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Patterns and Trends of Foot and Ankle Injuries in Olympic Athletes: A Systematic Review and Meta-analysis

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Abstract

Introduction

Foot and ankle injuries in elite athletes can result in decreased performance, absence from sport and prolonged morbidity. There is paucity of data on foot and ankle injuries in Olympics athletes.

Methods

We conducted a systematic review of the PubMed and EMBASE databases. Studies in English language that reported the incidence and/or prevalence of foot and ankle injuries in during Olympics games (summer, winter and youth Olympics) were included. Studies in languages other than English, those that looked at injuries other than foot and ankle injuries, studies looking at injuries in non-Olympics events and those looking at Olympics trials were excluded. We determined the injury rates and burden of foot and ankle injuries. We also looked at the patterns and trends of foot and ankle injuries.

Results

A total of 399 foot and ankle injuries from 25 publications were included in the review. Foot and ankle injury rates ranged from 0.09 to 0.42 injuries per athlete-years for summer Olympics and 0.02–0.35 injuries per athlete-years for winter Olympics. Quantitative analysis revealed that foot and ankle injuries contributed to 16.9% of all injuries (95% CI 8.1–31.9%) for summer Olympics and 5.1% of all injuries (95% CI 1.9–12.6%) for winter Olympics; however, a high statistical heterogeneity was noted. The three most common injuries were tendon injuries, ligament injuries and stress fractures. The rates and burden of foot and ankle injuries showed a declining trend.

Conclusions

Foot and ankle injuries are an important cause of morbidity amongst Olympics athletes. The declining trend amongst these injuries notwithstanding, there is a need for a global electronic database for reporting of injuries in Olympics athletes.

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References

  1. Collier, R. (2012). Providing medical services at Olympics a huge task. CMAJ,184(13), E703–704.

    Article  PubMed  PubMed Central  Google Scholar 

  2. McCaffery, M. (1988). Preparing for the worst: Medical services at the Calgary Olympics. CMAJ,138(2), 151–153.

    CAS  PubMed  PubMed Central  Google Scholar 

  3. Gunby, P. (1980). Postmortem on Winter Olympics medical care. JAMA,244(3), 224–225.

    Article  CAS  PubMed  Google Scholar 

  4. Fong, D. T.-P., Hong, Y., Chan, L.-K., Yung, P. S.-H., & Chan, K.-M. (2007). A systematic review on ankle injury and ankle sprain in sports. Sports Medicine,37(1), 73–94.

    Article  PubMed  Google Scholar 

  5. Hunt, K. J., Hurwit, D., Robell, K., Gatewood, C., Botser, I. B., & Matheson, G. (2017). Incidence and epidemiology of foot and ankle injuries in elite collegiate athletes. American Journal of Sports Medicine,45(2), 426–433.

    Article  PubMed  Google Scholar 

  6. Heiss, R., Guermazi, A., Jarraya, M., Engebretsen, L., Hotfiel, T., Parva, P., et al. (2019). Prevalence of MRI-detected ankle injuries in athletes in the Rio de Janeiro 2016 Summer Olympics. Academic Radiology,26(12), 1605–1617.

    Article  PubMed  Google Scholar 

  7. Liberati, A., Altman, D. G., Tetzlaff, J., Mulrow, C., Gøtzsche, P. C., Ioannidis, J. P. A., et al. (2009). The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate health care interventions: Explanation and elaboration. PLoS Medicine,6(7), e1000100.

    Article  PubMed  PubMed Central  Google Scholar 

  8. Quality Assessment Tool for Case Series Studies - NHLBI, NIH [Internet]. Retrieved 13 March, 2017, from https://www.nhlbi.nih.gov/health-pro/guidelines/in-develop/cardiovascular-risk-reduction/tools/case_series.

  9. Athanasopoulos, S., Kapreli, E., Tsakoniti, A., Karatsolis, K., Diamantopoulos, K., Kalampakas, K., et al. (2007). The 2004 Olympic Games: Physiotherapy services in the Olympic Village polyclinic. British Journal of Sports Medicine,41(9), 603–609.

