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

{"title":"[Scoliosis And Sports].","authors":"Christof Birkenmaier, Andreas Veihelmann, Bernd Wegener, Veronika Wegener","doi":"10.1055/a-2716-8262","DOIUrl":"https://doi.org/10.1055/a-2716-8262","url":null,"abstract":"<p><p>More than three decades have passed since the German Society for Orthopaedics and Traumatology published its first recommendations on sports participation for scoliosis patients. During this period, surgical techniques have changed more substantially than non-surgical procedures. Confidence in modern pedicle screw constructs for posterior spinal correction and fusion has led to an earlier and more extensive return to sporting activities after corrective surgery, whereas the theoretically plausible advantage of newer, mobility-preserving procedures has not yet been sufficiently proven. At least for elite athletes, a return to pre-operative performance appears achievable even in the short term after surgery. However, the short follow-up periods of many studies on sports participation after scoliosis surgery may lead to an underestimation of the long-term disadvantages of fusions extending into the lumbar spine, as suggested by a Japanese study with a follow-up period of at least 10 years. Potential long-term effects of specific physiotherapeutic approaches, such as Schroth therapy, have not yet been investigated and are therefore not evident.</p>","PeriodicalId":520779,"journal":{"name":"Sportverletzung Sportschaden : Organ der Gesellschaft fur Orthopadisch-Traumatologische Sportmedizin","volume":" ","pages":""},"PeriodicalIF":0.4,"publicationDate":"2025-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145461265","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":"Pushing Limits - The role of pain and painkillers in Olympic Weightlifting.","authors":"Sven Schneider, Helene Hörner, Holger Schmitt, Gregor Berrsche","doi":"10.1055/a-2693-5714","DOIUrl":"https://doi.org/10.1055/a-2693-5714","url":null,"abstract":"<p><p>The PLAY study (Pain, Lesions and Analgesics in Youth and Elite Sports) investigates the extent, patterns and treatment of pain in organised professional sports. This study, presented here for the first time, focused on Olympic weightlifting in this context. As part of a case-control study, weightlifters from the German Olympic squad (OSW, n=35) were compared with matched controls from the general population (n=35) using 1:1 matching for sex, age, and BMI. Validated, field-tested questions and scores were used to record the prevalence of pain, analgesic consumption and willingness to compete despite pain among German elite athletes. Due to the matched pairs design, bivariate associations were examined using McNemar tests. Among the 35 Olympic weightlifters surveyed, 80% (8 out of 10) reported experiencing pain in the past 7 days, with an average of at least 3 regions affected simultaneously, mainly neck, back, head, and knees. With the exception of the back (71% vs. 83%; p>0.05), the 12-month pain prevalence was significantly higher in OSW, especially in the wrists (66% vs. 40%; p=0.035), where the most severe pain occurred (VAS 7.3/10). The use of painkillers was widespread among athletes and controls. Among Olympic weightlifters, the majority of cases involved self-medication. Frequent consumption was mainly found for ibuprofen (20%), acetylsalicylic acid (14%), and diclofenac (9%). The willingness to take part in competitions despite pain was widespread among the top athletes in our sample: 94% stated they would take part even if they needed to take painkillers. In contrast, only 9% reported that they would continue to participate even if their doctors advised against it. Therefore, doctors seem to act as gatekeepers and are most likely able to dissuade athletes from making such risky decisions. Among the athletes studied here at the highest national performance level, high 12-month prevalence rates for joint pain, widespread and, in some cases, prophylactic self-medication with painkillers were observed, along with a strong willingness to compete despite health complaints and pain.