19,028 results match your criteria: "Overuse Injury"

A Risk Tool for Evaluating Overuse Injury and Return-to-Play Time Periods in Youth and Collegiate Athletes: Preliminary Study.

Sports Health

December 2024

Emory Sports Medicine Center, Atlanta, Georgia, Emory University School of Medicine, Department of Orthopaedics and Family Medicine, Atlanta, Georgia.

Background: Overuse injuries in youth athletes are associated with risks, including sports specialization, biological maturation, female sex, and workload measures. As no assessment tool exists to evaluate risk accumulation, we developed a novel risk factor scoring system (Sport Training Assessment of Risk [STAR]) to assess participants' risk of overuse injury and explore association with return-to-play (RTP) time periods.

Hypothesis: (1) STAR will reach an acceptable predictive threshold in the assessment of overuse injury in youth athletes.

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  • Family physicians can effectively provide injections for wrist pain when initial treatments like NSAIDs and rest don't work.
  • While corticosteroid injections may offer relief, they come with risks such as infection and cartilage damage that should be discussed.
  • Various techniques like ultrasound-guided injections have shown better results for conditions like carpal tunnel syndrome, while treatment for other wrist issues includes options like rest, therapy, and in some cases, corticosteroid injections.
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  • Participation in sports increases the risk of musculoskeletal injuries, with acute primary tendon ruptures being a significant concern, yet there’s limited research on their epidemiology in the US.
  • This study aims to determine the incidence rate of sports-related acute primary tendon ruptures from 2001 to 2020, using data from the National Electronic Injury Surveillance System (NEISS).
  • Findings reveal that over 141,000 patients treated for these injuries were predominantly males, with Achilles tendon ruptures being the most common, particularly related to basketball activities.
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  • - This study highlights the anatomy of the carpal tunnel and identifies four potentially dangerous anatomical variations that could lead to nerve or vessel injuries during minimally invasive carpal tunnel release surgeries.
  • - Researchers examined the carpal tunnel in 104 wrists from 52 body donors and measured distances between critical neurovascular structures like the median nerve and ulnar artery to determine their proximity.
  • - The authors recommend using preoperative ultrasound assessments to help minimize the risk of neurovascular injuries, particularly in patients with these identified anatomical variations.
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  • * They developed a machine learning model capable of predicting MSKI risk based on a single jump test and assessed the influence of sex on lower-limb injury risk.
  • * The collaboration highlights the importance of having well-rounded teams with independent funding to tackle complex problems and evaluate wearable technology for military training adaptations.
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Background And Purpose: This study aimed to develop and test a novel model integrating social-learning and self-medication frameworks by examining the association between self-efficacy to resist alcohol and other drug (AOD) use and daily AOD use and unhealthy drinking risk among trauma-exposed sexual minority women (SMW) and transgender and gender-diverse (TGD) people. We examined whether minority stressors moderated these associations.

Methods: Data were from 57 trauma-exposed SMW and TGD people who participated in a 14-day daily diary study.

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  • The study evaluated the effects of laser therapy combined with splints and exercise on patients with cubital tunnel syndrome (CuTS) compared to a placebo treatment.
  • A total of 64 patients were randomly divided into two groups, one receiving actual laser therapy and the other receiving sham laser therapy, alongside standardized treatments like splints and exercises.
  • Results showed significant short-term improvements in pain and function for the laser therapy group compared to the placebo, but both groups had similar medium-term effects, suggesting the need for more research with larger sample sizes.
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Objective: To investigate whether nerve mobilization related to nerve mobility or the removal of edema using lymphatic drainage affects the cross-sectional area of the nerve, hand function, and symptom severity in carpal tunnel syndrome.

Design: The study is a prospective randomized controlled trial. Data were analyzed between groups using ANOVA, Chi-squared test, and Kruskal-Wallis test.

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Amyloidosis and carpal tunnel syndrome: can we predict occurrence?

