Runners injuries - main types of injuries of the musculoskeletal system of the lower limb and their treatment and prevention
DOI:
https://doi.org/10.12775/QS.2024.25.55021Keywords
running, running injuries, tendinopathy, running related injuries, running biomechanics, musculoskeletal injuriesAbstract
Introduction and purpose
Running is currently one of the most popular physical activities practiced by people around the world, and the number of runners has been growing significantly for many years. The incidence of running-related lower limb injuries in runners ranges between 19.4% and 79.3% [1].
The paper presents research results on the main types of injuries of the musculoskeletal system of the lower limb in runners, their risk factors, methods of treatment and prevention. The results indicate a significant relationship between regular training and the occurrence of injuries, and also emphasize the importance of prevention through rest, appropriate running technique and the selection of footwear. The work provides practical tips for runners and coaches that can help reduce the risk of injuries and improve the quality of training.
Materials and methods
The review was conducted by searching PubMed and other scientific databases focusing on currently available publications. The literature available in the PubMed database was reviewed using the following keywords: “running”, “running injuries”, “tendinopathy”, "running related injuries”, “running biomechanics”, “musculoskeletal injuries”. The analysis of 38 articles published between 2014-2024 was used to write the paper.
Conclusions
Running has many health benefits, but unfortunately it can also have a negative effect. The development of medical literature regarding appropriate prevention, knowledge of risk factors and treatment methods improves the prognosis of injuries in runners. Evolving diagnostic imaging, body monitoring, prevention, and adequate rest between activities are essential to long-term success in preventing running-related injuries.
References
van Gent RN, Siem D, van Middelkoop M, van Os AG, Bierma-Zeinstra SM, Koes BW. Incidence and determinants of lower extremity running injuries in long distance runners: a systematic review. Br J Sports Med. 2007 Aug;41(8):469-80; discussion 480. doi: 10.1136/bjsm.2006.033548. Epub 2007 May 1. PMID: 17473005; PMCID: PMC2465455. https://doi.org/10.1136%2Fbjsm.2006.033548
Lopes AD, Hespanhol Júnior LC, Yeung SS, Costa LO. What are the main running-related musculoskeletal injuries? A Systematic Review. Sports Med. 2012 Oct 1;42(10):891-905. doi: 10.1007/BF03262301. PMID: 22827721; PMCID: PMC4269925. https://doi.org/10.1007%2FBF03262301
Hoffman, J., Lewandowska, A., Ratuszek-Sadowska, D., Hoffman, A., Kuczma, M., Landowski, P., & Hagner‑Derengowska, M. (2017). The running pattern and its importance in running long-distance gears. https://doi.org/10.5281/zenodo.972964
Bochenek, A., & Reicher, M. (2006). Anatomia człowieka, Tom I, Anatomia ogólna, kości, stawy i więzadła, mięśnie. Lek. PZWL Warszawa, wyd. 12, (s. 562-578; 600-617)
Gaida JE, Cook J. Treatment options for patellar tendinopathy: critical review. Curr Sports Med Rep. 2011 Sep-Oct;10(5):255-70. doi: 10.1249/JSR.0b013e31822d4016. PMID: 23531972. https://doi.org/10.1249/jsr.0b013e31822d4016
Lavagnino M, Arnoczky SP, Elvin N, Dodds J. Patellar tendon strain is increased at the site of the jumper's knee lesion during knee flexion and tendon loading: results and cadaveric testing of a computational model. Am J Sports Med. 2008 Nov;36(11):2110-8. doi: 10.1177/0363546508322496. Epub 2008 Sep 3. PMID: 18768702. https://doi.org/10.1177/0363546508322496
