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Fukushige K, Kanazawa Y, Matsuo M, Higuchi T. Characteristics of injuries related to Kin-Ball sport in Japan: A questionnaire study. J Bodyw Mov Ther 2024; 39:590-593. [PMID: 38876691 DOI: 10.1016/j.jbmt.2024.03.075] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/26/2023] [Revised: 03/25/2024] [Accepted: 03/27/2024] [Indexed: 06/16/2024]
Abstract
INTRODUCTION The number of Kin-Ball sport participants is expected to increase in the future. However, there is no report on the characteristics of the injuries associated with Kin-Ball sport. OBJECTIVE The purpose of this study was to describe the characteristics of injuries relate to Kin-Ball sport. DESIGN Observational study. SETTING A self-administered questionnaire was used for data collection. PARTICIPANTS One hundred ninety Kin-Ball sport participants were included in this study. MAIN OUTCOME MEASURES The questionnaire was designed based on physical characteristics, participation in Kin-Ball sport, and Kin-Ball sport injuries. Participation in Kin-Ball sport includes the length of time spent playing Kin-Ball sport as well as the playing categories (junior, friendly, champion challenge, champion, over 40). Kin-Ball sport injuries include the presence or absence of injury experience, the site, type, situation, and current injuries or pain associated with Kin-Ball sport. RESULTS One hundred fifty-two players (80%) of Kin-Ball sport participants were injured. The ankle was the most frequently visited body site (60; 22.1%), and the elbow was the second most visited body site (40; 14.8%). Sprains were the most common type of injury. CONCLUSION This is the first study to describe the characteristics of injuries relate to Kin-Ball sport. The findings of this study could be beneficial for athletes, coaches, trainers, and clinicians to prevent, or treatment of the injuries.
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Affiliation(s)
- Kokoro Fukushige
- Department of Rehabilitation, Settsu Hikari Hospital, Settsu-city, Osaka, Japan
| | - Yuji Kanazawa
- Faculty of Health and Medical Sciences, Hokuriku University, Kanazawa-City, Ishikawa, Japan
| | - Moemi Matsuo
- Faculty of Rehabilitation Sciences, Nishi Kyushu University, Kanzaki-City, Saga, Japan
| | - Takashi Higuchi
- Department of Physical Therapy, Osaka University of Human Sciences, Settsu-city, Osaka, Japan.
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Schwab PE, Kelly S, DeFroda S. Elbow Arthroscopy for Posteromedial Impingement and Fixation of Olecranon Stress Fracture. Arthrosc Tech 2023; 12:e2169-e2174. [PMID: 38196871 PMCID: PMC10772959 DOI: 10.1016/j.eats.2023.07.040] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/09/2023] [Accepted: 07/20/2023] [Indexed: 01/11/2024] Open
Abstract
Posteromedial elbow impingement due to valgus extension overload often develops as a result of excessive valgus and extension force during repetitive overhead throwing activities. Impingement classically occurs in throwing athletes such as baseball, tennis, softball, or lacrosse players. If isolated, arthroscopic removal of the posteromedial olecranon osteophytes shows excellent postoperative satisfaction, return to sport rates, and return to previous level of activity. This Technical Note describes treatment of posteromedial elbow impingement syndrome and associated olecranon stress fracture treated with arthroscopic removal of posteromedial osteophytes and arthroscopic-assisted screw fixation.
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Affiliation(s)
- Pierre-Emmanuel Schwab
- Department of Orthopaedic Surgery, Missouri Orthopaedic Institute, University of Missouri, Columbia, Missouri, U.S.A
| | - Shayne Kelly
- Department of Orthopaedic Surgery, Missouri Orthopaedic Institute, University of Missouri, Columbia, Missouri, U.S.A
| | - Steven DeFroda
- Department of Orthopaedic Surgery, Missouri Orthopaedic Institute, University of Missouri, Columbia, Missouri, U.S.A
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Nocerino EA, Cucchi D, Arrigoni P, Brioschi M, Fusi C, Genovese EA, Messina C, Randelli P, Masciocchi C, Aliprandi A. Acute and overuse elbow trauma: radio-orthopaedics overview. ACTA BIO-MEDICA : ATENEI PARMENSIS 2018; 89:124-137. [PMID: 29350642 PMCID: PMC6179073 DOI: 10.23750/abm.v89i1-s.7016] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 01/11/2018] [Accepted: 01/11/2018] [Indexed: 02/07/2023]
Abstract
The correct management of acute, subacute and overuse-related elbow pathologies represents a challenging diagnostic and therapeutic problem. While major trauma frequently requires a rapid surgical intervention, subluxation and minor trauma allow taking more time for diagnostics and planning the correct elective treatment after careful clinical and radiological investigation. In these conditions, communication between orthopaedic surgeon and radiologist allow to create a detailed radiology report, tailored to the patient's and surgeon's needs and optimal to plan proper management. Imaging technique as X-Ray, CT, US, MRI, CTA and MRA all belong to the radiologist's portfolio in elbow diagnostics. Detailed knowledge of elbow pathology and its classification and of the possibilities and limits of each imaging technique is of crucial importance to reach the correct diagnosis efficiently. The aim of this review is to present the most frequent elbow pathologies and suggest a suitable diagnostic approach for each of them.
