Evidence map›Paper›PMID 30518382›Full record

ReviewJournal of orthopaedic surgery and research2018

Overuse injuries in sport: a comprehensive overview.

R Aicale, D Tarantino, N Maffulli

2 registry-linked trialsOpen access · goldAbstract readReview
In one paragraph

Review in Journal of orthopaedic surgery and research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 114 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
114citing papers in PubMed, 6 pooled it
15.5field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05450458 phase2 / phase3completednot on this mapstarted 2023, after this paper: background citation

Safety and Effectiveness of Hyaluronic Acid and Sorbitol With Overuse Knee Pain in Sportsmen

TypeinterventionalSponsorHospital Regional TlalnepantlaRan2023 to 2025Enrolled64ConditionsOveruse Injury, Body Mass Index in AthletesArmsKNEE JOINT INFILTRATION WITH HYALURONIC ACID WITH SORBITOL SYNOLIS VA
NCT06697015 naactive not recruitingnot on this mapstarted 2024, after this paper: background citation

Comparative Effects of Pendulum Exercise and Serratus Punch Exercises on Rotator Cuff Pain and Disability in Badminton Players

TypeinterventionalSponsorRiphah International UniversityRan2024 to 2025Enrolled36ConditionsSports Physical TherapyArmsPendulum Exercises, Serratus Punch Exercises
3 · Its place in the literature

Who cites it

114 citing papers in PubMed, 6 syntheses or guidelines pooled it, 289 citations in OpenAlex.

  1. The Role ofGenes · 2026
    Pooled it
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  3. The Risk Factors Associated with Grip Lock Injuries in Artistic Gymnasts: A Systematic Review.International journal of environmental research and public health · 2023
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  15. Muscle mass, not fat mass, predicts vertebral fracture risk: Vietnam osteoporosis study.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2026
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  17. Letter of Rebuttal: Muscle mass, not fat mass, predicts vertebral fracture risk: Vietnam osteoporosis study.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2026
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54 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 2 institutions in 2 countries.

R AicaleDepartment of Musculoskeletal Disorders, School of Medicine and Dentistry, University of Salerno, Salerno, Italy. aicale17@gmail.com.
D TarantinoDepartment of Musculoskeletal Disorders, School of Medicine and Dentistry, University of Salerno, Salerno, Italy.
N MaffulliDepartment of Musculoskeletal Disorders, School of Medicine and Dentistry, University of Salerno, Salerno, Italy.
University of Salerno · ITQueen Mary University of London · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe absence of a single, identifiable traumatic cause has been traditionally used as a definition for a causative factor of overuse injury. Excessive loading, insufficient recovery, and underpreparedness can increase injury risk by exposing athletes to relatively large changes in load. The musculoskeletal system, if subjected to excessive stress, can suffer from various types of overuse injuries which may affect the bone, muscles, tendons, and ligaments.

methodsWe performed a search (up to March 2018) in the PubMed and Scopus electronic databases to identify the available scientific articles about the pathophysiology and the incidence of overuse sport injuries. For the purposes of our review, we used several combinations of the following keywords: overuse, injury, tendon, tendinopathy, stress fracture, stress reaction, and juvenile osteochondritis dissecans.

resultsOveruse tendinopathy induces in the tendon pain and swelling with associated decreased tolerance to exercise and various types of tendon degeneration. Poor training technique and a variety of risk factors may predispose athletes to stress reactions that may be interpreted as possible precursors of stress fractures. A frequent cause of pain in adolescents is juvenile osteochondritis dissecans (JOCD), which is characterized by delamination and localized necrosis of the subchondral bone, with or without the involvement of articular cartilage. The purpose of this compressive review is to give an overview of overuse injuries in sport by describing the theoretical foundations of these conditions that may predispose to the development of tendinopathy, stress fractures, stress reactions, and juvenile osteochondritis dissecans and the implication that these pathologies may have in their management.

conclusionsFurther research is required to improve our knowledge on tendon and bone healing, enabling specific treatment strategies to be developed for the management of overuse injuries.

Indexed as

Athletic InjuriesCumulative Trauma DisordersHumansInflammation MediatorsOsteoarthritisSportsTendinopathyInflammation MediatorsFracturesOsteochondritis dissecansOveruse injuriesStress fractureTendinopathy

Identifiers

PMID30518382
PMCPMC6282309
OpenAlexW2902153762

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.