Hamstring muscle injuries in professional football: the correlation of MRI findings with return to play

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Hamstring muscle injuries in professional football: the correlation of MRI findings with return to play

Ekstrand, Jan (författare): Linköpings universitet,Socialmedicin och folkhälsovetenskap,Hälsouniversitetet

Healy, Jeremiah C (författare): University of London Imperial Coll Science Technology and Med

Waldén, Markus (författare): Linköpings universitet,Socialmedicin och folkhälsovetenskap,Hälsouniversitetet

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Lee, Justin C (författare): University of London Imperial Coll Science Technology and Med

English, Bryan (författare): University of London

Hägglund, Martin (författare): Linköpings universitet,Hälsouniversitetet,Avdelningen för sjukgymnastik

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2011-12-05
2012
Engelska.
Ingår i: British Journal of Sports Medicine. - : BMJ Publishing Group. - 0306-3674 .- 1473-0480. ; 46:2, s. 112-117

Relaterad länk:: https://liu.diva-por... (primary) (Raw object); visa fler...; https://bjsm.bmj.com...; https://urn.kb.se/re...; https://doi.org/10.1...; visa färre...

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Background Hamstring injury is the single most common injury in professional football. MRI is commonly used to confirm the diagnosis and provide a prognosis of lay-off time. less thanbrgreater than less thanbrgreater thanObjective To evaluate the use of MRI as a prognostic tool for lay-off after hamstring injuries in professional football players and to study the association between MRI findings and injury circumstances. less thanbrgreater than less thanbrgreater thanMethods Prospective cohort study where 23 European professional teams, were followed between 2007 and 2011. Team medical staffs recorded individual player exposure and time-loss injuries. Radiological grading was performed using a modified Peetrons classification into four grades where grades 2 and 3 represent fibre disruption. less thanbrgreater than less thanbrgreater thanResults In total, 516 hamstring injuries occurred and 58% of these were examined by MRI. Thirteen per cent were grade 0 injuries, 57% grade 1, 27% of grade 2 and 3% of grade 3. Grade 0 and 1 injuries accounted for 56% (2141/3830 days) of the total lay-off. The layoff time differed between all four radiological grades of injury (8 +/- 3, 17 +/- 10, 22 +/- 11 and 73 +/- 60 days, p andlt; 0.0001). Eighty-three per cent of injuries affected the biceps femoris while 11% and 5% occurred to the semimembranosus and semitendinosus, respectively. Re-injuries (N=34/207) constituted 16% of injuries. All re-injuries occurred to the biceps femoris. less thanbrgreater than less thanbrgreater thanConclusion MRI can be helpful in verifying the diagnosis of a hamstring injury and to prognosticate layoff time. Radiological grading is associated with lay-off times after injury. Seventy per cent of hamstring injuries seen in professional football are of radiological grade 0 or 1, meaning no signs of fibre disruption on MRI, but still cause the majority of absence days.

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Av författaren/redakt...: Ekstrand, Jan; Healy, Jeremiah ...; Waldén, Markus; Lee, Justin C; English, Bryan; Hägglund, Martin

Artiklar i publikationen: British Journal ...

Av lärosätet: Linköpings universitet

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