Research article - (2019)18, 780 - 788
Incidence of Tendinopathy in Team Sports in a Multidisciplinary Sports Club Over 8 Seasons
Daniel Florit1,2, Carles Pedret3,4, Martí Casals1,5,, Peter Malliaras6, Dai Sugimoto8,9,10,11, Gil Rodas1,7
1Medical Department, Futbol Club Barcelona, Barça Innovation Hub, Spain
10Harvard Medical School, Boston, MA, USA
11Department of Orthopaedic Surgery, Harvard Medical School, Boston, MA, USA
2Doctorando de la Facultad de Medicina de la Universidad Autónoma de Barcelona, Spain
3Medicine and Imaging Department, Clinica Mapfre de Medicina del Tenis, Barcelona, Spain
4Ultrasonography Department, Clinica Diagonal, Esplugues de Llobregat, Spain
5Sport and Physical Activity Studies Centre (CEEAF), University of Vic–Central University of Catalonia, Spain
6Department of Physiotherapy, School of Primary and Allied Health Care, Monash University, Australia
7Sports Medicine Department. Clinic hospital /Sant Joan de Deu Hospital, Barcelona, Spain
8The Micheli Center for Sports Injury Prevention, Waltham, MA, USA
9Division of Sports Medicine, Department of Orthopedics, Boston Children’s Hospital, Boston, MA, USA

Martí Casals
✉ Medical Department, Futbol Club Barcelona, Barça Innovation Hub, Spain
Email: marticasals@gmail.com
Received: 08-08-2019 -- Accepted: 14-10-2019
Published (online): 19-11-2019
ABSTRACT

Tendinopathy is a critical medical condition that often hinders level of participation for professional and young athletes in many sports. The purpose of the study was to describe the incidence and severity of tendinopathy in a multi-sport club with professional and youth teams. We performed a retrospective epidemiological study. Incidence of tendinopathy in players (n = 3839; 8-38 years, professional and youth) was reviewed over 8 seasons (2008-2016) in 5 team sports: football, basketball, handball, roller hockey, and futsal. Team physicians diagnosed and classified tendinopathies according to anatomical location, sport types, playing category, sex, playing surface, lost training time, and severity (time to return to play). Injuries were coded using OSICS-10, and incidence of tendinopathies were calculated as the number of injuries per 100 players per season. The total relative frequency of tendinopathy (versus total injuries) was 22% (843/3839) over 8 seasons from 360 in youth and 483 in professional teams. The incidence of injury was the highest in professional basketball [69.9, 95%CI: (58.0-81.4)] followed by professional roller hockey [64.4, 95%CI: (47.3-85.6)], and professional futsal [36.2, 95%CI: (27.3-47.1)]. The most incidences commonly affected tendons were the patellar [11.7, 95%CI: (10.0-13.5)] and Achilles [10.3, 95%CI: (8.5-12.5)]. Tendinopathies represent a significant number of injuries in team sports and are more common in professional than youth teams, especially basketball and roller hockey. Additional studies are needed to understand associated time-loss and impact on performance, and to develop prevention strategies for high risk sports.
Key words: Tendinopathy, injuries, injury prevention, epidemiology, team sports, sports medicine

Key Points
  • The incidence of higher in indoor sports especially in professional basketball followed by professional roller hockey, and professional futsal.
  • The longest time to RTP were associated with tendinopathy of the adductor longus (probably related with groin pain pathology).
  • Most common tendinopathies, patellar and Achilles, demonstrated considerable variability in their RTP time according to sport.
  • Tendinopathies represent a significant number of injuries in team sports and are more common in professional than youth teams, especially basketball and roller hockey.
  • 30% of all tendinopathies in professional players result in time loss.








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Incidence of Tendinopathy in Team Sports in a Multidisciplinary Sports Club Over 8 Seasons
Daniel Florit, Carles Pedret, Martí Casals, Peter Malliaras, Dai Sugimoto, Gil Rodas
2019(18), 780 - 788.
DOI: https://doi.org/