Hand Surg Rehabil

December 2024

Service de Chirurgie Orthopédique - Hôpital Saint Joseph Saint Luc, 20 Quai Claude Bernard, 69007 Lyon, France; Service d'Anatomopathologie - Hôpital Lyon Sud, 69495 Pierre Bénite, France.

Article Synopsis
  • Carpal tunnel syndrome, particularly when affecting both hands, may indicate the presence of amyloid deposits linked to systemic amyloidosis, which can severely impact organ health, especially the heart.
  • A study conducted from 2019 to 2023 involved biopsying tenosynovial samples from 54 patients during surgery to analyze for amyloid deposits, with 16 showing positive results.
  • The findings suggest that detecting amyloidosis during surgery is feasible and could lead to better early intervention and patient outcomes.
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Objectives: Carpal tunnel syndrome (CTS) and certain inflammatory cytokines have been linked in observational studies; however, the exact causative linkages remain unknown. The purpose of this study is to investigate any possible link between the onset of CTS and 91 inflammatory cytokines.

Methods: A two-sample bidirectional Mendelian randomization (MR) approach was used in this investigation.

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  • Adolescent water polo players often face shoulder injuries, and this study aimed to see if preseason attributes like range of motion, flexibility, strength, and core endurance could predict future injuries.
  • The study involved 53 young male players, dividing them into two groups: those with prior shoulder injuries and those without, followed by tracking their injury status a year later.
  • Results showed that players with previous injuries had significantly poorer flexibility and endurance, indicating that early screening for these factors might help prevent future shoulder injuries.
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  • - The case report discusses 'headspin hole', an overuse injury in breakdancers that results from repetitive headspins, leading to scalp issues like fibrous masses, hair loss, and tenderness.
  • - A male breakdancer in his 30s developed the condition over 5 years, and MRI revealed significant fibrosis in the scalp, identified by the 'cone-head sign'.
  • - Surgical removal of the mass provided aesthetic and symptomatic relief, with follow-up showing high patient satisfaction and no signs of malignancy, highlighting the need to identify such chronic scalp conditions in breakdancers.
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  • Overuse injuries in children and adolescents are a significant public health concern, with a study aiming to determine their prevalence and contributing factors in various areas of Manipur.
  • The research involved 3,600 schoolchildren aged 7-15, revealing an overall injury prevalence of 14.39%, particularly high in Imphal West and among males, with common injuries affecting the lower extremities.
  • The findings stress the need for urgent public health interventions and health education to address the increasing rates of injuries like back pain and neck/arm pain among students.
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  • There is a significant lack of research on injuries and illnesses in elite luge athletes, prompting this study to analyze their health issues during training and competition periods.
  • 40 elite athletes self-reported their injuries and illnesses using a detailed questionnaire, revealing that illnesses were the most common health issue (41.9%), followed by acute injuries (31.9%) and overuse injuries (24.0%).
  • The study found that the majority of athletes (95%) experienced at least one health problem, highlighting the urgent need for prevention programs and the establishment of a concussion protocol in the sport.
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  • The study investigates low back pain among beauty salon professionals in Fortaleza, Ceará, focusing on its prevalence and impact on daily life.
  • Conducted through surveys and the Quebec Back Pain Disability scale, the research found that out of 42 participants, a significant number experienced low back pain, particularly among women, who reported longer durations of pain.
  • Key factors contributing to low back pain include a sedentary lifestyle, extended working hours, and specific physical tasks, indicating a need for awareness and preventive measures in this profession.
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  • * Recent efforts to stop smoking haven't been put into action yet, and it’s important to see what could happen if smoking rates stay the same or improve.
  • * Researchers used models to predict health outcomes by 2050 based on different scenarios of smoking rates, showing that cutting smoking could greatly improve health and life expectancy.
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  • Running is a popular sport that offers numerous health benefits but is often linked to injuries caused by overuse, prompting the use of foot orthoses (FOs) to help manage these issues.
  • A scoping review analyzed 30 studies involving 730 symptomatic runners to evaluate the immediate and long-term effects of FOs, finding that they can reduce pain, alter biomechanics, and change running strategies.
  • The study suggests future research should standardize FO descriptions, take into account participants' foot shapes, and compare various types of FOs to enhance treatment effectiveness.
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  • A retrospective study analyzed data from patients diagnosed with carpal tunnel syndrome (CTS) and trigger finger in South Korea from 2009 to 2019, addressing limitations of previous research.
  • The study found that the annual incidence rates of both conditions decreased significantly, with CTS incidence at 360.26 per 100,000 person-years and trigger finger at 63.09 per 100,000 person-years.
  • There was an increase in corticosteroid injections for both conditions but a decrease in surgeries for CTS, suggesting changes in treatment approaches over the decade.
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  • "The diabetic hand" refers to various complications in the hand due to diabetes, leading to symptoms like restricted movement, numbness, and pain.
  • Common conditions linked to this issue include trigger finger, Dupuytren's disease, carpal tunnel syndrome, ulnar nerve entrapment, and osteoarthritis of the first carpometacarpal joint.
  • This overview seeks to raise awareness among healthcare professionals about the often-overlooked complications of the diabetic hand to improve patient care.
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  • Ultrasound-guided transverse carpal ligament (TCL) needle release is an effective treatment for mild to moderate carpal tunnel syndrome (CTS), but the best approach between long-axis and short-axis techniques has not been previously studied.
  • In a randomized controlled trial involving 64 patients, those received either long-axis or short-axis TCL needle release combined with corticosteroid injection, with measures taken before treatment and at multiple follow-up points over 12 months.
  • Results showed both groups improved in symptom severity and functional scale scores, but the long-axis approach resulted in significantly better outcomes compared to the short-axis method across all follow-up times.
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Collagen denaturation in post-run Achilles tendons and Achilles tendinopathy: In vivo mechanophysiology and magnetic resonance imaging.

