References

smjournal

Спортивная медицина: наука и практика

Sports medicine: research and practice

2223-25242587-9014

NEICON

10.17238/ISSN2223-2524.2018.2.69

smjournal-105

Research Article

СПОРТИВНАЯ ТРАВМАТОЛОГИЯ

SPORTS TRAUMATOLOGY

Боль в плече и нестабильность акромиально-ключичного сочленения у спортсменов в спортивных единоборствах

Shoulder pain and instability of the acromioclavicular joint in athletes in combat sports

Богданов

А. А.

Bogdanov

A. A.

artembogdanov79@yandex.ru

ФГБОУ ВО Первый Санкт-Петербургский государственный медицинский университет им. акад. И.П. ПавловаРоссияPavlov First Saint Petersburg State Medical UniversityRussian Federation

2018

21082020

826975

2020

Богданов А.А.

Bogdanov A.A.

Данная работа распространяется под лицензией Creative Commons Attribution 4.0.

This work is licensed under a Creative Commons Attribution 4.0 License.

https://www.smjournal.ru/jour/article/view/105

Боль в плече одна из самых распространенных причин обращений спортсменов за медицинской помощью. В обзоре представлена диагностика боли в плече у спортсменов чаще всего обусловленная ограничением внутренней ротации в плечевом суставе и повреждениями акромиально-ключичного сочленения. Травмы плеча в спортивных единоборствах в частности в дзюдо составляют от 28% до 43,8%, по некоторым данным и более. Нестабильность акромиально-ключичного сочленения чаще всего возникает у спортсменов в спортивных единоборствах после выполненных бросков и ударов в лопаточную область и занимает ведущее место среди всех травм плеча у спортсменов в дзюдо. В лечении травм акромиально-ключичного сочленения I и II типов преобладает консервативная тактика, включающая иммобилизацию, обезболивание, физиотерапию и изометрические упражнения. Лечение травм III типа возможно с применением различных хирургических методов, а также в ряде случаев консервативно. Успешность реабилитации после травмы и позволяет спортсменам возобновить спортивные тренировки и соревнования.

Shoulder pain is one of the most common causes of athletes requests for medical care. The review presents the diagnostics of shoulder pain in athletes often due to the limitation of internal rotation in the shoulder joint and damage of the acromioclavicular joint. According to some reports shoulder injuries in combat sports and in particular judo range from 28% to 43.8%, and more. Instability of acromioclavicular joint most often occurs in combat athletes after the shots and blows to the shoulder area and occupies a leading place among all shoulder injuries in athletes in judo. Conservative tactics, including immobilization,pain relief, physiotherapy and isometric exercises, prevail in the treatment of injuries of acromioclavicular joint of types I and II. Treatment of type III injuries is possible with the use of various surgical methods, as well as conservative methodsin some cases. The success of rehabilitation after injuries allows athletes to resume sporting training and competition.

боль в плечеспортсменытравмыакромиально-ключичное сочленениереабилитациядзюдосамбо

shoulder painathletessports injuriesacromioclavicular jointrehabilitationsports judosambo

References1

National Council of Youth Sports. Report on trends and participation in organized youth sports: market research report, NCYS membership survey - 2008 edition // Stuart: National Council of Youth Sports, 2008.

Spinks AB, McClure RJ. Quantifying the risk of sports injury: a systematic review of activity-specific rates for children under 16 years of age // Br J Sports Med. 2007. Vol.41, №9. P. 548-57. DOI: 10.1136 / bjsm.2006.033605.

Centers for Disease Control and Prevention (CDC). Sports-related injuries among high school athletes-United States, 200506 school year // MMWR Morb Mortal Wkly Rep. 2006. №55. P 1037-40. DOI: 10.15585 / mmwr.ss6503a1.

Kuijpers T, van der Windt DA, van der Heijden GJ, Bouter LM. Systematic review of prognostic cohort studies on shoulder disorders // Pain. 2004. №109. P. 420-31.

Robinson TW, Corlette J, Collins CL, Comstock RD. Shoulder injuries among US high school athletes, 2005 / 2006-2011 / 2012 // Pediatrics. 2014. Vol.133, №2. P. 272-9. DOI:10.1542 / peds.2013-2279.

Dilip R. Patel, Ai Yamasaki, Kelly Brown. Epidemiology of sports-related musculoskeletal injuries in young athletes in United States // J. Transl Pediatr. 2017. Vol.6, №3. P. 160-6.

Ekegren CL, Gabbe BJ, Finch CF. Sports injury surveillance systems: a review of methods and data quality // Sports Med. 2016. №46. P. 49-65. DOI: 10.1007 / s40279-015-0410-z.

Patel DR, Baker RJ. Musculoskeletal injuries in sports // Prim Care. 2006. №33. P. 545-79.

