British Journal of Sports Medicine最新文献

{"title":"Mid-tarsal (Chopart) joint ligamentous injury","authors":"Gulraiz Ahmad, Jean Claude Koenig, Haroon Majeed, Bruce B Forster","doi":"10.1136/bjsports-2025-110603","DOIUrl":"https://doi.org/10.1136/bjsports-2025-110603","url":null,"abstract":"A 30-year-old football player presented with a 10-day history of dorsolateral ankle pain following a low-velocity inversion and plantarflexion injury involving the left ankle. A complete examination of the ankle and foot was conducted which demonstrated swelling at the dorsolateral aspect of the foot. Rotational movements of the hindfoot and midfoot joints and inversion stress test caused pain but no significant laxity of the lateral collateral ligaments. Initial point of care left ankle and foot plain film radiographs revealed no definite fracture or dislocation. A subsequent ultrasound examination performed on the same day demonstrated a small 3 mm bony avulsion fracture at the anterosuperior process of the calcaneus (figure 1) and an intact anterior talofibular ligament (ATFL). An MRI examination was performed 7 days later and re-demonstrated the small bony avulsion fracture at the anterior process of the calcaneus and a ligamentous injury involving the medial and lateral limbs of the bifurcate ligament (figure 2A, B). Figure 1 (A) Long axis ultrasound image demonstrating a small bony …","PeriodicalId":9276,"journal":{"name":"British Journal of Sports Medicine","volume":"52 1","pages":""},"PeriodicalIF":18.4,"publicationDate":"2025-10-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145381662","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sports-related sudden cardiac arrest: a video analysis of presenting features, management and outcomes.","authors":"Simone Ungaro,Thomas S Truglio,Alessandro Zorzi,Erik Ekker Solberg,Andrea Caniglia,Nicole M Panhuyzen-Goedkoop,Merije Chukumerije,Eloi Marijon,Jonathan A Drezner","doi":"10.1136/bjsports-2025-110275","DOIUrl":"https://doi.org/10.1136/bjsports-2025-110275","url":null,"abstract":"OBJECTIVESports-related sudden cardiac arrest (SR-SCA) is the leading cause of death in athletes during sports. The objective of this study was to review all available videos worldwide of SR-SCA to better understand presenting features, management and outcomes.METHODSA total of 48 recorded SR-SCA events were compiled through a multimedia search. Two investigators independently analysed videos to assess demographics, presenting features of SR-SCA, bystander response, management strategies and outcomes. Videos lacking sufficient data for specific variables were excluded from the statistical analysis of that specific variable(s).RESULTSOf 48 SR-SCA cases, 47 (98%) occurred in males. Most events (34; 71%) took place during low-to-moderate intensity exertion. Precollapse behaviour included stumbling 13 (27%), swaying 13 (26%), hands on knees 10 (20%) and walking 9 (18%). After collapse, among the videos where the face was visible (n=8), 100% demonstrated open eyes with fixed gaze or eyes rolled back and in cases where the chest was visible (n=31), 100% displayed continued respiratory movements or gasping after collapse. Fellow athletes did not initiate cardiopulmonary resuscitation in any competitive young athlete-victim (0/42). Early automated external defibrillator (AED) use had the strongest association with survival (19/22; 86%). Europe and North America had higher survival (26/36; 68%) and AED use (21/30; 70%) than Africa, South America and Asia (survival 0/12, 0%; AED use 1/6, 17%).CONCLUSIONSR-SCA presents with consistent clinical features. Enhancing education on these characteristics can improve timely recognition and prompt resuscitation. Variations in survival and AED use highlight the need to strengthen awareness of SR-SCA and expand global access to AEDs.","PeriodicalId":9276,"journal":{"name":"British Journal of Sports Medicine","volume":"160 1","pages":""},"PeriodicalIF":18.4,"publicationDate":"2025-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145357840","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prevention strategies and modifiable risk factors for upper extremity injury: a systematic review and meta-analysis for the female, woman and girl Athlete Injury pRevention (FAIR) consensus.","authors":"Emily E Heming,Eric S Gibson,Kenzie