Sci Adv

October 2024

Department of Radiology, Guangdong Provincial Engineering Research Center of Molecular Imaging, Guangdong-Hong Kong-Macao University Joint Laboratory of Interventional Medicine, the Fifth Affiliated Hospital, Sun Yat-sen University, Zhuhai, Guangdong 519000, China.

Article Synopsis
  • Achilles tendinopathy is commonly linked to overuse, but the exact biological mechanisms behind it are still not fully understood.
  • This study found that running does not mechanically unfold collagen in rat Achilles tendons but causes collagen to break down through a process called proteolysis, contributing to tendon damage.
  • The research also shows that running triggers inflammation and leads to ongoing degradation of collagen, which may help understand Achilles tendinopathy better and improve diagnostic imaging techniques.
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  • A 56-year-old woman undergoing endoscopic carpal tunnel release (ECTR) presented with a rare muscle called the transverse carpal muscle (TCM) found near the transverse carpal ligament (TCL).
  • Due to the presence of the TCM, the surgical team switched from ECTR to an open carpal tunnel release to better understand the anatomy and reduce the risk of damaging surrounding tendons and blood vessels.
  • The TCM was only found on one side, as it does not always appear bilaterally, highlighting how the distal incision first approach during ECTR helped identify it, which may have been missed with traditional methods.
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Purpose: Adverse childhood experiences (ACEs) increase the risk for poor mental health (MH) and substance use. We describe relationships between adolescents' ACEs, substance use, and poor MH occurring during the COVID-19 pandemic.

Methods: We conducted a secondary analysis of data among U.

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  • High-volume pitching can lead to changes in mechanics, fatigue, and injury risk, but little has been studied about the kinetics involved in different pitch types in softball.
  • A study involving 19 high school pitchers examined the peak kinetics of their shoulder, elbow, and wrist by having them pitch various types of pitches across multiple innings, simulating a game and doubleheader scenario.
  • Results showed significant decreases in joint kinetics from the first inning to the last and during the doubleheader, particularly for elbow and wrist forces, with lower kinetics observed for changeups compared to fastballs and breaking balls, indicating a potential injury risk as the game progresses.
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