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Ultrasound of sports injuries of the musculoskeletal system: gender differences

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Abstract

In recent years, women and girls are increasing their sport participation, and female sports are becoming more challenging. While more women and girls are participating in sports, there is still a lack of information about gender-specific lesions. We will therefore evaluate gender differences in sports injuries, analyzing the five sports and sporting activities that are most widespread in the western world: running, soccer, basketball, water sports, and winter sports. The ability to make correct ultrasonographic diagnoses in sports injuries is improving as the technology is advancing. Ultrasonography demonstrates tissue structure with two-dimensional grayscale images, while blood flow can be visualized with color and power Doppler. Furthermore, ultrasonography is the preferred imaging modality for studying soft-tissue lesions dynamically. High-quality diagnostic ultrasound cannot be performed without the knowledge of the underlying clinical background, and an understanding of gender-specific injuries and mechanisms of injuries is therefore important for assessing proper diagnostic and treatment guidelines tailored to phenotypic differences in professional and amateur athletes between male and female.

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References

  1. Bibel S (2012) NCAA women’s basketball overnight rating up over last year. https://tvbythenumbers.zap2it.com/2012/04/04/ncaa-womens-basketballovernight-rating-up-over-last-year/127494/. Accessed 28 Dec 2017

  2. Antil JH, Burton E, Robinson M (2012) Exploring the challenges facing female athletes as endorsers. J Brand Strat 1:292–307

    Google Scholar 

  3. Aaltonen S, Karjalainen H, Heinonen A, Parkkari J, Kujala UM (2007) Prevention of sports injuries: systematic review of randomized controlled trials. Arch Intern Med 167:1585–1592

    Article  Google Scholar 

  4. Conn JM, Annest JL, Gilchrist J (2003) Sports and recreation related injury episodes in the US population, 1997–99. Inj Prevent 9:117–123

    Article  CAS  Google Scholar 

  5. Dempsey RL, Layde PM, Laud PW, Guse CE, Hargarten SW (2005) Incidence of sports and recreation related injuries resulting in hospitalization in Wisconsin in 2000. Inj Prevent 11:91–96

    Article  CAS  Google Scholar 

  6. Perry J (2020) Performing under pressure. Routledge, NY

    Google Scholar 

  7. Post EG, Biese KM, Schaefer DA (2019) Sports specific associations and specialization and sex with overuse injury in young athletes sports. Health 12:36–42

    Google Scholar 

  8. Francis P, Whatman C, Johnson MJ (2019) The proportion of lower limb running injuries by gender, anatomical location and specific pathology. Sports Sci Med 18:21–31

    Google Scholar 

  9. Kluitenberg B, van Middelkoop M, Diercks R, van der Worp H (2015) What are the differences in injury proportions between different populations of runners? A systematic review and meta-analysis. Sports Med 45:1143–1161

    Article  Google Scholar 

  10. Draghi F, Cocco G, Lomoro P, Bortolotto C, Schiavone C (2019) Non-rotator cuff calcific tendinopathy: ultrasonographic diagnosis and treatment. J Ultrasound https://doi.org/10.1007/s40477-019-00393-2. [Online ahead of print]

    Article  PubMed  Google Scholar 

  11. Lopes AD, Hespanhol Junior LC, Yeung SS, Costa LO (2012) What are the main running-related musculoskeletal injuries? A systematic review. Sports Med 42:891–905

    Article  Google Scholar 

  12. Draghi F, Gitto S, Bortolotto C, Draghi AG, Ori BG (2017) Imaging of plantar fascia disorders: findings on plain radiography, ultrasound and magnetic resonance imaging. Insights Imaging 8:69–78

    Article  Google Scholar 

  13. Nielsen RO, Ronnow L, Rasmussen S, Lind M (2014) A prospective study on time to recovery in 254 injured novice runners. PLoS One 9:e99877

    Article  Google Scholar 

  14. Satterthwaite P, Norton R, Larmer P, Robinson E (1999) Risk factors for injuries and other health problems sustained in a marathon. Br J Sports Med 33:22–26

    Article  CAS  Google Scholar 

  15. Powell JW, Barber-Foss KD (2000) Sex-related injury patterns among selected high school sports. Am J Sports Med 28:385–391

    Article  CAS  Google Scholar 

  16. Zingg MA, Rüst CA, Rosemann T, Lepers R, Knechtle B (2014) Runners in their forties dominate ultra-marathons from 50 to 3100 miles. Clinics (Sao Paulo) 69:203–211

