Sportverletzung Sportschaden : Organ der Gesellschaft fur Orthopadisch-Traumatologische Sportmedizin最新文献

{"title":"Effect of Low-Dye Taping on Pain, Foot Function, and Balance in Patients with Plantar Fasciitis: A Randomized Controlled Trial.","authors":"Jin-Won Kim, Jungae An, Byoung-Hee Lee","doi":"10.1055/a-2716-8381","DOIUrl":"https://doi.org/10.1055/a-2716-8381","url":null,"abstract":"<p><strong>Abstract: </strong>This study aimed to investigate the effects of low-dye taping on plantar pain, foot functional performance, and balance in patients with plantar fasciitis. A total of 36 patients with plantar fasciitis were randomly assigned to an experimental group that received low-dye taping with general physical therapy, while the control group only received general physical therapy twice a week for 4 weeks. Plantar pain was measured using the pain pressure threshold algometer, foot functional performance with the Foot Function Index, and balance with the Y-Balance test. A significant interaction effect was found between group and time for plantar pain (F=62.888, p=0.001, effect size=0.649), foot function (F=67.844, p=0.001, effect size=0.666), and balance ability (F= 10.37, p=0.003, effect size=0.234). Low-dye taping with general physical therapy is anticipated to be effective in clinical practice as a conservative method to improve and enhance plantar pain, functional performance of the foot, and balance ability in patients with plantar fasciitis.</p>","PeriodicalId":520779,"journal":{"name":"Sportverletzung Sportschaden : Organ der Gesellschaft fur Orthopadisch-Traumatologische Sportmedizin","volume":" ","pages":""},"PeriodicalIF":0.4,"publicationDate":"2026-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147849262","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":"[Return to Running (RTR) after Knee Joint Surgery: a Narrative Review].","authors":"Frank Diemer, Wolfgang Schoch, Volker Sutor, Jochen Zebisch","doi":"10.1055/a-2808-1311","DOIUrl":"https://doi.org/10.1055/a-2808-1311","url":null,"abstract":"<p><strong>Background: </strong>The transition from purely time-based to criteria-based rehabilitation following knee joint surgery has led to the establishment of clinical and functional criteria for individual functions such as return to running. This narrative review aimed to extract recommended criteria from expert surveys and to present their predictive validity.</p><p><strong>Methods: </strong>The authors conducted a literature search in PubMed. Studies were included that surveyed therapists and/or physicians on current practice for criteria-based return to running. In addition, an analysis was performed on studies that evaluated the validity of these criteria in clinical trials involving patients who had undergone knee surgery.</p><p><strong>Results: </strong>The literature search yielded data exclusively for patients who had undergone anterior cruciate ligament reconstruction. In the expert surveys, the postoperative period (≥12-16 weeks) was the most consistently reported criterion. Furthermore, clinical (pain, swelling) and functional (mobility, balance tests, dynamic control tests, quadriceps strength testing) criteria are frequently recommended but lack sufficient validation. In the few validation studies available, many of the proposed criteria and their cut-off values demonstrated insufficient predictive validity. Only clinical parameters (pain 0-2 on the numerical pain scale and swelling), a sufficient range of motion (0° extension, 130° flexion) and sufficient quadriceps strength (limb symmetry index >60% + 1.45-1.6 Nm/kg) appear to be meaningful.</p><p><strong>Conclusion: </strong>Functional test batteries currently described in the literature and the corresponding target values for balance and jump testing should be viewed critically and require more rigorous evaluation in future studies. Until then, they do not provide valid guidelines for clinical decision-making regarding a safe return to running.