B Friesen,Chelsea L Martin,Maitland Martin,Martin Asker,Cheri Blauwet,Garrett S Bullock,Hilde Fredriksen,Jean-Michel Galarneau,K Alix Hayden,Jae Hyung Lee,Andrea Britt Mosler,Grethe Myklebust,Babette M Pluim,Jane S Thornton,Jackie L Whittaker,Rod Whiteley,Kay M Crossley,Merete Møller,Carolyn A Emery","doi":"10.1136/bjsports-2025-109907","DOIUrl":"https://doi.org/10.1136/bjsports-2025-109907","url":null,"abstract":"OBJECTIVESTo examine injury prevention strategies and potentially modifiable risk factors (MRFs) for upper extremity (UE) injuries in female, woman and/or girl athletes (female/woman/girl).DESIGNSystematic review with meta-analysis, semiquantitative analyses and Grading of Recommendations Assessment, Development and Evaluation in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses.DATA SOURCESMEDLINE (Medical Literature Analysis and Retrieval System Online), CINAHL (Cumulative Index to Nursing and Allied Health Literature), APA PsycINFO (American Psychological Association Psychological Information Database), SPORTDiscus (Sports Discus Database), EMBASE (Excerpta Medica Database), and ERIC (Education Resources Information Center) (30 October 2023) and Cochrane Systematic Review Database and the Cochrane Central Register of Controlled Trials (CENTRAL) (25 November 2023).ELIGIBILITYPrimary data studies with comparison group(s) assessing the association of prevention strategies and/or MRFs for sport-related UE injury, with ≥1 female/woman/girl in each study group.RESULTS55 studies (n=20 intervention, n=35 MRF) were included with 33 228 athletes (8642 female/woman/girl; 26%). Of these, 17 (31%) reported female/woman/girl-specific estimates and included five injury locations (n=3 general UE, n=12 shoulder, n=3 elbow, n=3 wrist/hand). One prevention strategy (n=5 shoulder-specific exercise programmes) and seven MRFs were identified, including less range of motion (n=6), less shoulder muscle strength (n=8), high training load (n=1), presence of scapular dyskinesis (n=3), high sport specialisation (n=2), equipment differences (n=1) and less sport-specific conditioning (n=1). Pooled data from three studies suggest that shoulder exercise programmes consisting of strength, stability/control and sport-specific exercises reduce shoulder injury rates by 51% (95% CI 0.30 to 079; I2 0.0%; very-low certainty evidence) across paediatric (≤18 years) and adult handball and volleyball players.CONCLUSIONSOur understanding of female/woman/girl UE injury prevention is limited by heterogeneity across injury outcomes, interventions, MRFs and limited female/woman/girl athlete-specific data. Shoulder-specific strengthening and stability exercise programmes may be beneficial to reduce shoulder injury rates in female/woman/girl handball and volleyball players. Future research should prioritise female/woman/girl athletes to reduce the burden of UE injuries.PROSPERO REGISTRATION NUMBERPROSPERO CRD42024494967.","PeriodicalId":9276,"journal":{"name":"British Journal of Sports Medicine","volume":"21 1","pages":""},"PeriodicalIF":18.4,"publicationDate":"2025-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145357839","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"T-junction injuries of the biceps femoris: bridging the gap between expert opinion and evidence-based practice.","authors":"Fearghal Kerin","doi":"10.1136/bjsports-2025-110012","DOIUrl":"https://doi.org/10.1136/bjsports-2025-110012","url":null,"abstract":"","PeriodicalId":9276,"journal":{"name":"British Journal of Sports Medicine","volume":"201 1","pages":""},"PeriodicalIF":18.4,"publicationDate":"2025-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145357838","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Critical evidence synthesis on rehabilitation following arthroscopic shoulder stabilisation surgery for traumatic anterior instability: consensus recommendations for clinical practice and research - commissioned by the British Elbow & Shoulder Society.","authors":"Carl Wong,Anju Jaggi,Elaine Willmore,Natasha Maher,Marcus Bateman,Joel O'Sullivan,James Blacknall,Ian Horsley,Jo Gibson,Bradley Rugg,Rachel Chester","doi":"10.1136/bjsports-2025-109674","DOIUrl":"https://doi.org/10.1136/bjsports-2025-109674","url":null,"abstract":"Arthroscopic shoulder stabilisation surgery (ASSS) is a common procedure for treating