Abstract:
AIM:To compare surgical and conservative treatment for high-risk stress fractures of the anterior tibial cortex, navicular and proximal fifth metatarsal. METHODS:Systematic searches of CENTRAL, MEDLINE, EMBASE, CINAHL, SPORTDiscus and PEDro were performed to identify relevant prospective and retrospective studies. Two reviewers independently extracted data and assessed methodological quality. Main outcomes were return to sport and complication rate. RESULTS:18 studies were included (2 anterior tibia (N=31), 8 navicular (N=200) and 8 fifth metatarsal (N=246)). For anterior tibial fracture, no studies on initial surgery were eligible. Conservative treatment resulted in high complication rates and few cases returned to sport. For navicular fracture, a weighted mean return to sport of 22 for conservative and 16 weeks for surgical treatment was found. Six weeks of non-weightbearing cast was mostly used as conservative treatment. Surgical procedures varied widely. For the fifth metatarsal fracture, weighted mean return to sport was 19 for conservative and 14 weeks for surgical treatment. Surgery consisted of intramedullary screw fixation or tension band wiring. For conservative methods, insufficient details were reported. Overall, there was a high risk of bias; sample sizes were small and GRADE level of evidence was low. CONCLUSIONS:Strong conclusions for surgical or conservative therapy for these high-risk stress fractures cannot be drawn; quality of evidence is low and subjected to a high risk of bias. However, there are unsatisfying outcomes of conservative therapy in the anterior tibia. The role of initial surgery is unknown. For the navicular, surgery provided an earlier return to sport; and when treated conservatively, weightbearing should be avoided. For the fifth metatarsal, surgery provided the best results. Treatment decision-making would greatly benefit from further prospective research. STUDY REGISTRATION NUMBER:PROSPERO database of systematic reviews: CRD42013004201.
journal_name
Br J Sports Medjournal_title
British journal of sports medicineauthors
Mallee WH,Weel H,van Dijk CN,van Tulder MW,Kerkhoffs GM,Lin CWdoi
10.1136/bjsports-2013-093246subject
Has Abstractpub_date
2015-03-01 00:00:00pages
370-6issue
6eissn
0306-3674issn
1473-0480pii
bjsports-2013-093246journal_volume
49pub_type
杂志文章,评审abstract:OBJECTIVE:To summarise the evidence for non-pharmacological management of low back pain (LBP) in athletes, a common problem in sport that can negatively impact performance and contribute to early retirement. DATA SOURCES:Five databases (EMBASE, Medline, CINAHL, Web of Science, Scopus) were searched from inception to S...
journal_title:British journal of sports medicine
pub_type: 杂志文章,评审
doi:10.1136/bjsports-2020-102723
更新日期:2020-12-21 00:00:00
abstract:BACKGROUND:Gymnasts practise many hours a week, and symptoms from injuries do not seem to stop them from continuing with practice. They may even compete with symptoms from injuries, which could increase the risk of reinjury, or of the occurrence of a more severe injury. OBJECTIVES:To investigate whether team gymnasts ...
journal_title:British journal of sports medicine
pub_type: 杂志文章
doi:10.1136/bjsm.2002.001990
更新日期:2004-08-01 00:00:00
abstract::The purpose of this investigation was to compare the effectiveness of using ratings of perceived exertion (RPE) with heart rate in the monitoring of exercise intensity during aerobic dance instruction. Thirty-eight students who enrolled in aerobic dance classes used heart rate to monitor exercise intensity while 38 ad...
journal_title:British journal of sports medicine
pub_type: 杂志文章
doi:10.1136/bjsm.26.2.132
更新日期:1992-06-01 00:00:00
abstract:BACKGROUND:Snowboard cross (SBX) became an official Olympic sport in 2006. This discipline includes manoeuvring several obstacles while competing in heats. It is common for the riders to collide, making this sport both exciting and at risk of injuries. Although a recent study from the 2010 Olympic Games has shown that ...