    Article  PubMed  PubMed Central  Google Scholar 

  10. Crema, M. D., Jarraya, M., Engebretsen, L., Roemer, F. W., Hayashi, D., Domingues, R., et al. (2018). Imaging-detected acute muscle injuries in athletes participating in the Rio de Janeiro 2016 Summer Olympic Games. British Journal of Sports Medicine,52(7), 460–464.

    Article  PubMed  Google Scholar 

  11. Elias, D. A., Carne, A., Bethapudi, S., Engebretsen, L., Budgett, R., & O’Connor, P. (2013). Imaging of plantar fascia and Achilles injuries undertaken at the London 2012 Olympics. Skeletal Radiology,42(12), 1645–1655.

    Article  PubMed  Google Scholar 

  12. Jarraya, M., Crema, M. D., Engebretsen, L., Teytelboym, O. M., Hayashi, D., Roemer, F. W., et al. (2018). Epidemiology of imaging-detected tendon abnormalities in athletes participating in the Rio de Janeiro 2016 Summer Olympics. British Journal of Sports Medicine,52(7), 465–469.

    Article  PubMed  Google Scholar 

  13. Junge, A., Engebretsen, L., Mountjoy, M. L., Alonso, J. M., Renstrom, P. A. F. H., Aubry, M. J., et al. (2009). Sports injuries during the Summer Olympic Games 2008. American Journal of Sports Medicine,37(11), 2165–2172.

    Article  PubMed  Google Scholar 

  14. Keim, M. E., & Williams, D. (1997). Hospital use by Olympic athletes during the 1996 Atlanta Olympic Games. Medical Journal of Australia,167(11–12), 603–605.

    Article  CAS  PubMed  Google Scholar 

  15. Hayashi, D., Jarraya, M., Engebretsen, L., Crema, M., Roemer, F., Skaf, A., et al. (2018). Epidemiology of imaging-detected bone stress injuries in athletes participating in the Rio de Janeiro 2016 Summer Olympics. British Journal of Sports Medicine,52(7), 470–474.

    Article  PubMed  Google Scholar 

  16. Crim, J. R. (2003). Winter sports injuries. The 2002 Winter Olympics experience and a review of the literature. Magnetic Resonance Imaging Clinics of North America,11(2), 311–321.

    Article  PubMed  Google Scholar 

  17. Engebretsen, L., Steffen, K., Alonso, J. M., Aubry, M., Dvorak, J., Junge, A., et al. (2010). Sports injuries and illnesses during the Winter Olympic Games 2010. British Journal of Sports Medicine,44(11), 772–780.

    Article  PubMed  Google Scholar 

  18. Kim, D.-S., Lee, Y.-H., Bae, K. S., Baek, G. H., Lee, S. Y., Shim, H., et al. (2019). PyeongChang 2018 Winter Olympic Games and athletes’ usage of “polyclinic” medical services. BMJ Open Sport & Exercise Medicine,5(1), e000548.

    Article  Google Scholar 

  19. Nabhan, D., Windt, J., Taylor, D., & Moreau, W. (2019). Close encounters of the US kind: illness and injury among US athletes at the PyeongChang 2018 Winter Olympic Games. British Journal of Sports Medicine. https://doi.org/10.1136/bjsports-2018-100015.

    Article  PubMed  Google Scholar 

  20. Ruedl, G., Schobersberger, W., Pocecco, E., Blank, C., Engebretsen, L., Soligard, T., et al. (2012). Sport injuries and illnesses during the first Winter Youth Olympic Games 2012 in Innsbruck, Austria. British Journal of Sports Medicine,46(15), 1030–1037.

    Article  PubMed  Google Scholar 

  21. Soligard, T., Palmer, D., Steffen, K., Lopes, A. D., Grant, M.-E., Kim, D., et al. (2019). Sports injury and illness incidence in the PyeongChang 2018 Olympic Winter Games: A prospective study of 2914 athletes from 92 countries. British Journal of Sports Medicine,53(17), 1085–1092.

    Article  PubMed  Google Scholar 

  22. Altarriba-Bartes, A., Drobnic, F., Til, L., Malliaropoulos, N., Montoro, J. B., & Irurtia, A. (2014). Epidemiology of injuries in elite taekwondo athletes: Two Olympic periods cross-sectional retrospective study. British Medical Journal Open,4(2), e004605.