</p>","PeriodicalId":520779,"journal":{"name":"Sportverletzung Sportschaden : Organ der Gesellschaft fur Orthopadisch-Traumatologische Sportmedizin","volume":" ","pages":""},"PeriodicalIF":0.4,"publicationDate":"2026-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147795782","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":"Ski Mountaineering as a Competitive Sport: Anthropometry, Injuries and Illnesses.","authors":"Volker Schöffl, Anna Lena Stoll, Thomas Küpper, Othmar Moser","doi":"10.1055/a-2716-8775","DOIUrl":"https://doi.org/10.1055/a-2716-8775","url":null,"abstract":"<p><p>Ski mountaineering (skimo) is an evolving competitive sport with a long tradition and has recently been included in the 2026 Winter Olympics. Previous research focused on physiology and performance analysis, while data on injuries in competitive skimo are not yet available.This study aimed to determine the anthropometric and demographic characteristics as well as the rates and distribution of injuries and illnesses in competitive skimo and to compare them between World Cup and recreational athletes.Cross-sectional studyData were collected using a detailed trilingual questionnaire administered either face-to-face or online at two major ski mountaineering events. Injury locations were classified according to the Orchard Sports Injury and Illness Classification System, and the severity of injuries was determined. A statistical data analysis was performed, and correlations were calculated.Out of 196 participants (78.6% male, 21.4% female), 111 were recreational athletes (RA), and 85 were World Cup athletes (WC). RA (median age 42) were significantly older than WC (median age 22). WC had significantly lower height and body weight than RA and a lower BMI. The incidence of exercise-induced bronchial asthma was significantly higher in WC (16.5%) than in RA (2.7%). More training hours, a lower BMI, younger age, and fewer recovery days were associated with a higher incidence of colds and respiratory infections per season. The prevalence of anorexia athletica was 17.9% in female WC, 5.3% in male WC, and 0% in RA. Fifty-nine injuries were reported by 43 individuals (21.9%). Thirty-six injuries (59.3%) were acute, 23 (40.7%) were chronic. The knee was the most commonly injured body part, followed by the lower leg and ankle. The most common type of injury involved the ligaments and joint capsule. The average injury score was 1.6 ± 0.6 (UIAA classification). Most acute injuries (90.3%) occurred during descent, whereas most overuse injuries (90.9%) occurred during ascent. Most acute injuries involved the knee during descent, whereas most chronic injuries were skin lesions and ulcers caused by full-carbon racing boots.This study presents the first data on ski mountaineering injuries. A high incidence of respiratory infections and exercise-induced bronchospasm has been reported and should be addressed in prophylaxis. Similarly, relative energy deficiency in sports and anorexia athletica should be addressed. Most acute injuries resemble those in alpine skiing, and prevention is difficult. Chronic skin wounds caused by carbon boots should be addressed in collaboration with the manufacturing industry. Overall, further research on injury surveillance is needed.</p>","PeriodicalId":520779,"journal":{"name":"Sportverletzung Sportschaden : Organ der Gesellschaft fur Orthopadisch-Traumatologische Sportmedizin","volume":" ","pages":""},"PeriodicalIF":0.4,"publicationDate":"2026-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147483111","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":"High Re-Injury Rates and Poor Outcomes after Anterior Cruciate Ligament Ruptures in Judo.","authors":"Christophe Lambert, Julian Mehl, Noémie Reinert, Jürgen Höher, Maurice Balke, Bertil Bouillon, Ralph Akoto","doi":"10.1055/a-2781-4793","DOIUrl":"10.1055/a-2781-4793","url":null,"abstract":"<p><p>Anterior cruciate ligament (ACL) rupture is the most serious injury in judo. However, little is known about the outcome of treatment and its impact on subsequent athletic development. This study aimed to evaluate (1) ACL re-injury rates, injury-related time loss, and (2) regained level of performance in judoka after conservatively and surgically treated ACL ruptures.Five hundred judoka who had suffered an ACL rupture were included in the study via an online survey. Re-injury rates, persistent symptoms, time loss, and reduction in athletic performance were assessed according to performance level and treatment approach (surgical vs. conservative).Eighty-six percent of athletes underwent surgery. The overall re-injury rate was 27.6%. In the highest performance level group, 41.4% sustained a re-injury. No significant difference was observed with regard to persistent pain, swelling, and episodes of instability (surgical vs. conservative: pain 40.1% vs. 35.2%, p=0.436; swelling 21.7% vs. 12.7%, p=0.081; instability 14.0% vs. 15.5% p=0.736) Among conservatively treated patients, 70.4% returned to sport after 6 months, whereas among surgically treatment patients, 35.9% returned within 6-9 months and 33.6% after more than 9 months . There was no significant difference in post-injury performance level between treatment groups (same performance level: surgical 32% vs. conservative 35%).Judo athletes show high re-injury rates after ACL ruptures, especially in high performance classes. The proportion of persistent symptoms after surgical therapy is high and differs only slightly from those treated conservatively. In rare cases, pre-injury performance levels may be regained even after conservative therapy.