Tibial shaft fractures in amateur footballers

Lenehan, Brian; Fleming, Philip M.; Walsh, Sheila; Kaar, K.

doi:10.1136/bjsm.37.2.176

Cited by 11 publications

(16 citation statements)

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“…The Edinburgh study found that 95.4% were closed injuries and of these 90% were Tscherne type 0 or 1 [4]. Delayed union and non-union were also found to be low both by the Leicester study and Lenehan et al quoted a 2% incidence [7]. The latter simply reflects the 'personality' of the tibial fracture as coined by Nicol in 1964 [8] as well as the low mean age of the study population.…”

Section: Discussionmentioning

confidence: 99%

Tibial shaft fractures in football players

et al. 2007

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Background: Football is officially the most popular sport in the world. In the UK, 10% of the adult population play football at least once a year. Despite this, there are few papers in the literature on tibial diaphyseal fractures in this sporting group. In addition, conflicting views on the nature of this injury exist. The purpose of this paper is to compare our experience of tibial shaft football fractures with the little available literature and identify any similarities and differences.

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Section: Discussionmentioning

confidence: 99%

Tibial shaft fractures in football players

et al. 2007

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“…For the surgically managed cohorts, return rates to the same level of sport ranged from 55% to 100% (mean, 75.4%). 9 , 10 , 14 , 16 , 26 - 29 …”

Section: Resultsmentioning

confidence: 99%

“…For patients managed surgically, the rate for reintervention ranged from 2% to 100% (mean, 33%) (Appendix Table 3, available at http://sph.sagepub.com/content/by/supplemental-data ). 1 - 3 , 9 - 14 , 16 , 26 - 29 For those managed with IM nailing, the rate of reintervention ranged from 2% to 52% (mean, 34%), with noted complications including compartment syndrome (range, 0%-33%), wound infection (range, 0%-10%), deep vein thrombosis (0%-5%), fat embolism (0%-9%), and postoperative knee pain (20%-54%). 2 , 3 , 9 - 11 , 14 , 16 , 26 - 29 For patients managed with ORIF, the rate of reintervention ranged from 0% to 40%, with noted complications including wound infection (0%-4%).…”

Section: Resultsmentioning

confidence: 99%

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Return to Sport After Tibial Shaft Fractures

Robertson

Wood

2015

Sports Health

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Context:Acute tibial shaft fractures represent one of the most severe injuries in sports. Return rates and return-to-sport times after these injuries are limited, particularly with regard to the outcomes of different treatment methods.Objective:To determine the current evidence for the treatment of and return to sport after tibial shaft fractures.Data Sources:OVID/MEDLINE (PubMed), EMBASE, CINAHL, Cochrane Collaboration Database, Web of Science, PEDro, SPORTDiscus, Scopus, and Google Scholar were all searched for articles published from 1988 to 2014.Study Selection:Inclusion criteria comprised studies of level 1 to 4 evidence, written in the English language, that reported on the management and outcome of tibial shaft fractures and included data on either return-to-sport rate or time. Studies that failed to report on sporting outcomes, those of level 5 evidence, and those in non–English language were excluded.Study Design:Systematic review.Level of Evidence:Level 4.Data Extraction:The search used combinations of the terms tibial, tibia, acute, fracture, athletes, sports, nonoperative, conservative, operative, and return to sport. Two authors independently reviewed the selected articles and created separate data sets, which were subsequently combined for final analysis.Results:A total of 16 studies (10 retrospective, 3 prospective, 3 randomized controlled trials) were included (n = 889 patients). Seventy-six percent (672/889) of the patients were men, with a mean age of 27.7 years. Surgical management was assessed in 14 studies, and nonsurgical management was assessed in 8 studies. Return to sport ranged from 12 to 54 weeks after surgical intervention and from 28 to 182 weeks after nonsurgical management (mean difference, 69.5 weeks; 95% CI, –83.36 to −55.64; P < 0.01). Fractures treated surgically had a return-to-sport rate of 92%, whereas those treated nonsurgically had a return rate of 67% (risk ratio, 1.37; 95% CI, 1.20 to 1.57; P < 0.01).Conclusion:The general principles are to undertake surgical management for displaced fractures and to attempt nonsurgical management for undisplaced fractures. Primary surgical intervention of undisplaced fractures, however, may result in higher return rates and shorter return times, though this exposes the patient to the risk of surgical complications, which include surgical site infection and compartment syndrome.

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“…For almost half of these players it marks the end of competitive sport. 1 Most of these fractures are low energy injuries which are stable in configuration. 2 Hence they tend to be treated non-operatively.…”

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Calf muscle wasting after tibial shaft fracture: Figure 1

Khalid

Brannigan²,

Burke³

2006

Br J Sports Med

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Objectives: To study the long term effect of tibial shaft fractures treated by immobilisation in a long leg cast on the calf muscle bulk. Methods: Computed tomography scans were performed at fixed points on the lower legs of 23 non-professional athletes who sustained closed tibial fractures 16 years previously. Length of immobilisation was determined from the hospital records. All the fractures were treated non-operatively. The cross sectional area of the various leg compartments was measured and compared with the non-injured leg.Results: There was a significant reduction in cross sectional area of the posterior compartment (p,0.001, Student's t test). No such difference was seen in the anterolateral compartment. Conclusion: Tibial fractures treated non-operatively are associated with significant long term calf muscle wasting.

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Tibial shaft fractures in amateur footballers

Cited by 11 publications

References 5 publications

Tibial shaft fractures in football players

Tibial shaft fractures in football players

Return to Sport After Tibial Shaft Fractures

Calf muscle wasting after tibial shaft fracture: Figure 1

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