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Eric Giza

Publications and source records attributed to Eric Giza.

5 recordsLinked to original sources
PubMed2005

Soccer injuries.

OBJECTIVE: This chapter reviews the existing epidemiological studies on pediatric soccer injuries and discusses possibilities for future research. DATA SOURCES: A comprehensive, web-based search of existing soccer injury literature was performed with an emphasis on the pediatric population. The search encompassed all available studies, including European journals and texts, and initial investigations from the 1970s which serve as a basis of comparison to more recent work. MAIN RESULTS: Youth soccer is a relatively safe sport with an injury incidence ranging from 2.3 per 1,000 practice hours to 14.8 per 1,000 game hours. Similar to adults, youth soccer injuries occur mostly in the lower extremities, specifically the knee and ankle. Contusions are the most common injury, and minor/moderate injuries predominate. Extrinsic risk factors for youth soccer include: dangerous play, play on small fields, and inclusion of youth players on adult teams. The most important intrinsic risk factor is the relation of knee injury and female gender. CONCLUSIONS: Adolescent females suffer a disproportionate number of knee and anterior cruciate ligament injuries compared to adolescent males, but recent injury prevention studies yielded encouraging results. Head injuries in youth soccer are low, and rarely, if ever, occur from head to ball contact. Adherence to the rules of the game, proper coaching, and adequate refereeing are important factors in youth soccer injury prevention.

Adolescent↗
PubMed2005

A radiographic investigation to determine the safety of suture anchor systems for pediatric modified Broström ankle ligament reconstruction.

BACKGROUND: The modified Broström ligament reconstruction using anchor sutures has been performed in adults with clinical success; however, the safety parameters for the use of suture anchors in adolescent lateral ankle ligament reconstruction have not been established. PURPOSE: To perform a radiographic analysis comparing the depth of penetration of suture anchors in adult ankle ligament reconstruction with the average distance of the physis from the tip of the fibula in adolescents. STUDY DESIGN: Cross-sectional study, Level of evidence, 4. METHODS: Forty postoperative ankle radiographs of adult patients who had a modified Broström procedure were compared with 40 normal adolescent ankle radiographs. In the adult group, the distance of the suture anchor penetration from the distal tip of the fibula was measured; in the adolescent group, the distance of the physis from the distal tip of the fibula was measured. RESULTS: The mean depth of the suture anchors was 17 mm (range, 14-21 mm) from the tip of the fibula in the adult group, and the mean distance of the growth plate was 23 mm (range, 18-29 mm) in the adolescent group. Eight radiographs from the adolescent group (20%) had a physis measurement of <22 mm on the anteroposterior or mortise view. CONCLUSIONS: Using careful preoperative planning and intraoperative technique, it is possible to safely perform lateral ankle ligament repair in the skeletally immature patient using suture anchors.

Adolescent↗
PubMedDate not supplied

Mechanisms of foot and ankle injuries in soccer.

BACKGROUND: Although player-to-player contact is a risk factor in the majority of soccer injuries, the mechanisms leading to these injuries have not been analyzed. PURPOSE: To assess the relationships between foot/ankle injuries and foul play and tackle type, and to identify the position of the foot and ankle at the time of injury. STUDY DESIGN: Prospective cohort study. METHODS: Team physicians prospectively recorded each injury in four world soccer competitions, and the videotaped incident leading to the injury was retrospectively analyzed. RESULTS: Of 76 foot and ankle injuries (52 contusions, 20 sprains, 4 fractures), direct contact occurred between players in 72. Significantly more injuries involved a tackle from the side and a lateral or medial tackle force. The injured limb was weightbearing in 41 and nonweightbearing in 35 of the incidents. Significantly more injuries resulted in time lost from soccer when the limb was weightbearing. The most common foot and ankle positions at the time of injury were pronated/neutral in the sagittal plane for weightbearing limbs, and plantar flexed/neutral in the coronal plane for nonweightbearing limbs. The most common foot and ankle rotations at the time of injury were external (23) and eversion (28). CONCLUSIONS: The majority of injuries were caused by tackles involving lateral or medial forces that created a corresponding eversion or inversion rotation of the foot or ankle. The weightbearing status of the injured limb was a significant risk factor.

Ankle Injuries↗