Figueroa D, Figueroa F, Calvo R. Patellar Tendinopathy: Diagnosis and Treatment. J Am Acad Orthop Surg. 2016 Dec;24(12):e184-e192. doi: 10.5435/JAAOS-D-15-00703. PMID: 27855131. https://doi.org/10.5435/jaaos-d-15-00703
Rudavsky A, Cook J. Physiotherapy management of patellar tendinopathy (jumper's knee). J Physiother. 2014 Sep;60(3):122-9. doi: 10.1016/j.jphys.2014.06.022. Epub 2014 Aug 3. PMID: 25092419. https://doi.org/10.1016/j.jphys.2014.06.022
López-Royo MP, Ortiz-Lucas M, Gómez-Trullén EM, Herrero P. The Effectiveness of Minimally Invasive Techniques in the Treatment of Patellar Tendinopathy: A Systematic Review and Meta-Analysis of Randomized Controlled Trials. Evid Based Complement Alternat Med. 2020 Sep 5;2020:8706283. doi: 10.1155/2020/8706283. PMID: 32963575; PMCID: PMC7492866. https://doi.org/10.1155%2F2020%2F8706283
Maffulli N, Longo UG, Kadakia A, Spiezia F. Achilles tendinopathy. Foot Ankle Surg. 2020 Apr;26(3):240-249. doi: 10.1016/j.fas.2019.03.009. Epub 2019 Apr 18. PMID: 31031150. https://doi.org/10.1016/j.fas.2019.03.009
Longo UG, Ramamurthy C, Denaro V, Maffulli N. Minimally invasive stripping for chronic Achilles tendinopathy. Disabil Rehabil. 2008;30(20-22):1709-13. doi: 10.1080/09638280701786922. PMID: 18608390. https://doi.org/10.1080/09638280701786922
Murtaugh B, Ihm JM. Eccentric training for the treatment of tendinopathies. Curr Sports Med Rep. 2013 May-Jun;12(3):175-82. doi: 10.1249/JSR.0b013e3182933761. PMID: 23669088. https://doi.org/10.1249/jsr.0b013e3182933761
Moen MH, Tol JL, Weir A, Steunebrink M, De Winter TC. Medial tibial stress syndrome: a critical review. Sports Med. 2009;39(7):523-46. doi: 10.2165/00007256-200939070-00002. PMID: 19530750. https://doi.org/10.2165/00007256-200939070-00002
McClure CJ, Oh R. Medial Tibial Stress Syndrome. 2023 Aug 8. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 Jan–. PMID: 30860714. http://www.ncbi.nlm.nih.gov/books/nbk538479/
Deshmukh NS, Phansopkar P. Medial Tibial Stress Syndrome: A Review Article. Cureus. 2022 Jul 7;14(7):e26641. doi: 10.7759/cureus.26641. PMID: 35949792; PMCID: PMC9356648. https://doi.org/10.7759/cureus.26641
Arnold, M. J., & Moody, A. L. (2018). Common Running Injuries: Evaluation and Management. American family physician, 97(8), 510–516. PMID: 29671490
Kakouris N, Yener N, Fong DTP. A systematic review of running-related musculoskeletal injuries in runners. J Sport Health Sci. 2021 Sep;10(5):513-522. doi: 10.1016/j.jshs.2021.04.001. Epub 2021 Apr 20. PMID: 33862272; PMCID: PMC8500811. https://doi.org/10.1016%2Fj.jshs.2021.04.001
Winters M, Eskes M, Weir A, Moen MH, Backx FJ, Bakker EW. Treatment of medial tibial stress syndrome: a systematic review. Sports Med. 2013 Dec;43(12):1315-33. doi: 10.1007/s40279-013-0087-0. PMID: 23979968. https://doi.org/10.1007/s40279-013-0087-0
Gaitonde, D. Y., Ericksen, A., & Robbins, R. C. (2019). Patellofemoral Pain Syndrome. American family physician, 99(2), 88–94. PMID: 30633480
Cook, C., Hegedus, E., Hawkins, R., Scovell, F., & Wyland, D. (2010). Diagnostic accuracy and association to disability of clinical test findings associated with patellofemoral pain syndrome. Physiotherapy Canada. Physiotherapie Canada, 62(1), 17–24. https://doi.org/10.3138/physio.62.1.17
Petersen, W., Ellermann, A., Gösele-Koppenburg, A., Best, R., Rembitzki, I. V., Brüggemann, G. P., & Liebau, C. (2014). Patellofemoral pain syndrome. Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 22(10), 2264–2274. https://doi.org/10.1007/s00167-013-2759-6
Bump JM, Lewis L. Patellofemoral Syndrome. [Updated 2023 Feb 13]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 Jan-.
