دورية أكاديمية

Pediatric and Adolescent Figure Skating Injuries: A 15-Year Retrospective Review.

التفاصيل البيبلوغرافية
العنوان: Pediatric and Adolescent Figure Skating Injuries: A 15-Year Retrospective Review.
المؤلفون: Kowalczyk AD; The Micheli Center for Sports Injury Prevention, Waltham, Massachusetts.; Division of Sports Medicine, Department of Orthopedics, Boston Children's Hospital, Boston, Massachusetts; and.; Department of Orthopedic Surgery, Harvard Medical School, Boston, Massachusetts., Geminiani ET; The Micheli Center for Sports Injury Prevention, Waltham, Massachusetts.; Division of Sports Medicine, Department of Orthopedics, Boston Children's Hospital, Boston, Massachusetts; and.; Department of Orthopedic Surgery, Harvard Medical School, Boston, Massachusetts., Dahlberg BW; The Micheli Center for Sports Injury Prevention, Waltham, Massachusetts.; Division of Sports Medicine, Department of Orthopedics, Boston Children's Hospital, Boston, Massachusetts; and., Micheli LJ; The Micheli Center for Sports Injury Prevention, Waltham, Massachusetts.; Division of Sports Medicine, Department of Orthopedics, Boston Children's Hospital, Boston, Massachusetts; and.; Department of Orthopedic Surgery, Harvard Medical School, Boston, Massachusetts., Sugimoto D; The Micheli Center for Sports Injury Prevention, Waltham, Massachusetts.; Division of Sports Medicine, Department of Orthopedics, Boston Children's Hospital, Boston, Massachusetts; and.; Department of Orthopedic Surgery, Harvard Medical School, Boston, Massachusetts.
المصدر: Clinical journal of sport medicine : official journal of the Canadian Academy of Sport Medicine [Clin J Sport Med] 2021 May 01; Vol. 31 (3), pp. 295-303.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Wolters Kluwer Health, Inc Country of Publication: United States NLM ID: 9103300 Publication Model: Print Cited Medium: Internet ISSN: 1536-3724 (Electronic) Linking ISSN: 1050642X NLM ISO Abbreviation: Clin J Sport Med Subsets: MEDLINE
أسماء مطبوعة: Publication: <2015- > : Philadelphia, PA : Wolters Kluwer Health, Inc.
Original Publication: New York, NY : Raven Press, c1991-
مواضيع طبية MeSH: Athletic Injuries*/epidemiology , Cumulative Trauma Disorders*/epidemiology , Fractures, Stress* , Skating*/injuries, Adolescent ; Child ; Female ; Humans ; Male ; Retrospective Studies ; Sports Medicine ; Young Adult
مستخلص: Objective: To analyze the characteristics of injuries sustained by young figure skaters who were evaluated at regional pediatric sports medicine clinics.
Design: Retrospective chart review (2003-2017).
Setting: Sports medicine clinics at a tertiary-level pediatric medical center.
Patients: Two hundred ninety-four figure skaters (271 female and 23 male). Age rage: 9 to 19 years. Mean age: 14.2 ± 2.3 years.
Interventions: None.
Main Outcome Measures: Mechanism of injury (acute vs overuse), injured body areas, diagnoses for most commonly injured body areas, and distribution of bone stress injuries.
Results: Eight hundred sixty-four figure skating-related injuries were identified. Approximately 68.9% were overuse and 31.1% were acute. In female figure skaters, the most frequently injured body areas were foot/ankle (29.6%), knee (19.3%), and back (15.8%). In male figure skaters, they were foot/ankle (25.4%), hip (16.4%), and knee (14.9%). Most common diagnoses at these body areas were tendinopathy (foot/ankle), extensor mechanism (knee), and posterior column bone stress injuries (back). All injuries to anterior knee structures, excluding bone contusions, were categorized as extensor mechanism injuries. About 11.8% of all injuries were bone stress reactions/fractures with the majority occurring at the back (42.2%), foot/ankle (32.4%), and lower leg (15.7%).
Conclusion: Most injuries sustained by figure skaters were overuse and occurred most commonly at the foot/ankle (29.6%), knee (19.3%), and back (15.8%). Approximately 1 in 10 injuries were bone stress reactions/fractures, and nearly 1 in every 3 skaters who presented with back pain was diagnosed with a posterior column bone stress injury. Health care providers who take care of young figure skaters need to maintain a high index of suspicion for overuse injuries, especially bone stress reactions/fractures.
Competing Interests: The authors report no conflicts of interest.
(Copyright © 2019 Wolters Kluwer Health, Inc. All rights reserved.)
References: U.S. Figure Skating. Available at: http://www.usfsa.org/story?id=58998 . Accessed February 10, 2018.
