Display options
Share it on

World J Orthop. 2015 Dec 18;6(11):850-63. doi: 10.5312/wjo.v6.i11.850. eCollection 2015 Dec 18.

Fractures in sport: Optimising their management and outcome.

World journal of orthopedics

Greg Aj Robertson, Alexander M Wood

Affiliations

  1. Greg AJ Robertson, Edinburgh Orthopaedic Trauma Unit, Royal Infirmary of Edinburgh, Edinburgh, Scotland EH16 4SA, United Kingdom.

PMID: 26716081 PMCID: PMC4686432 DOI: 10.5312/wjo.v6.i11.850

Abstract

Fractures in sport are a specialised cohort of fracture injuries, occurring in a high functioning population, in which the goals are rapid restoration of function and return to play with the minimal symptom profile possible. While the general principles of fracture management, namely accurate fracture reduction, appropriate immobilisation and timely rehabilitation, guide the treatment of these injuries, management of fractures in athletic populations can differ significantly from those in the general population, due to the need to facilitate a rapid return to high demand activities. However, despite fractures comprising up to 10% of all of sporting injuries, dedicated research into the management and outcome of sport-related fractures is limited. In order to assess the optimal methods of treating such injuries, and so allow optimisation of their outcome, the evidence for the management of each specific sport-related fracture type requires assessment and analysis. We present and review the current evidence directing management of fractures in athletes with an aim to promote valid innovative methods and optimise the outcome of such injuries. From this, key recommendations are provided for the management of the common fracture types seen in the athlete. Six case reports are also presented to illustrate the management planning and application of sport-focussed fracture management in the clinical setting.

