Conference 2013 | Isokinetic

Football Medicine Strategies for Muscle & Tendon Injuries

The Football Medicine Community is regularly confronted by muscle and tendon injuries to football players. In dealing with these injuries it is essential that all stakeholders are involved in the dialogue; including discussions over their prevention, diagnosis, treatment and rehabilitation.

Doctors and physiotherapists at sports teams treat numerous muscular injuries per year and face constant pressures when diagnosing, estimating recovery time and mitigating against the risk of re-injury. Constant learning in this field is essential to improve the level of advice given to coaching staff.
Orthopaedic surgeons are presented with a wide range of conditions, ranging from relatively simple cases to the most complex and debated issues in Sports Medicine.
Strength & Conditioning coaches, athletic trainers and other rehabilitation specialists are responsible for guiding the athlete towards optimal performance via gradual and complete functional recovery programmes. Despite this period being one of the latter stages of the injury continuum, it is often susceptible to failure and should therefore be considered appropriately in order to minimise the risk of further injury.
Coaching and technical staff have the responsibility of managinf athletes who compete in up to 70 matches and over 200 training sessions per year. With such a high risk of overload injuries, it is important that they are educated on the intricacies of these injuries including their prevention and proper rehabilitation.

This Conference was designed to promote a multidisciplinary approach where the field specialists could understand each topic from a number of perspectives. Muscle and tendon injuries are often managed in isolation by individual specialists, resulting in insufficient communication between all those involved in the recovery process. Many will agree that the best results are achieved when a team collaborates fully integrating the collective areas of expertise.

The Landscape

Chairs: Della Villa, Stefano (ITA) – Michel D’Hooghe (BEL)

FIFA’s F-MARC strategies for prevention – Dvorak, Jiri (SUI)

Epidemiology of muscle and tendon injuries in elite football players – Ekstrand, Jan (SWE)

Muscle injury prevention – Bahr, Roald (NOR)

Muscle injuries: developments over the last 30 years – Müller-Wohlfahrt, Hans Wilhelm (GER)

Muscle injuries: the proposal of a new classification system – Ueblacker, Peter (GER)

Groin Pain

Chairs: Holmich, Per (DEN) – Griffin, Damian (UK)

Groin pain: a clinical overview – Brukner, Peter (AUS)

Surgical innovation – Muschaweck, Ulrike (GER)

Groin pain and the hip joint – Mandelbaum, Bert (USA)

Does the sportsman’s hernia exist? – Bradshaw, Chris (AUS)

When should a player return to full training – English,Bryan(UK)

The Hamstrings Group

Chairs: Margheritini, Fabrizio (ITA) – Mithoefer, Kai (USA)

Experiences after 20 years in Serie A – Tencone, Fabrizio (ITA)

UEFA’s study group report – Walden, Markus (SWE)

The AFL study group report – Orchard, John (AUS)

Hamstring reattachment – Haddad, Fares (UK)

Proximal hamstring avulsion in professional footballer – Sonnery-Cottet, Bertrand (FRA)

Foot and Ankle Tendons

Chairs: Delcogliano, Antonio (ITA) – Smith, Graham (UK)

The footballer’s Achilles tendon – Benazzo, Francesco (ITA)

Imaging and intervention in Achilles tendinopathy – Healy, Jerry (UK)

Partial rupture and repair of the Achilles tendon – Davies, Mark (UK)

Surgical treatments for ankle tendons – Giannini, Sandro (ITA)

Strengthening the chain – Knowles, Bill (USA)

New Frontiers in Tendinous

Chairs: Andersen, Thor Einar (NOR) – Bell, Jonathan (UK) Norway)

Function is key – Calder, James (UK)

Biotechnology in tendon healing – Gobbi, Alberto (ITA)

Preservation of the Achilles tendon – Alfredson, Hakan (SWE)

Shockwave therapy – Danelon, Furio (ITA)

Imaging

Chairs: Padron, Mario (SPA) – Brown James (UK)

The possibilities in imaging for muscles and tendons – Blease, Simon (UK)