journal_title:British journal of sports medicine
pub_type: 杂志文章
doi:10.1136/bjsports-2011-090527
更新日期:2011-12-01 00:00:00
abstract:OBJECTIVE:We compared long-term follow-up from surgical versus non-surgical treatment of ACL rupture regarding radiographic knee osteoarthritis (OA), secondary surgery, laxity and patient-reported outcome measures (PROMs). DESIGN:Systematic review and meta-analysis. DATA SOURCES:Embase, MEDLINE, CINAHL and the Cochra...
journal_title:British journal of sports medicine
pub_type: 杂志文章,meta分析
doi:10.1136/bjsports-2019-100765
更新日期:2020-05-01 00:00:00
abstract:OBJECTIVES:The menstrual cycle can affect sports participation and exercise performance. There are very few data on specific menstrual cycle symptoms (symptoms during various phases of the cycle, not only during menstruation) experienced by exercising women. We aimed to characterise the most common symptoms, as well as...
journal_title:British journal of sports medicine
pub_type: 杂志文章
doi:10.1136/bjsports-2020-102792
更新日期:2020-11-16 00:00:00
abstract:BACKGROUND:Participation in regular exercise and athletic activities across the lifespan is encouraged to maintain the cardiovascular and musculoskeletal systems and general wellbeing. Before the menopause there is an increased risk of anterior cruciate ligament (ACL) injuries in female athletes, whereas there is an in...
journal_title:British journal of sports medicine
pub_type: 杂志文章
doi:10.1136/bjsm.2008.054296
更新日期:2010-09-01 00:00:00
abstract::Evidence from familial and genetic association studies have reported that DNA sequence variants play an important role, together with non-genetic factors, in the aetiology of both exercise-associated and occupational-associated acute and chronic musculoskeletal soft tissue injuries. The associated variants, which have...
journal_title:British journal of sports medicine
pub_type: 杂志文章,评审
doi:10.1136/bjsports-2015-095180
更新日期:2015-12-01 00:00:00
abstract::The purpose of this investigation was to determine the effects of caffeine ingestion on maximal power output and fatigue during short term, high intensity exercise. Nine adult males performed 15 s maximal exercise bouts 60 min after ingestion of caffeine (7 mg.kg-1) or placebo. Exercise bouts were carried out on a mod...
journal_title:British journal of sports medicine
pub_type: 临床试验,杂志文章
doi:10.1136/bjsm.22.4.132
更新日期:1988-12-01 00:00:00
abstract:OBJECTIVE:To investigate clinical and imaging differential diagnosis and tennis stroke biomechanics potentially involved in lunate stress injury pathogenesis. METHODS:The present report describes five competitive tennis players with overuse-related dorsal wrist pain assessed by magnetic resonance imaging. RESULTS:Mag...
journal_title:British journal of sports medicine
pub_type: 杂志文章
doi:10.1136/bjsm.2007.036806
更新日期:2007-11-01 00:00:00
abstract:OBJECTIVE:Despite the rise in specialist clinical services for the management of sports and active recreation injury, many patients attend hospital emergency departments for treatment. The purpose of this study was to describe sports injury cases presented to selected hospital emergency departments around Australia for...
journal_title:British journal of sports medicine
pub_type: 杂志文章
doi:10.1136/bjsm.32.3.220
更新日期:1998-09-01 00:00:00
abstract::Six men performed a total of 23 modified Wingate power tests against 5.5 kp (53.9 N) resistance on a Monark 864 ergometer. Breath-by-breath VO2 was measured using a SensorMedics 4400 metabolic cart. Peak anaerobic power (highest 5 s; mean(s.e.m.)) was 819(16) W (11.1(0.6) W kg-1) and anaerobic capacity (work in 30 s; ...
journal_title:British journal of sports medicine
pub_type: 杂志文章
doi:10.1136/bjsm.25.4.196
更新日期:1991-12-01 00:00:00
abstract::A professional rugby league player sustained a left eyebrow laceration during a match which immediately started to bleed. Within seconds he was taken to the sideline and had the laceration closed with six staples by the team doctor. Bleeding was arrested and he returned to play, taking the ball within 80 s of sufferin...