Lystad R, Gregory K, Wilson J. The epidemiology of injuries in mixed martial arts: A systematic review and meta-analysis // Orthop J Sports Med 2014. Vol.2, №1. e2325967113518492. DOI: 10.1177 / 2325967113518492.

Engebretsen L, Soligard T, Steffen K, Alonso JM, Aubry M, Budgett R, Dvorak J, Jegathesan M, Meeuwisse WH, Mountjoy M, Palmer-Green D, Vanhegan I, Renström PA. Sports injuries and illnesses during the London Summer Olympic Games-2012 // Br J Sports Med. 2013. №47. P. 407-14. DOI: 10.1136 / bjsports-2013-092380.

Schneider S, Seither B, Tonges S, Schmitt H. Sports injuries: population based representative data on incidence, diagnosis, sequelae, and high risk groups // Br J Sports Med. 2006. №40. P. 334-9.

Cantu RC, Mueller FO. Catastrophic spine injuries in American football, 1977-2001 // Neurosurgery. 2003. №53. P. 358-63.

Sakalli FMH. Injuring of athletes and risk factors. Firat Saglik Hizmetleri Dergisi 2008. Vol.3, №7. P. 143-52.

Del Vecchio FB, Gonçalves A. Descriptive epidemiology of sports injuries. Rev Bras Med. 2012. Vol.69. P. 323-7.

Thomas Deroche, Yannick Stephan, Tim Woodman, Christine Le Scanff. Psychological mediators of the sport injury -perceived risk relationship // Risk Anal. 2012. Vol.32. P. 113-21. DOI: 10.1111 / j.1539-6924.2011.01646.x.

Henke T, Glaser H, Heck H. Sports injuries in Germany. Demographics, epidemiology, prevention, high-risk sporting activities, outlook // New Approaches to Preventing Sports Accidents. 2000. P. 139-65.

Cynarski WJ, Kudlacz M. Injuries in martial arts and combat sports - a comparative study // Arch Budo. 2008. Vol.4. P. 91-7.

Green T, Svinth J, Gutiérrez Garcia C, Pérez Gutiérrez M, Svinth J Judo. Martial arts of the world // Encyclopedia of history and innovation. California: ABC-CLIO, Santa Barbara. 2010. №1. P. 127-32.

Elena Pocecco, Gerhard Ruedl, Nemanja Stankovic, Stanislaw Sterkowicz, Fabricio Boscolo Del Vecchio, Carlos Gutiérrez-Garcia, et al. Injuries in judo: a systematic literature review including suggestions for prevention // British Journal of Sports Medicine. 2013. Vol.47, №18. P. 1139-43. DOI: 10.1136 / bjsports-2013-092886.

Ralph Akoto, Christophe Lambert, Maurice Balke Bertil Bouillon, Karl-Heinz Frosch, Jürgen Höher. Epidemiology of injuries in judo: a cross-sectional survey of severe injuries based on time loss and reduction in sporting level // Br J Sports Med. 2017. P. 1-8. DOI: 10.1136 / bjsports-2016-096849.

Mitchell C, Adebajo A, Hay E, Carr A. Shoulder pain: diagnosis and management in primary care. BMJ. 2005;12331(7525):1124-8. DOI: 10.1136 / bmj.331.7525.1124.

Valéria MA de Oliveira, Ana CR Pitangui, Mayra RA Gomes, Hitalo A da Silva, Muana HP dos Passos and Rodrigo C de Araujo. Shoulder pain in adolescent athletes: prevalence, associated factors and its influence on upper limb function. Braz J Phys Ther. 2017;21(2):107-113. DOI: 10.1016 / j.bjpt.2017.03.005.

Ludewig PM, Phadke V, Braman JP, Hassett DR, Cieminski CJ, LaPrade RF. Motion of the shoulder complex during multiplanar humeral elevation // Journal of Bone and Joint Surgery. 2009. Vol.91, №2. P. 378-89. DOI: 10.2106 / JBJS.G.01483.

Lugo R, Kung P, Ma CB. Shoulder biomechanics // Eur J Radiol. 2008. Vol.68, №1. P. 16-24.

Vanderlei FM, Vanderlei LCM, Bastos FN, NettoJunior J, Pastre CM. Characteristics and associated factors with sports injuries among children and adolescents. Braz J Phys Ther. 2014. Vol.18, №6. P. 530-7. DOI: 10.1590 / bjpt-rbf.2014.0059.

Heinke B, Mullner J. Common issues encountered in adolescent sports medicine: guide to completing the preparticipation physical evaluation // Prim Care. 2014. Vol.41, №3. P. 539-58.

Minghelli Band, Isidoro R. Prevalence of Injuries in Jiu-Jitsu and Judo Athletes of Portugal South: Associated Injury Mechanisms // J Community Med Health Educ. 2016. Vol.6. P. 3. DOI: 10.4172 / 2161-0711.1000441.

