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      Tennis Injuries Among German League Players: Investigating Patterns and Epidemiology of Acute and Chronic Injuries

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          Abstract

          Purpose

          While injuries among elite tennis athletes are extensively documented, a notable research gap exists regarding tennis injuries among club-level players. This study examines tennis injuries in German league players, with a particular emphasis on the impact of racquet properties and court surfaces, distinguishing between chronic and acute injuries.

          Patients and Methods

          Retrospectively analyzing data from 600 tennis players over a 1.5-year period, a standardized questionnaire covered anthropometrics, injury characteristics, equipment usage, and court surface conditions.

          Results

          The study identified 1012 tennis-related injuries, averaging 1.7 per player. Acute injuries predominantly affected the lower extremity (56%), with ankle injuries being the most prevalent, and ligaments were the most commonly affected structures (36.4%). Chronic complaints (reported by 364 athletes) focused on the upper extremity (63.2%), primarily tendon injuries (56.8%). Racket properties exhibited no significant impact on chronic upper extremity injuries.

          Conclusion

          This study highlights a high incidence of acute lower extremity injuries, especially ankle ligament injuries, among German league tennis players. It offers crucial insights for devising targeted injury prevention strategies applicable to amateur, semi-professional, and professional tennis players, despite finding no significant link between racquet material and chronic upper extremity injuries.

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          Most cited references31

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          Tennis injuries: occurrence, aetiology, and prevention.

          B Pluim, J. Staal, G E Windler … (2006)
          A systematic search of published reports was carried out in three electronic databases from 1966 on to identify relevant articles relating to tennis injuries. There were 39 case reports, 49 laboratory studies, 28 descriptive epidemiological studies, and three analytical epidemiological studies. The principal findings of the review were: first, there is a great variation in the reported incidence of tennis injuries; second, most injuries occur in the lower extremities, followed by the upper extremities and then the trunk; third, there have been very few longitudinal cohort studies that investigated the association between risk factors and the occurrence of tennis injuries (odds ratios, risk ratios, hazard ratios); and fourth, there were no randomised controlled trials investigating injury prevention measures in tennis. More methodologically sound studies are needed for a better understanding of risk factors, in order to design useful strategies to prevent tennis injuries.
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            Applied physiology of tennis performance.

            M S Kovacs (2006)
            Competitive tennis play requires a combination of the major physiological variables; however, the specifics of these variables have yet to be determined appropriately. General strength and flexibility training have been suggested as being beneficial for performance and injury prevention, yet specific guidelines are lacking. This paper provides a review of specific studies that relate to competitive tennis, and highlights the need for tennis-specific training as opposed to generalised physical training. It identifies specific studies that support the premise that tennis has physiological requirements which need to be understood when designing training and research programmes.
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              Sport injuries: a review of outcomes.

              Vincenzo Denaro, Umile Giuseppe Longo, Nikolaos Gougoulias … (2010)
              Injuries can counter the beneficial aspects related to sports activities if an athlete is unable to continue to participate because of residual effects of injury. We provide an updated synthesis of existing clinical evidence of long-term follow-up outcome of sports injuries. A systematic computerized literature search was conducted on following databases were accessed: PubMed, Medline, Cochrane, CINAHL and Embase databases. At a young age, injury to the physis can result in limb deformities and leg-length discrepancy. Weight-bearing joints including the hip, knee and ankle are at risk of developing osteoarthritis (OA) in former athletes, after injury or in the presence of malalignment, especially in association with high impact sport. Knee injury is a risk factor for OA. Ankle ligament injuries in athletes result in incomplete recovery (up to 40% at 6 months), and OA in the long term (latency period more than 25 years). Spine pathologies are associated more commonly with certain sports (e.g. wrestling, heavy-weight lifting, gymnastics, tennis, soccer). Evolution in arthroscopy allows more accurate assessment of hip, ankle, shoulder, elbow and wrist intra-articular post-traumatic pathologies, and possibly more successful management. Few well-conducted studies are available to establish the long-term follow-up of former athletes. To assess whether benefits from sports participation outweigh the risks, future research should involve questionnaires regarding the health-related quality of life in former athletes, to be compared with the general population.
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                Author and article information

                Journal
                Journal ID (nlm-ta): Open Access J Sports Med
                Journal ID (iso-abbrev): Open Access J Sports Med
                Journal ID (publisher-id): oajsm
                Title: Open Access Journal of Sports Medicine
                Publisher: Dove
                ISSN (Electronic): 1179-1543
                Publication date (Electronic): 01 July 2024
                Publication date Collection: 2024
                Volume: 15
                Pages: 67-75
                Affiliations
                [1 ]Department of Trauma Surgery, University Medical Center Regensburg , Regensburg, Germany
                [2 ]Department of Orthopaedic Surgery, Arcus Clinics Pforzheim , Pforzheim, Germany
                [3 ]Department of Orthopaedic Surgery, Koenig Ludwig Haus Wuerzburg , Wuerzburg, Germany
                [4 ]Department of Trauma Surgery, University Hosptial Wuerzburg , Wuerzburg, Germany
                [5 ]Department of Orthopedic and Trauma Surgery, Johanniter Waldkrankenhaus Bonn , Bonn, Germany
                Author notes
                Correspondence: Kai Fehske, Department of Orthopedic and Trauma Surgery, Johanniter Waldkrankenhaus Bonn , Waldstraße 73, Bonn, 53177, Germany, Email Fehske_k@ukw.de
                Jonas Krueckel, Department of Trauma Surgery, University Medical Center Regensburg , Regensburg, Germany, Email jonas.krueckel@ukr.de
                Author information
                http://orcid.org/0000-0003-3946-1165
                Article
                Publisher ID: 460907
                DOI: 10.2147/OAJSM.S460907
                PMC ID: 11226988
                PubMed ID: 38975566
                SO-VID: f8f18cbb-f500-46a8-8433-b6da3edc7000
                Copyright © © 2024 Krueckel et al.
                License:

                This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License ( http://creativecommons.org/licenses/by-nc/3.0/). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms ( https://www.dovepress.com/terms.php).

                History
                Date received : 23 January 2024
                Date accepted : 07 May 2024
                Page count
                Figures: 5, Tables: 5, References: 33, Pages: 9
                Funding
                Funded by: This research received no external funding;
                This research received no external funding.
                Categories
                Subject: Original Research

                Keywords: tennis,injury,epidemiology,court surface,racquet material,ankle,ligament
                Data availability:
                Keywords: tennis, injury, epidemiology, court surface, racquet material, ankle, ligament

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