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Clinical Features - Original Research

A systematic review of injuries in gymnastics

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Pages 96-121 | Received 26 Apr 2018, Accepted 20 Sep 2018, Published online: 08 Oct 2018

References

  • [ cited 2018 Aug 10]. Available from: http://www.fig-gymnastics.com/site
  • [ cited 2018 Aug 10]. Available from: http://www.fig-gymnastics.com/site/pages/disciplines/pres-pk.php
  • [ cited 2018 Aug 10]. Available from: http://www.fig-gymnastics.com/publicdir/rules/files/tra/TRA-CoP_2017-2020-e.pdf
  • Meeusen R, Borms J. Gymnastic injuries. Sports Med. 1992 May;13(5):337–356.
  • Caine DJ, Nassar L. Gymnastics injuries. Med Sport Sci. 2005;48:18–58.
  • Bradshaw EJ, Hume PA. Biomechanical approaches to identify and quantify injury mechanisms and risk factors in women’s artistic gymnastics. Sports Biomech. 2012;11(3):324–341.
  • Fong DT, Hong Y, Chan LK, et al. A systematic review on ankle injury and ankle sprain in sports. Sports Med. 2007;37(1):73–94.
  • Sobhani S, Dekker R, Postema K, et al. Epidemiology of ankle and foot overuse injuries in sports: a systematic review. Scand J Med Sci Sports. 2013;23(6):669–686.
  • Kox LS, Kuijer PP, Kerkhoffs GM, et al. Prevalence, incidence and risk factors for overuse injuries of the wrist in young athletes: a systematic review. Br J Sports Med. 2015;49(18):1189–1196.
  • McGowan J, Sampson M, Salzwedel DM, et al. PRESS Peer Review of Electronic Search Strategies: 2015 guideline explanation and elaboration (PRESS E&E) January 2016. [ cited 2018 Aug 25]. Available from: https://www.cadth.ca/sites/default/files/pdf/CP0015_PRESS_Update_Report_2016.pdf
  • Canadian Agency for Drugs and Technology in Health. Finding the evidence: literature searching tools in support of systematic reviews. (9 April 2013) [ cited 2018 Aug 10]. Available from: https://www.cadth.ca/resources/finding-evidence
  • Gerhardt C, Doyscher R, Boschert HP, et al. Die turnerschulter. {The gymnastics shoulder]. Orthopäde. 2014;43(3):230–235.
  • Heitkamp HC, Horstmann T. Wirbelsäulenbeschwerden und -verletzungen sowie sportmedizinische Untersuchungen bei Nachwuchsleistingsturnerinnen. [Discomforts and injuries of the spine and medical examinations in young talented female gymnasts]. Sportverletzung Sportschaden. 2005;19(2):77–81.
  • Knobloch K, Jagodzinski M, Haasper C, et al. Turnunfälle im Schulsport – ansätze für preventive Maßnahmen. [Gymnastic school sport injuries––aspects of preventive measures]. Sportverletzung Sportschaden. 2006;20(2):81–85.
  • Konermann W, Sell S. Die Wirbelsäule – eine problemzone im kunstturnenhochleistungssport. Eine retrospektive analyse von 24 ehemaligen kunstturnerinnen des Deutschen A-Kaders [The spine–a problem area in high performance artistic gymnastics. A retrospective analysis of 24 former artistic gymnasts of the German A team]. Sportverletz Sportschaden. 1992;6(4):156–160.
  • Kraft CN, Scharfstadt A, Yong M, et al. Zusammenhang zwischen Rückenschmerzen und kernspintomographischen LWS-Befunden bei Hochleistungsvoltigieren [Correlation of back pain and magnetic resonance imaging of the lumbar spine in elite horse vaulters]. Sportverletz Sportschaden. 2007;21(3):142–147.
  • Vogel H, Pilz D, Dahms FC. Ermüdungsbruch des Kalkaneus nach Aerobic-gymnastik. [Stress fracture of the calcaneus following aerobic gymnastics]. Z Orthop Ihre Grenzgeb. 1985;123(1):69–71.
  • Madani T, Hani R, Karabila MA, et al. [Bilateral dislocation erecta: report of a case]. Pan Afr Med J. 2015;22:316.
  • Belmoubarik A, Abouchane M, Mahraoui MA. Cas rare de rupture bilatérale des temdons d’Achille sans notion de tendinopathie ou de chirurgie de la cheville chez un jeun sportif: à propos d’un cas et revue de la literature [sic; N.B. should be littérature] [Rare case of bilateral rupture of the Achilles tendon with no notion of tendinopathy or ankle surgery in a young athlete: report of a case and review of literature]. Pan Afr Med J. 2015;20:223.