journal_title:British journal of sports medicine
pub_type: 杂志文章
doi:10.1136/bjsm.2003.005470
更新日期:2004-08-01 00:00:00
abstract:OBJECTIVES:To determine in this pilot study whether aerobic exercise affects phenylacetic acid concentration in the urine. METHODS:Twenty healthy men provided 24 hour urine samples on two consecutive days for the determination of phenylacetic acid levels. Before and during day 1, subjects refrained from physical activ...
journal_title:British journal of sports medicine
pub_type: 临床试验,杂志文章
doi:10.1136/bjsm.35.5.342
更新日期:2001-10-01 00:00:00
abstract::Epidemiological studies of injury in elite and recreational golfers have lacked consistency in methods and definitions employed and this limits comparison of results across studies. In their sports-generic statement, the Consensus Group recruited by the IOC (2020) called for sport-specific consensus statements. On inv...
journal_title:British journal of sports medicine
pub_type: 共识发展会议,杂志文章
doi:10.1136/bjsports-2020-102380
更新日期:2020-10-01 00:00:00
abstract:OBJECTIVE:To determine whether there are objective findings of tendinosis in a rabbit tendinopathy model on exercised and contralateral (non-exercised) Achilles tendons. DESIGN:Four groups of six New Zealand white rabbits per group were used. The animals of one (control) group were not subjected to exercise/stimulatio...
journal_title:British journal of sports medicine
pub_type: 杂志文章
doi:10.1136/bjsm.2009.068122
更新日期:2011-04-01 00:00:00
abstract:AIM:To investigate the level of translation of the Australian Rugby Union 'Mayday' safety procedure into practice among community rugby union coaches in New South Wales (Australia). METHODS:All registered coaches of senior community rugby union teams in five zones/associations in the north-eastern region of the state ...
journal_title:British journal of sports medicine
pub_type: 杂志文章
doi:10.1136/bjsports-2011-090469
更新日期:2012-06-01 00:00:00
abstract:OBJECTIVE:To evaluate muscle activation patterns in selected scapulohumeral muscles in the tennis serve. These patterns of muscle activation have not been evaluated in other studies of the tennis serve. Fine wire and surface EMG was used to calculate onset and offset timing of muscle activation. DESIGN:Controlled labo...
journal_title:British journal of sports medicine
pub_type: 杂志文章
doi:10.1136/bjsm.2007.037333
更新日期:2007-11-01 00:00:00
abstract:OBJECTIVES:To compare cardiorespiratory responses between incremental treadmill (non-specific) and field (sport specific) tests in elite squash players. METHODS:Seven elite players (ranked 1 to 25 in their national federation including the World number 1) randomly performed an incremental treadmill test (TT) and a squ...
journal_title:British journal of sports medicine
pub_type: 杂志文章,随机对照试验
doi:10.1136/bjsm.2005.018101
更新日期:2005-12-01 00:00:00
abstract:OBJECTIVE:Regular physical activity is associated with a reduction of cardiovascular morbidity and mortality; however, evidence of unfortunate cardiovascular events accompanying elite sport involvement continues to accumulate. To date, no information is available on possible peculiarities of the cardiovascular risk pro...
journal_title:British journal of sports medicine
pub_type: 杂志文章
doi:10.1136/bjsm.2007.045021
更新日期:2008-11-01 00:00:00
abstract:AIMS:(1) To assess the 1-year and 6-year courses of non-traumatic knee symptoms in adolescents and young adults presenting in general practice. (2) To identify prognostic factors for persistent knee symptoms at 1-year follow-up. METHODS:Adolescents and young adults (12-35 years; n=172) with non-traumatic knee symptoms...
