دورية أكاديمية
أعرض في EDS

Imaging of acute lower limb muscle injury and potential gender differences.

التفاصيل البيبلوغرافية
العنوان: Imaging of acute lower limb muscle injury and potential gender differences.
المؤلفون: Hanley M; Radiology Department, National Orthopaedic Hospital Cappagh, Dublin, Ireland. marionhanley98@gmail.com., Ryan DT; Radiology Department, National Orthopaedic Hospital Cappagh, Dublin, Ireland., Hynes JP; Radiology Department, National Orthopaedic Hospital Cappagh, Dublin, Ireland., Long NM; Radiology Department, National Orthopaedic Hospital Cappagh, Dublin, Ireland., Eustace SJ; Radiology Department, National Orthopaedic Hospital Cappagh, Dublin, Ireland., Kavanagh EC; Radiology Department, National Orthopaedic Hospital Cappagh, Dublin, Ireland.
المصدر: Irish journal of medical science [Ir J Med Sci] 2024 Jun; Vol. 193 (3), pp. 1509-1513. Date of Electronic Publication: 2023 Nov 10.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Royal Academy of Medicine of Ireland Country of Publication: Ireland NLM ID: 7806864 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1863-4362 (Electronic) Linking ISSN: 00211265 NLM ISO Abbreviation: Ir J Med Sci Subsets: MEDLINE
أسماء مطبوعة: Original Publication: Dublin : Royal Academy of Medicine of Ireland
مواضيع طبية MeSH: Magnetic Resonance Imaging* , Muscle, Skeletal*/injuries , Muscle, Skeletal*/diagnostic imaging , Lower Extremity*/injuries , Lower Extremity*/diagnostic imaging, Humans ; Female ; Male ; Adult ; Sex Factors ; Middle Aged ; Athletic Injuries/diagnostic imaging ; Young Adult ; Adolescent ; Leg Injuries/diagnostic imaging
مستخلص: Objectives: To assess the most common lower limb acute muscle injuries on MRI imaging in a national specialist centre for orthopaedics and sports medicine and to explore potential gender differences.
Methods: Over a 3-year time period, all MRI lower limb studies with acute muscle injury (AMI) were reviewed. A British Athletics muscle injury classification (BAMIC) was given and a statistical analysis was performed.
Results: A total of 195 AMIs were diagnosed: 177 (91%) male and 18 (9%) female injuries (M to F = 9.8:1). The most common lower limb AMIs were BAMIC grade 1a injuries (n = 48, 25%). The most commonly injured muscle was biceps femoris (n = 87, 45%), specifically grade 1b and grade 2b injuries. There was no significant difference in age between men and women with acute lower limb muscle injuries (p = 0.19). Females were 1.5 times more likely to have a lower grade AMI than males, although this did not reach statistical significance (p = 0.7) owing to a striking lower number of female patients. There was no significant difference between genders in the likelihood of sustaining a hamstring or quadricep AMI (hamstrings OR = 2.47, p = 0.14 and quadriceps OR = 0.926, p 0.99).
Conclusions: Grade 1a is the most common lower limb AMI grade in our institution, accounting for 25%. Biceps femoris is the most commonly injured muscle (45%) with grade 1b and grade 2b being the most frequently encountered grades of biceps femoris injuries. Lower-grade injuries are more common in females compared to males, although not significantly so. Further studies are required to explore possible reasons for this gender gap.
(© 2023. The Author(s), under exclusive licence to Royal Academy of Medicine in Ireland.)
References: Järvinen TA, Kääriäinen M, Järvinen M, Kalimo H (2000) Muscle strain injuries. Curr Opin Rheumatol 12(2):155–161. (PMID: 10.1097/00002281-200003000-0001010751019)
Clanton TO, Coupe KJ (1998) Hamstring strains in athletes: diagnosis and treatment. J Am Acad Orthop Surg 6(4):237–248. (PMID: 10.5435/00124635-199807000-000059682086)
Chang JS, Kayani B, Plastow R et al (2020) Management of hamstring injuries: current concepts review. Bone Joint J 102-b(10):1281–8.