  • Edouard P, Steffen K, Junge A, et al. Gymnastics injury incidence during the 2008, 2012 and 2016 olympic games: analysis of prospectively collected surveillance data from 963 registered gymnasts during olympic games. Br J Sports Med. 2017;pii. bjsports-2017-097972. DOI:10.1136/bjsports-2017-097972
  • Andrish JT. Knee injuries in gymnastics. Clin Sports Med. 1985;4(1):111–121.
  • Bak K, Kalms SB, Jørgensen U. Epidemiology of injuries in gymnastics. Scand J Med Sci Sports. 1994;4:148–154.
  • Bennett DL, Nassar L, DeLano MC. Lumbar spine MRI in the elite-level female gymnast with low back pain. Skeletal Radiol. 2006;35(7):503–509.
  • Biener K, Fasler S, Villiger B. Unfälle beim Kunstturnen. [Accidents in gymnastics]. Schweiz Z Sportmed. 1976;24(4):239–253.
  • Caine D, Knutzen K, Howe W, et al. A three-year epidemiological study of injuries affecting young female gymnasts. Phys Ther Sport. 2003;4:10–23.
  • Caine D, Cochrane B, Caine C, et al. An epidemiologic investigation of injuries affecting young competitive female gymnasts. Am J Sports Med. 1989;17(6):811–820.
  • Chang CY, Shih C, Penn IW, et al. Wrist injuries in adolescent gymnasts of a Chinese opera school: radiographic survey. Radiology. 1995;195(3):861–864.
  • Dixon M, Fricker P. Injuries to elite gymnasts over 10 yr. Med Sci Sports Exerc. 1993;25(12):1322–1329.
  • Dwek JR, Cardoso F, Chung CB. MR imaging of overuse injuries in the skeletally immature gymnast: spectrum of soft-tissue and osseous lesions in the hand and wrist. Pediatr Radiol. 2009;39(12):1310–1316.
  • Emerson C, Morrissey D, Perry M, et al. Ultrasonographically detected changes in Achilles tendons and self reported symptoms in elite gymnasts compared with controls–an observational study. Manual Ther. 2010;15(1):37–42.
  • Garrick JG, Requa RK. Epidemiology of women’s gymnastics injuries. Am J Sports Med. 1980;8(4):261–264.
  • Goldstein JD, Berger PE, Windler GE, et al. Spine injuries in gymnasts and swimmers. An epidemiologic investigation. Am J Sports Med. 1991;19(5):463–468.
  • Harringe ML, Renström P, Werner S. Injury incidence, mechanism and diagnosis in top-level teamgym: a prospective study conducted over one season. Scand J Med Sci Sports. 2007;17(2):115–119.
  • Jackson DS, Furman WK, Berson BL. Patterns of injuries in college athletes: a retrospective study of injuries sustained in intercollegiate athletics in two colleges over a two-year period. Mt Sinai J Med. 1980;47(4):423–426.
  • Kerr ZY, Kroshus E, Grant J, et al. Epidemiology of national collegiate athletic association men’s and women’s cross-country injuries, 2009-2010 through 2013-2014. J Athl Train. 2015;51(1):57–64.
  • Kirialanis P, Malliou P, Beneka A, et al. Injuries in artistic gymnastic elite adolescent male and female athletes. J Back Musculoskelet Rehabil. 2002;16(4):145–151.
  • Kirialanis P, Malliou P, Beneka A, et al. Occurrence of acute lower limb injuries in artistic gymnasts in relation to event and exercise phase. Br J Sports Med. 2003;37(2):137–139.
  • Lindner KJ, Caine DJ. Injury patterns of female competitive club gymnasts. Can J Sport Sci. 1990;15(4):254–261.
  • Weicker GG. Injuries in club gymnastics. Phys Sportsmed. 1985;13(4):63.66.
  • Marshall SW, Covassin T, Dick R, et al. Descriptive epidemiology of collegiate women’s gymnastics injuries: national collegiate athletic association injury surveillance system, 1988-1989 through 2003-2004. J Athl Train. 2007;42(2):234–240.
  • Priest JD, Weise DJ. Elbow injury in women’s gymnastics. Am J Sports Med. 1981;9(5):288–289.
  • Sands WA, Shultz BB, Newman AP. Women’s gymnastics injuries. A 5-year study. Am J Sports Med. 1993;21(2):271–276.
