From the central pivot to the peripheal knee injuries in the skier: a narrative review: Knee injuries in the skier: a narrative review

From the central pivot to the peripheal knee injuries in the skier: a narrative review

Knee injuries in the skier: a narrative review

Authors

  • Eugenio Jannelli Orthopaedic and Traumatology Department, Fondazione IRCCS Policlinico San Matteo, Università degli studi di Pavia
  • Enrico Ferranti Calderoni Orthopaedic and Traumatology Department, Fondazione IRCCS Policlinico San Matteo, Università degli studi di Pavia
  • Alessandro Ivone Orthopaedic and Traumatology Department, Fondazione IRCCS Policlinico San Matteo, Università degli studi di Pavia
  • Maria Concetta Rivellino Orthopaedic and Traumatology Department, Fondazione IRCCS Policlinico San Matteo, Università degli studi di Pavia
  • Matteo Ghiara Orthopaedic and Traumatology Department, Fondazione IRCCS Policlinico San Matteo, Università degli studi di Pavia
  • Alberto Castelli Orthopaedic and Traumatology Department, Fondazione IRCCS Policlinico San Matteo, Università degli studi di Pavia
  • Giacomo Zanon Orthopaedic and Traumatology Department, Fondazione IRCCS Policlinico San Matteo, Università degli studi di Pavia
  • Francesco Benazzo Orthopaedic and Traumatology Department, Fondazione IRCCS Policlinico San Matteo, Università degli studi di Pavia

Keywords:

knee, ACL, MCL, LCL, MRI, ski

Abstract

The improvement in the technology in the last 20 years has showed its main effect on the increase of the speed in the curves, thus leading to a rise of knee injuries. In fact, the most injured zone of the body was the knee (35,6 %) and the distal part of the lower body (11,5%), with ACL lesion as the most frequent diagnosis (49% of all the injuries to the knee) due to a trauma in valgus and external rotation in most of cases. The MCL is involved in the 15-20% of the cases while the LCL in only the 4,2% of the patients. Unique epidemiology and distinct mechanisms of injuries are peculiar for skier’s knee while evaluation and treatment is similar to evaluation and treatment of knee injuries in other athletes. In this narrative review we aimed to highlight the current evidences in skiers’ traumatology with special focus on the treatment nowadays proposed in the international literature and to the return to sport.

References

1. Rossi MJ, Lubowitz JH, Guttmann D. The skier's knee, Arthroscopy. 2003 Jan;19(1):75-84.
2. Ettlinger C, Johnson R, Shealy J. A method to help reduce the risk of serious knee sprains in-curred in alpine skiing. Am J Sports Med 1995;23:531-537.
3. Deady LH, Salonen D, Skiing and snowboarding injuries: a review with a focus on mechanism of injury. Radiol Clin North Am. 2010 Nov;48(6):1113-24.
4. Boks S, Vroegindeweij D, Koes B, Bernsen R, Myriam Hunnink MG, Zeinstra-Bierma A. MRI Follow-up of posttraumatic bone bruises of the knee in general practice. American Journal of roentgenlogy. 2007
5. Oates K , Eenenaam P, Briggs K,Homa K.. Comparative injury rates of uninjured, anterior cruciate ligament deficient and reconstructed knees in a skiing population. Am J Sport Med 1999, 27:606-610
6. Paletta GA, Warren RF. Knee injuries and Alpine skiing. Treatment and rehabilitation.
Sports Med.1994 Jun;17(6):411-23
7. Nicandri GT, Chamberlain AM, Wahl CJ. Practical management of knee dislocations: a selec-tive angiography protocol to detect limb-threatening vascular injuries. Clin J Sport Med. 2009;19:125–129.
8. Levy BA, Fanelli GC, Whelan DB, et al. ; Knee Dislocation Study Group. Controversies in the treatment of knee dislocations and multiligament reconstruction. J Am Acad Orthop Surg. 2009;17(4):197–206.
9. Haida A, Coulmy N, Dor F et al. Return to sport among French Alpine Skiers after an anterior cruciate ligament rupture: results from 1980 to 2013. Am J Sports Med. 2016 Feb;44(2):324-30
10. Ardern CL, Webster KE, Taylor NF, Feller JA. Return to the preinjury level of competitive sport after anterior cruciate ligament reconstruc- tion surgery: two-thirds of patients have not returned by 12 months after surgery. Am J Sports Med. 2011;39:538-543.
11. Sonnery-Cottet B, Abreu FG, Saithna A et al. Successful Return to Elite Sport After Bilateral Knee Dislocations: A Case Report. Orthop J Sports Med.2019 May 9;7(5)

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Published

05-12-2019

How to Cite

1.
Jannelli E, Ferranti Calderoni E, Ivone A, Rivellino MC, Ghiara M, Castelli A, et al. From the central pivot to the peripheal knee injuries in the skier: a narrative review: Knee injuries in the skier: a narrative review. Acta Biomed [Internet]. 2019 Dec. 5 [cited 2024 Jul. 18];90(12-S):39-42. Available from: https://mattioli1885journals.com/index.php/actabiomedica/article/view/8948