</p>","PeriodicalId":520779,"journal":{"name":"Sportverletzung Sportschaden : Organ der Gesellschaft fur Orthopadisch-Traumatologische Sportmedizin","volume":"40 1","pages":"25-31"},"PeriodicalIF":0.4,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147392050","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 Scientific Usage of GPS Data in Professional Football: Relevance, Norm Values and Practical Recommendations].","authors":"Hannes Mühl, Urs Granacher","doi":"10.1055/a-2777-3728","DOIUrl":"10.1055/a-2777-3728","url":null,"abstract":"<p><p>The use of GPS data has become an integral part of the work of strength and conditioning coaches as well as data analysts in professional women's and men's football. Coaches should rely on GPS systems with a comparatively high sampling frequency (18 Hz) in order to validly capture short sprint distances with rapid changes of direction. GPS parameters such as total running distance, number of maximal sprints, accelerations, decelerations, and distance covered in speed and high-speed zones are of high practical relevance for athletic performance and injury prevention. Based on these practically relevant GPS parameters, the central challenge lies in capturing the complex interaction between training load and exertion, and in deriving suitable implications for short- (microcycle), medium- (mesocycle), and long-term (macrocycle) training programming. In the future, AI methods may support this process by efficiently analyzing large datasets and identifying patterns in load management. Initial studies provide promising evidence. However, particularly in the highly individualized context of professional football, it remains to be determined whether existing learning algorithms developed from one team's data can be transferred to other teams. In general, the use of GPS data should be contextualized in order to provide coaches with guidance, rather than serving as rigid target parameters for training prescription and load management in football. This article presents literature-based recommendations on the use of GPS data (e.g., acceleration-based parameters) for the design of macro-, meso-, and microcycles, which can guide coaches in football-specific load management. Of additional practical importance is the further development of models capable of predicting increased injury risk during specific phases of the season. While existing approaches such as the Acute:Chronic Workload Ratio (ACWR) provide initial guidance, their methodological limitations are evident. Further research is needed to provide reliable and applicable tools for training management in professional football. In addition, individualized training programming should incorporate not only objective GPS data but also subjective ratings of perceived exertion.</p>","PeriodicalId":520779,"journal":{"name":"Sportverletzung Sportschaden : Organ der Gesellschaft fur Orthopadisch-Traumatologische Sportmedizin","volume":"40 1","pages":"32-46"},"PeriodicalIF":0.4,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147392091","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":"Cryotherapy and Muscle Function in Immediate Return-to-Play Scenarios.","authors":"Ozgur Surenkok, Berna Cagla Balkisli, Yildiz Yucel Karacan, Kubra Kendal, Emine Atici, Gamze Aydin","doi":"10.1055/a-2760-7552","DOIUrl":"10.1055/a-2760-7552","url":null,"abstract":"<p><p>This study aimed to investigate the effects of cold spray and cold pack applications on the biomechanical properties, muscle strength, and activity of the quadriceps femoris muscle.Fifty-three male participants aged 18 to 25 were included in this randomised controlled study. Participants were randomly assigned to two groups: cold spray (n=27) and cold pack (n=26). The cold spray group received a 10-second application to the quadriceps, whereas the cold pack group received a 5-minute application. Measurements included skin surface temperature, muscle mechanical properties (MyotonPRO), isometric muscle strength (Lafayette dynamometer), and muscle activity (surface EMG). These measurements were conducted at three