests) compared players with and without growth-related knee pain. Multivariate logistic regression identified independent risk factors, reported as odds ratios (OR) with 95% confidence intervals (CI).</p><p><strong>Results: </strong>Growth-related knee pain was reported by 20.6% of participants. Univariate analyses showed that it was significantly associated with older age, larger body size, increased weekly training volume, and high sport specialization, but not with body mass index, leg dominance, playing position, or playing surface. In the multivariate model, increased height (OR =1.04, 95% CI: 1.01-1.08) and high sport specialization (OR =1.77, 95% CI: 1.13-2.77) remained independent predictors.</p><p><strong>Conclusions: </strong>Taller athletes and those with high sport specialization are at an increased risk of growth-related knee pain. Growth monitoring, regulation of training volume, and promoting multisport participation may help reduce injury risk.</p>","PeriodicalId":51268,"journal":{"name":"Physician and Sportsmedicine","volume":" ","pages":"288-294"},"PeriodicalIF":1.6,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147437461","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":"Training-related injury patterns and return-to-sports in elite fencing athletes: a prospective cohort study.","authors":"Hyun-Chul Kim, Ki-Jun Park","doi":"10.1080/00913847.2026.2653988","DOIUrl":"10.1080/00913847.2026.2653988","url":null,"abstract":"<p><strong>Objective: </strong>To prospectively examine training-related injury incidence, anatomical distribution, and return-to-sports according to sex, weapon category, injury onset (acute vs. overuse), and tissue type in elite fencing athletes.</p><p><strong>Methods: </strong>This prospective injury surveillance study followed elite fencing athletes training at a high-performance facility for 12 months. All acute and overuse training-related injuries were recorded using the International Olympic Committee injury report form. Injury incidence was calculated per 1,000 training hours. Injury location, tissue type, injury onset, and return-to-sports were analyzed according to sex and weapon category.</p><p><strong>Results: </strong>A total of 471 injuries were recorded, yielding an overall incidence of 3.22 injuries per 1,000 training hours. Overuse injuries demonstrated a significantly higher incidence than acute injuries (2.59 vs. 0.63 injuries per 1,000 training hours; <i>p</i> < 0.001). Female athletes had a higher injury incidence than male athletes (3.86 vs. 2.66 injuries per 1,000 training hours; <i>p</i> < 0.001). Saber athletes exhibited the highest injury incidence, followed by epee and foil athletes. The lower extremity was the most frequently injured region (57.54%). Return-to-sports differed significantly by sex, injured body region, and tissue type (<i>p</i> < 0.05), with ligament injuries requiring the longest return-to-sports duration (<i>p</i> < 0.001).</p><p><strong>Conclusion: </strong>Elite fencing athletes experience a substantial burden of training-related injuries, with overuse injuries predominating during training exposure. Injury patterns and return-to-sports vary according to sex, weapon category, and tissue type. These findings support the development of sex- and weapon-specific injury prevention strategies, particularly targeting lower extremity injuries and ligament-related time loss.</p>","PeriodicalId":51268,"journal":{"name":"Physician and Sportsmedicine","volume":" ","pages":"314-321"},"PeriodicalIF":1.6,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147629129","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}