</p>","PeriodicalId":520779,"journal":{"name":"Sportverletzung Sportschaden : Organ der Gesellschaft fur Orthopadisch-Traumatologische Sportmedizin","volume":" ","pages":""},"PeriodicalIF":0.4,"publicationDate":"2025-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145245889","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 Sport after Disc Herniation: A Comprehensive Review of Conservative and Surgical Treatment Approaches.","authors":"Ahmed Al-Saadi, Andreas Veihelmann","doi":"10.1055/a-2663-5158","DOIUrl":"https://doi.org/10.1055/a-2663-5158","url":null,"abstract":"<p><p>Back pain (BP) is a globally prevalent musculoskeletal disorder, affecting up to 85% of individuals at some point in their lives. It significantly affects quality of life and productivity, with a particularly high prevalence in athletes due to the high physical demands of their activity. This review examines the comparative effectiveness of conservative and surgical treatments for patients with disc herniation (DH), focusing on their return-to-sport (RTS) outcomes.A systematic review was conducted of studies evaluating RTS following conservative or surgical treatment of patients with DH. Databases including PubMed, MEDLINE, and EMBASE were searched for studies reporting RTS rates, recovery times, and long-term performance outcomes, with a focus on adult athletes.A total of 16 studies were included in this systematic review, consisting of retrospective and prospective cohort studies, randomised controlled trials, and case-control designs. These studies were specifically selected for their relevance to RTS outcomes following conservative or surgical treatment of intervertebral disc herniation in athletes. Collectively, the studies included approximately 2,500 athletes across various sports, such as football (NFL), soccer (Serie A), basketball (NBA), baseball (MLB), hockey (NHL), rugby, tennis, and rowing. Both conservative treatments (e.g., physical therapy) and surgical interventions (e.g., microdiscectomy) demonstrated high RTS rates, ranging from 78.9% to 97%. Athletes treated conservatively typically returned to play faster (4.7 months on average), whereas surgical treatment was associated with a slightly higher long-term RTS success (up to 97%) and recovery times ranging from 5.2 to 5.8 months. Notably, no significant long-term performance impairments were observed.Both treatment modalities were effective, with surgical approaches offering particular benefits for patients with neurological deficits or severe disc degeneration. Conservative treatment was associated with faster recovery, supporting its use as a first-line approach for patients with mild symptoms or athletes requiring rapid RTS.While both conservative and surgical treatments yield high RTS rates, the decision must be individualised based on the patient's symptom severity, neurological status, and sport-specific demands. Future studies should focus on optimising treatment protocols and developing standardised RTS criteria tailored to elite athletes for improved long-term functional outcomes.</p>","PeriodicalId":520779,"journal":{"name":"Sportverletzung Sportschaden : Organ der Gesellschaft fur Orthopadisch-Traumatologische Sportmedizin","volume":" ","pages":""},"PeriodicalIF":0.4,"publicationDate":"2025-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145153179","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":"Underestimation of alleged Rockwood II injuries-Don't miss horizontal instability.","authors":"Marc Banerjee, Carolin Spüntrup, Christophe Lambert, Bertil Bouillon, Arasch Wafaisade","doi":"10.1055/a-2657-7226","DOIUrl":"https://doi.org/10.1055/a-2657-7226","url":null,"abstract":"<p><p>There is broad consensus that Rockwood type II injuries are treated conservatively. However, several studies have shown that some of these patients have persistent mid- to long-term symptoms, partly due to horizontal instability.Patients with a side-to-side difference of up to 25% in the coracoclavicular distance on bilateral stress radiographs were included in this case series if they had either a posterior subluxation of the distal clavicle on axial radiographs and/or on MRI (in 8 patients), or if they showed dynamic posterior instability both clinically and radiologically. Injuries other than Rockwood type II or Rockwood type II injuries without horizontal instability were excluded.During the period from 2015 to 2022, 13 patients with an average age of 30.7 years (range 21-48 years) fulfilled the inclusion criteria. The mean time from trauma to final diagnosis was 32.4 days (range 7-67 days). Eight patients had an additional static posterior dislocation of the distal clavicle consistent with a Rockwood type IV injury. Five patients had dynamic posterior instability. All patients had initially been classified as having Rockwood type II injuries based on the findings of bilateral stress radiographs at the referring institution.The diagnosis of a Rockwood type II injury should not be based solely on bilateral stress radiographs but should instead be made only after horizontal instability has been ruled out with appropriate imaging modalities. Otherwise, Rockwood type IV injuries or Rockwood type II injuries with concomitant horizontal instability may be overlooked.