time points: before the intervention (baseline), immediately after the application, and five minutes post-application.Participant characteristics were similar between groups (p>0.05). Both groups showed time-dependent changes in muscle properties. Myoton-F, -S, and -D increased following the application, while Myoton-R decreased. Strength increased only in the cold spray group (p<0.05). The mean EMG workload was higher at baseline in the cold spray group (p<0.05), but no time-related change was observed in either group. EMG onset time decreased over time in the cold pack group (p<0.05). Skin temperature dropped significantly in both groups after the application (p<0.05), with a greater and more prolonged effect in the cold spray group (p<0.05).These findings suggest that both cold spray and cold pack can induce short-term changes in quadriceps muscle function by altering the muscle's mechanical properties. Cold spray appears to improve muscle strength, while cold pack may influence the timing of muscle activation.</p>","PeriodicalId":520779,"journal":{"name":"Sportverletzung Sportschaden : Organ der Gesellschaft fur Orthopadisch-Traumatologische Sportmedizin","volume":" ","pages":"16-24"},"PeriodicalIF":0.4,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146055826","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":"Two Case Reports of Tibial Avulsion Fractures of Both Cruciate Ligaments and the Medial Collateral Ligament: A Narrative Review of Current Literature.","authors":"Emre Tunçcan, İrem Hazal İnan, Mustafa Sungur, Nezih Ziroglu","doi":"10.1055/a-2781-4703","DOIUrl":"10.1055/a-2781-4703","url":null,"abstract":"<p><p>Tibial avulsion fractures involving both the anterior cruciate ligament (ACL) and the posterior cruciate ligament (PCL) are rare and pose significant diagnostic challenges, particularly when accompanied by medial collateral ligament (MCL) injury. This report presents two such rare cases and provides a focused narrative review of the current literature. Both patients underwent individualized surgical strategies based on fracture morphology, soft-tissue status, and stability requirements, using a combination of open and arthroscopic techniques. Although postoperative complications occurred, including infection, arthrofibrosis, and complex regional pain syndrome, both patients ultimately achieved an acceptable functional recovery with structured multidisciplinary rehabilitation. These cases underscore the importance of precise injury characterization, careful selection of surgical approach, and comprehensive postoperative management when treating complex bicruciate avulsion injuries with concomitant MCL involvement.</p>","PeriodicalId":520779,"journal":{"name":"Sportverletzung Sportschaden : Organ der Gesellschaft fur Orthopadisch-Traumatologische Sportmedizin","volume":"40 1","pages":"47-55"},"PeriodicalIF":0.4,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147392073","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":"Reliability of Different Protocols for Elbow Flexion and Extension Strength Measurement via Hand-held Dynamometer.","authors":"Sevgi Sevi Yeşilyaprak, Fatma Özden, Damla Karabay, Gonca Şahiner Pıçak","doi":"10.1055/a-2657-6783","DOIUrl":"10.1055/a-2657-6783","url":null,"abstract":"<p><p>To investigate the reliability of elbow flexion and extension strength measurements via a hand-held dynamometer (HHD) in different positions and to determine the minimal detectable change (MDC).Reliability study.Twenty healthy university students were evaluated at an exercise laboratory. Elbow flexion and extension strength were each measured by two physiotherapists in three different positions. Intra-class correlation coefficients (ICCs) were calculated to assess intra-rater reliability (ICC 3,3) and inter-rater reliability (ICC 3,3) and were used to calculate MDC.All measurement procedures have excellent intra- and inter-rater reliability scores in females (0.88-0.98) and males (0.81-0.95), except for moderate intra-rater reliability (0.72) for seated measurement of elbow flexion strength with the shoulder at 90-degree flexion in males. There is a systematic difference in inter-rater results for all flexion positions and intra-rater results for one flexion position in males (p<0.05). MDC95% ranged from 3.44 to 11.69 for intra-rater scores and from 6.19 to10.79 for inter-rater scores.All procedures showed excellent reliability, except for moderate intra-rater reliability in seated measurement of elbow flexion strength with the shoulder at 90-degree flexion in males. However, elbow flexion measurement was prone to systematic differences in males. Muscle strength of the tested individual and testers should be considered.