Time to return to full training is delayed and recurrence rate is higher in intratendinous (‘c’) acute hamstring injury in elite track and field athletes: clinical application of the British Athletics Muscle Injury Classification

BackgroundThe British Athletics Muscle Injury Classification describes acute muscle injuries and their anatomical site within muscle based on MRI parameters of injury extent. It grades injuries from 0 to 4 and classifies location based on a myofascial (a), musculotendinous (b) or intratendinous (c)...

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Bibliographic Details
Published in:British journal of sports medicine 2016-03, Vol.50 (5), p.305-310
Main Authors: Pollock, Noel, Patel, Anish, Chakraverty, Julian, Suokas, Anu, James, Stephen L J, Chakraverty, Robin
Format: Article
Language:English
Subjects:
Adolescent
Adult
Athletes
Athletic Injuries - classification
Dress codes
Female
Humans
Impact fees
Leg Injuries - classification
Magnetic Resonance Imaging
Male
Muscle, Skeletal - injuries
Muscular system
Popularity
Recovery of Function
Recurrence
Restaurants
Retrospective Studies
Return to Sport
Soft Tissue Injuries - classification
Soft Tissue Injuries - diagnosis
Sports injuries
Time
Time Factors
Track & field
Track and Field
Training
United Kingdom
Young Adult
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Summary:BackgroundThe British Athletics Muscle Injury Classification describes acute muscle injuries and their anatomical site within muscle based on MRI parameters of injury extent. It grades injuries from 0 to 4 and classifies location based on a myofascial (a), musculotendinous (b) or intratendinous (c) description. This is a retrospective cohort study that assessed time to return to full training (TRFT) and injury recurrence in the different British Athletics classifications for hamstring injuries sustained by elite track and field (T&F) athletes over a 4-year period.MethodsThe electronic medical records (EMRs) of 230 elite British T&F athletes were reviewed. Athletes who sustained an acute hamstring injury, with MRI investigation within 7 days of injury, were included. MRI were graded by two musculoskeletal radiologists using the British Athletics Muscle Injury Classification. The EMRs were reviewed by 2 sports physicians, blinded to the new classification; TRFT and injury recurrence were recorded.ResultsThere were 65 hamstring injuries in 44 athletes (24±4.4 years; 28 male, 16 female). TRFT differed among grades (p
ISSN:0306-3674
1473-0480
DOI:10.1136/bjsports-2015-094657