Groin pain and FAI imaging – Padron, Mario (ESP)

The role of ultrasound for the sports physician – Zunarelli, Pierpaolo (ITA)

Imaging and surgery – Tsoukas, Dimitrios (GRE)

Upper Limb Injuries

Chairs: Kemp, Simon (UK) – Minola, Riccardo (ITA)

Goalkeepers and the unstable shoulder– Wallace, Andrew (UK)

Tendon lesions and the healing process – Castagna, Alessandro (ITA)

Lessons from American Football – Axe, Michael (Newark,USA)

Shoulder tendons and PRP – Randelli, Pietro (ITA)

PRP Therapy in Muscle and Tendon

Chairs: Espregueira Mendes, João (POR) – Zorzi, Claudio (ITA)

Current scientific evidence – Maffulli, Nicola (UK)

Clinical experience with footballers – Cugat,Ramon (SPA)

PRP and exercises – Kon, Elizaveta (ITA)

Tendon Injury Interventions

Chairs: Adravanti, Paolo (ITA) – Crisp, Tom (UK)

The history of interventions – Hutson, Mike (UK)

The timing of interventions in elite football – Sas, Kristof (BEL)

The management of tendon injuries – Snyder-Mackler,Lynn(USA)

Exercise and conservative treatment in patellar tendon – Gemignani, Michele (ITA)

Infrapatellar Tendon

Chairs: Maffulli, Nicola (UK) – Marcacci, Maurilio (ITA)

A clinical overview – Schneider, Christian (GER)

Case studies fromLa Liga–Medina,  Daniel (ESP)

Rupture and repair– Zaffagnini, Stefano (ITA)

Can they return to full function post surgery? – Williams, Andy (UK)

Rehabilitation principles – Fearn, Jon (UK)

Injuries to the Quadriceps Femoris Muscle Group

Chairs: Rosa, Donato (ITA) – Higgins, Richard (UK)

Complex anatomy of kicking muscles – Nieper, Alex (UK)

Return to training criteria – Serratosa, Luis (ESP)

The treatment of a quadriceps tear – Zanobbi, Marco (UK)

Indications for surgery – Hinterwimmer, Stefan (GER)

Conservative and surgical treatment – Ferretti, Andrea (ITA)

FIFA Medical Centres of Excellence – Case Reports

Chairs: Peterson, Lars (SWE) – Chalabi, Hakim (QAT)

Italy– Stride, Matthew (UK)

Belgium- D’Hooghe, Pieter (BEL)

CzechRepublic– Chomiak, Jiri (CZE)

Qatar– Eirale, Cristiano (QAT)

Germany– Krutsch, Werner (GER)

Sweden– Forssblad, Magnus (SWE)

Lessons from Rugby

Chairs: Olmo, Jesus (ESP) – Widdowson, Julian (UK)

Experiences from the Southern hemisphere – Roberts, Craig (RSA)

Muscle injuries inRugbyand Football – Melegati, Gianluca (ITA)

Experience from the Six nations – Batty, Phil (UK)

Young Athletes

Chairs: Lewin, Gary (UK) – Lewis, Steve (UK)

Young female football players – Servien, Elvire (FRA)

The young footballer – Biswas, Anita (UK)

Overuse injuries in young footballers – Volpi, Piero (ITA)

Injury Prevention

Chairs: Bender, Mark (UK) – Kerkhoffs, Gino (NED)

Injury prevention in football: FIFA 11+ – Mathieu, Nicolas (SUI)

The prevention of recurring muscle injuries – Tsapralis, Kyriakos (ITA)

Perfecting the rehabilitation process – Silvers, Holly (USA)

The role of the chiropractor – Cento, Franco (ITA)

The Spine and Muscular Injuries

Chairs: Cowie, Charlotte (UK) – Mayer, Michael (GER)

Lessons from Track & Field – Alonso, Juan Manuel (ESP)

Prolotherapy in footballers – Petrides, Simon (UK)

Which modality to choose and when – Lathey, Clive (UK)