</p>","PeriodicalId":520779,"journal":{"name":"Sportverletzung Sportschaden : Organ der Gesellschaft fur Orthopadisch-Traumatologische Sportmedizin","volume":" ","pages":""},"PeriodicalIF":0.4,"publicationDate":"2025-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145133408","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":"Application of Functional Movement Screening in Table Tennis Players' Injury Prediction and Evaluation.","authors":"Shuang Zhou, Huan Liu","doi":"10.1055/a-2623-3475","DOIUrl":"10.1055/a-2623-3475","url":null,"abstract":"<p><p>This study focuses on the application of functional movement screening (FMS) in the injury prediction and evaluation of table tennis players. In view of the sports injury risk faced by table tennis players in training and competition, this paper provides scientific injury risk assessment and personalized training suggestions for players through the FMS system.The FMS test is based on the basic movement pattern of the body, which evaluates the flexibility, stability, symmetry and overall movement quality of athletes to identify potential sports injury risks. Twelve table tennis players were selected and screened by the FMS test suite, including seven basic action tests and four exclusionary tests.Through the statistical analysis of the test results, it is found that table tennis players have common defects in specific action patterns, such as insufficient flexibility of shoulder joints and poor trunk stability.There is a significant correlation between FMS test scores and athletes' sports injury risk, which further verifies its important role in injury prevention. Based on the research results, this paper puts forward personalized training suggestions for table tennis players, aiming at reducing the risk of sports injury by improving the defects of action patterns.</p>","PeriodicalId":520779,"journal":{"name":"Sportverletzung Sportschaden : Organ der Gesellschaft fur Orthopadisch-Traumatologische Sportmedizin","volume":" ","pages":"136-143"},"PeriodicalIF":0.4,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144639587","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":"Evaluation of Dietary Habits and Protein Intake Patterns Among Gym Attendees from Punjab, Pakistan.","authors":"Ahmad Ali, Muhammad Sohaib, Aliza Fatima, Zeeshan Mehmood, Javeriya Afzal, Sanaullah Iqbal, Azmatullah Khan, Khezar Hayat, Rafia Ameer, Saad Bin Junaid","doi":"10.1055/a-2623-3557","DOIUrl":"10.1055/a-2623-3557","url":null,"abstract":"<p><p>Protein is one of the major supplements consumed among resistance training professionals, and its supplementation is associated with improved health and sports performance. However, dietary patterns, the use of supplements and their interrelationship have not been adequately investigated. The present study aims to assess the dietary habits and use of protein supplements among gym attendees in Punjab using a descriptive cross-sectional survey.For the study, a structured questionnaire was administered to 394 gym attendees using an interview-based approach, following informed consent. Frequency distributions were used to assess protein supplement use and demographic characteristics. The association between supplement use and dietary intake was analysed using the chi-square test in SPSS, with the level of significance set at 5%.Study findings indicated that overall protein supplement consumption was 40.6% among individuals in city centres and 22.9% in suburbs. Protein supplement use was higher among males than females. Non-users of supplements consumed more legumes than supplement users. The consumption of cheese, eggs, and fish was higher among supplement users compared to non-users. About one-third of the gym attendees also consumed unhealthy food items (bakery products and snacks).Overall, protein intake was higher among supplement users compared to non-users. The majority of gym attendees were unaware of basic nutrition knowledge and the principles of sports nutrition, and they followed the common misconception of a high-protein diet (from both food and supplements).