Higher frequency of hamstring injuries in elite track and field athletes who had a previous injury to the ankle - a 17 years observational cohort study

Abstract Background Inversion injury to the ankle and hamstring injuries are common problems in most sports. It is not known whether these injuries constitute a predisposing factor or a precursor of injury or re-injury of these anatomical locations. Therefore, we wished to test the hypothesis that a...

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Main Authors: Nikolaos Malliaropoulos, Georgios Bikos, Maria Meke, Korakakis Vasileios, Xavier Valle, Heinz Lohrer, Nicola Maffulli, Nat Padhiar
Format: Article
Language:English
Published: Wiley 2018-02-01
Series:Journal of Foot and Ankle Research
Subjects:
Online Access:http://link.springer.com/article/10.1186/s13047-018-0247-4
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author Nikolaos Malliaropoulos
Georgios Bikos
Maria Meke
Korakakis Vasileios
Xavier Valle
Heinz Lohrer
Nicola Maffulli
Nat Padhiar
author_facet Nikolaos Malliaropoulos
Georgios Bikos
Maria Meke
Korakakis Vasileios
Xavier Valle
Heinz Lohrer
Nicola Maffulli
Nat Padhiar
author_sort Nikolaos Malliaropoulos
collection DOAJ
description Abstract Background Inversion injury to the ankle and hamstring injuries are common problems in most sports. It is not known whether these injuries constitute a predisposing factor or a precursor of injury or re-injury of these anatomical locations. Therefore, we wished to test the hypothesis that a previous inversion ankle injury exerted a significant effect on the chance of an athlete suffering from a subsequent ipsilateral hamstring injury and vice versa. Methods In an observational cohort study over 17 years (1998–2015), 367 elite track and field athletes, were grouped according to their first traumatic isolated ankle or hamstring injury. Fifty athletes experienced both injuries. The Mann-Whitney U and Chi-square tests (p < 0.05) were performed to test possible associations of ankle and hamstring injury with age, gender, athletics discipline, grade, and type of antecedent injury. Results Athletes with a preceding ankle injury had a statistically significantly higher chance of experiencing a subsequent hamstring injury compared with athletes who had experienced a hamstring injury as their first traumatic event (x2 = 4.245, p = 0.039). The proportion of both ankle and hamstring injury events was not statistically different between female (18%) and male (11%) athletes. Age and grade of injury did not influence the proportion of ankle and/or hamstring injury events. Conclusion There is a statistically significantly higher frequency of hamstring injuries in elite track and field athletes having experienced a previous ankle ligament injury.
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spelling doaj.art-ab1bf80316f74f8498182a4646fcddd02024-04-03T10:35:24ZengWileyJournal of Foot and Ankle Research1757-11462018-02-011111810.1186/s13047-018-0247-4Higher frequency of hamstring injuries in elite track and field athletes who had a previous injury to the ankle - a 17 years observational cohort studyNikolaos Malliaropoulos0Georgios Bikos1Maria Meke2Korakakis Vasileios3Xavier Valle4Heinz Lohrer5Nicola Maffulli6Nat Padhiar7Sports and Exercise Medicine ClinicNational Track & Field Centre, Sports Medicine ClinicSports and Exercise Medicine ClinicAspetar, Orthopaedic and Sports Medicine HospitalFootball Club Barcelona, Medical DepartmentEuropean SportsCare NetworkWilliam Harvey Research Institute, Centre for Sports and Exercise, Barts and The London School of Medicine and Dentistry, Queen Mary, University of LondonEuropean Sports CareAbstract Background Inversion injury to the ankle and hamstring injuries are common problems in most sports. It is not known whether these injuries constitute a predisposing factor or a precursor of injury or re-injury of these anatomical locations. Therefore, we wished to test the hypothesis that a previous inversion ankle injury exerted a significant effect on the chance of an athlete suffering from a subsequent ipsilateral hamstring injury and vice versa. Methods In an observational cohort study over 17 years (1998–2015), 367 elite track and field athletes, were grouped according to their first traumatic isolated ankle or hamstring injury. Fifty athletes experienced both injuries. The Mann-Whitney U and Chi-square tests (p < 0.05) were performed to test possible associations of ankle and hamstring injury with age, gender, athletics discipline, grade, and type of antecedent injury. Results Athletes with a preceding ankle injury had a statistically significantly higher chance of experiencing a subsequent hamstring injury compared with athletes who had experienced a hamstring injury as their first traumatic event (x2 = 4.245, p = 0.039). The proportion of both ankle and hamstring injury events was not statistically different between female (18%) and male (11%) athletes. Age and grade of injury did not influence the proportion of ankle and/or hamstring injury events. Conclusion There is a statistically significantly higher frequency of hamstring injuries in elite track and field athletes having experienced a previous ankle ligament injury.http://link.springer.com/article/10.1186/s13047-018-0247-4Ankle injuriesHamstring injuriesTrack and field athletesSports injuries
spellingShingle Nikolaos Malliaropoulos
Georgios Bikos
Maria Meke
Korakakis Vasileios
Xavier Valle
Heinz Lohrer
Nicola Maffulli
Nat Padhiar
Higher frequency of hamstring injuries in elite track and field athletes who had a previous injury to the ankle - a 17 years observational cohort study
Journal of Foot and Ankle Research
Ankle injuries
Hamstring injuries
Track and field athletes
Sports injuries
title Higher frequency of hamstring injuries in elite track and field athletes who had a previous injury to the ankle - a 17 years observational cohort study
title_full Higher frequency of hamstring injuries in elite track and field athletes who had a previous injury to the ankle - a 17 years observational cohort study
title_fullStr Higher frequency of hamstring injuries in elite track and field athletes who had a previous injury to the ankle - a 17 years observational cohort study
title_full_unstemmed Higher frequency of hamstring injuries in elite track and field athletes who had a previous injury to the ankle - a 17 years observational cohort study
title_short Higher frequency of hamstring injuries in elite track and field athletes who had a previous injury to the ankle - a 17 years observational cohort study
title_sort higher frequency of hamstring injuries in elite track and field athletes who had a previous injury to the ankle a 17 years observational cohort study
topic Ankle injuries
Hamstring injuries
Track and field athletes
Sports injuries
url http://link.springer.com/article/10.1186/s13047-018-0247-4
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