Sports injuries at the Rio de Janeiro 2016 Summer Paralympic Games: use of diagnostic imaging services.
Magnetic resonance imaging
Para athletes
Radiographs
Retrospective studies
Ultrasound
Journal
European radiology
ISSN: 1432-1084
Titre abrégé: Eur Radiol
Pays: Germany
ID NLM: 9114774
Informations de publication
Date de publication:
Sep 2021
Sep 2021
Historique:
received:
13
10
2020
accepted:
16
02
2021
revised:
27
01
2021
pubmed:
5
3
2021
medline:
25
8
2021
entrez:
4
3
2021
Statut:
ppublish
Résumé
To describe the occurrence of imaging-depicted sports-related injuries (bone, muscle, tendon, and ligament injuries) during the Rio 2016 Summer Paralympic Games. Descriptive data on all imaging examinations by using radiography, ultrasonography (US), and MRI were collected and retrospectively analyzed centrally by five musculoskeletal radiologists according to imaging modality, country of origin of the athletes, type of sport, type of disability, and type and location of injury. We report 109 injuries in 4378 athletes. A total of 382 radiologic examinations were performed in 261 athletes, including 118 (31%) radiographic, 22 (6%) US, and 242 (63%) MRI examinations. Para athletes from Africa had the highest utilization rate (20.1%, 67 out of 333). Athletes from Europe underwent the most examinations with 29 radiographic, 12 US, and 66 MRI examinations. The highest utilization rate of imaging modalities by sport was among Judo para athletes (16.7%, 22 out of 132). Most injuries were reported in athletics discipline (37.6%, 41 out of 109). Most injuries were also reported among para athletes with visual impairment (40 injuries, 36.7% of all injuries). Bone stress injuries were most common among para athletes with visual impairment (6 out of 7). Para athletes with visual impairment were also more prone to bone stress injuries than traumatic fractures, unlike para athletes with neurologic and musculoskeletal impairments. Imaging was used in 6.0% of para athletes. MRI comprised 63% of imaging utilization. Identification of patterns of injuries may help building future prevention programs in elite para athletes. • The highest imaging utilization rates were found among para athletes competing in Judo, sitting volleyball, powerlifting, and football. • Utilization of diagnostic imaging at the Rio 2016 Paralympic Games demonstrated similar trends to what was observed at the Rio 2016 Olympic Games. • Comparison of the rate of imaging-depicted injuries between Olympic and Paralympic athletes is limited due to inherent differences between the two athlete populations and the manner in which injury risk in the Paralympic athlete varies dependent on impairment type, which is not the case for the Olympic athlete.
Identifiants
pubmed: 33660032
doi: 10.1007/s00330-021-07802-3
pii: 10.1007/s00330-021-07802-3
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
6768-6779Informations de copyright
© 2021. This is a U.S. government work and not under copyright protection in the U.S.; foreign copyright protection may apply.
Références
Rio 2016 | International Paralympic Committee. https://www.paralympic.org/rio-2016 . Accessed 2 Jun 2020
Guermazi A, Hayashi D, Jarraya M et al (2018) Sports injuries at the Rio de Janeiro 2016 Summer Olympics: use of diagnostic imaging services. Radiology 287. https://doi.org/10.1148/radiol.2018171510
Abdalkader M, Guermazi A, Engebretsen L et al (2020) MRI-detected spinal disc degenerative changes in athletes participating in the Rio de Janeiro 2016 Summer Olympics games. BMC Musculoskelet Disord 21:45. https://doi.org/10.1186/s12891-020-3057-3
doi: 10.1186/s12891-020-3057-3
pubmed: 31959161
pmcid: 6972034
Wasserman MS, Guermazi A, Jarraya M et al (2018) Evaluation of spine MRIs in athletes participating in the Rio de Janeiro 2016 Summer Olympic Games. BMJ Open Sport Exerc Med 4. https://doi.org/10.1136/bmjsem-2017-000335
Jarraya M, Crema MD, Engebretsen L et al (2018) Epidemiology of imaging-detected tendon abnormalities in athletes participating in the Rio de Janeiro 2016 Summer Olympics. Br J Sports Med:52. https://doi.org/10.1136/bjsports-2017-098187
Hayashi D, Jarraya M, Engebretsen L et al (2018) Epidemiology of imaging-detected bone stress injuries in athletes participating in the Rio de Janeiro 2016 Summer Olympics. Br J Sports Med:52. https://doi.org/10.1136/bjsports-2017-098189
Heiss R, Guermazi A, Jarraya M, Engebretsen L, Roemer FW (2019) Prevalence of MRI-detected ankle injuries in athletes in the Rio de Janeiro 2016 Summer Olympics. Acad Radiol:26. https://doi.org/10.1016/j.acra.2019.02.001
Murakami AM, Kompel AJ, Engebretsen L et al (2018) The epidemiology of MRI detected shoulder injuries in athletes participating in the Rio de Janeiro 2016 Summer Olympics. BMC Musculoskelet Disord:19. https://doi.org/10.1186/s12891-018-2224-2
Crema MD, Jarraya M, Engebretsen L et al (2018) Imaging-detected acute muscle injuries in athletes participating in the Rio de Janeiro 2016 Summer Olympic Games. Br J Sports Med:52. https://doi.org/10.1136/bjsports-2017-098247