    Google Scholar 

  23. Edouard, P., Navarro, L., Branco, P., Gremeaux, V., Timpka, T., & Junge, A. (2019). Injury frequency and characteristics (location, type, cause and severity) differed significantly among athletics ('track and field’) disciplines during 14 international championships (2007–2018): Implications for medical service planning. British Journal of Sports Medicine,54, 159–167.

    Article  PubMed  Google Scholar 

  24. Ekeland, A., Dimmen, S., Lystad, H., & Aune, A. K. (1996). Completion rates and injuries in alpine races during the 1994 Olympic Winter Games. Scandinavian Journal of Medicine and Science in Sports,6(5), 287–290.

    Article  CAS  PubMed  Google Scholar 

  25. Fuller, C. W., Taylor, A., & Raftery, M. (2017). 2016 Rio Olympics: An epidemiological study of the men’s and women’s Rugby-7s tournaments. British Journal of Sports Medicine,51(17), 1272–1278.

    Article  PubMed  Google Scholar 

  26. Junge, A., Dvorak, J., Graf-Baumann, T., & Peterson, L. (2004). Football injuries during FIFA tournaments and the Olympic Games, 1998–2001: Development and implementation of an injury-reporting system. American Journal of Sports Medicine,32(1 Suppl), 80S–S89. https://doi.org/10.1177/0363546503261245

    Article  PubMed  Google Scholar 

  27. Mountjoy, M., Miller, J., & Junge, A. (2019). Analysis of water polo injuries during 8904 player matches at FINA World Championships and Olympic games to make the sport safer. British Journal of Sports Medicine,53(1), 25–31.

    Article  PubMed  Google Scholar 

  28. Shadgan, B., Feldman, B. J., & Jafari, S. (2010). Wrestling injuries during the 2008 Beijing Olympic Games. American Journal of Sports Medicine,38(9), 1870–1876.

    Article  PubMed  Google Scholar 

  29. Nabhan, D., Walden, T., Street, J., Linden, H., & Moreau, B. (2016). Sports injury and illness epidemiology during the 2014 Youth Olympic Games: United States Olympic Team Surveillance. British Journal of Sports Medicine,50(11), 688–693.

    Article  PubMed  Google Scholar 

  30. Engebretsen, L., Soligard, T., Steffen, K., Alonso, J. M., Aubry, M., Budgett, R., et al. (2013). Sports injuries and illnesses during the London Summer Olympic Games 2012. British Journal of Sports Medicine,47(7), 407–414.

    Article  PubMed  Google Scholar 

  31. van Beijsterveldt, A. M., Thijs, K. M., Backx, F. J., Steffen, K., Brozičević, V., & Stubbe, J. H. (2015). Sports injuries and illnesses during the European Youth Olympic Festival 2013. British Journal of Sports Medicine, 49(7), 448–452. https://doi.org/10.1136/bjsports-2014-094035.

    Article  PubMed  Google Scholar 

  32. Ruedl, G., Schnitzer, M., Kirschner, W., et al. (2016). Sports injuries and illnesses during the 2015 Winter European Youth Olympic Festival. British Journal of Sports Medicine, 50(10), 631–636. https://doi.org/10.1136/bjsports-2015-095665.

    Article  CAS  PubMed  Google Scholar 

  33. Steffen, K., Moseid, C. H., Engebretsen, L., et al. (2017). Sports injuries and illnesses in the Lillehammer 2016 Youth Olympic Winter Games. British Journal of Sports Medicine, 51(1), 29–35. https://doi.org/10.1136/bjsports-2016-096977.

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. Department of Orthopaedics, Postgraduate Institute of Medical Education and Research, Chandigarh, India

    Siddhartha Sharma, Mandeep S. Dhillon, Prasoon Kumar & Rajesh Kumar Rajnish

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  1. Siddhartha Sharma
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  2. Mandeep S. Dhillon
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  3. Prasoon Kumar
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Correspondence to Siddhartha Sharma.

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Sharma, S., Dhillon, M.S., Kumar, P. et al. Patterns and Trends of Foot and Ankle Injuries in Olympic Athletes: A Systematic Review and Meta-analysis. JOIO 54, 294–307 (2020). https://doi.org/10.1007/s43465-020-00058-x

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