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Journal of Foot and Ankle Research
Published in: Journal of Foot and Ankle Research 1/2018

Open Access 01-12-2018 | Research

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

Authors: Nikolaos Malliaropoulos, Georgios Bikos, Maria Meke, Korakakis Vasileios, Xavier Valle, Heinz Lohrer, Nicola Maffulli, Nat Padhiar

Published in: Journal of Foot and Ankle Research | Issue 1/2018

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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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Metadata
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
Authors
Nikolaos Malliaropoulos
Georgios Bikos
Maria Meke
Korakakis Vasileios
Xavier Valle
Heinz Lohrer
Nicola Maffulli
Nat Padhiar
Publication date
01-12-2018
Publisher
BioMed Central
Published in
Journal of Foot and Ankle Research / Issue 1/2018
Electronic ISSN: 1757-1146
DOI
https://doi.org/10.1186/s13047-018-0247-4

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