</p>","PeriodicalId":520779,"journal":{"name":"Sportverletzung Sportschaden : Organ der Gesellschaft fur Orthopadisch-Traumatologische Sportmedizin","volume":" ","pages":"120-128"},"PeriodicalIF":0.4,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144602828","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":"Electromyographic Activity of the Transversus Abdominis and Erector Spinae Muscles During the Y-Balance Test.","authors":"Gülsena Utku Umut, Damla Korkmaz Dayıcan, Burçin Özyürek, Zeynep Hoşbay","doi":"10.1055/a-2575-0611","DOIUrl":"10.1055/a-2575-0611","url":null,"abstract":"<p><p>This study aimed to investigate the electromyographic activity of the transversus abdominis (TrA) and erector spinae (ES) muscles in three different directions during the Y-Balance Test (YBT), and to assess the co-activation between these muscles. A total of twenty-four participants (mean age = 22.71 ± 1.48 years) were evaluated. Electromyographic data from the TrA and ES were recorded using surface electromyography (sEMG) during the YBT. The results revealed that the mean and maximum activity of the TrA in the anterior direction, with the dominant extremity on the ground, was significantly higher (p = 0.014). Additionally, the mean activity of the TrA (p = 0.030) and both the mean (p < 0.001) and maximum (p = 0.047) activity of the ES in the posteromedial direction, with the dominant extremity on the ground, were significantly elevated. The onset times of the TrA and ES contractions were correlated in posteromedial and posterolateral directions, irrespective of extremity dominance (p<0.05). Furthermore, correlations were observed between the mean TrA activity and the onset of ES (r = 0.447, p = 0.029), as well as between the mean ES value and the onset of TrA (r = 0.430, p = 0.036), in the posteromedial direction. This study concluded that TrA activation was most pronounced in the anterior direction with the dominant extremity on the ground, whereas the highest co-activation of the TrA and ES occurred in the posteromedial direction when the non-dominant extremity was on the ground.</p>","PeriodicalId":520779,"journal":{"name":"Sportverletzung Sportschaden : Organ der Gesellschaft fur Orthopadisch-Traumatologische Sportmedizin","volume":" ","pages":"129-135"},"PeriodicalIF":0.4,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144487776","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":"[Aspects of Rehabilitation of Spinal Injuries in Sports: Differences between Competitive and Recreational Sports].","authors":"Hartmut Bork, Stefan Simmel","doi":"10.1055/a-2633-7848","DOIUrl":"https://doi.org/10.1055/a-2633-7848","url":null,"abstract":"<p><p>In today's leisure society, sporting activities are becoming increasingly important for both younger and older people. Sport is generally considered to be healthy, but depending on the type of sport, intensity, gender, age and willingness to take risks, there is always a potential risk of injury in recreational and, above all, competitive/high performance sport, whereby high-impact and high-risk sports have contributed to an increase in the frequency of injuries, especially to the spine. However, when all sports injuries are taken together, winter sports in particular play the biggest role in sportsrelated spinal injuries, accounting for around 50%, which is why this article will focus on this in particular. While in competitive sports, the focus in many sports is always on maintaining performance after an injury and, particularly with regard to the financial consequences for professional athletes, on returning to sport as quickly as possible, in popular and everyday sports the focus is generally on the fullest possible convalescence regardless of time aspects and, for athletes who are still working, on maintaining their ability to work. However, there is little reliable data on rehabilitation after spinal injuries in Germany, if at all, primarily in competitive and high-performance sport, where systematic injury monitoring is carried out by the Verwaltungs-Berufsgenossenschaft for some types of sport. When and with what objectives rehabilitation after a spinal injury makes sense, especially in popular sports, is explained below.