IOC World Conference On Prevention of Injury & Illness in Sport Grimaldi Forum Monaco, Monte Carlo, Monaco 7-9 April 2011

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IOC World Conference on Prevention of Injury & Illness in Sport

Grimaldi Forum Monaco, Monte Carlo, Monaco 7–9 April 2011

Prevalence of jumper's knee among non-elite athletes from different


sports; a cross-sectional survey

1. J Zwerver, SW Bredeweg, i van den Akker-Scheek

Abstract
Background The jumper's knee (JK) is a difficult-to-treat overuse injury of the patellar and
quadriceps tendon with a very negative impact on the careers of many athletes. The prevalence
of JK among non-elite athletes from different sports and its aetiology are unknown.

Objective To determine the prevalence of JK in non-elite athletes from different sports and to
determine potential risk factors for JK.

Design Cross-sectional survey.

Setting Male and female non-elite athletes.

Participants We interviewed 891 male and female non-elite athletes from seven popular sports
in the Netherlands: basketball, volleyball, handball, korfball, soccer, field hockey and athletics.

Assessment Using a specially developed questionnaire, information was obtained about


individual characteristics (age, height and weight), training background, previous and actual knee
problems and the VISA-P score.

Results The overall prevalence of current JK was 8.5% (78 out of 891 athletes), showing a
significant difference between sports with different loading characteristics and playing surfaces.
Prevalence was highest among volleyball players (14.4%) and lowest among soccer players
(2.5%); it was significantly higher among male athletes (51 out of 502, 10.2%) than female
athletes (25 out of 389, 6.4%) (÷2=3.91, p=0.048). Mean duration of symptoms was 18.9 months
(SD 21.6; range 2.0–59.8). The mean VISA-P score of the athletes with JK was 71.4 (SD 13.8).
Age, height and weight were significantly different between athletes with JK and those without.

Conclusion Prevalence of JK is high among non-elite athletes and varies between 14.4% and
2.5% for different sports. JK is almost twice as common among male non-elite athletes compared
to female athletes. Different sport-specific loading characteristics of the knee extensor apparatus,
playing surface, age, height and weight seem to be risk factors associated with patellar
tendinopathy.
Epidemiology of Knee Injuries Among US High School Athletes, 2005/06-2010/11.

Swenson DM, Collins CL, Best TM, Flanigan DC, Fields SK, Comstock RD.

Abstract

PURPOSE:

US high school athletes sustain millions of injuries annually. Detailed patterns of knee injuries,
among the most costly sports injuries, remain largely unknown. We hypothesize that patterns of
knee injuries in US high school sports differ by sport and gender.

METHODS:

US High school sports-related injury data were collected for 20 sports using the National High
School Sports-Related Injury Surveillance System, High School RIO™. Knee injury rates, rate
ratios, and injury proportion ratios were calculated.

RESULTS:

From 2005/06-2010/11, 5,116 knee injuries occurred during 17,172,376 athlete exposures (AEs)
for an overall rate of 2.98 knee injuries per 10,000 AEs. Knee injuries were more common in
competition than practice (RR 3.53, 95% CI 3.34-3.73). Football had the highest knee injury rate
(6.29 per 10,000 AEs) followed by girls' soccer (4.53) and girls' gymnastics (4.23). Girls had
significantly higher knee injury rates than boys in gender-comparable sports (soccer, volleyball,
basketball, baseball/softball, lacrosse, swimming and diving, and track and field) (RR 1.52, 95%
CI 1.39-1.65). The most commonly involved structure was the MCL (reported in 36.1% of knee
injuries), followed by the patella/patellar tendon (29.5%), ACL (25.4%), meniscus (23.0%), LCL
(7.9%), and PCL (2.4%). Girls were significantly more likely to sustain ACL injuries in gender-
comparable sports (RR 2.38, 95% CI 1.91-2.95). Overall, 21.2% of knee injuries were treated
with surgery; girls were more often treated with surgery than boys in gender-comparable sports
(IPR 1.30, 95% CI 1.11-1.53).

CONCLUSIONS:

Knee injury patterns differ by sport and gender. Continuing efforts to develop preventive
interventions could reduce the burden of these injuries.

http://www.ncbi.nlm.nih.gov/pubmed/23059869
Injuries in amateur soccer players on artificial turf: A one-season
prospective study.
Sousa P, Rebelo A, Brito J.

Source

Centre of Research, Education, Innovation and Intervention in Sport, Faculty of Sport,


University of Porto, R. Dr. Plácido Costa 91, 4200-450 Porto, Portugal. Electronic address:
pedromrdesousa@yahoo.com.

Abstract

BACKGROUND:

Epidemiological studies in soccer are important for injury prevention. However, most of the
available information is limited to elite players.

OBJECTIVE: To determine the epidemiology of injuries in amateur soccer players on artificial turf.

DESIGN: Prospective cohort study during one competitive season (2010-2011).

SETTING:

Amateur soccer players. Participants: 231 players (aged 24.7; range: 18-38 years).

MAIN OUTCOME MEASURES:

Injury incidence was recorded prospectively according to the consensus statement for soccer.

RESULTS:

213 injuries were recorded; 57% of the players suffered injuries. Injury incidence was 5.1 (95%
CI: 4.3-5.9) injuries/1000 h exposure. Injury incidence was higher in matches than in training
(32.2 [95% CI: 23.1-41.3] vs. 2.4 [95% CI: 1.8-3.0] injuries/1000 h; p < 0.001). The thigh
(22.1%), knee (20.2%), and ankle (19.2%) were the most affected regions. The most frequent
diagnoses were thigh strain/muscle rupture (18.3%), and ankle and knee strain/ligament injury
(17.3% and 11.3%, respectively). Time-loss due to injury was 20.3 (95% CI: 16.8-23.73) days.
Most injuries (79%) were traumatic; 21% were overuse injuries. Re-injuries accounted for 10%
of all injuries sustained during the season.

CONCLUSIONS:

Injury incidence in amateur soccer players is higher during matches played on artificial turf than
during training sessions.

http://www.ncbi.nlm.nih.gov/pubmed/23072932
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