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Clinical Features - Review

Common injuries and ailments of the female athlete; pathophysiology, treatment and prevention

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Pages 403-411 | Received 27 Jul 2015, Accepted 08 Sep 2015, Published online: 12 Oct 2015

References

  • Carpenter LJ , Acosta RV . Women in intercollegiate sport: A longitudinal, national study thirty-five year update, 1977-2012. 2012. Available from http://www.acostacaprenter.org. Last accessed 22 April 2015
  • Longman J ; The New York Times. Before games, wins for women. 2012. Available from: http://www.nytimes.com/2012/07/14/sports/olympics/before-london-games-wins-for-women. [Last accessed 26 April 2015]
  • Miller MD , Thompson SR . DeLee and Drez’s orthopaedic sports medicine: Principles and practice. 4th edition. Philadelphia: Saunders/Elsevier; 2013. p 338–56
  • Zeller B , McCrory JL , Kibler WB , Uhl TL . Differences in kinematics and electromyographic activity between men and women during the single-legged squat. Am J Sports Med 2003;31:449–56
  • Arendt EA , Agel J , Dick R . Anterior cruciate ligament injury patterns among collegiate men and women. J Athl Train 1999;34:86–92
  • Sutton KM , Bullock JM . Anterior cruciate ligament rupture: differences between males and females. J Am Acad Orthop Surg 2013;21:41–50
  • Dolak KL , Silkman C , McKeon JM , Hosey RG , Lattermann C , Uhl TL . Hip strengthening prior to functional exercises reduces pain sooner than quadriceps strengthening in females with patellofemoral pain syndrome: a randomized clinical trial. J Orthop Sports Phys Ther 2011;41:560–70
  • Ireland ML , Willson JD , Ballantyne BT , Davis IM . Hip strength in females with and without patellofemoral pain. J Orthop Sports Phys Ther 2003;33:671–6
  • Mountjoy ML . Handbook of sports medicine and science: the female athlete. Hoboken: John Wiley and Sons, Inc; 2015
  • Otis CL , Drinkwater B , Johnson M , Loucks A , Wilmore J . ACSM position stand: the female athlete triad. Med Sci Sports Exerc 1997;29:i–ix
  • Yeager KK , Agostini R , Nattiv A , Drinkwater B . The female athlete triad: disordered eating, amenorrhea, and osteoporosis. Med Sci Sports Exerc 1993;25:775–7
  • Nattiv A , Loucks AB , Manore MM , Sanborn CF , Sundgot-Borgen J , Warren MP ; American College of Sports Medicine. American college of sports medicine position stand: the female athlete triad. Med Sci Sports Exerc 2007;39:1867–82
  • Griffin LY , Agel J , Albohm MJ , Arendt EA , Dick RW , Garrett WE , et al. Noncontact anterior cruciate ligament injuries: risk factors and prevention strategies. J Am Acad Orthop Surg 2000;8:141–50
  • Bråten M , Terjesen T , Rossvoll I . Femoral anteversion in normal adults: ultrasound measurements in 50 men and 50 women. Acta Orthop 1992;63:29–32
  • Sullivan JA , Anderson SJ . Care of the young athlete. Rosemont: American academy of orthopaedic Surgeons; 2000. p 138–48
  • Earl JE , Vetter CS . Patellofemoral Pain. Phys Med and Rehabil Clin N Am 2007;18:439–58
  • Shambaugh JP , Klein A , Herbert JH . Structural measures as predictors of injury basketball players. Med Sci Sports Exerc 1991;23:522–7
  • Cowan DN , Jones BH , Frykman PN , Polly DW Jr , Harman EA , Rosenstein RM , Rosenstein MT . Lower limb morphology and risk of overuse injury among male infantry recruits. Med Sci Sports Exerc 1996;28:945–52
  • Giugliano DN , Solomon JL . ACL tears in female athletes. Phys Med Rehabil Clin N Am 2007;18:417–38
  • Rauh MJ , Macera CA , Trone DW , Reis JP , Shaffer RA . Selected static anatomic measures predict overuse injuries in female recruits. Mil Med 2010;175:329–35
  • DeJour H , Walch G , Nove-Jousserand L , Guier C . Factors of patellar instability: An anatomic radiographic study. Knee Surg Sports Traumatol Arthrosc 1994;2:19–28
  • Grelsamer RP , Dubey A , Weinstein CH . Men and women have similar Q angles: a clinical and trigonometric evaluation. J Bone Joint Surg (Br) 2005;87:1498–501
