The Physician and Sportsmedicine最新文献

{"title":"Impact, incidence and prevalence of musculoskeletal injuries in senior amateur male rugby: epidemiological study.","authors":"Eduardo Tondelli,&nbsp;Carlos Boerio,&nbsp;Mauro Andreu,&nbsp;Santiago Antinori","doi":"10.1080/00913847.2021.1924045","DOIUrl":"https://doi.org/10.1080/00913847.2021.1924045","url":null,"abstract":"<p><strong>Objectives: </strong>Exposure to different types of injuries in rugby union is common. It is important to know about the injury epidemiology for medical teams care in order to optimize players´ performance and the treatment of common injuries, but there is limited specific information related to amateur rugby union. The purpose of this study is to determine the incidence, prevalence, injury burden, severity, nature of injuries sustained by senior amateur male rugby players from three clubs in Argentina during a given season.</p><p><strong>Methods: </strong>An observational, analytical, prospective, multicenter study was developed. Data collection was conducted from 15 March 2019 to 2 November 2019, during a complete season under the applicable standards of the Rugby Injury Consensus Group according to the Orchard Sports Injury and Illness Classification System.Incidence (injuries/1000 player-match-hours), prevalence (%), severity (time loss), injury burden (days lost/1000 player-match-hours), injured location and type of injury (%) were estimated.</p><p><strong>Results: </strong>250 players and 180 injuries were assessed. Injury prevalence was 52.4%. Incidence rate per match and training was 30.9/1000 player-match-hours, and 0.77/1000 player-training-hours, respectively.The median injury severity score was 23 (IQR 12.7-52) days lost accounting for an injury burden of 97.3/1000 player-hours. Of the total, 113 (62.8%) injuries were contact injuries. The lower limbs were the most commonly affected (58.9%). Hamstring strain injury had the highest incidence and anterior cruciate ligament tear was the most severe injury.</p><p><strong>Conclusion: </strong>The prevalence, incidence, and injury burden reported in this study are unprecedented and would add knowledge for the amateur rugby union community. Trainers, physicians, and physical therapists, should consider it to improve their clinical practice.</p>","PeriodicalId":517412,"journal":{"name":"The Physician and Sportsmedicine","volume":" ","pages":"269-275"},"PeriodicalIF":2.3,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/00913847.2021.1924045","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38914541","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":"Update on injury epidemiology in rowing: our experience with female NCAA Division I athletes and a systematic review of the literature.","authors":"Joshua Treloar, Ioanna K Bolia, Andre Anvari, Kevin Collon, Rae Lan, Jennifer A Bell, Russ Romano, Frank A Petrigliano, Seth C Gamradt, Alexander E Weber","doi":"10.1080/00913847.2021.1931526","DOIUrl":"10.1080/00913847.2021.1931526","url":null,"abstract":"<p><strong>Objectives: </strong>(1) To report the distribution of injuries per body site and time lost from participation in female NCAA Division I rowers and (2) to present an updated summary of the existing evidence regarding the analysis of injuries per body site in rowers.</p><p><strong>Methods: </strong>Case series: The distribution of injuries per body site in female NCAA Division I rowers and the time lost from participation were retrieved from an institutional registry. Injuries per body site were reported as number of athletes with site-specific injury per total number of injured athletes. Systematic review: Based on the PRISMA guidelines for systematic reviews, three electronic databases were searched for studies reporting the epidemiology of injuries per body site in rowers and analyzed.</p><p><strong>Results: </strong>Case series: One-hundred and thirty-seven injuries were recorded in 92 female rowers over 5 years. The risk of injury (number of injured athletes over total number of athletes on roaster) was 52% (92/176). Among the 92 injured athletes, 38% sustained injury to the lower back, while 23% and 16% of these athletes sustained injury to the ribs and hip-groin area, respectively. Systematic review: Ten studies were included. The level of evidence was IV and the mean MINORS score was 13.2(9-15) (fair quality). Most studies reported injuries to the lower spine (8/10,80%) whereas injuries to the ribs or other anatomic sites were reported in ≤4 (40%) studies. Significant heterogeneity of the injury reporting methodologies (injury definition; measures of injury occurrence; description of the injury site) was detected and precluded meta-analysis.