POST TIME: 12 March, 2018 00:00 00 AM
Major league pitchers plagued by 2 types of injuries

Major league pitchers plagued by 2 types of injuries

Doctors can expect to see a host of core and hip/groin injuries among Major League Baseball pitchers. Moreover, these common injuries carry a high risk of re-injury, according to a new study. "Not only are these injuries becoming more prevalent among professional baseball pitchers, but we are also seeing a relatively high rate of re-injury as well," said senior study author Dr. Eric Makhni. He's a sports medicine orthopedic surgeon with Henry Ford Health System in Detroit. "Pitchers with these injuries require an extra 10 days on the disabled list when compared with position players," Makhni added in a Ford news release.

Researchers analyzed data from 330 pitchers who were placed on the disabled list in the 2014 and 2015 seasons. Core and hip/groin injuries accounted for more than one in five of the injuries. On average, these injured pitchers spent 47 days on the disabled list with a core injury, and 38 days for a hip/groin injury.

Core injuries included back spasm, stiffness or strain. Hip/groin injuries included groin strain or hip inflammation or impingement resulting in abnormal contact between the ball and socket of the hip joint.

Almost three-quarters of the pitchers returned to play in the same season regardless of injury type, researchers found.

But the risk of ending up back on the disabled list for a re-injury was high: 46 percent for a core injury and 56 percent for a hip/groin injury.

Pitching workload was not tied to the risk of suffering a core or hip/groin injury, according to the study. The results were published in the February issue of the Journal of Arthroscopic and Related Surgery.

Injury management is critical in the National Basketball Association (NBA), as players experience a wide variety of injuries. Recently, it has been suggested that game schedules, such as back-to-back games and four games in five days, increase the risk of injuries in the NBA. The aim of this study was to examine the association between game schedules and player injuries in the NBA.

The present study analyzed game injuries and game schedules in the 2012–13 through 2014–15 regular seasons. Game injuries by game schedules and players’ profiles were examined using an exact binomial test, the Fisher’s exact test and the Mann–Whitney–Wilcoxon test. A Poisson regression analysis was performed to predict the number of game injuries sustained by each player from game schedules and injured players’ profiles.

There were a total of 681 cases of game injuries sustained by 280 different players during the three years (total N = 1443 players). Playing back-to-back games or playing four games in five days alone was not associated with an increased rate of game injuries, whereas a significant positive association was found between game injuries and playing away from home. Playing back-to-back games and away games were significant predictors of frequent game injuries.

Game schedules could be one factor that impacts the risk of game injuries in the NBA. The findings could be useful for designing optimal game schedules in the NBA as well as helping NBA teams make adjustments to minimize game injuries.