  • Loudon JK , Jenkins W , Loudon K . The relationship between static posture and ACL injury in female athletes. J Orthop Sports Phys Ther 1996;24:91–7
  • Willson JD , Ireland MD , Davis I . Core strength and lower extremity alignment during single leg squats. Med Sci Sports and Exerc 2006;38:945–52
  • Lephart S , Ferris C , Riemann B , Meyers J , Fu F . Gender differences in strength and lower extremity kinematics during landing. Clin Orthop Rel Res 2002;401:162–9
  • Ireland ML . Anterior cruciate ligament injury in female athletes: epidemiology. J Athl Train 1999;34:150–4
  • Hideyuki K , Nakamae A , Shima Y , Iwasa J , Myklebust G , Engebretsen L , et al. Mechanisms for noncontact anterior cruciate ligament injuries knee joint kinematics in 10 injury situations from female team handball and basketball. Am J Sports Med 2010;38:2218–25
  • Arendt E , Dick R . Knee injury patterns among men and women in collegiate basketball and soccer: NCAA data and review of literature. Am J Sports Med 1995;23:694–701
  • Conley S , Rosenberg A , Crowninshield R . The female knee: Anatomic variations. J Am Acad Orthop Surg 2007;15:S31–6
  • Nguyen AD , Boling MC , Levine B , Shultz SJ . Relationships between lower extremity alignment and the quadriceps angle. Clin J SportMed 2009;19:201–6
  • Soderman K , Alfredson H , Pietila T , et al. Risk factors for leg injuries in female soccer players: a prospective investigation during one out-door season. Knee Surg Sports Traumatol Arthrosc 2001;9:313–21
  • LaPrade RF , Burnett II QM , Daniel DM . Femoral intercondylar notch stenosis and correlation to anterior cruciate ligament injuries: a prospective study. Am J Sports Med 1994;22:198–203
  • Souryal TO , Freeman TR . Intercondylar notch size and anterior cruciate ligament injuries in athletes: a prospective study. Am J Sports Med 1993;21:535–9
  • LaPrade RF , Burnett QM . Femoral intercondylar notch stenosis and correlation to anterior cruciate ligament injuries: A prospective study. Am J Sports Med 1994;22:198–203
  • Ireland ML , Ballantyne BT , Little K , McClay IS . A radiographic analysis of the relationship between the size and shape of the intercondylar notch and anterior cruciate ligament injury. Knee Surg Sports Traumatol Arthrosc 2001;9:200–20
  • Hewett TE , Zazulak BT , Myer GD , Ford KR . A review of electromyographic activation levels, timing differences, and increased anterior cruciate ligament injury incidence in female athletes. Br J Sports Med 2005;39:347–50
  • Zazulak BT , Hewett TE , Reeves NP , Goldberg B , Cholewicki J . The effects of core proprioception on knee injury: A prospective biomechanical- epidemiological study. Am J Sports Med 2007;35:368–73
  • Willson JD , Dougherty CP , Ireleand ML , Davis IM . Core stability and its relationship to lower extremity function and injury. J Am Acad Orthop Surgeons 2005;13:316–25
  • Yu WD , Panossian V , Hatch JD , Liu SH , Finerman GA . Combined effects of estrogen and progesterone on the anterior cruciate ligament. Clin Orthop Relat Res 2001;383:268–81
  • Griffin LY , Albohm MJ , Arendt EA , Bahr R , Beynnon BD , Demaio M , et al. Understanding and preventing noncontact anterior cruciate ligament injuries: A review of the Hunt Valley II meeting, January 2005. Am J Sports Med 2006;34:1512–32
  • Posthumus M , September AV , O’Cuinneagain D , van der Merwe W , Schwellnus MP , Collins M . The COL5A1 gene is associated with increased risk of anterior cruciate ligament ruptures in female participants. Am J Sports Med 2009;37:2234–40
  • Renstrom P , Ljungqvist A , Arendt E , Beynnon B , Fukubayashi T , Garrett W , et al. Non-contact ACL injuries in female athletes: An International Olympic Committee current concepts statement. Br J Sports Med 2008;42:394–412
