Pollock Noel, Dijkstra Paul, Calder James, Chakraverty Robin
British Athletics Team Doctor, Level 1 Outpatients, Hospital of St John and St Elizabeth, 60 Grove End Road, London, NW8 9NH, UK.
Sports Medicine Department, Aspetar, Qatar Orthopaedic and Sports Medicine Hospital, PO Box 29222, Doha, Qatar.
Knee Surg Sports Traumatol Arthrosc. 2016 Jul;24(7):2287-92. doi: 10.1007/s00167-014-3409-3. Epub 2014 Nov 2.
The plantaris tendon is present in 98-100 % of people, and a potential relationship between the plantaris tendon and the development of Achilles tendinopathy has been postulated. There are no studies on the epidemiology of plantaris injuries in a sporting population. This retrospective cohort study presents the incidence, nature and outcome of plantaris injuries in elite British track and field athletes.
All 214 elite athletes supported by the British Athletics Medical team from 2009 to 2013 were included in this cohort study. An injury was recorded if a plantaris injury was diagnosed and confirmed with imaging or surgical findings. Patient demographics, injury details and return to competitive elite track and field were recorded.
There were 33 new plantaris injuries, with an annual plantaris injury incidence of 3.9-9.3 %. There were significantly more right-sided plantaris injuries in bend running sprinters (15 right-sided vs. 4 left-sided). 74 % of the athletes who had a plantaris injury also had Achilles tendinopathy at some point during the study period. Seventeen plantaris tendons were surgically removed from 13 athletes during the course of the study with 12 of the 13 athletes returning to the same level on the Tegner activity scale.
This retrospective cohort study demonstrates that plantaris injuries are common in elite track and field athletes and may be underreported in the literature. There may be an association between the biomechanics bend sprinting and plantaris injury. Elite athletes may benefit from appropriate preventative and management strategies implemented by coaching and medical teams.
IV.
跖肌腱存在于98% - 100%的人群中，有人推测跖肌腱与跟腱病的发生之间可能存在关联。目前尚无关于运动员人群中跖肌损伤流行病学的研究。这项回顾性队列研究展示了英国优秀田径运动员跖肌损伤的发生率、损伤性质及预后情况。
本队列研究纳入了2009年至2013年期间由英国田径医疗队支持的所有214名优秀运动员。如果通过影像学或手术结果诊断并确认存在跖肌损伤，则记录为一次损伤。记录患者的人口统计学数据、损伤细节以及恢复到精英田径比赛水平的情况。
共出现33例新的跖肌损伤，跖肌损伤的年发生率为3.9% - 9.3%。弯道短跑运动员右侧跖肌损伤明显更多（右侧15例，左侧4例）。在研究期间，74%发生跖肌损伤的运动员在某个时间点也患有跟腱病。在研究过程中，13名运动员的17条跖肌腱被手术切除，其中13名运动员中有12名在泰格纳活动量表上恢复到了相同水平。
这项回顾性队列研究表明，跖肌损伤在优秀田径运动员中很常见，且在文献中可能未得到充分报道。弯道短跑的生物力学与跖肌损伤之间可能存在关联。优秀运动员可能会从教练和医疗团队实施的适当预防和管理策略中受益。
四级