</p>","PeriodicalId":520779,"journal":{"name":"Sportverletzung Sportschaden : Organ der Gesellschaft fur Orthopadisch-Traumatologische Sportmedizin","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144669294","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":"[Bouldering: a sport with a high risk of intraarticular fractures].","authors":"Patrick Kornherr,&nbsp;Christian Kühne,&nbsp;Falko Kopp,&nbsp;Achim Preiss,&nbsp;Leif Menzdorf,&nbsp;Nils Proksch","doi":"10.1055/a-1376-9730","DOIUrl":"https://doi.org/10.1055/a-1376-9730","url":null,"abstract":"<p><p>Bouldering is a famous new sport with an increasing number of athletes. It became an Olympic sport in 2020. As no major sports equipment is required, everybody can take up bouldering even with little knowledge. However, despite the low climbing height there is a high risk of severe joint injuries, especially in the lower limb. Increasing numbers of climbers have led to an increase in injuries. New floor designs are supposed to reduce these risks. Improved documentation and specific research in bouldering should provide more insight into risks, injury patterns and prevention.</p>","PeriodicalId":520779,"journal":{"name":"Sportverletzung Sportschaden : Organ der Gesellschaft fur Orthopadisch-Traumatologische Sportmedizin","volume":" ","pages":"129-137"},"PeriodicalIF":0.7,"publicationDate":"2022-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40618138","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":"Risk profiles in two different alpine rock climbing styles.","authors":"Markus Gabl,&nbsp;Peter Kaiser,&nbsp;Stefan Benedikt,&nbsp;Gernot Schmidle,&nbsp;Matthias Haselbacher,&nbsp;Rohit Arora","doi":"10.1055/a-1833-8840","DOIUrl":"https://doi.org/10.1055/a-1833-8840","url":null,"abstract":"<p><strong>Introduction: </strong>The aim of this study is to evaluate the injury risk profile of the two different styles of rock climbing, alpine climbing with minor route protection (AC) and alpine sport climbing on well-protected routes (SC), in order to develop preventive strategies for risk management.  PATIENTS AND METHODS : 18 SC and 12 AC rock climbing accidents were evaluated retrospectively with a focus on climbers` demographics (age, experience, training intensity, performance level), accident demographics (unforeseen events preceding the injury, ascending or descending, fall height), injury patterns (injury severity, pathologies, pathomechanism) and environmental conditions (rock characteristics, route frequency, route grade, weather).  RESULTS : Injuries were mainly sustained by male lead climbers during ascent (80%). The lower extremity was injured in 46%, the upper extremity in 40%, the pelvis in 6% and the head, chest and spine in 3%. Climbers were significantly older (43 vs. 31 years; p=0.03) and more experienced (21.5 vs. 5.7 climbing years) in AC. Falling height was significantly greater in AC (14.8 vs. 4.7m). Unforeseen events preceding the injury differed significantly between both groups. Slipping off and letting go preceded the fall in 78% in SC, while rock dislodging occurred only in AC. There was a tendency that climbers in SC climbed near or above their performance level, while climbers in AC climbed below their level. SC climbers tended to show more ankle fractures while AC climbers tended to present more cases with multiple injuries.</p><p><strong>Discussion: </strong>AC and SC climbers differ in their risk profiles. Poorer route protection in AC resulted in more severe injuries. Yet in SC routes, good protection alone was not enough to avoid severe injuries. For prevention, climbers should be aware of the specific risks in AC and SC routes and should adjust their behaviour accordingly. Athletic skills were overestimated in SC, while alpine demands were underestimated in AC. A higher focus on visual and haptic grip control may help to prevent loss of hold. A careful lining of the rope into solid rock can reduce rockfalls for the seconder. Continuous attention is mandatory in rope handling and belaying. Applying more mobile pros is recommended in AC because they may shorten fall heights.</p>","PeriodicalId":520779,"journal":{"name":"Sportverletzung Sportschaden : Organ der Gesellschaft fur Orthopadisch-Traumatologische Sportmedizin","volume":" ","pages":"145-154"},"PeriodicalIF":0.7,"publicationDate":"2022-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40618139","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}