Alizai H, Engebretsen L, Jarraya M, Roemer FW, Guermazi A (2019) Elbow injuries detected on magnetic resonance imaging in athletes participating in the Rio de Janeiro 2016 Summer Olympic Games. J Comput Assist Tomogr:43. https://doi.org/10.1097/RCT.0000000000000929
Heiss R, Guermazi A, Jarraya M, Engebretsen L, Roemer FW (2018) The epidemiology of MRI-detected pelvic injuries in athletes in the Rio de Janeiro 2016 Summer Olympics. Eur J Radiol 105:56-64. https://doi.org/10.1016/j.ejrad.2018.05.029
Kompel AJ, Murakami AM, Engebretsen L et al (2018) MRI-detected sports-related knee injuries and abnormalities at the Rio de Janeiro 2016 summer Olympic Games. AJR Am J Roentgenol 211. https://doi.org/10.2214/AJR.17.19334
Derman W, Schwellnus M, Jordaan E et al (2013) Illness and injury in athletes during the competition period at the London 2012 Paralympic Games: development and implementation of a web-based surveillance system (WEB-IISS) for team medical staff. Br J Sports Med 47:420–425. https://doi.org/10.1136/bjsports-2013-092375
doi: 10.1136/bjsports-2013-092375
pubmed: 23537560
Derman W, Schwellnus MP, Jordaan E et al (2016) The incidence and patterns of illness at the Sochi 2014 Winter Paralympic Games: a prospective cohort study of 6564 athlete days. Br J Sports Med 50:1064–1068. https://doi.org/10.1136/bjsports-2016-096215
doi: 10.1136/bjsports-2016-096215
pubmed: 27162232
Derman W, Schwellnus M, Jordaan E (2014) Clinical characteristics of 385 illnesses of athletes with impairment reported on the web-IISS system during the London 2012 Paralympic games. PM R:6. https://doi.org/10.1016/j.pmrj.2014.05.016
Derman W, Runciman P, Schwellnus M et al (2018) High precompetition injury rate dominates the injury profile at the Rio 2016 Summer Paralympic Games: a prospective cohort study of 51 198 athlete days. Br J Sports Med 52:24–31. https://doi.org/10.1136/bjsports-2017-098039
doi: 10.1136/bjsports-2017-098039
pubmed: 29030389
Derman W, Runciman P, Jordaan E et al (2020) High incidence of injuries at the Pyeongchang 2018 Paralympic Winter Games: a prospective cohort study of 6804 athlete days. Br J Sports Med 54:38–43. https://doi.org/10.1136/bjsports-2018-100170
doi: 10.1136/bjsports-2018-100170
pubmed: 30796104
He W, Xiang DY, Dai JP (2011) Sonography in the 29th Olympic and Paralympic Games: a retrospective analysis. Clin Imaging 35:143–147. https://doi.org/10.1016/j.clinimag.2009.12.023
doi: 10.1016/j.clinimag.2009.12.023
pubmed: 21377054
Guermazi A, Roemer FW, Robinson P, Tol JL, Regatte RR, Crema MD (2017) Imaging of muscle injuries in sports medicine: sports imaging series. Radiology 282:646–663
Pollock N, James SLJ, Lee JC (2014) British athletics muscle injury classification: a new grading system. Br J Sports Med 48:1347–1351. https://doi.org/10.1136/bjsports-2013-093302
doi: 10.1136/bjsports-2013-093302
pubmed: 25031367
Kumar Y, Alian A, Ahlawat S, Wukich DK, Chhabra A (2017) Peroneal tendon pathology: pre- and post-operative high resolution US and MR imaging. Eur J Radiol 92:132–144
Nissman DB, Hobbs RH, Pope TL et al (2008) Imaging the knee: ligaments. Appl Radiol 37:25–32
Pathria MN, Chung CB, Resnick DL (2016) Acute and stress-related injuries of bone and cartilage: pertinent anatomy, basic biomechanics, and imaging perspective. Radiology 280:21–38
doi: 10.1148/radiol.16142305
Gorbachova T, Amber I, Beckmann NM et al (2019) Nomenclature of subchondral nonneoplastic bone lesions. AJR Am J Roentgenol 213:963–982. https://doi.org/10.2214/AJR.19.21571
doi: 10.2214/AJR.19.21571
pubmed: 31339354
Bethapudi S, Campbell RSD, Budgett R, Willick SE, de Vliet PV (2015) Imaging services at the Paralympic games London 2012: analysis of demand and distribution of workload. Br J Sports Med 49:20–24. https://doi.org/10.1136/bjsports-2013-093386
Bethapudi S, Budgett R, Engebretsen L, O’Connor P (2013) Imaging at London 2012 summer Olympic Games: analysis of demand and distribution of workload. In: British Journal of Sports Medicine. Br J Sports Med 47(13):850–856. https://doi.org/10.1136/bjsports-2013-092345
Magno E, Silva MP, Winckler C, Bilzon J, Duarte E (2013) Sports injuries in Paralympic track and field athletes with visual impairment. Med Sci Sports Exerc 45:908–913. https://doi.org/10.1249/MSS.0b013e31827f06f3
Willick SE, Cushman DM, Blauwet CA et al (2016) The epidemiology of injuries in powerlifting at the London 2012 Paralympic Games: an analysis of 1411 athlete-days. Scand J Med Sci Sports 26:1233–1238. https://doi.org/10.1111/sms.12554
doi: 10.1111/sms.12554
pubmed: 26453890
Soo Hoo J (2019) Shoulder pain and the weight-bearing shoulder in the wheelchair athlete. Sports Med Arthrosc 27:42–47
doi: 10.1097/JSA.0000000000000241
Tenforde AS, Brook EM, Broad E et al (2019) Prevalence and anatomical distribution of bone stress injuries in the elite para athlete. Am J Phys Med Rehabil 98:1036–1040. https://doi.org/10.1097/PHM.0000000000001287
doi: 10.1097/PHM.0000000000001287
pubmed: 31369404