Soft tissue injuries of the spine – Mayer, Michael (GER)

Physical Therapies for Muscle and Tendon Injuries

Chairs: Phillips, Nicola (UK) – Tzouroudis, Nikos (UAE)

The role of therapeutic exercises – Hambly, Karen (UK)

Physical therapies in rehabilitation – Kemp, Steve (UK)

Which modality to choose and when? – Glasgow, Phil (UK)

Experiences from bothSouth Africaand theUK– Diesel,Wayne(UK)

Loading Patterns during Training and Games

Chairs: Beasley, Ian (UK) – Hodgson, Roy (UK)

Loading patterns in football – Iga, John (UK)

Overtraining and overreaching in football – Banfi, Giuseppe (ITA)

Are there dangerous training loads for football players? – Sassi, Roberto (ITA)

Overload and musculoskeletal injuries in football – English,Bryan(UK)

How to prevent Fatigue in Football

Chairs: Drust, Barry (UK) – Narici, Marco (UK)

Fatigue as a risk factor for injuries – Bangsbo, Jens (DEN)

Post match fatigue and time course of recovery – Dupont, Gregory (FRA)

Fatigue and skill proficiency: implications for performance and injury in football – Vanrenterghem, Jos (UK)

Monitoring fatigue in football – Rampinini, Ermanno (ITA)

Practical Aspects

Chairs: Della Villa, Stefano (ITA) – English, Bryan (UK)

FIFA / F-Marc: concept of prevention – Dvorak, Jiri (SUI) – Mathieu, Nicholas (SUI)

On field tricks for functional recovery: strength and speed development – English,Bryan(UK) – Campbell, Darren (UK) – Knowles, Bill (USA)

On field tricks for return to play: sport specific movements – Stride,  Matthew (UK) – Buckthorpe, Matthew (UK) – Carlotti, Claudio (ITA)

Orthopaedics

Chairs: De Carli, Angelo (ITA) – Panics, Gergerly (HUN)

Platelet-rich plasma and TgF-beta antagonist act synergistically in treatment of muscle injuries

Kelc R, Vogrin M (Maribor, Slovenia)

PRP injections for plantar fasciitis in football/rugby – Clough T, Kumar V (Wigan,United Kingdom)

Anterior instability in soccer players: results of the Latarjet procedure – Neyton L, Cerciello S, Edwards TB, Walch G (Lyon,France)

High volume image guided injection: useful in a rugby shoulder injury? – Morton S, Ghozlan A, Price J, Chan O, Morrissey D (London, United Kingdom)

Anterior instability in rugby players: results of the Latarjet-Patte procedure – Neyton L, Young A, Dawidziak B, Visona E, Hager JP, Fournier Y, Walch G (Lyon,France)

Return to sport in footballers following hip arthroscopy – Dimitrakopoulou A, Villar RN, Brennan K, Paikray M,BajwaAS(CambridgeandLondon,United Kingdom)

Functional Assessment

Chairs: Narici, Marco (UK) – Roi, Giulio Sergio (ITA)

The biomechanical effects of varying speed and load during eccentric and concentric loading of triceps surae complex – Chaudhry S, Screen HRC, Woledge R, Morrissey D (London,United Kingdom)

High speed running for strengthening the hamstrings of football players – Lee JWY, Yung PSH, Chan HCK, Chan KM (Hong Kong, China)

Eccentric hamstring weakness and EMg deficits after repeat sprint running are related – Timmins RG, Opar DA, Williams MD, Schache AG, Dear NM, Shield AJ (BrisbaneandMelbourne,Australia; Glamorgan, United kingdom)

Hamstring muscle activation during the nordic hamstring exercise – Bourne MN, Opar DA, Williams MD, Al Najjar A, Shield AJ (Brisbane, Australia; Wales, United Kingdom)

A novel field test of eccentric hamstring strength: a reliability and injury study – Opar DA, Williams MD, Piatkowski T,TimminsRG, Shield AJ (BrisbaneandMelbourne,Australia;Glamorgan,United Kingdom)