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Molenaars RJ, Hilgersom NFJ, Doornberg JN, van den Bekerom MPJ, Eygendaal D. Review of Jobe et al (1986) on reconstruction of the ulnar collateral ligament in athletes. J ISAKOS 2018. [DOI: 10.1136/jisakos-2017-000134] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/19/2022]
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Hall MM, Woodroffe L. Ultrasonic Percutaneous Tenotomy for Recalcitrant Calcific Triceps Tendinosis in a Competitive Strongman. Curr Sports Med Rep 2017; 16:150-152. [DOI: 10.1249/jsr.0000000000000353] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/17/2022]
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Kida Y, Morihara T, Furukawa R, Sukenari T, Kotoura Y, Yoshioka N, Hojo T, Oda R, Arai Y, Sawada K, Fujiwara H, Kubo T. Prevalence of posterior elbow problems in Japanese high school baseball players. J Shoulder Elbow Surg 2016; 25:1477-84. [PMID: 27539544 DOI: 10.1016/j.jse.2016.05.004] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/13/2015] [Revised: 04/26/2016] [Accepted: 05/07/2016] [Indexed: 02/01/2023]
Abstract
BACKGROUND Various posterior elbow problems cause posterior elbow pain among baseball players. We aimed to determine the prevalence and diagnoses associated with posterior elbow problems and post-treatment recovery time for returning to sports in Japanese high school baseball players when treated in the off-season. METHODS A total of 576 Japanese high school baseball players who participated in baseball skill training camp during the off-season were enrolled in the study. The elbow of each player's throwing arm was assessed by use of a questionnaire and physical examination. Players with abnormal results were advised to visit the hospital. Players who visited the hospital were initially treated conservatively and underwent surgery if necessary. Retrospectively, players with positive physical examination results associated with posterior elbow pain, defined as olecranon tenderness and/or a positive elbow extension impingement test, were selected. Information about their position, elbow pain, physical examination results, diagnosis, treatment, and recovery time before returning to playing sports was assessed. RESULTS Olecranon tenderness and/or positive elbow extension impingement test results were found in 76 players (13.2%). Of these, 33 agreed to visit the hospital for further diagnostic imaging and 25 players (75.8%) were diagnosed with posteromedial elbow impingement. By the next spring, 87.9% of players returned to sport, and 100% of players returned to sport before the next summer. The average recovery period was 77 ± 47 days. CONCLUSION Physical examinations related to posterior elbow injuries were positive in 13.2% of high school baseball players. The most common diagnosis for posterior elbow pain was posteromedial elbow impingement. All players returned to competitive sports activity levels within 77 ± 47 days.
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Affiliation(s)
- Yoshikazu Kida
- Department of Orthopaedic Surgery, Fukuchiyama City Hospital, Kyoto, Japan; Department of Orthopaedics, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, Kyoto, Japan
| | - Toru Morihara
- Department of Orthopaedics, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, Kyoto, Japan
| | - Ryuhei Furukawa
- Department of Orthopaedics, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, Kyoto, Japan
| | - Tsuyoshi Sukenari
- Department of Orthopaedics, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, Kyoto, Japan
| | - Yoshihiro Kotoura
- Department of Orthopaedics, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, Kyoto, Japan
| | - Naoki Yoshioka
- Department of Orthopaedics, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, Kyoto, Japan
| | - Tatsuya Hojo
- Faculty of Health and Sports Science, Doshisha University, Kyoto, Japan
| | - Ryo Oda
- Department of Orthopaedics, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, Kyoto, Japan
| | - Yuji Arai
- Department of Orthopaedics, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, Kyoto, Japan
| | - Koshiro Sawada
- Department of Rehabilitation Medicine, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, Kyoto, Japan
| | - Hiroyoshi Fujiwara
- Department of Orthopaedics, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, Kyoto, Japan.