    Article  Google Scholar 

  17. Clarkson PM (2007) Exertional rhabdomyolysis and acute renal failure in marathon runners. Sports Med 37:361–363

    Article  Google Scholar 

  18. Draghi F, Draghi AG, Gitto S (2018) Myotendinous strains of the vastus lateralis as a result of sport-related trauma. J Sports Med Phys Fit 58:947–949

    Google Scholar 

  19. www.stopsportsinjuries.org. Accessed 26 Jan 2020

  20. Arendt EA, Agel J, Randall D (1999) Anterior cruciate ligament injury patterns among collegiate men and women. J Athl Train 34:86–92

    CAS  PubMed  PubMed Central  Google Scholar 

  21. Krosshaug T, Nakamae A, Boden BP et al (2007) Mechanisms of anterior cruciate ligament injury in basketball: video analysis of 39 cases. Am J Sports Med 35:359–367

    Article  Google Scholar 

  22. Depaoli R, Canepari E, Bortolotto C, Ferrozzi G (2015) Morel-Lavallée lesion of the knee in a soccer player. J Ultrasound 18:87–89

    Article  Google Scholar 

  23. Shapiro C (2001) Swimming. In: Shamus E, Shamus J (eds) Sports injury prevention and rehabilitation. McGraw-Hill, New York, pp 103–154

    Google Scholar 

  24. Draghi F, Scudeller L, Draghi AG, Bortolotto C (2015) Prevalence of subacromial-subdeltoid bursitis in shoulder pain: an ultrasonographic study. J Ultrasound 18:151–158

    Article  Google Scholar 

  25. Kennedy JC, Hawkins RJ (1974) Swimmer's shoulder. Phys Sportsmed 2:34–38

    Google Scholar 

  26. Iro E, Iwamoto J, Matsumoto H (2015) Sex-specific differences in injury types among basketball players. Open Access J Sports Med. https://doi.org/10.2147/OAJSM.S73625

    Article  Google Scholar 

  27. Kim S, Endres NK, Ettinger CF, Shealy JE (2012) Snowboarding injuries: trends over time and comparisons with alpine skiing injuries. Am J Sports Med 40:770–776

    Article  Google Scholar 

  28. Draghi F, Gitto S, Bianchi S (2018) Injuries to the collateral ligaments of the metacarpophalangeal and interphalangeal joints: sonographic appearance. J Ultrasound Med 37(9):2117–2133

    Article  Google Scholar 

  29. Boesmüller S, Huf W, Vierhapper M (2017) The influence of sex and trauma impact on the rupture site of the ulnar collateral ligament of the thumb. PLoS One 12:e0181754

    Article  Google Scholar 

  30. Sandelin J, Kiviluoto O, Santavirta S (1980) Injuries of competitive skiers in Finland: a three-year survey. Annales Chirurgiae et Gynaecologiae 69:97–101

    CAS  PubMed  Google Scholar 

  31. Clarsen B, Bahr R, Heymans MW et al (2014) The prevalence and impact of overuse injuries in five norwegian sports: application of a new surveillance method. Scand J Med Sci Sport 25:323–330

    Article  Google Scholar 

  32. Marsland F, Lyons K, Anson J, Waddington G, Macintosh C, Chapman D (2012) Identification of cross-country skiing movement patterns using micro-sensors. Sensors 12:5047–5066

    Article  Google Scholar 

  33. Ristolainen L, Heinonen A, Kettunen J (2009) Gender differences in sports injuries a retrospective study on cross country skiers. J Sports Sci Med 8:443–451

    PubMed  PubMed Central  Google Scholar 

  34. Draghi F, Bortolotto C, Draghi AG, Gitto S (2018) Intrasheath instability of the peroneal tendons: dynamic ultrasound imaging. J Ultrasound Med 37:2753–2758

    Article  Google Scholar 

  35. Draghi F, Gregoli B, Bortolotto C (2014) Absence of elevation of fibular tendons during dorsal hyperflexion of the foot: a sign of loss of the calcaneofibular ligament. J Ultrasound Med 33:1307–1308

    Article  Google Scholar 

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Correspondence to Chandra Bortolotto.

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CB is consultant for Bracco Imaging Italia and Doc Congress. The other authors declare that they have no conflict of interest.

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All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards. Informed consent was obtained from all individual participants included in the study.

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Robotti, G., Draghi, F., Bortolotto, C. et al. Ultrasound of sports injuries of the musculoskeletal system: gender differences. J Ultrasound 23, 279–285 (2020). https://doi.org/10.1007/s40477-020-00438-x

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  • DOI: https://doi.org/10.1007/s40477-020-00438-x

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