-
BMJ (Clinical Research Ed.) Dec 2014To identify all reported cases of injury and other problems caused by using a Nintendo video gaming system. (Review)
Review
OBJECTIVE
To identify all reported cases of injury and other problems caused by using a Nintendo video gaming system.
DESIGN
Review.
DATA SOURCES AND REVIEW METHODS
Search of PubMed and Embase in June 2014 for reports on injuries and other problems caused by using a Nintendo gaming system.
RESULTS
Most of the 38 articles identified were case reports or case series. Injuries and problems ranged from neurological and psychological to surgical. Traditional controllers with buttons were associated with tendinitis of the extensor of the thumb. The joystick on the Nintendo 64 controller was linked to palmar ulceration. The motion sensitive Wii remote was associated with musculoskeletal problems and various traumas.
CONCLUSIONS
Most problems are mild and prevalence is low. The described injuries were related to the way the games are controlled, which varies according to the video game console.
Topics: Enuresis; Fecal Incontinence; Humans; Posture; Prevalence; Seizures; Severity of Illness Index; Tendinopathy; Ulcer; Video Games; Wounds and Injuries
PubMed: 25515525
DOI: 10.1136/bmj.g7267 -
Sports Medicine and Arthroscopy Review Mar 2019Ultra-endurance sports are associated with prolonged physical exercise both during training and competition. Musculoskeletal injuries are common as a result of the... (Review)
Review
Ultra-endurance sports are associated with prolonged physical exercise both during training and competition. Musculoskeletal injuries are common as a result of the repetitive physical stresses. Stress fractures in the weight-bearing bones should always be suspected when ultra-endurance athletes present with pain over bony structures. Most stress fractures can be treated with activity modifications but some such as femoral neck and tibial shaft stress fractures may require operative fixation. The knee seems to be the most frequent source of injuries in ultra-endurance athletes. Patellofemoral symptoms from tendon injuries or chondral problems are common injuries and can be challenging to treat. Lower leg, ankle, and foot injuries also make up a significant portion of the ultra-endurance injuries. Peritendinitis of the extensor tendons at the extensor retinaculum of the anterior ankle or "ultramarathoner's ankle" seems to be a unique injury associated with ultramarathons. Other lower leg injuries include medial tibial stress syndrome (MTSS) and chronic exercise-induced compartment syndrome (CECS).
Topics: Athletes; Athletic Injuries; Fractures, Stress; Humans; Knee Injuries; Medial Tibial Stress Syndrome; Musculoskeletal System; Physical Endurance; Sports
PubMed: 30601398
DOI: 10.1097/JSA.0000000000000217 -
Human Factors May 2022The aim of this review was to determine how exoskeletons could assist Australian Defence Force personnel with manual handling tasks. (Review)
Review
OBJECTIVE
The aim of this review was to determine how exoskeletons could assist Australian Defence Force personnel with manual handling tasks.
BACKGROUND
Musculoskeletal injuries due to manual handling are physically damaging to personnel and financially costly to the Australian Defence Force. Exoskeletons may minimize injury risk by supporting, augmenting, and/or amplifying the user's physical abilities. Exoskeletons are therefore of interest in determining how they could support the unique needs of military manual handling personnel.
METHOD
Industrial and military exoskeleton studies from 1990 to 2019 were identified in the literature. This included 67 unique exoskeletons, for which Information about their current state of development was tabulated.
RESULTS
Exoskeleton support of manual handling tasks is largely through squat/deadlift (lower limb) systems (64%), with the proposed use case for these being load carrying (42%) and 78% of exoskeletons being active. Human-exoskeleton analysis was the most prevalent form of evaluation (68%) with reported reductions in back muscle activation of 15%-54%.
CONCLUSION
The high frequency of citations of exoskeletons targeting load carrying reflects the need for devices that can support manual handling workers. Exoskeleton evaluation procedures varied across studies making comparisons difficult. The unique considerations for military applications, such as heavy external loads and load asymmetry, suggest that a significant adaptation to current technology or customized military-specific devices would be required for the introduction of exoskeletons into a military setting.
APPLICATION
Exoskeletons in the literature and their potential to be adapted for application to military manual handling tasks are presented.
