Epidemiological Patterns of Ankle Sprains in Youth, High School, and College Football

Clifton, Daniel R.; Koldenhoven, Rachel M.; Hertel, Jay; Oñate, James A.; Dompier, Thomas P.; Kerr, Zachary Y.

doi:10.1177/0363546516667914

Cited by 28 publications

(49 citation statements)

References 31 publications

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“…A history of lateral ankle sprain, in particular, has been described as one of the strongest risk factors for a future lateral ankle sprain. 8,32,33 In mixed-activity populations, the strongest evidence that a prior ankle sprain is a risk factor for subsequent ankle sprain comes from a prospective cohort study 34 of 9811 military cadets: individuals with a history of ankle sprain had an approximately 3.5 times greater risk of sustaining another sprain during the study period than those who had no history of ankle sprain, even after adjusting for age, participation in an injury-prevention program, number of high school sports, and distance running index. This effect was similar for men ( As noted earlier, not only are a high proportion of all ankle sprains recurrent, but the number of prior ankle injuries sustained by the athlete is also substantial.…”

Section: Risk Of Reinjurymentioning

confidence: 99%

Epidemiology of Ankle Sprains and Chronic Ankle Instability

Herzog

Kerr

Marshall

et al. 2019

Journal of Athletic Training

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261

171

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Objective To provide a focused overview of the existing literature on the epidemiology of acute ankle sprains (lateral, medial, and high/syndesmotic) with an emphasis on incidence studies from the United States. In addition, we provide a brief overview of chronic ankle instability (CAI), posttraumatic osteoarthritis, and injury prevention to contribute to our understanding of the epidemiology of these injuries and the current state of the science on ankle sprains and ankle instability in sports medicine. Background Acute ankle sprains are one of the most common musculoskeletal injuries, with a high incidence among physically active individuals. Additionally, acute ankle sprains have a high recurrence rate, which is associated with the development of CAI. Understanding the epidemiology of these injuries is important for improving patients' musculoskeletal health and reducing the burden of lower limb musculoskeletal conditions. Description Acute ankle-sprain incidence rates are summarized among the general population, as well as among physically active populations, including organized athletics and military personnel, with a focus on incidence in the United States. The link between a prior ankle sprain and a future acute ankle sprain is described. We also discuss the association between the incident ankle sprain and adverse, long-term outcomes such as CAI and posttraumatic osteoarthritis. Finally, we summarize injury-prevention successes and future directions for research and prevention. Clinical Applications This information is useful for health care providers to understand the expected incidence rates of acute ankle sprains, be aware of the association between ankle sprains and negative short- and long-term outcomes, and be familiar with existing injury-prevention programs.

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Section: Risk Of Reinjurymentioning

confidence: 99%

Epidemiology of Ankle Sprains and Chronic Ankle Instability

Herzog

Kerr

Marshall

et al. 2019

Journal of Athletic Training

Self Cite

261

171

View full text Add to dashboard Cite

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“…For this purpose it is necessary to consider individual biomechanical characteristics of every athlete's movements. D. R. Clifton et al [10] found higher frequency and heaviness of ankle joint's stretching among sportsmen of American football, comparing with athletes'-beginners. However, prophylaxis of such traumas it is necessary to start just at the beginning of trainings.…”

mentioning

confidence: 99%

Algorithm of athletes’ fitness structure individual features’ determination with the help of multidimensional analysis (on example of basketball)

Kozina

Cieslicka

Prusik

et al. 2017

PES

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Purpose:to determine main laws of determination of athletes' fitness structure's individual characteristics with the help of multidimensional analysis (on example of basketball). Material:in the research elite basketball players (n=54) participated. Pedagogic testing included 12 tests, applied in combined teams of Ukraine and Russia. For every test three attempts were given and the best result was registered. The tests were passed during 2-3 training sessions. Results:we worked out general scheme of ways of athletes' training individualization. For every athlete we determined the groups of leading and secondary factors in individual structure of fitness. The process of athletes' training shall contain basic and variable components. Basic component was 70% of means in general system of athletes' training. Variable component was 30% of means and implies application of individual training means. Percentage of means in individual programs varies depending on the following: leading factors in fitness individual structure; period of individual dynamic of competition efficiency. In every micro-cycle 30% is assigned for athletes' individual training: athletes received individual tasks; groups on the base of cluster analysis data were formed, if necessary. Conclusions:when working out individual training programs, development of leading factors in individual factorial structure of athletes' fitness shall be accented. Application of individual programs, combined with universal individualization methods creates preconditions for rising competition activities' efficiency.

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“…Ankle injuries are common at all levels of American football, one of the sports with the largest number of players in the United States. 12 Lateral and high ankle sprains are the most common types of ankle injury in football. 12,13 Approximately 6% to 17% of American football athletes who have had an ankle injury sustain the same type of recurrent injury, which may result in chronic instability.…”

mentioning

confidence: 99%

“…12 Lateral and high ankle sprains are the most common types of ankle injury in football. 12,13 Approximately 6% to 17% of American football athletes who have had an ankle injury sustain the same type of recurrent injury, which may result in chronic instability. 12 Previous researchers 14 found that retired National Football League (NFL) players had a higher prevalence of early-onset OA in any joint compared with males in the general US population.…”

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confidence: 99%

Osteoarthritis Prevalence in Retired National Football League Players With a History of Ankle Injuries and Surgery

Song

Wikstrom

Tennant³

et al. 2019

Journal of Athletic Training

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Context Ankle injuries are common at all levels of American football, and retired National Football League (NFL) players have a high prevalence of osteoarthritis (OA), but little is known about how ankle injuries influence OA prevalence and daily activities in this population or how surgical interventions for such injuries alter the risk of OA. Objective To examine (1) the association of ankle-injury history with OA prevalence, (2) the association of surgical intervention after ankle injury with OA prevalence, and (3) the relationships among ankle injuries, reported OA, and daily activities in retired NFL players. Design Case-control study. Setting Survey. Patients or Other Participants Data from the Retired NFL Players General Health Survey. Main Outcome Measure(s) We created a 7-category main exposure variable that differentiated respondents by football-related ankle injury and surgical intervention. Multivariable binomial regression models were used to estimate prevalence ratios and 95% confidence intervals. Among those reporting OA, we examined the distribution of responses regarding whether OA affected daily activities. Results Among the 2446 respondents, 920 participants experienced OA in any joint during their lifetime. Compared with those reporting no ankle injuries, the prevalence of OA was higher among those with a history of ankle injury. Also, the prevalence of OA was higher among those who had undergone surgery versus those who had not. The number of retired NFL players who reported that OA often affected their daily activities increased with the number of ankle injuries. Conclusions Among former NFL players, a history of ankle injury increased the prevalence of OA. More ankle injuries increased the probability that OA negatively affected daily activities. Future prospective research is needed to better determine the influence of surgical intervention at the ankle or foot on OA.

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Epidemiological Patterns of Ankle Sprains in Youth, High School, and College Football

Abstract: Ankle sprain rates were highest in college athletes. However, level-specific variations in ankle sprain severity and recurrence may highlight the need to develop level-specific policies and prevention strategies to reduce injury incidence.

Cited by 28 publications

References 31 publications

Epidemiology of Ankle Sprains and Chronic Ankle Instability

Epidemiology of Ankle Sprains and Chronic Ankle Instability

Algorithm of athletes’ fitness structure individual features’ determination with the help of multidimensional analysis (on example of basketball)

Osteoarthritis Prevalence in Retired National Football League Players With a History of Ankle Injuries and Surgery

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