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The Role of Biomechanics in the Epidemiology of Injuries

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Summary

In this paper a review of the epidemiology of both traumatic and overuse injuries is presented with special emphasis on the role of biomechanics. Biomechanical analysis of injuries and the specific sports has increased in sophistication to such a degree we have a much better understanding of both aetiology and management. Particularly in the area of overuse injuries this biomechanical data can also be utilised in prevention.

This paper discusses acute traumatic injuries with emphasis on knee injuries. A de-tailed examination of knee injuries during skiing is explored. In addition, cervical injuries in gridiron football and rugby are outlined. Overuse injuries occurring during running are next discussed. Aetiological factors including training errors, muscular dysfunction and inflexibility, footwear, running gait and lower extremity malalignment are considered. Overuse injuries in swimming, dance, gymnastics and throwing sports are briefly dis-cussed.

Biochemical analysis is felt to be important in developing strategies that lead to rule changes, alteration of training techniques and improvement in equipment and footwear.

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References

  • Alley RH. Head and neck injuries in high school football. Journal of the American Medical Association 188: 418–422, 1964

    Article  PubMed  Google Scholar 

  • Arnold I, Achman CF. Skiing injuries in Canada. Journal of Sports Medicine 4: 31–33, 1973

    Article  Google Scholar 

  • Bishop B, Grippo J. National Football League Player Safety Survey. California Stanford Research Institute, Menlo Park, 1978

    Google Scholar 

  • Blitzer CM, Johnson RJ, Ettlinger CF, et al. Downhill skiing injuries in children. American Journal of Sports Medicine 12(2): 142–147, 1984

    Article  PubMed  CAS  Google Scholar 

  • Buhnick E, Zamir I. Characteristics of anti-friction devices used for ski bindings. Orthopaedic Clinics of North America 1: 105–115, 1976

    Google Scholar 

  • Carter DR, Frankel VH. Biomechanics of hyperextension injuries to the cervical spine in football. American Journal of Sports Medicine 8(5): 302–307, 1984

    Google Scholar 

  • Cavanagh P. The running shoe book, Anderson World Inc, Mountain View, CA, 1980

    Google Scholar 

  • Clement DB, Taunton JE, Smart GW, McNicol KL. Survey of overuse running injuries. Physician and Sportsmedicine 9(7): 47–58, 1981

    Google Scholar 

  • DeHaven K. Athletic injuries in adolescence. Pediatric Annals 7: 10, 1978

    Google Scholar 

  • Dominique RA. Shoulder pain in swimmers. Physician and Sports-medicine 8: 36–40, 1980

    Google Scholar 

  • Erickson E, Danielsson K. A national ski injury survey. International Series on Sports Sciences 5: 47–55, 1978

    Google Scholar 

  • Frankel VH. Editorial comments stress fractures. American Journal of Sports Medicine 6: 396, 1978

    Google Scholar 

  • Frankel VH, Nordin MA. Basic biomechanics of the skeletal system, Lea and Febiger, Philadelphia, 1980

    Google Scholar 

  • Frederick EC, Clarke TE, Hamill CL. The effect of running shoe design on shock attenuation. In Frederick (Ed.) Sport shoes and playing surfaces, pp. 190–198, Human Kinetics, Champaign, 1984

    Google Scholar 

  • Garrick J. The epidemiology of ski injuries. Minnesota Medicine 54: 17–18, 1971

    PubMed  CAS  Google Scholar 

  • Glick JM. A study of ligamentous looseness and tightness in football players and its relation to injury. Abbot Proceedings 1: 34–39, 1971

    Google Scholar 

  • Gleim GW. The profiling of professional football players. Clinics in Sports Medicine 3(1): 185–197, 1984

    PubMed  CAS  Google Scholar 

  • Goldberg B, Boiardo R. Profiling children for sports participation. Clinics in North America 3(1): 153–169, 1984

    CAS  Google Scholar 

  • Gray J, Taunton JE, McKenzie DC, Clement DB, McAuley JP, et al. A survey of injuries to the anterior cruciate of the knee in female basketball players. International Journal of Sports Medicine 6: 314–316, 1985