Olympic Website. Available at: https://www.olympic.org . Accessed February 10, 2018.
International Skating Union. Available at: http://www.isu.org/en/home . Accessed February 10, 2018.
Brock RM, Striowski CC. Injuries in elite figure skaters. Phys Sportsmed. 1986;14:111–115.
Brown EW, McKeag DB. Training, experience, and medical history of pairs skaters. Phys Sportsmed. 1987;15:100–114.
Oleson CV, Busconi BD, Baran DT. Bone density in competitive figure skaters. Arch Phys Med Rehabil. 2002;83:122–128.
Pecina M, Bojanic I, Dubravcic S. Stress fractures in figure skaters. Am J Sports Med. 1990;18:277–279.
Smith AD, Ludington R. Injuries in elite pair skaters and ice dancers. Am J Sports Med. 1989;17:482–488.
Smith AD, Micheli LJ. Injuries in competitive figure skaters. Phys Sportsmed. 1982;10:36–47.
Smith AD, Stroud L, McQueen C. Flexibility and anterior knee pain in adolescent elite figure skaters. J Pediatr Orthop. 1991;11:77–82.
Campanelli V, Piscitelli F, Verardi L, et al. Lower extremity overuse conditions affecting figure skaters during daily training. Orthop J Sport Med. 2015;3:1–12.
Dubravcic-Simunjak S, Kuipers H, Moran J, et al. Stress fracture prevalence in elite figure skaters. J Sports Sci Med. 2008;7:419–420.
Dubravcic-Simunjak S, Kuipers H, Moran J, et al. Injuries in synchronized skating. Int J Sports Med. 2006;27:493–499.
Dubravcic-Simunjak S, Pecina M, Kuipers H, et al. The incidence of injuries in elite junior figure skaters. Am J Sports Med. 2003;31:511–517.
Fortin JD, Roberts D. Competitive figure skating injuries. Pain Physician. 2003;6:313–318.
King DL, DiCesaro SF, Getzin AR. Self-reported injuries of competitive US figure skaters. Cogent Med. 2017;4:1–9.
Kjaer M, Larsson B. Physiological profile and incidence of injuries among elite figure skaters. J Sports Sci. 1992;10:29–36.
Okamura S, Wada N, Tazawa M, et al. Injuries and disorders among young ice skaters: relationship with generalized joint laxity and tightness. Open Access J Sports Med. 2014;5:191–195.
ISU Congress Summary. SKATING. 1988.
Zanca S. 2004 ISU Congress: A New Era Begins With the Adoption of the New Judging System. SKATING. 2004.
Smith AD. The young skater. Clin Sports Med. 2000;19:741–755.
World Health Organization. Available at: http://apps.who.int/adolescent/second-decade/section2/page1/recognizing-adolescence.html . Accessed January 12, 2018.
Huang R, Diaz C, Parvizi J. Acetabular labral tears: focused review of anatomy, diagnosis, and current management. Phys Sportsmed. 2012;40:87–93.
Pollard TCB, Villar RN, Norton MR, et al. Genetic influences in the aetiology of femoroacetabular impingement: a Sibling Study. J Bone Joint Surg Br. 2010;92-B:209–216.
Hayashi D, Roemer FW, D'Hooghe P, et al. Posterior ankle impingement in athletes: pathogenesis, imaging features and differential diagnoses. Eur J Radiol. 2015;84:2231–2241.
Wyles CC, Norambuena GA, Howe BM, et al. Cam deformities and limited hip range of motion are associated with early osteoarthritic changes in adolescent athletes: a prospective matched cohort study. Am J Sports Med. 2017;45:3036–3043.
Bezalel T, Carmeli E, Been E, et al. Scheuermann's disease: current diagnosis and treatment approach. J Back Musculoskelet Rehabil. 2014;27:383–390.
Chaudhry H, Ayeni OR. The etiology of femoroacetabular impingement: what we know and what we don't. Sports Health. 2014;6:157–161.
Andriolo L, Candrian C, Papio T, et al. Osteochondritis dissecans of the knee—conservative treatment strategies: a systematic review. Cartilage. 2018. doi: 10.1177/1947603518758435. Epub ahead of print. (PMID: 10.1177/1947603518758435)
Siebenrock KA, Ferner F, Noble PC, et al. The cam-type deformity of the proximal femur arises in childhood in response to vigorous sporting activity. Clin Orthop Relat Res. 2011;469:3229–3240.
Roster B, Michelier P, Giza E. Peroneal tendon disorders. Clin Sports Med. 2015;34:625–641.
Frontera WR, Silver JK, Rizzo TD, eds. Essentials of Physical Medicine and Rehabilitation Musculoskeletal Disorders, Pain, and Rehabilitation. 3rd ed. 2015. Available at: https://www.library.ualberta.ca/catalog/6676978 . Accessed July 31, 2018.