anterior shoulder instability. Postoperative rehabilitation remains a crucial, but under-researched, aspect of patient recovery. Despite its importance, no comprehensive rehabilitation guideline based on robust clinical trials has emerged, leaving a gap in evidence-based practice.To address this, the British Elbow & Shoulder Society appointed the Allied Health Professional Clinical Guideline Group to review current practices and establish clinical guidance on rehabilitation. This evidence synthesis aims to provide a critical synthesis and discussion on rehabilitation following ASSS. The intended outcome is to highlight areas of uncertainty and make recommendations for clinical practice and further research.The development of this evidence synthesis followed a rigorous five-stage process: (1) systematic literature review, (2) UK national practice survey, (3) expert consensus (Delphi) study, (4) updated literature search and review and (5) synthesis of the previous four stages. Stages 1-3 have been published previously. This evidence synthesis comprised stages 4 and 5.10 key domains for postoperative rehabilitation from immediate postsurgery to return to normal function, including sports, were identified. This paper synthesises current knowledge and provides a platform for recommendations in clinical practice and future research. In particular, early shoulder movement was recommended during the 'immobilisation period', but confined to shoulder elevation up to 90°, anterior to the scapular plane, with neutral external rotation. Further high-quality primary research is needed to address uncertainties and expand the evidence base, thereby informing and challenging clinical practice.","PeriodicalId":9276,"journal":{"name":"British Journal of Sports Medicine","volume":"48 1","pages":""},"PeriodicalIF":18.4,"publicationDate":"2025-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145357844","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Quantification of heading in adult football: a systematic review and evidence synthesis.","authors":"Jill Alexander,Mark Gillett,Sameer Patel,Paddy Riley,Matthew Green,David Rhodes","doi":"10.1136/bjsports-2024-109462","DOIUrl":"https://doi.org/10.1136/bjsports-2024-109462","url":null,"abstract":"OBJECTIVEThis study aims to evaluate the quantification of heading in adult football (soccer) across practice, game and laboratory settings. Additionally, it examines how variables such as technical categorisation, ball properties, gender, position, level and type of play influence acceleration, force, nature and frequency of heading.DESIGNA systematic review was conducted in accordance with Preferred Reporting Items for Systematic Reviews and Meta-Analyses-Protocols guidelines and registered with PROSPERO (CRD42021249268).DATA SOURCESMEDLINE, ScienceDirect, SPORTDiscus, CINAHL, Web of Science, Scopus and ProQuest.ELIGIBILITY CRITERIA FOR SELECTING STUDIESStudies published in English between 2000 and 2024 that quantified subjective and/or objective measures of acceleration, force, nature and frequency of heading in football were included.RESULTSThirty-two articles met the eligibility criteria. Measurements of acceleration, force, nature and frequency were measured in practice and game situations; however, no study reported all measures synchronously from both practice and games in the same investigation. Differences in acceleration (linear/rotational), force, nature and frequency when heading were observed and influenced by gender, playing position, type of header, approach, preceding events, ball properties and neck strength. Acceleration and force were the highest from goal kicks, and a larger frequency of headers was exhibited in training than games. The nature of headers was difficult to report due to inconsistencies in the terms used across the literature to define the type of header or event preceding the header.CONCLUSIONOur findings inform the standardisation and accuracy of quantifying heading in football. Future research should focus on quantifying heading in uncontrolled scenarios using valid and reliable technology and verify ball-to-head impacts through video analytics to determine any relevant clinical thresholds for heading.","PeriodicalId":9276,"journal":{"name":"British Journal of Sports Medicine","volume":"69 