Ritzer EE, Yang J, Kistamgari S et al (2021) An epidemiologic comparison of acute and overuse injuries in high school sports. Inj Epidemiol 8(1):51. (PMID: 10.1186/s40621-021-00344-8343805518356388)
Delos D, Maak TG, Rodeo SA (2013) Muscle injuries in athletes: enhancing recovery through scientific understanding and novel therapies. Sports Health 5(4):346–352. (PMID: 10.1177/1941738113480934244595523899907)
Silvers-Granelli HJ, Cohen M, Espregueira-Mendes J, Mandelbaum B (2021) Hamstring muscle injury in the athlete: state of the art. J isakos 6(3):170–181. (PMID: 10.1136/jisakos-2017-00014534006581)
Huygaerts S, Cos F, Cohen DD et al (2020) Mechanisms of hamstring strain injury: interactions between fatigue, muscle activation and function. Sports (Basel) 8(5).
Dolman B, Verrall G, Reid I (2014) Physical principles demonstrate that the biceps femoris muscle relative to the other hamstring muscles exerts the most force: implications for hamstring muscle strain injuries. Muscles Ligaments Tendons J 4(3):371–377. (PMID: 255065834241430)
Poudel B, Pandey S. (2023) Hamstring Injury. StatPearls. Treasure Island (FL) ineligible companies.
Patel A, Chakraverty J, Pollock N et al (2015) British athletics muscle injury classification: a reliability study for a new grading system. Clin Radiol 70(12):1414–1420. (PMID: 10.1016/j.crad.2015.08.00926385202)
Macdonald B, McAleer S, Kelly S et al (2019) Hamstring rehabilitation in elite track and field athletes: applying the British Athletics Muscle Injury Classification in clinical practice. Br J Sports Med 53(23):1464–1473. (PMID: 10.1136/bjsports-2017-09897131300391)
Pollock N, Patel A, Chakraverty J et al (2016) Time to return to full training is delayed and recurrence rate is higher in intratendinous (‘c’) acute hamstring injury in elite track and field athletes: clinical application of the British Athletics Muscle Injury Classification. Br J Sports Med 50(5):305–310. (PMID: 10.1136/bjsports-2015-09465726888072)
Romani WA, Russ DW (2013) Acute effects of sex-specific sex hormones on heat shock proteins in fast muscle of male and female rats. Eur J Appl Physiol 113(10):2503–2510. (PMID: 10.1007/s00421-013-2686-823821238)
Edouard P, Branco P, Alonso JM (2016) Muscle injury is the principal injury type and hamstring muscle injury is the first injury diagnosis during top-level international athletics championships between 2007 and 2015. Br J Sports Med 50(10):619–630. (PMID: 10.1136/bjsports-2015-09555926887415)
Larruskain J, Lekue JA, Diaz N et al (2018) A comparison of injuries in elite male and female football players: a five-season prospective study. Scand J Med Sci Sports 28(1):237–245. (PMID: 10.1111/sms.1286028207979)
Toledo R, Dias MR, Souza D et al (2022) Joint and muscle injuries in men and women CrossFit® training participants. Phys Sportsmed 50(3):205–211. (PMID: 10.1080/00913847.2021.189246833606579)
Iwamoto J, Takeda T, Sato Y, Matsumoto H (2008) Retrospective case evaluation of gender differences in sports injuries in a Japanese sports medicine clinic. Gend Med 5(4):405–414. (PMID: 10.1016/j.genm.2008.10.00219108813)
فهرسة مساهمة: Keywords: Acute muscle injury; British Athletics muscle injury classification; Gender differences
تواريخ الأحداث: Date Created: 20231110 Date Completed: 20240526 Latest Revision: 20240526
رمز التحديث: 20240527
DOI: 10.1007/s11845-023-03562-9
PMID: 37947993
قاعدة البيانات: MEDLINE
الوصف
تدمد:1863-4362
DOI:10.1007/s11845-023-03562-9