</p><p><strong>Conclusions: </strong>Most injuries recorded in a single team of female NCAA Division I athletes occurred in the lower back followed by injuries to the ribs and the hip. The existing injury epidemiology literature in mostly focuses on injuries to the lower back, while injuries to other anatomic sites were less frequently analyzed. No conclusions can be made regarding the most common injuries in rowers based on the current evidence due to substantial heterogeneity of injury reported methodologies which warrants further investigation.</p>","PeriodicalId":517412,"journal":{"name":"The Physician and Sportsmedicine","volume":" ","pages":"189-196"},"PeriodicalIF":0.0,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38992002","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":"Injuries in elite level male beach soccer players: a prospective three year study.","authors":"Yavuz Lima,&nbsp;Bulent Bayraktar","doi":"10.1080/00913847.2021.1889933","DOIUrl":"https://doi.org/10.1080/00913847.2021.1889933","url":null,"abstract":"ABSTRACT Objectives The aim of this study was to investigate the incidence and characteristics of match and training injuries in elite-level national male beach soccer players. Method The incidence, mechanism, location, type, severity, and burden of injuries of the Turkish national beach soccer team were recorded between 2017 and 2019. Results A total of 136 injuries occurred during the study period. Total injury incidence was 238.9 injuries/1,000 match hours (MHs) and 37.7 injuries/1,000 training hours (THs) (p < 0.001). Twenty-seven injuries led to time-loss, and the incidences for match and training injuries were 36.7 and 7.9 per 1,000 hours, respectively. Of medical attention injuries (MAI) caused by trauma, 54.6% (n = 53) were due to another player and, 60.9% (n = 14) of time-loss injuries (TLI) caused by trauma were due to non-contact trauma (p < 0.001). While 82% (n = 91) of training injuries occurred in lower extremities, 29% (n = 9) of match injuries occurred in the head/neck region (p < 0.001). Head injury incidence was 45.9 per 1,000 match hours. Of MAI, 50% (n = 57) were contusion, and 32.1% (n = 9) of TLI were strain (p < 0.001). Also, the most common injury subtype was foot/toe contusion during match and training (19.4%; n = 6, 27.9%; n = 31, respectively). The majority of injuries 91.9% (n = 125) had slight severity. Conclusion Head trauma, tendon injury, and foot/toe contusion are important for clinical practice in beach soccer. Protective measures (rule regulation, use of protective equipment, etc.) should be considered to prevent these injuries.","PeriodicalId":517412,"journal":{"name":"The Physician and Sportsmedicine","volume":" ","pages":"251-256"},"PeriodicalIF":2.3,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/00913847.2021.1889933","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25370523","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":"Does wearing a mask while exercising amid COVID-19 pandemic affect hemodynamic and hematologic function among healthy individuals? Implications of mask modality, sex, and exercise intensity.","authors":"Mehdi Ahmadian,&nbsp;Mohammad Ghasemi,&nbsp;Nafiseh Nasrollahi Borujeni,&nbsp;Samaneh Afshan,&nbsp;Masoumeh Fallah,&nbsp;Hamed Ayaseh,&nbsp;Mohammad Pahlavan,&nbsp;Seyedeh Maedeh Nabavi Chashmi,&nbsp;Tahereh Haeri,&nbsp;Fattaneh Imani,&nbsp;Foruzan Zahedmanesh,&nbsp;Abolfazl Akbari,&nbsp;Khadijeh Nasiri,&nbsp;Valiollah Dabidi Roshan","doi":"10.1080/00913847.2021.1922947","DOIUrl":"https://doi.org/10.1080/00913847.2021.1922947","url":null,"abstract":"<p><strong>Objectives: </strong>We investigated how wearing a mask - and its modality (surgical vs. N95) - affect hemodynamic and hematologic function in males and females across two exercise intensities (submaximal (SUB) and maximal (MAX)).</p><p><strong>Methods: </strong>144 individuals participated in the present study and were randomly allocated to three mask groups of 48 (N95, SURGICAL, and NO MASK) with two exercise subgroups for each mask group (MAX, <i>n</i> = 24; SUB, <i>n</i> = 24) for both sexes. Participants in each experimental group (N95SUB, N95MAX; SURSUB, SURMAX; SUB, MAX) were assessed for their hemodynamic and hematologic function at baseline and during recovery after exercise.