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Pain| Basketball Injuries

Posted Jul 03 2008 4:11pm

Sunday, May 25, 2008

Retrospective review of medical records was done to examinebasketball-relatedinjuriesamong adults presenting to ambulatory settings in the United States.An annual average of 507,000 adults were treated in an ambulatory care setting forinjuriesrelated to playingbasketball. The majority of these patients sought treatment in physicians' offices. Females had a much lower rate of visits (0.8/1000) forbasketball-relatedinjuriesthan males (5.7/1000); African American males had a rate 2.7 times higher than white males. The most commoninjurieswere sprainsandstrains to the lower legand/or ankle regionandfractures of the hand, wrist, or fingers. Specific analyses of patients presenting to the emergency department diagnosed with sprain/straininjuriesto the lower leg/ankle region revealed that 93% of these patients received an x-ray procedure.(Hammig BJ. Yang H. Bensema B.Epidemiology ofbasketballinjuriesamong adults presenting to ambulatory care settings in the United States.Clinical Journal of Sport Medicine. 17(6):446-51, 2007)  

An estimated 326396 ankleinjuriesoccurred nationally in 2005-2006, yielding an injury rate of 5.23 ankleinjuriesper 10 000 athlete-exposures. Ankleinjuriesoccurred at a significantly higher rate during competition (9.35 per 10 000 athlete-exposures) than during practice (3.63) (risk ratio = 2.58; 95% confidence interval = 2.26, 2.94; P < .001). Boys'basketballhad the highest rate of ankle injury (7.74 per 10 000 athlete-exposures), followed by girls'basketball(6.93)andboys' football (6.52). In all sports except girls' volleyball, rates of ankle injury were higher in competition than in practice. Overall, most ankleinjurieswere diagnosed as ligament sprains with incomplete tears (83.4%). Ankleinjuriesmost commonly caused athletes to miss less than 7 days of activity (51.7%), followed by 7 to 21 days of activity loss (33.9%)andmore than 22 days of activity loss (10.5%).Sports that combine jumping in close proximity to other playersandswift changes of direction while running are most often associated with ankleinjuries. (Nelson AJ. Collins CL. Yard EE. Fields SK. Comstock RD.Ankleinjuriesamong United States high school sports athletes, 2005-2006.Journal of Athletic Training. 42(3):381-7, 2007. Female professionalbasketballathletes who did not wear an external ankle support, who played in the key area, or who functioned as centers had a higher risk for ankle sprain than did other players. (Kofotolis N. Kellis E.Ankle spraininjuries: a 2-year prospective cohort study in female Greek professionalbasketballplayers.Journal of Athletic Training. 42(3):388-94, 2007).  

From 1988-1989 through 2003-2004, 12.4% of schools across Divisions I, II,andIII that sponsor varsity women'sbasketballprograms participated in annualInjury Surveillance Systemdata collection. Gameandpractice injury rates exhibited significant decreases over the study period. The rate of injury in a game situation was almost 2 times higher than in a practice (7.68 versus 3.99injuriesper 1000 athlete-exposures, rate ratio = 1.9, 95% confidence interval = 1.9, 2.0). Preseason-practice injury rates were more than twice as high as regular-season practice injury rates (6.75 versus 2.84injuriesper 1000 athlete-exposures, rate ratio = 2.4, 95% confidence interval = 2.2, 2.4). More than 60% of all gameandpracticeinjurieswere to the lower extremity, with the most common gameinjuriesbeing ankle ligament sprains, kneeinjuries(internal derangementsandpatellar conditions),andconcussions. In practices, ankle ligament sprains, kneeinjuries(internal derangementsandpatellar conditions), upper leg muscle-tendon strains,andconcussions were the most commoninjuries. (Agel J. Olson DE. Dick R. Arendt EA. Marshall SW. Sikka RS.Descriptive epidemiology of collegiate women'sbasketballinjuries: National Collegiate Athletic Association Injury Surveillance System, 1988-1989 through 2003-2004.Journal of Athletic Training. 42(2):202-10, 2007).

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