The biomechanics of long-standing adduction-related groin pain – Kloskowska P, Morrissey D, Alty J, Graham J, Malliaras P, Woledge R (LondonandReading,United Kingdom)

Isometric strength of the preferred and non-preferred leg in youth soccer players – Bambaeichi E, Rahnama N, Daneshjoo A (Isfahan, Iran)

Muscle strain implication from sprinting biomechanics of soccer players and sprinters – Chan HCK, Lee JWY, Yung PSH, Chan KM (Hong Kong, China)

The haefni hhE 1.0 system. A new isokinetic and pleokinetic device – Olmo J (Madrid,Spain)

Case Reports Muscle

Chairs: Nanni, Gianni (ITA) – Rogers, Ralph (UK)

The rehabilitation of a football player with quadriceps femoris trauma – Tohaneanu AAA, Avramescu ET, Dragomir M, Tohaneanu LL (Craiova, Romania)

delayed proximal rectus femoris reconstruction in three high-level athletes -BajwaAS, Villar RN (Cambridge,United Kingdom)

Su Jok Acu therapy. non invasive treatments for musculotendineous injuries in football – Benson M (Eastbourne,United Kingdom)

University College of London (UCL) Symposium

Chairs: Haddad, Fares (UK) – Oussedik, Sam (UK)

Achilles and patellar tendinopathy – Evidence for treatment – Alfredson, Hakan (SWE)

The genetic approach to tendon and muscle pathology – Montgomery, Hugh (UK)

The use of vibration in the management of muscle and tendon injuries – Cardinale, Marco (UK)

Muscle repair strategies – Van Sommeren, Ken (UK)

Stem cells – their role in repair – Harridge, Steve (UK)

ECOSEP Workshop – Hamstring Injuries

Chairs: Maffulli, Nicola (UK) – Tsapralis, Kyriakos (ITA)

Muscle injuries in sport –Maffulli, Nicola (UK)

SEM physicians’ diagnostic approach for hamstring injuries – Kouloumentas, Panagiotis (GRE)

Hamstring injuries classification. Anatomical, clinical or imaging orientated? – Malliaropoulos, Nikos (GRE)

Imaging diagnosis for hamstring injuries – Chan, Otto (UK)

Italian Society of Muscles, Ligaments and Tendons

Chairs: Maffulli, Nicola (UK)

Muscles Injuries: Time for a new Classification – Maffulli, Nicola (UK)

Treatment of Rotator Cuff Tears: From molecular biology to surgery – Oliva, Francesco (ITA)

Training and detraining effects on tendon structure: new possible therapeutic strategies – Frizziero, Antonio (ITA)

MSC for Tendons Problems: new, but is there any evidence? – Abate, Michele (ITA)

Doc, I have done everything, and my tendon still hurts… – Maffulli, Nicola (UK)

Case Reports 1 (Tendons)

Chairs: Boldrini, Lorenzo (ITA) – Til I Perez, Lluis (ESP)

Diagnosis and treatment of iliopsoas tendinopathy – Zuppardo S, D’Angella M, Laiolo E, Nanni G (Grosseto e Bologna,Italy)

Platelet-rich fibrin matrices and conventional methods in Achilles tendon tears – Alviti F, Mangone M, Personality profile and tendinopaties in soccer players – Vago P, Casolo F, Gatti M (Milan, Italy)

Protocols & Epidemiology

Chairs: Bianchedi, Diana (ITA) – Millson, Helen (UK)

Musculo-tendinous injuries in football & futsal during the European

Maccabi games – Broman D, Fearn R,WittenbergM (London,United Kingdom)

Low-field MR scanner can be useful for the sport physician in the management of muscle injury? – Miceli M, Ridolfi M, Cedrini F, Milani S, Zunarelli P (Bologna, Italy)

Return to play after adductor muscles injuries – D’Orsi G, Paolella C, De Sario G, Fazzini D, Cattani A, Roi GS (Rimini and Bologna, Italy)