</p><p><strong>Results: </strong>No significant differences were noted for either hemodynamic or hematologic function at post-exercise as compared to baseline with regard to mask modality (P > 0.05). Heart rate (HR) for maximal intensity were significantly greater at 1 min post-exercise in N95 as compared to SURGICAL (P < 0.05). No differences were noted for hemodynamic and hematologic function with N95 and SURGICAL compared to NOMASK for either intensity (P > 0.05). Females showed significantly greater HR values at 1 min post-exercise in N95 as compared to NO MASK, but no significant differences were noted for hematological function between sexes (P > 0.05).</p><p><strong>Conclusion: </strong>Our findings show that wearing a face mask (N95/surgical) while exercising has no detrimental effects on hemodynamic/hematologic function in both males and females, and suggest that wearing a mask, particularly a surgical mask, while exercising during the ongoing pandemic is safe and poses no risk to individual's health. Future studies examining physiological responses to chronic exercise with masks are warranted.</p>","PeriodicalId":517412,"journal":{"name":"The Physician and Sportsmedicine","volume":" ","pages":"257-268"},"PeriodicalIF":2.3,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/00913847.2021.1922947","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38918927","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":"Vitamin D levels on sports injuries in outdoor and indoor athletes: a cross-sectional study.","authors":"Seçkin Şenışık,&nbsp;Ogün Köyağasıoğlu,&nbsp;Nevzad Denerel","doi":"10.1080/00913847.2021.1969217","DOIUrl":"https://doi.org/10.1080/00913847.2021.1969217","url":null,"abstract":"<p><strong>Objective: </strong>Having vitamin D levels within normal limits is important for bone and muscle health and its deficiency may increase the risk of injury. The aim of this cross-sectional study was to investigate whether vitamin D levels are different in indoor and outdoor athletes and its levels increase the risk of injury.</p><p><strong>Material and methods: </strong>Serum vitamin D levels were measured in Caucasian adolescent athletes, who admitted to the sports medicine polyclinic due to a routine health check or injury. The study was carried out at 38°26' north latitude in İzmir between June and September 2019. After the physical examination of the injured athletes, the diagnoses were made accompanied by the findings obtained by imaging methods in cases of necessity.</p><p><strong>Results: </strong>A total of 256 athletes, including swimmers (n = 87), basketball players (n = 104), and football (n = 65) players aged 13.2 (± 2.2) years, were investigated. The average serum vitamin D (25(OH)D) level in athletes was 29.2 (±10.0) ng/mL (6.0-66.0 ng/mL). Forty-six of all athletes (18%) had vitamin D deficiency, with a mean value of 15.7 (±4.0) ng/mL, and 93 of them (36.3%) had vitamin D deficiency with a mean value of 25.2 (±2.4) ng/mL. While vitamin D levels were significantly higher in football players (32 ng/mL) than in other athletes (p < 0.05), it was similar in basketball players (27 ng/mL) and swimmers (26 ng/mL) (p > 0.05). Vitamin D levels (26 ng/mL) of the injured athletes were significantly lower than those of the non-injured athletes (30 ng/mL) (p = 0.001). Bone injuries were significantly related to Vitamin D levels (p < 0.001) but not with muscle injuries (p > 0.05).</p><p><strong>Conclusion: </strong>Frequency of vitamin D deficiency and insufficiency is higher in indoor athletes andis especially associated with risk of bone injuries . In order to examine the effect of vitamin D level on bone mineral density, comprehensive prospective studies are required.</p>","PeriodicalId":517412,"journal":{"name":"The Physician and Sportsmedicine","volume":" ","pages":"164-170"},"PeriodicalIF":2.3,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39319903","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":"Examining how time from sport-related concussion to initial assessment predicts return-to-play clearance.","authors":"Taylor Pratile,&nbsp;Cameron Marshall,&nbsp;Carol DeMatteo","doi":"10.1080/00913847.2021.1879603","DOIUrl":"https://doi.org/10.1080/00913847.2021.1879603","url":null,"abstract":"<p><strong>Objective: </strong>(i) To analyze data of adolescents who have sustained a sport-related concussion (SRC) through the use of Complete Concussion Management Inc. (CCMI) concussion database system; and (ii) to determine an optimal time to assess and manage an athlete with an SRC by prospectively analyzing data from CCMI concussion database system.