1","pages":""},"PeriodicalIF":18.4,"publicationDate":"2025-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145339273","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Safeguarding as health: a public health imperative for sports policy.","authors":"Kirsty Burrows,Tine Vertommen,Kat Craig","doi":"10.1136/bjsports-2025-110294","DOIUrl":"https://doi.org/10.1136/bjsports-2025-110294","url":null,"abstract":"","PeriodicalId":9276,"journal":{"name":"British Journal of Sports Medicine","volume":"56 1","pages":""},"PeriodicalIF":18.4,"publicationDate":"2025-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145339274","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Leveraging attention and community relationships to deliver hands-only cardiopulmonary resuscitation and automated external defibrillator training in Western New York's historically underserved communities.","authors":"Leslie Bisson,Karen Bisson,Tameka Felts,Scott A Dinse,Heidi N Suffoletto,Sarah Krzyzanowicz,Ryan Krzyzanowicz,Nomi S Weiss-Laxer","doi":"10.1136/bjsports-2025-110721","DOIUrl":"https://doi.org/10.1136/bjsports-2025-110721","url":null,"abstract":"","PeriodicalId":9276,"journal":{"name":"British Journal of Sports Medicine","volume":"136 1","pages":""},"PeriodicalIF":18.4,"publicationDate":"2025-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145339275","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Association between frequency of meeting daily step thresholds and all-cause mortality and cardiovascular disease in older women.","authors":"Rikuta Hamaya,Kelly R Evenson,Daniel Lieberman,I-Min Lee","doi":"10.1136/bjsports-2025-110311","DOIUrl":"https://doi.org/10.1136/bjsports-2025-110311","url":null,"abstract":"OBJECTIVETo examine the associations between the number of days per week achieving various daily step thresholds and all-cause mortality and cardiovascular disease (CVD) incidence in older women.METHODSWe conducted a prospective cohort study of 13 547 women free of CVD and cancer (mean age 71.8 years). We included participants who wore an ActiGraph GT3X+ accelerometer for 7 consecutive days between 2011-2015 and were subsequently followed for mortality through 2024. Women were classified by the number of days per week achieving step thresholds of ≥4000, ≥5000, ≥6000 or ≥7000 steps/day. Cox proportional hazards regression estimated hazard ratios (HR) and 95% confidence intervals (95% CI) for all-cause mortality and CVD incidence, adjusting for lifestyle behaviours and comorbidities.RESULTSDuring a median follow-up of 10.9 years, 1765 women (13.0%) died and 781 (5.1%) developed CVD. Achieving ≥4000 steps/day on 1-2 and ≥3 days/week was associated with lower mortality risk compared with 0 days/week (adjusted HR 0.74 (95% CI 0.65 to 0.86) and 0.60 (95% CI 0.53 to 0.68), respectively). For CVD, corresponding results were 0.73 (95% CI 0.58 to 0.92) and 0.73 (95% CI 60 to 0.89), respectively. An inverse curvilinear dose-response relationship was observed for mortality, such that with higher step thresholds (5000, 6000 or 7000), the risk of mortality further declined modestly. With additional adjustment for mean daily steps, associations were attenuated to the null.CONCLUSIONSAmong older women, achieving ≥4000 steps/day on even 1-2 days/week was associated with lower mortality and CVD, while more steps were associated with even better outcomes. A greater number of steps, regardless of daily patterns, is associated with better health outcomes.","PeriodicalId":9276,"journal":{"name":"British Journal of Sports Medicine","volume":"32 1","pages":""},"PeriodicalIF":18.4,"publicationDate":"2025-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145338669","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Considerations for improving patient and professional participant diversity in sports medicine, rehabilitation and sports science research.","authors":"Myles Calder Murphy,H Paul Dijkstra,Clare L Ardern,Nonhlanhla Sharon Mkumbuzi","doi":"10.1136/bjsports-2025-109680","DOIUrl":"https://doi.org/10.1136/bjsports-2025-109680","url":null,"abstract":"","PeriodicalId":9276,"journal":{"name":"British Journal of Sports Medicine","volume":"2 1","pages":""},"PeriodicalIF":18.4,"publicationDate":"2025-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145331856","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}