MRI findings are associated with time to return to play in first class cricket fast bowlers with side strain in Australia and England

Nealon, Andrew; Docking, Sean; Lucas, Phil E.; Connell, David; Koh, Eamon; Cook, Jill

doi:10.1016/j.jsams.2019.05.020

Cited by 3 publications

(3 citation statements)

References 28 publications

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“…They are based on the site and size of injury within the muscle and the morphological features of the tear. Numerous studies have investigated the ability of standard MRI to predict return to play times, with the majority finding no association [6,[10][11][12][13][14][15][16]. However, the ability of quantitative MRI to predict return to play times has not been assessed.…”

Section: Introductionmentioning

confidence: 99%

MRI in acute muscle tears in athletes: can quantitative T2 and DTI predict return to play better than visual assessment?

et al. 2020

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Objectives To assess the ability of quantitative T2, diffusion tensor imaging (DTI) and radiologist’s scores to detect muscle changes following acute muscle tear in soccer and rugby players. To assess the ability of these parameters to predict return to play times. Methods In this prospective, longitudinal study, 13 male athletes (age 19 to 34 years; mean 25 years) underwent MRI within 1 week of suffering acute muscle tear. Imaging included measurements of T2 and DTI parameters. Images were also assessed using modified Peetrons and British athletics muscle injury classification (BAMIC) scores. Participants returned for a second scan within 1 week of being determined fit to return to play. MRI measurements were compared between visits. Pearson’s correlation between visit 1 measurements and return to play times was assessed. Results There were significant differences between visits in BAMIC scores (Z = − 2.088; p = 0.037), modified Peetrons (Z = − 2.530; p = 0.011) and quantitative MRI measurements; T2, 13.12 ms (95% CI, 4.82 ms, 21.42 ms; p = 0.01); mean diffusivity (0.22 (0.04, 0.39); p = 0.02) and fractional anisotropy (0.07 (0.01, 0.14); p = 0.03). BAMIC scores showed a significant correlation with return to play time (Rs = 0.64; p = 0.02), but modified Peetrons scores and quantitative parameters did not. Conclusions T2 and DTI measurements in muscle can detect changes due to healing following muscle tear. Although BAMIC scores correlated well with return to play times, in this small study, quantitative MRI values did not, suggesting that T2 and DTI measurements are inferior predictors of return to play time compared with visual scoring. Key Points • Muscle changes following acute muscle tear can be measured using T2 and diffusion measurements on MRI. • Measurements of T2 and diffusion using MRI are not as good as a radiologist’s visual report at predicting return to play time after acute muscle tear.

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Section: Introductionmentioning

confidence: 99%

MRI in acute muscle tears in athletes: can quantitative T2 and DTI predict return to play better than visual assessment?

et al. 2020

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“…7,10 MRI is the imaging tool of choice due to its ability to assess muscle and bone. 12 While rib attachment injuries are well documented, iliac crest attachment injuries are a significantly less common injury pattern and thus far, we have seen only one case report from a player who sustained this injury during Australian Rules football. 9 We present a series of four cases from a single sport (cricket), which have occurred during three different actions of the game (batting, bowling, and fielding), with injury patterns that involve only the iliac crest attachment of the internal oblique, the internal and to a lesser extent eternal oblique and one that involves both the rib and iliac crest attachments.…”

Section: Discussionmentioning

confidence: 92%

Side Strain and Impact Injuries at the Iliac Crest Attachment of Lateral Abdominal Wall Musculature in Cricketers: An Uncommon Injury Pattern

Mehta¹,

Daftary²,

Lawande³

2021

Indian J Radiol Imaging

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Side strains refer to injuries of the internal/external oblique or the transversus abdominis, commonly at their attachment to the lower four ribs and rarely at their pelvic attachments. Injuries at the rib attachments are well-described while literature on iliac crest attachment injuries is sparse. We report four cricketers who had side strain and direct impact injuries with varying degrees of severity at the iliac crest attachment. The purpose of this article is to describe the anatomy, possible mechanism of injury, and imaging findings in the lateral abdominal wall muscle injuries at the iliac crest, which have not been described previously.

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“…Due to its excellent spatial and contrast resolution, MRI can evaluate a wide array of muscle pathologies including muscle injury ( 46 ) and soft tissue masses ( 47 ). MRI is beginning to have a role in the diagnosis and monitoring of muscle disease and in guiding muscle biopsy ( 48 , 49 ).…”

Section: Muscle Imaging Techniquesmentioning

confidence: 99%

Novel Muscle Imaging in Inflammatory Rheumatic Diseases—A Focus on Ultrasound Shear Wave Elastography and Quantitative MRI

et al. 2020

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In recent years, imaging has played an increasing role in the clinical management of patients with rheumatic diseases with respect to aiding diagnosis, guiding therapy and monitoring disease progression. These roles have been underpinned by research which has enhanced our understanding of disease pathogenesis and pathophysiology of rheumatology conditions, in addition to their key role in outcome measurement in clinical trials. However, compared to joints, imaging research of muscles is less established, despite the fact that muscle symptoms are very common and debilitating in many rheumatic diseases. Recently, it has been shown that even though patients with rheumatoid arthritis may achieve clinical remission, defined by asymptomatic joints, many remain affected by lingering constitutional systemic symptoms like fatigue, tiredness, weakness and myalgia, which may be attributed to changes in the muscles. Recent improvements in imaging technology, coupled with an increasing clinical interest, has started to ignite new interest in the area. This perspective discusses the rationale for using imaging, particularly ultrasound and MRI, for investigating muscle pathology involved in common inflammatory rheumatic diseases. The muscles associated with rheumatic diseases can be affected in many ways, including myositis—an inflammatory muscle condition, and myopathy secondary to medications, such as glucocorticoids. In addition to non-invasive visual assessment of muscles in these conditions, novel imaging techniques like shear wave elastography and quantitative MRI can provide further useful information regarding the physiological and biomechanical status of the muscle.

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MRI findings are associated with time to return to play in first class cricket fast bowlers with side strain in Australia and England

Cited by 3 publications

References 28 publications

MRI in acute muscle tears in athletes: can quantitative T2 and DTI predict return to play better than visual assessment?

MRI in acute muscle tears in athletes: can quantitative T2 and DTI predict return to play better than visual assessment?

Side Strain and Impact Injuries at the Iliac Crest Attachment of Lateral Abdominal Wall Musculature in Cricketers: An Uncommon Injury Pattern

Novel Muscle Imaging in Inflammatory Rheumatic Diseases—A Focus on Ultrasound Shear Wave Elastography and Quantitative MRI

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