</p><p><strong>Method: </strong>A cohort of patients, ages 8-18 years, who sustained an SRC, assessed 30 days or less from injury and were treated at partnered CCMI clinics across Canada were prospectively followed. The primary outcome measure was recovery, defined as CCMI discharge, which includes an athlete having completed all return-to-school and return-to-play steps and passed the Gapski-Goodman test without symptom exacerbation.</p><p><strong>Results: </strong>1213 athletes (482 female) were included for analysis. Days between injury and initial assessment (p = 0.00), male sex (p = 0.00), and previous concussion history (p = 0.00) were significant predictors of time to discharge. A log-rank test revealed a significant difference (p = 0.00) in time to discharge with athletes assessed <10 days of injury discharged at a mean of 23.5 days (95% CI, 22.5, 24.5) and those assessed at day 10 to 30 were discharged at a mean of 37.1 days (95% CI, 33.7, 40.5). Athletes who were assessed at 0 to 9 days from injury were two times more likely to be discharged sooner compared to those athletes assessed 10 to 30 days from injury (HR 2.03, p = 0.00).</p><p><strong>Conclusion: </strong>Time from SRC to initial assessment significantly predicted time to discharge, with those being evaluated earlier experiencing a faster discharge. The results aid in establishing recommended timelines for evaluation following an SRC in order to prevent or mitigate athletes experiencing a prolonged recovery and encourage timely access to care and a quicker return to life post-concussive injury.</p>","PeriodicalId":517412,"journal":{"name":"The Physician and Sportsmedicine","volume":" ","pages":"132-140"},"PeriodicalIF":2.3,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/00913847.2021.1879603","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38843168","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":"A 12-month prospective cohort study on symptoms of mental health disorders among Dutch former elite athletes.","authors":"Emmeline Oltmans,&nbsp;Kaizeen Confectioner,&nbsp;Ruud Jonkers,&nbsp;Gino M M J Kerkhoffs,&nbsp;Maarten Moen,&nbsp;Evert Verhagen,&nbsp;Paul Wylleman,&nbsp;Vincent Gouttebarge","doi":"10.1080/00913847.2020.1868276","DOIUrl":"https://doi.org/10.1080/00913847.2020.1868276","url":null,"abstract":"<p><strong>Objectives: </strong>The primary objectives of the study were to (i) establish the 12-month incidence and comorbidity of symptoms of mental health disorders (distress, anxiety/depression, sleep disturbance, alcohol misuse, disordered eating) among Dutch former elite athletes and (ii) explore the potential relationship with the stressors involuntary retirement, recent life events, career dissatisfaction. The secondary objective was to investigate whether the incidence of symptoms of mental health disorders and their potential relationship with stressors are related to duration since retirement.</p><p><strong>Methods: </strong>An observational prospective cohort study with a 12-month follow-up was conducted among Dutch former elite athletes. Symptoms of mental health disorders and potential stressors were assessed using validated questionnaires.</p><p><strong>Results: </strong>A total of 282 participants were included at baseline and 193 completed follow-up. The incidence ranged from 7% for alcohol misuse to 28% for anxiety/depression. Comorbidity of two or three symptoms of mental health disorders was reported in 7% and 4%, respectively. Adverse life events were significantly related to disordered eating (RR = 1.30, 95%CI = 1.05-1.61), while career dissatisfaction also showed a significant relationship with disordered eating (RR = 3.98, 95%CI = 1.32-11.99) and sleep disturbance (RR = 3.23, 95%CI = 1.10-9.51). The stressor involuntary retirement did not have a significant relationship with any symptoms of mental health disorders. The effect of duration since retirement seemed to be most present in the first 15 years since athletic career retirement in the plotted graphs.