    Article  PubMed  CAS  Google Scholar 

  • Hamilton, WG. Tendonitis about the foot and ankle in classical ballet dancers. American Journal of Sports Medicine 5: 84–88, 1977

    Article  PubMed  CAS  Google Scholar 

  • Henry J, Lareau B, Neight D. The injury rate in professional basketball. American Journal of Sports Medicine 10: 16–18, 1982

    Article  PubMed  CAS  Google Scholar 

  • Hershman E. The profile for prevention of musculoskeletal injury. Clinics in Sports Medicine 3(1): 65–89, 1984

    PubMed  CAS  Google Scholar 

  • Hershman EB, Michele LJ. Chronic iliopsoas tendonitis in young athletes. Clinics in Sports Medicine 3(1): 199, 1984

    Google Scholar 

  • Hughston J. Subluxation of the patella. Journal of Bone and Joint Surgery 50A: 1003, 1968

    Google Scholar 

  • Hunter L. Women athletes: the orthopedic surgeon viewpoint. Clinics in North America 3(4): 809–827, 1984

    Google Scholar 

  • Jackson DW, Wiltse LL, Cirincione RJ. Spondylolysis in the female gymnast. Clinical Orthopedics 117: 68–73, 1976

    Google Scholar 

  • James S. Injuries to runners. American Journal of Sports Medicine 6: 43–50, 1978

    Google Scholar 

  • Johnson RJ, Ettlinger CF, Campbell RJ, et al. Trends in skiing injuries. American Journal of Sports Medicine 8(2): 106–113, 1980

    Article  PubMed  CAS  Google Scholar 

  • Johnson RJ, Pope MH. Safety in skiing. In Scott et al. (Eds) Principles of sports medicine, Williams and Wilkins, 1984

    Google Scholar 

  • Kalenak A, Morehouse GA. Knee stability and knee ligament injury. Journal of the American Medical Association 234: 1143–1146, 1975

    Article  PubMed  CAS  Google Scholar 

  • Karlson J. Profiles of cross-country and alpine skiers. Clinics in North America 3(1): 245–271, 1984

    Google Scholar 

  • Kato S, Ishiko T. Obstructed growth of children’s bones due to excessive labour. In Proceedings of the International Congress of Sports Sciences, Tokyo, Japanese University of Sport Sciences, 1976

    Google Scholar 

  • Kennedy J, Hawkins R. Swimmers shoulder. Physician and Sportsmedicine 2: 34–37, 1974

    Google Scholar 

  • Kennedy J, Hawkins R, Krisoff WB. Orthopedic manifestations of swimming. American Journal of Sports Medicine 6: 309–322, 1978

    Article  PubMed  CAS  Google Scholar 

  • Macintyre J, Taunton JE, Clement DB, et al. Aerobics injuries. Proceedings of the Canadian Association of Sports Science AGM, Quebec City, 1985

    Google Scholar 

  • MacNab I, Rothbun JB. The microvascular pattern of the rotator cuff. Journal of Bone and Joint Surgery 52(B): 524, 1970

    PubMed  Google Scholar 

  • Marino M. Profiling swimmers. Clinics in Sports Medicine 3(1): 211–229, 1984

    PubMed  CAS  Google Scholar 

  • Marshall JR, Warren R, Fluss DJ. Ligamentous injuries of the knee in skiing. Clinical Orthopedics 108: 196–199, 1975

    Article  Google Scholar 

  • McConkey JP. Snow skiing — alpine skiing in sports injuries. In Schneider et al. (Eds) Sports medicine, pp. 256–270, Williams and Wilkins, 1985

    Google Scholar 

  • Micheli LJ. Low back pain in the adolescent athlete. American Journal of Sports Medicine 7: 362, 1979

    Article  PubMed  CAS  Google Scholar 

  • Micheli LJ. Overuse injuries in children’s sports. Orthopedic Clinics of North America 14: 337–360, 1983

    PubMed  CAS  Google Scholar 

  • Micheli LJ, Gillespie WJ, Walaszek A. Physiologic profiles of female professional ballerinas. Clinics in Sports Medicine 3(1): 199–209, 1984

    PubMed  CAS  Google Scholar 

  • Moretz JA. Flexibility as a predictor of knee injuries in college football players. Physician and Sportsmedicine 10: 93–97, 1982

