AI Article Synopsis
- Calf muscle strain injuries (CMSI) are common in elite Australian Football players, leading to consistent rates of re-injury and a need for better understanding of their recovery patterns.
- The study analyzes data from 184 CMSI cases, finding that soleus injuries are more prevalent and take longer to recover from compared to gastrocnemius injuries; running-related injuries also require significantly more recovery time.
- Clinical factors, such as the type of injury and whether it's a re-injury, influence recovery duration, with older players experiencing longer recovery times when re-injured.
Article Abstract
Background: Calf muscle strain injuries (CMSI) show consistent rates of prevalence and re-injury in elite Australian Football players. An epidemiological evaluation is warranted to better understand the clinical presentation and recovery of CMSI.
Purpose: First, to describe the epidemiology of CMSI in elite Australian Football players. Second, to determine if recovery following injury is different according to: (a) injury type (index vs re-injury); (b) muscle injured (soleus vs gastrocnemius); and (c) mechanism of injury (running-related activity vs non running-related activity).
Study Design: Descriptive epidemiological.
Methods: Data retrieved from the Soft Tissue injury Registry of the Australian Football League were analyzed. Sixteen clubs submitted data on CMSI from 2014 to 2017. Data included: player characteristics, training and match history at the time of injury, MRI, and the time to reach recovery milestones.
Results: One hundred and eighty-four CMSI were included (149 index injuries; 35 re-injuries). Soleus injuries were most prevalent (84.6%). Soleus injuries took 25.4 ± 16.2 days to return to play, whereas gastrocnemius injuries took 19.1 ± 14.1 days (P = .097). CMSI sustained during running-related activities took approximately 12 days longer to recover than injuries sustained during non running-related activities (P = .001). Compared to index injuries, re-injuries involved older players (P = .03) and significantly more time was taken to run at >90% of maximum speed, return to full training, and return to play (P ≤ .001). Almost all of the observed re-injuries involved soleus (91.4%).
Conclusion: Soleus injuries are more prevalent than gastrocnemius injuries in elite Australian Football players. Prognosis appears to be influenced by clinical factors, with CMSI sustained during running-related activities and re-injuries needing more time to recover.
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| http://dx.doi.org/10.1111/sms.13552 | DOI Listing |
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