| | - Toshikazu Kubo
- Department of Orthopaedics, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, Kyoto, Japan
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Abstract
Overhead athletes subject their elbows to significant valgus stresses throughout the throwing cycle. A steady rise in the number of medial-sided elbow injuries over the years has lead to increased awareness regarding the pathophysiology of the "pitcher's elbow." As our understanding of the functional anatomy and throwing biomechanics has become more sophisticated, we have seen a concurrent improvement in the outcomes associated with managing these injuries. Despite this improvement, continued anatomical and biomechanical research is still needed to further optimize outcomes and return to sport.
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Claessen FMAP, van den Ende KIM, Doornberg JN, Guitton TG, Eygendaal D, van den Bekerom MPJ, Schep N, Boerboom A, van der Pluim M, Wagener M, Beumer A, Kloen P, Keijser C, van Deurzen D, Mansat P, Somford M, Jaspars C, Kolovich G, Cheung J, van Tongel A, Blokzijl R, Heijnk A, Alta T, Lambers Heerspink O, van Deurzen-van Dijk P, van Noort A, Lisowski L, Ekholm C, Shafritz A, Garrigues G, Porcellini G, Mazzocca A, Kaar S, Duncan S, Patel M, Patiño J, Paladini P. Osteochondritis dissecans of the humeral capitellum: reliability of four classification systems using radiographs and computed tomography. J Shoulder Elbow Surg 2015; 24:1613-8. [PMID: 25953486 DOI: 10.1016/j.jse.2015.03.029] [Citation(s) in RCA: 22] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/29/2015] [Revised: 03/18/2015] [Accepted: 03/18/2015] [Indexed: 02/01/2023]
Abstract
BACKGROUND The radiographic appearance of osteochondritis dissecans (OCD) of the humeral capitellum varies according to the stage of the lesion. It is important to evaluate the stage of OCD lesion carefully to guide treatment. We compared the interobserver reliability of currently used classification systems for OCD of the humeral capitellum to identify the most reliable classification system. METHODS Thirty-two musculoskeletal radiologists and orthopaedic surgeons specialized in elbow surgery from several countries evaluated anteroposterior and lateral radiographs and corresponding computed tomography (CT) scans of 22 patients to classify the stage of OCD of the humeral capitellum according to the classification systems developed by (1) Minami, (2) Berndt and Harty, (3) Ferkel and Sgaglione, and (4) Anderson on a Web-based study platform including a Digital Imaging and Communications in Medicine viewer. Magnetic resonance imaging was not evaluated as part of this study. We measured agreement among observers using the Siegel and Castellan multirater κ. RESULTS All OCD classification systems, except for Berndt and Harty, which had poor agreement among observers (κ = 0.20), had fair interobserver agreement: κ was 0.27 for the Minami, 0.23 for Anderson, and 0.22 for Ferkel and Sgaglione classifications. The Minami Classification was significantly more reliable than the other classifications (P < .001). CONCLUSIONS The Minami Classification was the most reliable for classifying different stages of OCD of the humeral capitellum. However, it is unclear whether radiographic evidence of OCD of the humeral capitellum, as categorized by the Minami Classification, guides treatment in clinical practice as a result of this fair agreement.
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Affiliation(s)
- Femke M A P Claessen
- Orthotrauma Research Center Amsterdam, University of Amsterdam, Amsterdam, The Netherlands; Hand and Upper Extremity Service, Massachusetts General Hospital, Boston, MA, USA.
| | | | - Job N Doornberg
- Orthotrauma Research Center Amsterdam, University of Amsterdam, Amsterdam, The Netherlands
| | - Thierry G Guitton
- Orthotrauma Research Center Amsterdam, University of Amsterdam, Amsterdam, The Netherlands
| | - Denise Eygendaal
- Upper Limb Unit, Department of Orthopedic Surgery, Amphia Hospital, Breda, The Netherlands
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