ArticleEuropean radiology2018
New MRI muscle classification systems and associations with return to sport after acute hamstring injuries: a prospective study.
Article in European radiology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 3 of them syntheses that pooled it.
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Who cites it
23 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Return-to-Play Criteria Following Lower Limb Muscle Injuries in Soccer: A Systematic Review with Evidence Synthesis.Sports medicine (Auckland, N.Z.) · 2026Pooled it
- Location of Hamstring Injuries Based on Magnetic Resonance Imaging: A Systematic Review.Sports healthPooled it
- Pooled it
- Imaging characterization of sports-related hamstring injuries.Skeletal radiology · 2026Review
- Minimally Invasive Repair of Proximal Hamstring Avulsions: Outcomes of Early Intervention with a Double-Row Knotless Suture Anchor Technique.Journal of orthopaedic case reports · 2026Article
- Assessing Postpartum Levator Ani Muscle Recovery: A Feasibility Study on Automated Texture Analysis in Transvaginal Ultrasound.Ultrasound in medicine & biology · 2025Article
- Incidence of Hamstring Injury and Analysis of Risk Factors for Reinjury in Japanese Professional Football Players.Orthopaedic journal of sports medicine · 2025Review
- A deep learning algorithm for automatic 3D segmentation and quantification of hamstrings musculotendon injury from MRI.Scientific reports · 2025Article
- Imaging of soccer injuries in adolescent female athletes.Skeletal radiology · 2025Review
- Orchard Sports Injury and Illness Classification System (OSIICS) Version 15.Journal of sport and health science · 2024Article
- Accelerated IVIM-corrected DTI in acute hamstring injury: towards a clinically feasible acquisition time.European radiology experimental · 2024Article
- Return to Sport, Reinjury Rate, and Tissue Changes after Muscle Strain Injury: A Narrative Review.Translational sports medicine · 2024Review
- Association of quantitative diffusion tensor imaging measures with time to return to sport and reinjury incidence following acute hamstring strain injury.Journal of biomechanics · 2024Article
- Traumatic muscle injury.Nature reviews. Disease primers · 2023Review
- Intramuscular Tendon Injuries of the Hamstring Muscles: A More Severe Variant? A Narrative Review.Sports medicine - open · 2023Review
- [Imaging of muscle injuries in sports medicine].Radiologie (Heidelberg, Germany) · 2023Review
- Paramagnetic contrast medium in high-level athletes with lower limb muscle injuries: can it make the return to sport safer reducing the recurrence rate?La Radiologia medica · 2022Article
- Intratendinous hamstring injuries: sequential MRIs as a tool to reduce the risk of reinjury in elite sport.BMJ case reports · 2021Article
- Role of ultrasound and magnetic resonance imaging in the prognosis and classification of muscle injuries in professional football players: correlation between imaging and return to sport time.La Radiologia medica · 2021Article
- Sports-related lower limb muscle injuries: pattern recognition approach and MRI review.Insights into imaging · 2020Review
Corrections and comments
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo determine agreement between modified Peetrons, Chan acute muscle strain injury classification and British Athletics Muscle Injury Classification (BAMIC) and to investigate their associations and ability to predict time to return to sport (RTS).
methodsMale athletes (n=176) with acute hamstring injury and MRI (1.5T) ≤5 days were followed until RTS. MRIs were scored using standardised forms.
resultsFor MRI-positive injuries there was moderate agreement in severity grading (κ = 0.50-0.56). Substantial variance in RTS was demonstrated within and between MRI categories. Mean differences showed an overall main effect for severity grading (p < 0.001), but post hoc pairwise comparisons for BAMIC (grade 0a/b vs. 1, p = 0.312; 1 vs 2, p = 0.054; 0a/b vs 2, p < 0.001; 1 vs 3, p < 0.001) and mean differences for anatomical sites (BAMIC a-c, p < 0.001 [a vs b, p = 0.974; a vs c, p = 0.065; b vs c, p = 0.007]; Chan anatomical sites 1-5, p < 0.077; 2A-C, p = 0.373; 2a-e, p = 0.008; combined BAMIC, p < 0.001) varied. For MRI-positive injuries, total explained RTS variance was 7.6-11.9% for severity grading and BAMIC anatomical sites.
conclusionsThere was wide overlap between/variation within the grading/classification categories. Therefore, none of the classification systems could be used to predict RTS in our sample of MRI-positive hamstring injuries. KEY POINTS: • Days to RTS varied greatly within the grading and classification categories. • Days to RTS varied greatly between the grading and classification categories. • Using MRI classification systems alone to predict RTS cannot be recommended. • The specific MRI classification used should be reported to avoid miscommunication.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.