  • Frobell RB , Lohmander LS , Roosn HP . Acute rotational trauma to the knee: poor agreement between clinical assessment and magnetic resonance imaging findings. Scand J Med Science Sports 2007;17:109–14
  • Spindler KP , Parker RD , Andrish JT , Kaeding CC , Wright RW , Marx RG , et al. Prognosis and predictors of ACL reconstructions using the MOON cohort: a model for comparative effectiveness studies. J Orthop Res 2013;31:2–9
  • Linko E , Harilainen A , Malmivaara A , Seitsalo S . Surgical versus conservative interventions for anterior cruciate ligament ruptures in adults. Cochrane Database Syst Rev 2005 ;( 2 ): CD001356
  • Mandelbaum BR , Silvers HJ , Watanabe DS , Knarr JF , Thomas SD , Griffin LY , et al. Effectiveness of a neuromuscular and proprioceptive training program in preventing anterior cruciate ligament injuries in female athletes: 2-year follow-up. Am J Sports Med 2005;33:1003–10
  • Hewett TE , Ford KR , Myer GD . Anterior cruciate ligament injuries in female athletes: Part 2. A meta-analysis of neuromuscular interventions aimed at injury prevention. Am J Sports Med 2006;34:490–8
  • Hewett TE , Lindenfeld TN , Riccobene JV , Noyes FR . The effect of neuromuscular training on the incidence of knee injury in female athletes: A prospective study. Am J Sports Med 1999;27:699–706
  • Bien DP . Rationale and implementation of anterior cruciate ligament injury prevention warm-up programs in female athletes. J Strength Cond Res 2011;25:271–85
  • Boucher J , King MA , Lefebvre R , Pepin A . Quadriceps femoris muscle activity in patellofemoral pain syndrome. Am J Sports Med 1992;20:527–32
  • Kannus P , Niittymaki S . Which factors predict outcome in nonoperative treatment of patellofemoral pain syndrome? A prospective follow-up study. Med Sci Sports Exerc 1994;26:289–96
  • Witvrouw E , Lysens R , Bellemens J , Cambier D , Vanderstraeten G . Intrinsic risk factors for the development of anterior knee pain in an athletic population: A two year prospective study. Am J Sports Med 2000;28:480–9
  • Boling MC , Padua D , Marshall S , Guskiewicz K , Pyne S , Beutler A . Gender differences in the incidence and prevalence of patellofemoral pain syndrome. Scand J Med Sci Sports 2010;20:725–30
  • Taunton JE . A retrospective case-control analysis of 2002 running injuries. Br J Sports Med 2002;36:95–101
  • Besier TF , Gold GE , Beaupre GS , Delp SL . A modeling framework to estimate patellofemoral joint cartilage stress in vivo. Med Sci Sports Exerc 2005;37:1924–30
  • Hunter L . Women’s athletics: The orthopaedic surgeons point of view. Clin Sports Med 1984;3:809–27
  • Willy RW , Manal KT , Witvrouw EE , Davis IS . Are mechanics different between male and female runners with patellofemoral pain? Med Sci Sports Exerc 2012;44:2165–71
  • Milgrom C , Finestone A , Eldad A , Shlamkovitch N . Patellofemoral pain caused by overactivity. A prospective study of risk factors in infantry recruits. J Bone Joint Surg Am 1991;73:1041–3
  • Witvrouw E , Lysens R , Bellemans J , Cambier D , Vanderstraeten G . Intrinsic risk factors for the development of anterior knee pain in an athletic population: a two-year prospective study. Am J Sports Med 2000;28:480–9
  • Palmieri-Smith RM , McLean SG , Ashton-Miller JA , Wojtys EM . Association of quadriceps and hamstrings cocontraction patterns with knee joint loading. J Athl Train 2009;44:256–63
  • Boling MC , Padua DA , Marshall SW , Guskiewicz K , Pyne S , Beutler A . A prospective investigation of biomechanical risk factors for patellofemoral pain syndrome the joint undertaking to monitor and prevent ACL injury (JUMP-ACL) cohort. Am J Sports Med 2009;37:2108–16
  • Cichanowski HR , John SS , Rob JJ , Paul EN . Hip strength in collegiate female athletes with patellofemoral pain. Med Sci Sports Exerc 2007;39:1227–32
  • Earl JE , Hoch AZ . A proximal strengthening program improves pain, function, and biomechanics in women with patellofemoral pain syndrome. Am J Sports Med 2011;39:154–63