  • Singh S, Smith GA, Fields SK, et al. Gymnastics-related injuries to children treated in emergency departments in the United States, 1990-2005. Pediatrics. 2008;121(4):e954–60.
  • Snook GA. Injuries in women’s gymnastics. A 5-year study. Am J Sports Med. 1979;7(4):242–244.
  • Swärd L, Hellström M, Jacobsson B, et al. Disc degeneration and associated abnormalities of the spine in elite gymnasts. A magnetic resonance imaging study. Spine. 1991;16(4):437–443.
  • Tanchev PI, Dzherov AD, Parushev AD, et al. Scoliosis in rhythmic gymnasts. Spine. 2000;25(11):1367–1372.
  • Wadley GH, Albright JP. Women’s intercollegiate gymnastics. Injury patterns and “permanent” medical disability. Am J Sports Med. 1993;21(2):314–320.
  • Westermann RW, Giblin M, Vaske A, et al. Evaluation of men’s and women’s gymnastics injuries: a 10-year observational study. Sports Health. 2015;7(2):161–165.
  • Caplan J, Julien TP, Michelson J, et al. Multidirectional instability of the shoulder in elite female gymnasts. Am J Orthop. 2007;36(12):660–665.
  • Coates C, McMurtry CM, Lingley-Pottie P, et al. The prevalence of painful incidents among young recreational gymnasts. Pain Res Manag. 2010;15(3):179–184.
  • Cupisti A, D’Alessandro C, Evangelisti I, et al. Injury survey in competitive sub-elite rhythmic gymnasts: results from a prospective controlled study. J Sports Med Phys Fitness. 2007;47(2):203–207.
  • Cupisti A, D’Alessandro C, Evangelisti I, et al. Low back pain in competitive rhythmic gymnasts. J Sports Med Phys Fitness. 2004;44(1):49–53.
  • De Carli A, Mossa L, Larciprete M, et al. The gymnast’s shoulder MRI and clinical findings. J Sports Med Phys Fitness. 2012;52(1):71–79.
  • Dexel J, Marschner K, Beck H, et al. Comparative study of elbow disorders in young high-performance gymnasts. Int J Sports Med. 2014;35(11):960–965.
  • Felländer-Tsai L, Wredmark T. Injury incidence and cause in elite gymnasts. Arch Orthop Trauma Surg. 1995;114(6):344–346.
  • Grapton X, Lion A, Gauchard GC, et al. Specific injuries induced by the practice of trampoline, tumbling and acrobatic gymnastics. Knee Surg Sports Traumatol Arthrosc. 2013;21(2):494–499.
  • Kolar E, Pavletič MS, Smrdu M, et al. Athletes’ perception of the causes of injury in gymnastics. J Sports Med Phys Fitness. 2017;57(5):703–710.
  • Kolt GS, Kirkby RJ. Epidemiology of injury in Australian female gymnasts. Res Sports Med. 1995;6(3):223–231.
  • Kolt GS, Kirkby RJ. Epidemiology of injury in elite and subelite female gymnasts: a comparison of retrospective and prospective findings. Br J Sports Med. 1999;33(5):312–318.
  • Madden CC, Kirkby RJ, McDonald D. Coping styles of competitive middle distance runners. Int J Sport Psychol. 1989;20:287–296.
  • Lowry CB, Leveau BF. A retrospective study of gymnastics injuries to competitors and noncompetitors in private clubs. Am J Sports Med. 1982;10(4):237–239.
  • Mackie SJ, Taunton JE. Injuries in female gymnasts. Phys Sportsmed. 1994;22(8):40–45.79.
  • O’Kane JW, Levy MR, Pietila KE, et al. Survey of injuries in Seattle area levels 4 to 10 female club gymnasts. Clin J Sport Med. 2011;21(6):486–492.
  • Pettrone FA, Ricciardelli E. Gymnastic injuries: the Virginia experience 1982-1983. Am J Sports Med. 1987;15(1):59–62.
  • Piazza M, Di Cagno A, Cupisti A, et al. Prevalence of low back pain in former rhythmic gymnasts. J Sports Med Phys Fitness. 2009;49(3):297–300.
  • Purnell M, Shirley D, Nicholson L, et al. Acrobatic gymnastics injury: occurrence, site and training risk factors. Phys Ther Sport. 2010;11(2):40–46.
  • Sabeti M, Jeremian L, Graf A, et al. Elite level rhythmic gymnasts have significantly more and stronger pain than peers of similar age: a prospective study. Wien Klin Wochenschr. 2015;127(1–2):31–35.