</p>","PeriodicalId":520779,"journal":{"name":"Sportverletzung Sportschaden : Organ der Gesellschaft fur Orthopadisch-Traumatologische Sportmedizin","volume":" ","pages":"173-183"},"PeriodicalIF":0.4,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145139977","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":"[Biomechanical Assessment in Orthopaedic Patients: Opportunities and Challenges].","authors":"Christian Raeder, Christoph Centner, Hauke Dewitz, Sabrina Erdrich, Wolf Petersen, Thore Zantop, Jochen Paul","doi":"10.1055/a-2575-0705","DOIUrl":"10.1055/a-2575-0705","url":null,"abstract":"<p><p>Functional diagnostics, such as biomechanical testing in orthopaedic patients, is an important and frequently discussed topic in both the literature and clinical practice. It represents a multidisciplinary approach involving medical doctors, physiotherapists, sports scientists, and other disciplines. There is controversy regarding terminology and applications in clinical settings. This article provides an overview of the most common terms and methods. Functional diagnostics are used in the diagnosis of disorders related to human locomotion and functional deficits. The primary focus is on developing and evaluating the effectiveness of prevention or rehabilitation programs. Functional diagnostics are also used to evaluate patients before and after surgeries, such as ACL repair, to assess improvement and outcomes. The Functional Diagnostics Committee of the German Society of Orthopaedic and Traumatological Sports Medicine (Gesellschaft für Orthopädisch-Traumatologische Sportmedizin, \"GOTS\") has summarized the recent literature in this field and developed a practically based approach for the implementation of functional testing in orthopaedics.</p>","PeriodicalId":520779,"journal":{"name":"Sportverletzung Sportschaden : Organ der Gesellschaft fur Orthopadisch-Traumatologische Sportmedizin","volume":" ","pages":"160-172"},"PeriodicalIF":0.4,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144487775","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 Ankle Instability in the Digital Space: An Analysis of German Online Resources].","authors":"Sophie Maria Tengler, Mark Lenz, Marianne Rosenthal, Sebastian Sachse, Klaus Edgar Roth, Lena Mohr, Hazibullah Waizy, Kajetan Klos","doi":"10.1055/a-2657-7455","DOIUrl":"10.1055/a-2657-7455","url":null,"abstract":"<p><p>The quality of websites containing medical content is becoming increasingly important as the Internet is a major source of information on health issues and can influence the course of a disease. This study analysed 250 websites on chronic ankle instability, which affects 40% of patients after acute ankle sprain. Based on the results, a guide for patients was developed.The EQIP36 score for medical information materials, along with a 25-item evaluation tool, was used to evaluate the quality of the websites. The reading level was determined by the Flesch-Kincaid index and the calculated readability. A survey of medical laypersons and specialists was conducted to further analyse the top 3 websites.Out of 250 websites surveyed, 42 were included in the analysis, with significant differences in quality observed. None of the websites adequately fulfilled the quality requirements. Websites affiliated with health system sources predominated and demonstrated higher quality, whereas commercially operated sites, as well as those with advertising or links to social media, showed below-average content completeness. None of the websites reached the recommended reading level. The survey showed a mixed level of satisfaction. Participants without prior medical knowledge criticised the use of medical jargon and the inclusion of distressing surgical images.The available online resources for ankle instability are insufficient in quality and lack consistency. Deficits in content, readability and structure impair effective use by patients. Stakeholders involved in publishing health information should prioritise improving its clarity and quality to better support patients in self-managing their health conditions.</p>","PeriodicalId":520779,"journal":{"name":"Sportverletzung Sportschaden : Organ der Gesellschaft fur Orthopadisch-Traumatologische Sportmedizin","volume":" ","pages":"184-191"},"PeriodicalIF":0.4,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145194394","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}