  • Dolak KL , Silkman C , McKeon JM , Hosey RG , Lattermann C , Uhl TL . Hip strengthening prior to functional exercises reduces pain sooner than quadriceps strengthening in females with patellofemoral pain syndrome: a randomized clinical trial. J Orthop Sports Phys Ther 2011;41:560–70
  • Fukuda TY , Rossetto FM , Magalhães E , Bryk FF , Lucareli PR , de Almeida Aparecida Carvalho N . Short-term effects of hip abductors and lateral rotators strengthening in females with patellofemoral pain syndrome: a randomized controlled clinical trial. J Orthop Sports Phys Ther 2010;40:736–42
  • Hame SL , La Femina JM , McAllister DR , Schaadt GW , Dorey FJ . Fractures in the collegiate athlete. Am J Sports Med 2004;32:446–52
  • Jones BH , Cowan DN , Tomlinson JP , Robinson JR , Polly DW , Frykman PN . Epidemiology of injuries associated with physical training among young men in the army. Med Sci Sports Exerc 1993;25:197–206
  • Arendt E . Stress fractures and the female athlete. Clin Orthop Related Res 2000;372:131–8
  • Markey KI . Stress Fractures. Clin Sports Med 1987;6:405–25
  • Giladi M , Milgrom C , Simkin A , Stein M , Kashtan H , Margulies J , et al. Stress fractures and tibial bone width: A risk factor. J Bone Joint Surg Br 1987;69B:326–9
  • Bennell KL , Thomas SA , Reid SJ , Reid SJ , Brukner PD , Ebeling PR , Wark JD . Risk factors for stress fractures in track and field athletes a twelve-month prospective study. Am J Sports Med 1996;24:810–18
  • Behrens SB , Deren ME , Matson A , Fadale PD , Monchik KO . Stress fractures of the pelvis and legs in athletes: a review. Sports Health 2013;5:165–74
  • American Academy of Family Physicians, American College of Sports Medicine, American Society for Sports Medicine, American Osteopathic Academy of Sports Medicine . Female athlete issues for the team physician: a consensus statement. Med Sci Sports Exerc 2003;35:1785–93
  • Rauh MJ , Macera CA , Trone DW , Shaffer RA , Brodine SK . Epidemiology of stress fracture and lower extremity overuse injury in female recruits. Med Sci Sports Exerc 2006;38:1571–7
  • Layne JE , Nelson ME . The effects of progressive resistance training on bone density: A review. Med Sci Sports Exerc 1999;31:25–30
  • Byrne S , McLean N . Elite athletes: effects of the pressure to be thin. J Sci Med Sports 2002;5:80–94
  • Sundgot-Borgen J , Torstveit MK . Prevalence of eating disorders in elite athletes is higher than in the general population. Clin J Sports Med 2004;14:25–32
  • Mountjoy M , Sundgot-Borgen J , Burke L , Carter S , Constantini N , Lebrun C , et al. The IOC consensus statement: beyond the female athlete triad—relative energy deficiency in sport (RED-S). Br J Sports Med 2014;48:491–7
  • Orio F , Muscogiuri G , Ascione A , Marciano F , Volpe A , La Sala G , et al. Effects of physical exercise on the female reproductive system. Minerva Endocrinol 2013;38:305–19
  • Hubert P , King NA , Blundell JE . Uncoupling the effects of energy expenditure and energy intake: appetite response to short-term energy deficit induced by meal omission and physical activity. Appetite 1998;31:9–19
  • Loucks AB , Mortola JF , Girton L , Yen SSC . Alterations in the hypothalamic-pituitary-ovarian and the hypothalamic-pituitary-adrenal axes in athletic women. J Clin Endocrinol Metab 1989;68:402–11
  • Fenichel RM , Warren MP . Anorexia, bulimia, and the athletic triad: evaluation and management. Curr Ostoporosis Rep 2007;5:160–4
  • Bennell KG , Matheson G , Meeuwisse W , Bruckner P . Risk factors for stress fracture. Sports Med 1999;28:91–122
  • Javed A , Tebben PJ , Fischer PR , Lteif AN . Female athlete triad and its components: Toward improved screening and management. Mayo Clinic Proc 2013;88:996–1009
  • Jannike O , Torstveit MK , Sundgot-Borgen J . Self-reported versus diagnosed stress fractures in Norwegian female elite athletes. J Sports Sci Med 2009;8:130–5

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