Open AccessHigher frequency of hamstring injuries in elite track and field athletes who had a previous injury to the ankle ‐ a 17 years observational cohort study
Author(s) -
Malliaropoulos Nikolaos,
Bikos Georgios,
Meke Maria,
Vasileios Korakakis,
Valle Xavier,
Lohrer Heinz,
Maffulli Nicola,
Padhiar Nat
Publication year - 2018
Publication title -
journal of foot and ankle research
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.763
H-Index - 39
ISSN - 1757-1146
DOI - 10.1186/s13047-018-0247-4
Subject(s) - medicine , hamstring , track and field athletics , athletes , observational study , physical therapy , hamstring injury , cohort study , rehabilitation , ankle , cohort , orthopedic surgery , physical medicine and rehabilitation , elite athletes , injury prevention , poison control , emergency medicine , surgery
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 (x 2 = 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.