  • Aydoğ ST, Özçakar L, Demiryürek D, et al. An intervening thoracic outlet syndrome in a gymnast with levator claviculae muscle. Clin J Sport Med. 2007;17(4):323–325.
  • Blatnik TR, Briskin S. Bilateral knee pain in a high-level gymnast. Clin J Sport Med. 2013;23(1):77–79.
  • Carson JT, McCambridge TM, Carrino JA, et al. Case report: bilateral proximal epiphyseal clavicular stress-related lesions in a male gymnast. Clin Orthop. 2012;470(1):307–311.
  • Chilvers M, Donahue M, Nassar L, et al. Foot and ankle injuries in elite gymnasts. Foot Ankle Int. 2007;28(2):214–218.
  • Danneker DA, Mandetta DF, Rockower R. Case report: intra-abdominal injury in a gymnast. Phys Sportsmed. 1979;7(6):119–120.
  • De Broucker T, Amazan C, Forys E, et al. Dissection d’une artère vertébrale au décours d’une séance de gymnastique. [Dissection of a vertebral artery during gymnastics]. Presse Med. 1990;19(4):176.
  • Del Pizzo W, Norwood LA, Jobe FW, et al. Rupture of the biceps tendon in gymnastics: a case report. Am J Sports Med. 1978;6(5):283–286.
  • Evans RF. Tetraplegia caused by gymnastics. Br Med J. 1979;2(6192):732.
  • Fujioka H, Tsunemi K, Tanaka J. Bilateral stress fractures of the radial styloid processes in a gymnast. J Hand Surg Eur Vol. 2010;35(3):243–244.
  • Fujioka H, Nishikawa T, Koyama S, et al. Stress fractures of bilateral clavicles in an adolescent gymnast. J Shoulder Elbow Sur. 2014;23(4):e88–90.
  • Greenberg E, Wells L. Hip joint capsule disruption in a young female gymnast. J Orthop Sports Phys Ther. 2010;40(11):761.
  • Grumet RC, Friel NA, Cole BJ. Bony avulsion of the medial ulnar collateral ligament in a gymnast: a case report. J Shoulder Elbow Surg. 2010;19(7):e1–6.
  • Huckaby MC, Kruse D, Gibbs LH. MRI findings of bilateral proximal radial physeal injury in a gymnast. Pediatr Radiol. 2012;42(11):1395–1400.
  • Imai Y, Kitano T, Nakagawa K, et al. Calcaneal apophyseal avulsion fracture. Arch Orthop Trauma Surg. 2007;127(5):331–333.
  • Jha SC, Sakai T, Hangai M, et al. Stress fracture of the thoracic spine in an elite rhythmic gymnast: a case report. J Med Invest. 2016;63(1–2):119–121.
  • Jung ST, Cho SB, Kim MS, et al. Calcaneal apophyseal fractures in young athletes: two case reports. J Pediatr Orthop B. 2008;17(1):11–14.
  • Kaneko K, Matsuda T, Mogami A, et al. Type III fracture of the tibial tubercle with avulsion of the tibialis anterior muscle in the adolescent male athlete. Injury. 2004;35(9):919–921.
  • Knight D, Dewitt R, Moser S. Mild traumatic brain injury in a gymnast. J Am Acad Physician Assist. 2016;29(7):30–34.
  • Masquijo JJ, Sartori F. Myositis ossificans circumscripta of the psoas muscle due to overuse in an adolescent gymnast. J Pediatr Orthop B. 2014;23(6):529–532.
  • McCormack RG, McLean N, Dasilva J, et al. Thoraco-lumbar flexion-distraction injury in a competitive gymnast: a case report. Clin J Sport Med. 2006;16(4):369–371.
  • Momaya A, Rozzelle C, Davis K, et al. Delayed presentation of a cervical spine fracture dislocation with posterior ligamentous disruption in a gymnast. Am J Orthop. 2014;43(6):272–274.
  • Mullens J, Whiteside W, Nilssen E, et al. Dislocated posterior tibial tendon treated with plate buttress fixation in a collegiate gymnast: a case report and review of the literature. Foot Ankle Spec. 2016;9(4):361–366.
  • Nakamoto JC, Saito M, Cunha AP, et al. Scaphoid stress fracture in gymnastics athlete: a case report. Rev Bras Ortop. 2015;44(6):533–535.
  • Oda R, Fujiwara H, Ichimaru K, et al. Chronic slipping of bilateral distal humeral epiphyses in a gymnastist. J Pediatr Orthop B. 2015;24(1):67–70.