Rodriguez-Merchan E. C. (2014). Evidence Based Conservative Management of Patello-femoral Syndrome. The archives of bone and joint surgery, 2(1), 4–6. http://www.ncbi.nlm.nih.gov/pmc/articles/pmc4151435/
Wearing, S. C., Smeathers, J. E., Urry, S. R., Hennig, E. M., & Hills, A. P. (2006). The pathomechanics of plantar fasciitis. Sports medicine (Auckland, N.Z.), 36(7), 585–611. https://doi.org/10.2165/00007256-200636070-00004
Rhim, H. C., Kwon, J., Park, J., Borg-Stein, J., & Tenforde, A. S. (2021). A Systematic Review of Systematic Reviews on the Epidemiology, Evaluation, and Treatment of Plantar Fasciitis. Life (Basel, Switzerland), 11(12), 1287. https://doi.org/10.3390/life11121287
Riddle, D. L., Pulisic, M., Pidcoe, P., & Johnson, R. E. (2003). Risk factors for Plantar fasciitis: a matched case-control study. The Journal of bone and joint surgery. American volume, 85(5), 872–877. https://doi.org/10.2106/00004623-200305000-00015
Draghi, F., Gitto, S., Bortolotto, C., Draghi, A. G., & Ori Belometti, G. (2017). Imaging of plantar fascia disorders: findings on plain radiography, ultrasound and magnetic resonance imaging. Insights into imaging, 8(1), 69–78. https://doi.org/10.1007/s13244-016-0533-2
Radwan, A., Wyland, M., Applequist, L., Bolowsky, E., Klingensmith, H., & Virag, I. (2016). ULTRASONOGRAPHY, AN EFFECTIVE TOOL IN DIAGNOSING PLANTAR FASCIITIS: A SYSTEMATIC REVIEW OF DIAGNOSTIC TRIALS. International journal of sports physical therapy, 11(5), 663–671. PMCID: PMC5048334
Rathleff, M. S., Mølgaard, C. M., Fredberg, U., Kaalund, S., Andersen, K. B., Jensen, T. T., Aaskov, S., & Olesen, J. L. (2015). High-load strength training improves outcome in patients with plantar fasciitis: A randomized controlled trial with 12-month follow-up. Scandinavian journal of medicine & science in sports, 25(3), e292–e300. https://doi.org/10.1111/sms.12313
Li, Z., Xia, C., Yu, A., & Qi, B. (2014). Ultrasound- versus palpation-guided injection of corticosteroid for plantar fasciitis: a meta-analysis. PloS one, 9(3), e92671. https://doi.org/10.1371/journal.pone.0092671
Hirschmann, M. T., & Müller, W. (2015). Complex function of the knee joint: the current understanding of the knee. Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 23(10), 2780–2788. https://doi.org/10.1007/s00167-015-3619-3
Taunton, J. E., Ryan, M. B., Clement, D. B., McKenzie, D. C., Lloyd-Smith, D. R., & Zumbo, B. D. (2002). A retrospective case-control analysis of 2002 running injuries. British journal of sports medicine, 36(2), 95–101. https://doi.org/10.1136/bjsm.36.2.95
Fairclough, J., Hayashi, K., Toumi, H., Lyons, K., Bydder, G., Phillips, N., Best, T. M., & Benjamin, M. (2006). The functional anatomy of the iliotibial band during flexion and extension of the knee: implications for understanding iliotibial band syndrome. Journal of anatomy, 208(3), 309–316. https://doi.org/10.1111/j.1469-7580.2006.00531.x
Beals, C., & Flanigan, D. (2013). A Review of Treatments for Iliotibial Band Syndrome in the Athletic Population. Journal of sports medicine (Hindawi Publishing Corporation), 2013, 367169. https://doi.org/10.1155/2013/367169
Strauss, E. J., Kim, S., Calcei, J. G., & Park, D. (2011). Iliotibial band syndrome: evaluation and management. The Journal of the American Academy of Orthopaedic Surgeons, 19(12), 728–736. https://doi.org/10.5435/00124635-201112000-00003
Harvie, D., O'Leary, T., & Kumar, S. (2011). A systematic review of randomized controlled trials on exercise parameters in the treatment of patellofemoral pain: what works?. Journal of multidisciplinary healthcare, 4, 383–392. https://doi.org/10.2147/JMDH.S24595
Holmes, J. C., Pruitt, A. L., & Whalen, N. J. (1993). Iliotibial band syndrome in cyclists. The American journal of sports medicine, 21(3), 419–424. https://doi.org/10.1177/036354659302100316
Martens, M., Libbrecht, P., & Burssens, A. (1989). Surgical treatment of the iliotibial band friction syndrome. The American journal of sports medicine, 17(5), 651–654. https://doi.org/10.1177/036354658901700511
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