journal_title:British journal of sports medicine
pub_type: 杂志文章
doi:10.1136/bjsports-2014-093557
更新日期:2015-03-01 00:00:00
abstract:BACKGROUND/AIM:The Achilles tendon is a tissue that responds to mechanical loads at a molecular and cellular level. In vitro and in vivo studies have shown that the expression of anabolic and/or catabolic proteins can change within hours of loading and return to baseline levels within 72 h. These biochemical changes ha...
journal_title:British journal of sports medicine
pub_type: 杂志文章,随机对照试验
doi:10.1136/bjsports-2013-092713
更新日期:2015-02-01 00:00:00
abstract:OBJECTIVES:To compare new versus recurrent concussions with respect to constellation of symptoms, symptom severity, symptom resolution; evaluate potential subset differences with respect to gender and sport; and to compare mechanisms and activities associated with new versus recurrent concussions. METHODS:Sports-relat...
journal_title:British journal of sports medicine
pub_type: 杂志文章
doi:10.1136/bjsports-2011-090115
更新日期:2012-06-01 00:00:00
abstract:OBJECTIVE:To examine the accuracy of the Caltrac accelerometer for estimating energy expenditure (EE) during three exercise modes. METHODS:A subset of 31 women (mean (SEM) age 22.6 (5) years) as selected from a training study comparing various physiological parameters during race walking, running, and stepping. Subjec...
journal_title:British journal of sports medicine
pub_type: 杂志文章
doi:10.1136/bjsm.31.3.235
更新日期:1997-09-01 00:00:00
abstract:OBJECTIVE:To evaluate the incidence of hypermobility in young female netball players and to determine the relation between hypermobility, previous injuries sustained in netball or other sports, and the use of protective equipment. METHODS:Under 16 year old female netball players from a local suburban netball associati...
journal_title:British journal of sports medicine
pub_type: 杂志文章
doi:10.1136/bjsm.2004.015271
更新日期:2005-09-01 00:00:00
abstract::Most injuries sustained by rugby players affect the soft tissues, and fracture is relatively uncommon. Whereas the lower limb is most affected in footballers, the upper limb tends to be injured in rugby players. Thirty consecutive fractures and ten dislocations affecting the upper limb, sustained by 35 rugby players, ...
journal_title:British journal of sports medicine
pub_type: 杂志文章
doi:10.1136/bjsm.25.3.139
更新日期:1991-09-01 00:00:00
abstract:OBJECTIVES:The limiting factors with regard to power output available for wheelchair ambulation have not been identified. The aim of the present study was to correlate power output during wheelchair driving with (i) power output and oxygen uptake during arm crank ergometry and (ii) arm muscle strength. METHODS:Eleven ...
journal_title:British journal of sports medicine
pub_type: 杂志文章
doi:10.1136/bjsm.31.1.41
更新日期:1997-03-01 00:00:00
abstract::Reports on reproducibility of lactate markers usually considered only two trials. The authors assessed reproducibility of power output at seven markers in 11 fit subjects over at least six trials under tightly controlled conditions. Subjects undertook incremental exercises (50 W start, +50 W every 3 min to exhaustion)...
journal_title:British journal of sports medicine
pub_type: 杂志文章
doi:10.1136/bjsm.2010.076380
更新日期:2012-01-01 00:00:00
abstract:BACKGROUND:Low back pain (LBP) is prevalent among adolescent rowers. This study evaluated the efficacy of a cognitive functional approach to reduce LBP in this population. METHODS:Thirty-six adolescent male rowers reporting LBP participated. Nineteen were randomly allocated to the intervention group to receive a cogni...
journal_title:British journal of sports medicine
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1136/bjsports-2014-093984
更新日期:2015-09-01 00:00:00
abstract::This paper describes an outbreak of Salmonella enteriditis occurring at the Junior World Rowing Championships at Poznan, Poland, in August 1995 which was to have a significant effect on the performance of several of the largest national teams. ...
journal_title:British journal of sports medicine
pub_type: 杂志文章
doi:10.1136/bjsm.30.4.347
更新日期:1996-12-01 00:00:00