  • Papavasiliou A, Siatras T, Bintoudi A, et al. The gymnasts’ hip and groin: a magnetic resonance imaging study in asymptomatic elite athletes. Skelet Radiol. 2014;43(8):1071–1077.
  • Perugia D, Fabbri M, Guidi M, et al. Salter-Harris type III and IV displaced fracture of the hallux in young gymnasts: a series of four cases at 1-year follow-up. Injury. 2014;45(Suppl 6):S39–42.
  • Poletto ED, Pollock AN. Radial epiphysitis (aka gymnast wrist). Pediatr Emerg Care. 2012;28(5):484–485.
  • Potter BK, Lehman RA Jr, Doukas WC. Simultaneous bilateral rupture of the pectoralis major tendon. A case report. J Bone Joint Surg Am. 2004;86-A(7):1519–1521.
  • Roy S, Caine D, Singer KM. Stress changes of the distal radial epiphysis in young gymnasts. A report of twenty-one cases and a review of the literature. Am J Sports Med. 1985;13(5):301–308.
  • Silver JR, Silver DD, Godfrey JJ. Injuries of the spine sustained during gymnastic activities. Br Med J. 1986;293(6551):861–863.
  • Skaggs DL, Avramis I, Myung K, et al. Sacral facet fractures in elite athletes. Spine. 2012;37(8):E514–7.
  • Snider MG, Alsaleh KA, Mah JY. Scapholunate interosseus ligament tears in elite gymnasts. Can J Surg. 2006;49(4):290–291.
  • Swärd L, Hellström M, Jacobsson B, et al. Acute injury of the vertebral ring apophysis and intervertebral disc in adolescent gymnasts. Spine. 1990;15(2):144–148.
  • Edouard P, Branco P, Alonso JM, et al. Methodological quality of the injury surveillance system used in international athletics championships. J Sci Med Sport. 2016;19(12):984–989.
  • Zetaruk MN. The young gymnast. Clin Sports Med. 2000;190(4):757–780.
  • Wolf MR, Avery D, Wolf JM. Upper extremity injuries in gymnasts. Hand Clin. 2017;33:187–197.
  • Silvij S, Nocini S. Clinical and radiological aspects of gymnast’s shoulder. J Sports Med. 1982;22:49–53.
  • Gerhardt C, Doyscher R, Boschert HP, et al. Die Turnerschulter. [The gymnastics shoulder]. Orthopäde. 2014;43(3):230–235.
  • DiFiori JP, Caine DJ, Malina RM. Wrist pain, distal radial physeal injury, and ulnar variance in the young gymnast. Am J Sports Med. 2006;34(5):840–849.
  • DiFiori JP. Overuse injury and the young athlete: the case of the of chronic wrist pain. In gymnasts. Curr Sports Med Rep. 2006;5:165–167.
  • Webb BG, Rettig LA. Gymnastic wrist injuries. Curr Sports Med Rep. 2008;7(5):289–295.
  • Kruse D, Lemmen B. Spine injuries in the sport of gymnastics. Curr Sports Med Rep. 2009;8(1):20–28.
  • Micheli LJ. Back injuries in gymnastics. Clin Sports Med. 1985;4(1):85–93.
  • Walsh WM, Huurman WW, Shelton GL. Overuse injuries of the knee and spine in girls’ gymnastics. Orthop Clin America. 1985;16(2):329–350.
  • Drew MK, Cook J, Finch CF. Sports-related workload and injury risk: simply knowing the risks will not prevent injuries: narrative review. Br J Sports Med. 2016;50(21):1306–1308.
  • Farana R, Jandacka D, Uchytil J, et al. Technique selection ‘the coaches challenge’ influencing injury risk during the first contact hand of the round off skill in female gymnastics. J Hum Kinet. 2017;12(56):51–59.
  • Thompson BJ, Cazier CS, Bressel E, et al. A lower extremity strength-based profile of NCAA Division I women’s basketball and gymnastics athletes: implications for knee joint injury risk assessment. J Sports Sci. 2018;36(15):1749–1756.
  • Marini M, Sgambati E, Barni E, et al. Pain syndromes in competitive elite level female artistic gymnasts. Role of specific preventive-compensative activity. Ital J Anat Embryol. 2008;113(1):47–54.
  • [ cited 2018 Aug 10]. Available from: https://www.olympic.org/olympic-studies-centre
  • [ cited 2018 Aug 10]. Available from: usagym.org
  • [ cited 2018 Aug 10]. Available from: www.psupress.org/books/titles/0-271-00242-5.html
  • [ cited 2018 Aug 10]. Available from: https://www.olympic.org/the-ioc

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