Imaging-detected bone stress injuries at the Tokyo 2020 summer Olympics: epidemiology, injury onset, and competition withdrawal rate

Abstract Background Prevention and early detection of injuries are essential in optimising sport participation and performance. The aim of this study is to investigate the epidemiology, athlete injury history, and competition withdrawal rate of imaging-detected bone stress injuries during the Tokyo...

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Main Authors: Takuya Adachi, Hiroki Katagiri, Jae-Sung An, Lars Engebretsen, Ukihide Tateishi, Yukihisa Saida, Hideyuki Koga, Kazuyoshi Yagishita, Kentaro Onishi, Bruce B. Forster
Format: Article
Language:English
Published: BMC 2022-08-01
Series:BMC Musculoskeletal Disorders
Subjects:
Online Access:https://doi.org/10.1186/s12891-022-05725-8
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author Takuya Adachi
Hiroki Katagiri
Jae-Sung An
Lars Engebretsen
Ukihide Tateishi
Yukihisa Saida
Hideyuki Koga
Kazuyoshi Yagishita
Kentaro Onishi
Bruce B. Forster
author_facet Takuya Adachi
Hiroki Katagiri
Jae-Sung An
Lars Engebretsen
Ukihide Tateishi
Yukihisa Saida
Hideyuki Koga
Kazuyoshi Yagishita
Kentaro Onishi
Bruce B. Forster
author_sort Takuya Adachi
collection DOAJ
description Abstract Background Prevention and early detection of injuries are essential in optimising sport participation and performance. The aim of this study is to investigate the epidemiology, athlete injury history, and competition withdrawal rate of imaging-detected bone stress injuries during the Tokyo 2020 Olympic Games. Methods We collected and analysed imaging and clinical information in athletes with bone stress injuries diagnosed in the Olympic Village polyclinic during the Games. Two physicians independently and retrospectively reviewed all imaging examinations of bone stress injuries. Results A total of 11,315 individual athletes from 206 National Olympic Committees competed at the Games, during which 567 MRIs and 352 X-rays were performed at the Olympic Village polyclinic. Radiology examinations revealed four stress fractures and 38 stress reactions in 29 athletes (median age 24 years, range 18–35 years). Of these, 72% of athletes (n = 21) had symptoms before entering the Olympic Village. Bone stress injuries were most common in women (55%), the lower extremities (66%), and track and field athletes (45%). Six athletes (21%) did not start or did not finish their competitions. Conclusions This study revealed 42 imaging-detected bone stress injuries in the polyclinic of the Tokyo 2020 Olympic Village. The high proportion of athletes with symptoms before entering the village and the high proportion of competition withdrawals suggests the usefulness of an early MRI examination.
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spelling doaj.art-94d1ed62b26e42a99b3d1f52090bd3e12022-12-22T02:45:47ZengBMCBMC Musculoskeletal Disorders1471-24742022-08-012311710.1186/s12891-022-05725-8Imaging-detected bone stress injuries at the Tokyo 2020 summer Olympics: epidemiology, injury onset, and competition withdrawal rateTakuya Adachi0Hiroki Katagiri1Jae-Sung An2Lars Engebretsen3Ukihide Tateishi4Yukihisa Saida5Hideyuki Koga6Kazuyoshi Yagishita7Kentaro Onishi8Bruce B. Forster9Department of Diagnostic Radiology, Tokyo Medical and Dental UniversityDepartment of Joint Surgery and Sports Medicine, Tokyo Medical and Dental UniversityDepartment of Joint Surgery and Sports Medicine, Tokyo Medical and Dental UniversityOrthopedic Clinic, Oslo University Hospital and Oslo Sports Trauma Research Center, Norwegian School of Sport SciencesDepartment of Diagnostic Radiology, Tokyo Medical and Dental UniversityDepartment of Diagnostic Radiology, Tokyo Medical and Dental UniversityDepartment of Joint Surgery and Sports Medicine, Tokyo Medical and Dental UniversityClinical Center for Sports Medicine and Sports Dentistry, Tokyo Medical and Dental UniversityDepartment of Physical Medicine and Rehabilitation, University of PittsburghDepartment of Radiology, Faculty of Medicine, University of British ColumbiaAbstract Background Prevention and early detection of injuries are essential in optimising sport participation and performance. The aim of this study is to investigate the epidemiology, athlete injury history, and competition withdrawal rate of imaging-detected bone stress injuries during the Tokyo 2020 Olympic Games. Methods We collected and analysed imaging and clinical information in athletes with bone stress injuries diagnosed in the Olympic Village polyclinic during the Games. Two physicians independently and retrospectively reviewed all imaging examinations of bone stress injuries. Results A total of 11,315 individual athletes from 206 National Olympic Committees competed at the Games, during which 567 MRIs and 352 X-rays were performed at the Olympic Village polyclinic. Radiology examinations revealed four stress fractures and 38 stress reactions in 29 athletes (median age 24 years, range 18–35 years). Of these, 72% of athletes (n = 21) had symptoms before entering the Olympic Village. Bone stress injuries were most common in women (55%), the lower extremities (66%), and track and field athletes (45%). Six athletes (21%) did not start or did not finish their competitions. Conclusions This study revealed 42 imaging-detected bone stress injuries in the polyclinic of the Tokyo 2020 Olympic Village. The high proportion of athletes with symptoms before entering the village and the high proportion of competition withdrawals suggests the usefulness of an early MRI examination.https://doi.org/10.1186/s12891-022-05725-8FracturesStressOlympicsMagnetic resonance imagingRadiologyAthletes
spellingShingle Takuya Adachi
Hiroki Katagiri
Jae-Sung An
Lars Engebretsen
Ukihide Tateishi
Yukihisa Saida
Hideyuki Koga
Kazuyoshi Yagishita
Kentaro Onishi
Bruce B. Forster
Imaging-detected bone stress injuries at the Tokyo 2020 summer Olympics: epidemiology, injury onset, and competition withdrawal rate
BMC Musculoskeletal Disorders
Fractures
Stress
Olympics
Magnetic resonance imaging
Radiology
Athletes
title Imaging-detected bone stress injuries at the Tokyo 2020 summer Olympics: epidemiology, injury onset, and competition withdrawal rate
title_full Imaging-detected bone stress injuries at the Tokyo 2020 summer Olympics: epidemiology, injury onset, and competition withdrawal rate
title_fullStr Imaging-detected bone stress injuries at the Tokyo 2020 summer Olympics: epidemiology, injury onset, and competition withdrawal rate
title_full_unstemmed Imaging-detected bone stress injuries at the Tokyo 2020 summer Olympics: epidemiology, injury onset, and competition withdrawal rate
title_short Imaging-detected bone stress injuries at the Tokyo 2020 summer Olympics: epidemiology, injury onset, and competition withdrawal rate
title_sort imaging detected bone stress injuries at the tokyo 2020 summer olympics epidemiology injury onset and competition withdrawal rate
topic Fractures
Stress
Olympics
Magnetic resonance imaging
Radiology
Athletes
url https://doi.org/10.1186/s12891-022-05725-8
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