Merkel DL. Youth sport: positive and negative impact on young athletes // J Sports Med. 2013. Vol.4. P. 151-160. DOI: 10.2147 / OAJSM.S33556.

Guney H, Harput G, Colakoglu F, Baltaci G. Glenohumeral internal rotation deficit affects functional rotator strength ratio in adolescent overhead athletes // J Sport Rehabil. 2015. Vol.25, №1. P. 52-7. DOI: 10.1123 / jsr.2014-0260.

Astolfi MM, Struminger AH, Royer TD, Kaminski TW, Swanik CB. Adaptations of the shoulder to overhead throwing in youth athletes // J Athl Train. 2015. Vol.50, №7. P. 726-32. DOI: 10.4085 / 1062-6040-50.1.14.

Chillemi C, Franceschini V, Dei Giudici L, Alibardi A, SalateSantone F, Ramos Alday LJ, Osimani M. Epidemiology of isolated acromioclavicular joint dislocation // Emerg Med Int. 2013. e171609. DOI: 10.1155 / 2013 / 171609.

Pierantozzi E, Muroni R. Judo high level competitions injuries // Medit J Musc Surv. 2009. Vol.17. P. 26-9.

Meister K. Injuries to the shoulder in the throwing athlete. Part one: biomechanics / pathophysiology / classification of injury // Am J Sports Med. 2000. Vol.28, №2. P. 265-75.

Bontempo NA, Mazzocca AD. Biomechanics and treatment of acromioclavicular and sternoclavicular joint injuries // Br J Sports Med. 2010. Vol.44. P. 361-9. DOI: 10.1136 / bjsm.2009.059295.

Yard EE, Collins CL, Dick RW, Comstock RD. An epidemiologic comparison of high school and college wrestling injuries // Am J Sports Med. 2008. Vol.36, №1. P. 57-64.

Chen FS, Diaz VA, Loebenberg M, Rosen JE. Shoulder and elbow injuries in the skeletally immature athlete // J Am Acad Orthop Surg. 2005. Vol.13, №3. P. 172-85.

Rockwood CA. Injuries to the acromioclavicular joint. Fractures in adults. Philadelphia: JB Lippincott Co, 1984.

Mazzocca AD, Arciero RA, Bicos J. Evaluation and treatment of acromioclavicular joint injuries // Am J Sports Med. 2007. Vol.35. P. 316-29.

Beitzel K, Cote MP, Apostolakos J, Solovyova O, Judson CH, et al. Current Concepts in the Treatment of Acromioclavicular Joint Dislocations // Arthroscopy. 2013. Vol.29. P. 387-97. DOI: 10.1016 / j.arthro.2012.11.023.

Tauber M. Management of acute acromioclavicular joint dislocations: current concepts // Arch Orthop Trauma Surg. 2013. Vol.133. P. 985-95. DOI: 10.1007 / s00402-013-1748-z.

Ceccarelli E, Bondi R, Alviti F, Garofalo R, Miulli F, Padua R. Treatment of acute grade III acromioclavicular dislocation: a lack of evidence // J Orthopaed Traumatol. 2008. Vol.9, №2. P. 105-8. DOI: 10.1007 / s10195-008-0013-7.

Virtanen KJ, Savolainen V, Tulikoura I, Remes V, Haapamaki V, Pajarinen J, Bjorkenheim JM, Paavola M. Surgical treatment of chronic acromioclavicular joint dislocation with autogenous tendon grafts // Spring. 2014. Vol.3. P. 420. DOI: 10.1186 / 2193-1801-3-420.

Tauber M, Valler D, Lichtenberg S, Magosch P, Moroder P, Habermeyer P. Arthroscopic Stabilization of Chronic Acromioclavicular Joint Dislocations: Triple- Versus Single-Bundle Reconstruction // Am J Sports Med. 2016. Vol.44, №2. P 482-9. DOI: 10.1177 / 0363546515615583.

Ammon JT, Voor MJ, Tillett ED. A biomechanical comparison of Bosworth and poly-L lactic acid bioabsorbable screws for treatment of acromioclavicular separations // Arthroscopy. 2005. Vol.21, №12. P 1443-6.

Tiefenboeck TM, Popp D, Boesmueller S, Payr S, Joestl J, Komjati M, Binder H, Schurz M, Ostermann RC. Acromioclavicular joint dislocation treated with Bosworth screw and additional K-wiring: results after 7.8 years - still an adequate procedure? // BMC Musculoskelet Disord. 2017. Vol.18, №1. P. 339. DOI: org / 10.1186 / s12891-017-1692-0.

Касаткин М.С., Ачкасов Е.Е. Основы спортивного тейпирования. М.: Спорт, 2016. 26 с

The authors declare that there are no conflicts of interest present.