</p><p><strong>Conclusions: </strong>The 12-month incidence of symptoms of mental health disorders ranged from 7% to 28% and comorbidity of symptoms of mental health disorders was present in 12%. Adverse life events and career dissatisfaction only increased the risk of certain symptoms of mental health disorders. Duration since retirement might affect the incidence of symptoms of mental health disorders and its relationship with stressors in the first 15 years.</p>","PeriodicalId":517412,"journal":{"name":"The Physician and Sportsmedicine","volume":" ","pages":"123-131"},"PeriodicalIF":2.3,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/00913847.2020.1868276","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38743368","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":"The underpinning factors of NBA game-play performance: a systematic review (2001-2020).","authors":"Thomas Huyghe,&nbsp;Pedro E Alcaraz,&nbsp;Julio Calleja-González,&nbsp;Stephen P Bird","doi":"10.1080/00913847.2021.1896957","DOIUrl":"https://doi.org/10.1080/00913847.2021.1896957","url":null,"abstract":"<p><strong>Objective: </strong>Recognizing the high stakes associated with winning and losing in the National Basketball Association (NBA), a deep understanding of the underlying mechanisms of NBA game-play performance would provide substantial benefit to all stakeholders involved with preparing NBA players and teams for competitive success. To the best of the authors' knowledge, this systematic review presents the first attempt to systematically amalgamate and appraise the scientific literature published in the XXI Century, following a constraints-led approach (CLA). In particular, two underpinning factors of NBA game-play performance were investigated: (1) NBA player constraints (internal variables) and (2) NBA contextual constraints (external variables).</p><p><strong>Methods: </strong>Databases included PubMed (MEDLINE), Web of Science (WOS), ResearchGate, SPORTDiscus, SCOPUS, Google Scholar, and the World Association of Basketball Coaches' database (WABC). This review followed the Preferred Reporting Items for Systematic Review and Meta-Analyses (PRISMA) model and the Population, Intervention, Comparison and Outcomes (PICOS) guidelines.</p><p><strong>Results: </strong>Ultimately, 43 articles met the inclusion criteria (<i>n</i> = 43). Promisingly, the vast majority of studies were published in recent years (>2016; <i>n</i> = 28; 65.1%). Topics related to 'contextual constraints' (<i>n</i> = 25; 58.1%) received more attention than topics related to 'player constraints' (<i>n</i> = 18; 41.9%). Even though the importance of longitudinal-interventional approaches to applied sports science is well-documented, descriptive-observational research emerged as the most popular method of choice (<i>n</i> = 27; 62.8%); interventional studies were absent; and near all researchers merely utilized secondary data sources (<i>n</i> = 37; 86.0%).</p><p><strong>Conclusions: </strong>Taking into account the total body of evidence (2001-2020), NBA practitioners may use this systematic review as a baseline reference to enrich their current knowledge about the nature, demands, and dynamics of the modern-day NBA ecosystem. Finally, adoption of an 'Applied Science Research Framework' is encouraged, fostering clearly outlined project incentives; standardizing taxonomies; sequencing follow-up studies; embracing holistic and cross-disciplinary viewpoints; and integrating longitudinal-interventional projects to increase the reproducibility of their findings.</p>","PeriodicalId":517412,"journal":{"name":"The Physician and Sportsmedicine","volume":" ","pages":"94-122"},"PeriodicalIF":2.3,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/00913847.2021.1896957","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25482413","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":"Platelet rich plasma for hallux sesamoid injuries: a case series.","authors":"Hung M Le,&nbsp;Andrea Stracciolini,&nbsp;Cynthia J Stein,&nbsp;Bridget J Quinn,&nbsp;Sarah S Jackson","doi":"10.1080/00913847.2021.1964006","DOIUrl":"https://doi.org/10.1080/00913847.2021.1964006","url":null,"abstract":"<p><strong>Objective: </strong>Hallux sesamoid injuries are well described and can be debilitating and chronically disabling. The role of orthobiologics such as platelet-rich plasma (PRP) in sesamoid injuries has not been reported. This study describes three cases of recalcitrant hallux sesamoid injuries in teenage athletes who returned to impact activities, pain free, following one treatment of PRP.