Vaishya R, Agarwal AK, Azizi AT, et al. Haglund's syndrome: a commonly seen mysterious condition. Cureus. 2016;8:e820.
Giannini S, Buda R, Mosca M, et al. Posterior ankle impingement. Foot Ankle Int. 2013;34:459–465.
Munteanu SE, Menz HB, Wark JD, et al. Hallux valgus, by nature or nurture? a Twin Study. Arthritis Care Res (Hoboken). 2017;69:1421–1428.
Garner MR, Gausden E, Berkes MB, et al. Extensor mechanism injuries of the knee: demographic characteristics and comorbidities from a review of 726 patient records. J Bone Joint Surg Am. 2015;97:1592–1596.
Antich TJ, Randall CC, Westbrook RA, et al. Evaluation of knee extensor mechanism disorders: clinical presentation of 1 12 patients*. J Orthop Sports Phys Ther. 1986;8:248–254.
Donell S. In: Bentley G, ed. European Surgical Orthopaedics and Traumatology. The EFORT Textbook. Berlin, Heidelberg: Springer; 2014.
Brenner JS; Fitness AA of PC on SM. Overuse injuries, overtraining, and burnout in child and adolescent athletes. Pediatrics. 2007;119:1242–1245.
Brenner JS; Fitness Consmand. Sports specialization and intensive training in young athletes. Pediatrics. 2016;138. doi: 10.1542/peds.2016-2148. (PMID: 10.1542/peds.2016-2148)
Jayanthi NA, LaBella CR, Fischer D, et al. Sports-specialized intensive training and the risk of injury in young athletes: a clinical case-control study. Am J Sports Med. 2015;43:794–801.
Lockwood K, Gervais P. Impact forces upon landing single, double, and triple revolution jumps in figure skaters. Clin Biomech (Bristol, Avon). 1997;12:S11.
Saunders NW, Hanson N, Koutakis P, et al. Landing ground reaction forces in figure skaters and non-skaters. J Sports Sci. 2014;32:1042–1049.
Bower ME, Kraemer WJ, Potteiger JA, et al. Relationship between off-ice testing variables and on-ice speed in women's collegiate synchronized figure skaters: implications for training. J Strength Cond Res. 2010;24:831–839.
Fortin JD, Harrington LS, Langenbeck DF. The biomechanics of figure skating. Phys Med Rehabil. 1997;11:627–648.
King DL. The Science of Figure Skating: Jumps. 2018. Available at: https://www.acsm.org/blog-detail/acsm-blog/2018/02/12/science-figure-skating-jumps . Accessed July 23, 2018.
Peebles R, Jonas CE. Sacroiliac joint dysfunction in the athlete: diagnosis and management. Curr Sports Med Rep. 2017;16:336–342.
Saunders J, Cusi M, Robinson D, et al. Sacroiliac joint dysfunction in the athlete: diagnosis and management. Curr Sports Med Rep. 2018;17:73–74.
Care of the Young Athlete Patient Education Handouts: Figure Skating. American Academy of Pediatrics; 2012. Available at: https://www.aap.org/en-us/pubserv/coya/Documents/Figure&#95;Skating&#95;FINAL&#95;secured.pdf . Accessed July 23, 2018.
Abbott K, Hecht S. Medical issues in synchronized skating. Curr Sports Med Rep. 2013;12:391–396.
Lipetz J, Kruse RJ. Injuries and special concerns of female figure skaters. Clin Sports Med. 2000;19:369–380.
Ackerman KE, Holtzman B, Cooper KM, et al. Low energy availability surrogates correlate with health and performance consequences of relative energy deficiency in sport. Br J Sports Med. 2018. doi: 10.1136/bjsports-2017-098958. Epub ahead of print. (PMID: 10.1136/bjsports-2017-098958)
Mountjoy M, Sundgot-Borgen JK, Burke LM, et al. IOC consensus statement on relative energy deficiency in sport (RED-S): 2018 update. Br J Sports Med. 2018;52:687–697.
Elliott-Sale KJ, Tenforde AS, Parziale AL, et al. Endocrine effects of relative energy deficiency in sport. Int J Sport Nutr Exerc Metab. 2018;28:335–349.
Mountjoy ML, Burke LM, Stellingwerff T, et al. Relative energy deficiency in sport: the tip of an iceberg. Int J Sport Nutr Exerc Metab. 2018;28:313–315.
تواريخ الأحداث: Date Created: 20190416 Date Completed: 20211018 Latest Revision: 20230924
رمز التحديث: 20231215
DOI: 10.1097/JSM.0000000000000743
PMID: 30985309
قاعدة البيانات: MEDLINE
الوصف
تدمد:1536-3724
DOI:10.1097/JSM.0000000000000743