    Google Scholar 

  • Muckle DS. Meniscal repair in athletes. Sports Medicine 5: 1–5, 1988

    Article  PubMed  CAS  Google Scholar 

  • Neer CS. Anterior acromioplasty for chronic impingement syndrome in the shoulder. Journal of Bone and Joint Surgery 54(A): 41–50, 1972

    PubMed  Google Scholar 

  • Nelson W, DePalma B, Geick J, et al. Intercollegiate lacrosse injuries. Physician and Sportsmedicine 9: 86–92, 1981

    Google Scholar 

  • Nicholas JA. Injuries to the knee ligaments. Journal of the American Medical Association 212: 2236–2239, 1970

    Article  PubMed  CAS  Google Scholar 

  • Noyes FR, Keller CS, Grood ES, et al. Advances in the understanding of knee ligament injury, repair and rehabilitation. Medicine and Science in Sports and Exercise 16(5): 427–443, 1984

    Article  PubMed  CAS  Google Scholar 

  • O’Carroll PF, Sheehan JM, Gregg JM. Cervical injuries in rugby football. Irish Medical Journal 74: 377–379, 1981

    PubMed  Google Scholar 

  • Penny N, Smith C. The prevention and treatment of swimmers shoulder. Canadian Journal of Applied Sport Sciences 5(3): 195–202, 1978

    Google Scholar 

  • Pritchett J. The high cost of high school football injuries. American Journal of Sports Medicine 8: 197–199, 1980

    Article  PubMed  CAS  Google Scholar 

  • Richardson A, Jobe FW, Collins HR. The shoulder in competitive swimming. American Journal of Sports Medicine 8: 159, 1980

    Article  PubMed  CAS  Google Scholar 

  • Rovere GD, Bowen GS. The effectiveness of knee bracing for the prevention of sports injuries. Sports Medicine 3: 309–311, 1986

    Article  PubMed  CAS  Google Scholar 

  • Schneider RC, Reifel E, Crisser HO, et al. Serious and fatal football injuries involving the head and spinal cord. Journal of the American Medical Association 117: 362–367, 1961

    Article  Google Scholar 

  • Silver JR. Injuries of the spine sustained in rugby. British Medical Journal 288: 37–43, 1984

    Article  PubMed  CAS  Google Scholar 

  • Silver JR, Gill S. Injuries of the spine sustained during rugby. Sports Medicine 5: 328–334, 1988

    Article  PubMed  CAS  Google Scholar 

  • Sovio O, Van Peteghem K, Schweigel JF. Cervical spine injuries in rugby players. Canadian Medical Association Journal 130: 735–736, 1984

    PubMed  CAS  Google Scholar 

  • Stulberg SC, Shulman K, Stuart S, et al. Breaststrokers knee. American Journal of Sports Medicine 8: 164, 1980

    Article  PubMed  CAS  Google Scholar 

  • Stanish WD. Overuse injuries in athletes: a perspective. Medicine and Science in Sport and Exercise 16(1): 1–7, 1984

    Article  CAS  Google Scholar 

  • Tator CH, Edmonds VE. National survey of spinal injuries in hockey players. Canadian Medical Association Journal 130:875–880, 1984

    PubMed  CAS  Google Scholar 

  • Torg JS, Truek R, Quedenfeld TC, et al. National football head and neck injury registry. Journal of the American Medical Association 241: 1477–1482, 1979

    Article  PubMed  CAS  Google Scholar 

  • Vizsoly P, Taunton JE. Biomechanical analysis of breaststrokers knee. Proceedings of the World Student Games, Sports Medicine Symposium, Edmonton, 1983

    Google Scholar 

  • Vizsoly P, Taunton J, Robertson F, Filsinger L, Shannan HS, et al. Breaststrokers knee: an analysis of epidemiologic and biomechanical factors. American Journal of Sports Medicine 15 (1): 63–71, 1987

    Article  Google Scholar 

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Taunton, J.E., McKenzie, D.C. & Clement, D.B. The Role of Biomechanics in the Epidemiology of Injuries. Sports Medicine 6, 107–120 (1988). https://doi.org/10.2165/00007256-198806020-00005

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