</p><p><strong>Methods: </strong>This is a case-series study describing three teenage athletes presenting to a tertiary level pediatric sports medicine practice with chronic hallux sesamoid injuries.</p><p><strong>Results: </strong>The three patients (two female, one male) described in this case series were 13-, 16-, and 17-year-old athletes. Their primary sports were ballet, basketball, and Irish step dance, respectively. All three athletes received PRP: two received unilateral treatment (one tibial sesamoid, one fibular sesamoid) and one received treatment to bilateral tibial sesamoids. The average duration of symptoms prior to PRP was 52.5 weeks (14-128 weeks). The average time out of their primary sport was 48.7 weeks (20-78 weeks). Three of the 4 sesamoids treated with PRP were tibial sesamoids. Each site of injury was treated with one treatment of leukocyte-rich PRP. All three athletes were cleared to return to impact activities such as running and jumping at 6-9 weeks following PRP, specifically 9 weeks after the final PRP injection for the patient who underwent bilateral treatments.</p><p><strong>Conclusion: </strong>In the three cases provided of sesamoid injuries treated with PRP, the time to return to impact activities was less than reported for athletes not treated with PRP. Acknowledging that other management factors likely contributed to return to impact activities, this case series sets the groundwork for future research investigating the role of PRP with needle fenestration in the treatment of sesamoid injuries.</p>","PeriodicalId":517412,"journal":{"name":"The Physician and Sportsmedicine","volume":" ","pages":"181-184"},"PeriodicalIF":2.3,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/00913847.2021.1964006","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39274184","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":"Chronic prescription medication use in endurance runners: a cross-sectional study in 76,654 race entrants - SAFER XV.","authors":"Marcel Jooste,&nbsp;Martin Schwellnus,&nbsp;Nicola Sewry,&nbsp;Dina C Christa Janse Van Rensburg,&nbsp;Dimakatso A Ramagole,&nbsp;Sonja Swanevelder,&nbsp;Esme Jordaan","doi":"10.1080/00913847.2021.1885965","DOIUrl":"https://doi.org/10.1080/00913847.2021.1885965","url":null,"abstract":"<p><strong>Objective: </strong>To determine the prevalence of chronic prescription medication (CPM) use in distant runners (by age and sex) and to compare CPM use in 21.1 km vs. 56 km race entrants.</p><p><strong>Methods: </strong>A cross-sectional study of 76,654 race entrants who completed a pre-race medical screening questionnaire during race registration, which included questions on the use of CPM and CPM use in eight main categories of CPM. Prevalence (%, 95%CIs) and prevalence ratios (PR) are reported.</p><p><strong>Results: </strong>The prevalence of any CPM use was 12.5% (12.2-12.8). CPM use was higher in older age categories vs. the youngest age category (31-40 yrs vs. ≤30 yrs: PR = 1.4; 41-50 yrs vs. ≤30 yrs: PR = 2.1; >50 yrs vs. ≤30 yrs: PR = 3.4) (p < 0.0001) and females vs. males (PR = 1.1; p < 0.0001). The use of any CPM was significantly higher in 21.1 km vs. 56 km race entrants (PR = 1.2; p < 0.0001). Prevalence of CPM use in main categories was: blood pressure lowering medication (3.7%), cholesterol lowering medication (3.6%), asthma medication (3.1%), and medication to treat anxiety/depression (2.6%). The pattern of CPM in the main categories differed between 21.1 km and 56 km race entrants.</p><p><strong>Conclusions: </strong>One in eight race entrants use CPM, with a higher prevalence of use among older race entrants, female vs. males, and 21.1 km vs. 56 km race entrants. Frequent CPMs used are blood pressure lowering medication, cholesterol lowering medication, asthma medication, and medication to treat anxiety/depression. The use of CPM medications may increase the risk of medical complications during exercise, and these data help identify subgroups of entrants that may be at higher risk for race medical encounters.</p>","PeriodicalId":517412,"journal":{"name":"The Physician and Sportsmedicine","volume":" ","pages":"147-156"},"PeriodicalIF":2.3,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/00913847.2021.1885965","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25327934","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}