Keywords: Fractures; Management; Optimisation; Outcome; Sport

References

  1. Am J Sports Med. 2006 Mar;34(3):476-80 - PubMed
  2. J Hand Ther. 2003 Apr-Jun;16(2):171-9 - PubMed
  3. Injury. 1995 Jan;26(1):33-6 - PubMed
  4. Br Med Bull. 2013;106:179-91 - PubMed
  5. Knee Surg Sports Traumatol Arthrosc. 2004 May;12(3):254-8 - PubMed
  6. Am J Sports Med. 2012 Aug;40(8):1851-7 - PubMed
  7. Injury. 2009 Mar;40(3):268-73 - PubMed
  8. Am J Sports Med. 2011 Jun;39(6):1295-301 - PubMed
  9. J Bone Joint Surg Am. 2012 Apr 18;94(8):675-84 - PubMed
  10. Am J Sports Med. 2008 Jul;36(7):1367-72 - PubMed
  11. Injury. 1989 Jul;20(4):208-10 - PubMed
  12. J Trauma. 2001 Jun;50(6):1096-100 - PubMed
  13. J Bone Joint Surg Br. 2008 Jan;90(1):66-71 - PubMed
  14. Foot Ankle Int. 2014 Nov;35(11):1143-52 - PubMed
  15. Injury. 2008 Dec;39(12):1377-83 - PubMed
  16. BMC Sports Sci Med Rehabil. 2013 Dec 23;5(1):30 - PubMed
  17. Am J Sports Med. 2014 May;42(5):1176-81 - PubMed
  18. Injury. 1997 Jun-Jul;28(5-6):365-7 - PubMed
  19. Clin Orthop Relat Res. 1991 Jun;(267):164-8 - PubMed
  20. J Public Health (Oxf). 2011 Jun;33(2):256-61 - PubMed
  21. J Orthop Surg (Hong Kong). 2014 Dec;22(3):313-7 - PubMed
  22. J Bone Joint Surg Br. 1995 Nov;77(6):920-1 - PubMed
  23. Br J Sports Med. 2004 Feb;38(1):36-41 - PubMed
  24. Am J Sports Med. 2013 Nov;41(11):2632-6 - PubMed
  25. Hand Clin. 2012 Aug;28(3):395-401, x - PubMed
  26. Foot Ankle Int. 2009 Jan;30(1):27-33 - PubMed
  27. Curr Sports Med Rep. 2008 Sep-Oct;7(5):275-80 - PubMed
  28. Br J Sports Med. 2003 Jun;37(3):233-8 - PubMed
  29. Am J Sports Med. 2012 Nov;40(11):2578-82 - PubMed
  30. Am J Sports Med. 1989 Jul-Aug;17 (4):567-72 - PubMed
  31. Injury. 2014 Apr;45(4):677-83 - PubMed
  32. Knee Surg Sports Traumatol Arthrosc. 2013 Jun;21(6):1307-15 - PubMed
  33. Lancet. 1995 Jun 10;345(8963):1485-7 - PubMed
  34. Arch Orthop Trauma Surg. 2011 Jul;131(7):879-83 - PubMed
  35. Arch Orthop Trauma Surg. 1990;109(5):277-9 - PubMed
  36. Acta Orthop Belg. 2005 Feb;71(1):17-21 - PubMed
  37. J Bone Joint Surg Am. 2013 Sep 4;95(17 ):1576-84 - PubMed
  38. J Bone Joint Surg Am. 2006 Sep;88(9):1944-51 - PubMed
  39. Sports Med Arthrosc. 2014 Mar;22(1):2-11 - PubMed
  40. Br J Sports Med. 2005 Oct;39(10 ):757-66 - PubMed
  41. Knee Surg Sports Traumatol Arthrosc. 1999;7(6):373-7 - PubMed
  42. Am J Sports Med. 1993 Sep-Oct;21(5):720-3 - PubMed
  43. Br J Sports Med. 1991 Dec;25(4):213-7 - PubMed
  44. Int Orthop. 2012 Jun;36(6):1199-206 - PubMed
  45. Tidsskr Nor Laegeforen. 2013 May 28;133(10):1079-82 - PubMed
  46. Foot Ankle Int. 2003 Nov;24(11):829-33 - PubMed
  47. Acta Orthop Belg. 2006 Jun;72 (3):269-75 - PubMed
  48. Am J Sports Med. 2005 Jul;33(7):970-5 - PubMed
  49. Am J Sports Med. 2012 Sep;40(9):2078-84 - PubMed
  50. Am J Sports Med. 2010 Oct;38(10 ):2092-6 - PubMed
  51. Clin Podiatr Med Surg. 2015 Apr;32(2):231-8 - PubMed
  52. Am J Sports Med. 1988 Sep-Oct;16(5):486-91 - PubMed
  53. Am J Sports Med. 2015 Mar;43(3):565-9 - PubMed
  54. J Bone Joint Surg Br. 1999 Jan;81(1):71-6 - PubMed
  55. J Bone Joint Surg Am. 2010 Aug 4;92(9):1851-7 - PubMed
  56. Am J Sports Med. 2005 May;33(5):726-33 - PubMed
  57. Injury. 2008 Dec;39(12):1365-72 - PubMed
  58. Open Access J Sports Med. 2014 Aug 05;5:173-82 - PubMed
  59. J Bone Joint Surg Br. 1997 Jul;79(4):537-9 - PubMed
  60. Br J Sports Med. 1998 Dec;32(4):319-25 - PubMed
  61. J Orthop Surg Res. 2007 Jun 13;2:11 - PubMed
  62. Clin Orthop Relat Res. 2007 Jul;460:142-51 - PubMed
  63. Hand Clin. 2009 Aug;25(3):409-21 - PubMed
  64. Br J Sports Med. 2002 Aug;36(4):265-9; discussion 269 - PubMed
  65. J Bone Joint Surg Br. 2012 Aug;94(8):1107-12 - PubMed
  66. Injury. 2011 Sep;42 Suppl 4:S17-21 - PubMed
  67. Injury. 2012 Feb;43(2):159-63 - PubMed
  68. Sports Med Arthrosc. 2014 Mar;22(1):22-8 - PubMed
  69. J Bone Joint Surg Am. 1997 Mar;79(3):334-41 - PubMed
  70. Am J Sports Med. 2002 Jan-Feb;30(1):55-60 - PubMed
  71. Br J Sports Med. 1988 Jun;22(2):82 - PubMed
  72. Br J Sports Med. 2003 Dec;37(6):480-3; discussion 484 - PubMed
  73. J Hand Surg Am. 1993 Jul;18(4):594-9 - PubMed
  74. Br J Sports Med. 2005 Oct;39(10):767-75 - PubMed
  75. Br J Sports Med. 2005 May;39(5):288-93 - PubMed
  76. Clin J Sport Med. 2010 Jul;20(4):293-9 - PubMed
  77. Am J Sports Med. 2004 Jan-Feb;32(1 Suppl):80S-9S - PubMed
  78. Injury. 2006 Aug;37(8):691-7 - PubMed
  79. J Shoulder Elbow Surg. 2015 May;24(5):700-4 - PubMed
  80. Hand Clin. 2012 Aug;28(3):379-88, x - PubMed
  81. Sports Med Arthrosc. 2014 Mar;22(1):29-38 - PubMed
  82. Br J Sports Med. 2006 Jun;40(6):552-3 - PubMed
  83. Br J Sports Med. 2002 Dec;36(6):436-41; discussion 441 - PubMed
  84. J Bone Joint Surg Am. 2008 Mar;90 Suppl 2 Pt 1:1-8 - PubMed

Publication Types