Topics: Australia; Exoskeleton Device; Humans; Military Personnel; Musculoskeletal System; Posture; Wounds and Injuries
PubMed: 33203237
DOI: 10.1177/0018720820957467 -
Clinics in Sports Medicine Oct 2019The athletic training room is filled with a multitude of conditions encompassing many different specialties of medicine. When it comes to traumatic injuries in the... (Review)
Review
The athletic training room is filled with a multitude of conditions encompassing many different specialties of medicine. When it comes to traumatic injuries in the training room, many of them are not musculoskeletal in nature. Ultrasound in the training room can help identify serious and subtle solid-organ injury and small pneumothoraces. The discussion of these conditions follows a simple outline that helps identify injury/conditions through a proper history and physical. Evidence-based treatment/management/return to play guidelines are discussed.
Topics: Abdominal Injuries; Athletic Injuries; Facial Injuries; Humans; Mouth; Neck Injuries; Nose; Physical Examination; Return to Sport; Thoracic Injuries
PubMed: 31472763
DOI: 10.1016/j.csm.2019.06.004 -
Injury Dec 2019
Topics: Cost of Illness; Global Health; Humans; Infections; Musculoskeletal Diseases; Outcome and Process Assessment, Health Care; Patient Care Management; Quality Improvement; Wounds and Injuries
PubMed: 31727403
DOI: 10.1016/j.injury.2019.11.001 -
The Journal of the American Academy of... Mar 2017Firearm injuries are a major cause of morbidity and mortality among children and adolescents in the United States and take financial and emotional tolls on the affected... (Review)
Review
Firearm injuries are a major cause of morbidity and mortality among children and adolescents in the United States and take financial and emotional tolls on the affected children, their families, and society as a whole. Musculoskeletal injuries resulting from firearms are common and may involve bones, joints, and neurovascular structures and other soft tissues. Child-specific factors that must be considered in the setting of gunshot injuries include physeal arrest and lead toxicity. Understanding the ballistics associated with various types of weaponry is useful for guiding orthopaedic surgical treatment. Various strategies for preventing these injuries range from educational programs to the enactment of legislation focused on regulating guns and gun ownership. Several prominent medical societies whose members routinely care for children and adolescents with firearm-related injuries, including the American Academy of Pediatrics and the American Pediatric Surgical Association, have issued policy statements aimed at mitigating gun-related injuries and deaths in children. Healthcare providers for young patients with firearm-related musculoskeletal injuries must appreciate the full scope of this important public health issue.
Topics: Adolescent; Child; Fractures, Bone; Humans; Musculoskeletal System; Physician's Role; United States; Wounds, Gunshot
PubMed: 28134675
DOI: 10.5435/JAAOS-D-15-00642 -
The Veterinary Clinics of North... Dec 2018Distal limb wounds in horses heal substantially different than trunk wounds, commonly resulting in exuberant granulation tissue and exposed and sequestered bone.... (Review)
Review
Distal limb wounds in horses heal substantially different than trunk wounds, commonly resulting in exuberant granulation tissue and exposed and sequestered bone. Surgical intervention of severe rectovaginal lacerations in the mare should be delayed until the tissues have heeled and scar tissue has remodeled. Wounds resulting in severe hemorrhage require appropriate emergent fluid therapy and potentially transfusion therapy.
Topics: Animals; Extremities; Granulation Tissue; Horse Diseases; Horses; Wound Healing; Wounds and Injuries
PubMed: 30447768
DOI: 10.1016/j.cveq.2018.07.003 -
Pediatric Clinics of North America Oct 2014Injuries, other than abrasions, are rare in precruising infants. In this population, a history or observation of a sentinel skin injury, intraoral injury, or... (Review)
Review
Injuries, other than abrasions, are rare in precruising infants. In this population, a history or observation of a sentinel skin injury, intraoral injury, or musculoskeletal injury without a plausible explanation, is concerning for physical abuse. A precruising infant with a sentinel injury should be medically evaluated for occult injury and predisposing medical conditions, as well as reported to authorities for further investigation. Early identification of sentinel injuries and appropriate interventions can prevent further abuse.
Topics: Child; Child Abuse; Humans; Infant; Risk Factors; Sentinel Surveillance; Wounds and Injuries
PubMed: 25242706
DOI: 10.1016/j.pcl.2014.06.007 -
British Journal of Sports Medicine May 2024To determine the prevalence and incidence of musculoskeletal injury in amateur and professional golfers, and to identify common injury sites and factors associated with... (Meta-Analysis)
Meta-Analysis
OBJECTIVE
To determine the prevalence and incidence of musculoskeletal injury in amateur and professional golfers, and to identify common injury sites and factors associated with increased injury frequency.
