A systematic review of running-related musculoskeletal injuries in runners.

J Sport Health Sci

National Centre for Sport and Exercise Medicine, School of Sport, Exercise and Health Sciences, Loughborough University, Loughborough, LE11 3TU, UK. Electronic address:

Published: September 2021

AI Article Synopsis

  • The study investigated running-related musculoskeletal injuries (RRMIs), focusing on their incidence and prevalence based on location and specific types of injuries.
  • A systematic literature review was conducted using various databases, resulting in an overall injury incidence of 40.2% and prevalence of 44.6% among runners.
  • Key findings showed that injuries were most common in the knee, ankle, and lower leg, with conditions like Achilles tendinopathy and patellofemoral pain syndrome being the most frequently reported injuries among both ultramarathoners and regular runners.

Article Abstract

Objective: Running-related musculoskeletal injuries (RRMIs), especially stemming from overuse, frequently occur in runners. This study aimed to systematically review the literature and determine the incidence and prevalence proportion of RRMIs by anatomic location and specific pathology.

Methods: An electronic database search with no date beginning restrictions was performed in SPORTDiscus, PubMed, and MEDLINE up to June 2020. Prospective studies were used to find the anatomic location and the incidence proportion of each RRMI, whereas retrospective or cross-sectional studies were used to find the prevalence proportion of each RRMI. A separate analysis for ultramarathon runners was performed.

Results: The overall injury incidence and prevalence were 40.2% ± 18.8% and 44.6% ± 18.4% (mean ± SD), respectively. The knee, ankle, and lower leg accounted for the highest proportion of injury incidence, whereas the knee, lower leg, and foot/toes had the highest proportion of injury prevalence. Achilles tendinopathy (10.3%), medial tibial stress syndrome (9.4%), patellofemoral pain syndrome (6.3%), plantar fasciitis (6.1%), and ankle sprains (5.8%) accounted for the highest proportion of injury incidence, whereas patellofemoral pain syndrome (16.7%), medial tibial stress syndrome (9.1%), plantar fasciitis (7.9%), iliotibial band syndrome (7.9%), and Achilles tendinopathy (6.6%) had the highest proportion of injury prevalence. The ankle (34.5%), knee (28.1%), and lower leg (12.9%) were the 3 most frequently injured sites among ultramarathoners.

Conclusion: The injury incidence proportions by anatomic location between ultramarathoners and non-ultramarathoners were not significantly different (p = 0.798). The pathologies with the highest incidence proportion of injuries were anterior compartment tendinopathy (19.4%), patellofemoral pain syndrome (15.8%), and Achilles tendinopathy (13.7%). The interpretation of epidemiological data in RRMIs is limited due to several methodological issues encountered.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8500811PMC
http://dx.doi.org/10.1016/j.jshs.2021.04.001DOI Listing

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