DESIGN
Systematic epidemiological review and meta-analysis.
DATA SOURCES
PubMed (Medline), Embase, the Cochrane Library and SPORTDiscus were searched in September 2023.
ELIGIBILITY CRITERIA
Studies published in the English language reporting the incidence or prevalence of musculoskeletal injuries in golfers at all anatomical sites.
RESULTS
20 studies (9221 golfers, 71.9% male, 28.1% female) were included, with mean age 46.8 years. Lifetime injury prevalence was significantly greater in professional golfers (73.5% (95% CI: 47.3% to 93.0%)) than amateur golfers (56.6% (95% CI: 47.4% to 65.5%); relative risk (RR)=1.50, p<0.001). Professional golfers had a significantly greater lifetime prevalence of hand and wrist (RR=3.33, p<0.001) and lower back injury (RR=3.05, p<0.001). Soft tissue injuries were most common, and diagnoses were typically non-specific. Injury frequency was not associated with age or sex. Two studies reported a greater injury risk in amateur golfers playing more than three and four rounds per week.
CONCLUSION
Over half of golfers are at risk of sustaining a musculoskeletal injury during their lifetime. Risks and patterns of injury differ between professional and amateur golfers, with professionals significantly more likely to develop lower back, and hand and wrist injuries. A recent international consensus statement on the reporting of injury and illness in golf should aid consistency in future research assessing the epidemiology of specific diagnoses, informing golf injury prevention and management strategies.
PROSPERO REGISTRATION NUMBER
CRD42023408738.
Topics: Humans; Athletic Injuries; Back Injuries; Golf; Hand Injuries; Incidence; Musculoskeletal System; Prevalence; Risk Factors; Soft Tissue Injuries; Wrist Injuries; Male; Female; Middle Aged
PubMed: 38508702
DOI: 10.1136/bjsports-2023-107324 -
World Journal of Surgery Apr 2020Though declining in the recent decades, high-energy musculoskeletal trauma remains a major contributor to the burden of disease in high-income countries (HICs). However,... (Review)
Review
INTRODUCTION TO THE PROBLEM
Though declining in the recent decades, high-energy musculoskeletal trauma remains a major contributor to the burden of disease in high-income countries (HICs). However, due to limitations in the available body of the literature, evaluation of this burden is challenging. The purpose of this review is to assess: (1) the current epidemiologic data on the surgical burden of high-energy musculoskeletal trauma in HICs; (2) the current data on the economic impact of high-energy musculoskeletal trauma; and (3) potential strategies for addressing gaps in musculoskeletal trauma care for the future.
REVIEW OF LITERATURE
In 2016, mortality from road traffic injuries (RTIs) between the ages of 15-49 was reported to be 9.5% (9.0-9.9) in high-income countries, accounting for approximately 255 million DALYs. While RTIs do not fully capture the extent of high-energy musculoskeletal trauma, as the most common mechanism, they serve as a useful indicator of the impact on the surgical and economic burden. In 2009, the global losses related to RTIs were estimated to be 518 billion USD, costing governments between 1 and 3% of their gross domestic product (GDP). In the last decade, both the total direct per-person healthcare cost and the incremental direct per-person costs for those with a musculoskeletal injury in the USA rose 75 and 58%, respectively.
FUTURE DIRECTIONS
ADDRESSING THE GAPS: While its impact is large, research on musculoskeletal conditions, including high-energy trauma, is underfunded compared to other fields of medicine. An increased awareness among policy makers and healthcare professionals of the importance of care for the high-energy musculoskeletal trauma patient is critical. Full implementation of trauma systems is imperative, and metrics such as the ICD-DALY have the potential to allow for real-time evaluation of prevention and treatment programs aimed to reduce injury-related morbidity and mortality. The dearth in knowledge in optimal and cost-effective post-acute care for high-energy musculoskeletal trauma is a reason for concern, especially since almost half of the costs are attributed to this phase of care. Multidisciplinary rehabilitation teams as part of a musculoskeletal trauma system may be of interest to decrease further the long-term negative effects and the economic burden of high-energy musculoskeletal trauma.
Topics: Accidental Falls; Accidents, Traffic; Adolescent; Adult; Aged; Developed Countries; Female; Gross Domestic Product; Health Care Costs; Humans; Income; Male; Middle Aged; Musculoskeletal System; Quality-Adjusted Life Years; Wounds and Injuries; Young Adult
PubMed: 30043200
DOI: 10.1007/s00268-018-4742-3