Semin Musculoskelet Radiol 2005; 09(4): 346-359
DOI: 10.1055/s-2005-923379
Copyright © 2005 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA.

Golf and Racquet Sports Injuries

Jon A. Jacobson1 , Bruce S. Miller2 , 3 , Yoav Morag1
  • 1Department of Radiology, University of Michigan Medical Center
  • 2Department of Orthopaedic Surgery, University of Michigan Medical Center
  • 3MedSport, University of Michigan Sports Medicine Program, University of Michigan, Ann Arbor, Michigan
Further Information

Publication History

Publication Date:
29 November 2005 (online)

ABSTRACT

There are specific injuries that are common in golf and racquet sports. These abnormalities have a predilection for specific structures as well and can be divided into two categories on the basis of etiology as either chronic repetitive injury or acute trauma. With golf injuries, upper extremity abnormalities prevail and include rotator cuff disease, epicondylitis, wrist tenosynovitis, and hamate hook fracture. Thoracolumbar spine pain can also occur. The order of frequency of these ailments is different for professional and recreational athletes. With racquet injuries, as in tennis, lower extremity injuries are more common and include medial gastrocnemius and Achilles tendon abnormalities, although shoulder, elbow, and wrist abnormalities may also occur. Knowledge of the biomechanics behind each sport is also helpful in understanding the pathophysiology of injury and in part explains the findings seen at imaging.

REFERENCES

  • 1 Kim D H, Millett P J, Warner J J, Jobe F W. Shoulder injuries in golf.  Am J Sports Med. 2004;  32 1324-1330
  • 2 Lees A. Science and the major racket sports: a review.  J Sports Sci. 2003;  21 707-732
  • 3 Bylak J, Hutchinson M R. Common sports injuries in young tennis players.  Sports Med. 1998;  26 119-132
  • 4 Marx R G, Sperling J W, Cordasco F A. Overuse injuries of the upper extremity in tennis players.  Clin Sports Med. 2001;  20 439-451
  • 5 Fahlstrom M, Bjornstig U, Lorentzon R. Acute badminton injuries.  Scand J Med Sci Sports. 1998;  8 145-148
  • 6 Pink M, Jobe F W, Perry J. Electromyographic analysis of the shoulder during the golf swing.  Am J Sports Med. 1990;  18 137-140
  • 7 Armfield D R, Stickle R L, Robertson D D, Towers J D, Debski R E. Biomechanical basis of common shoulder problems.  Semin Musculoskelet Radiol. 2003;  7 5-18
  • 8 Bechler J R, Jobe F W, Pink M, Perry J, Ruwe P A. Electromyographic analysis of the hip and knee during the golf swing.  Clin J Sport Med. 1995;  5 162-166
  • 9 Theriault G, Lachance P. Golf injuries. An overview.  Sports Med. 1998;  26 43-57
  • 10 Jacobson J A. Musculoskeletal sonography and MR imaging. A role for both imaging methods.  Radiol Clin North Am. 1999;  37 713-735
  • 11 Farooki S, Seeger L L. MR imaging of sports injuries of the shoulder.  Semin Musculoskelet Radiol. 1997;  1 51-63
  • 12 Jacobson J A, Lancaster S, Prasad A, van Holsbeeck M T, Craig J G, Kolowich P. Full-thickness and partial-thickness supraspinatus tendon tears: value of US signs in diagnosis.  Radiology. 2004;  230 234-242
  • 13 Tuite M J, Turnbull J R, Orwin J F. Anterior versus posterior, and rim-rent rotator cuff tears: prevalence and MR sensitivity.  Skeletal Radiol. 1998;  27 237-243
  • 14 Wohlwend J R, van Holsbeeck M, Craig J et al.. The association between irregular greater tuberosities and rotator cuff tears: a sonographic study.  AJR Am J Roentgenol. 1998;  171 229-233
  • 15 Tirman P F, Smith E D, Stoller D W, Fritz R C. Shoulder imaging in athletes.  Semin Musculoskelet Radiol. 2004;  8 29-40
  • 16 Kjellin I, Ho C P, Cervilla V et al.. Alterations in the supraspinatus tendon at MR imaging: correlation with histopathologic findings in cadavers.  Radiology. 1991;  181 837-841
  • 17 Farin P U, Jaroma H, Harju A, Soimakallio S. Shoulder impingement syndrome: sonographic evaluation.  Radiology. 1990;  176 845-849
  • 18 Potter H G, Hannafin J A, Morwessel R M, DiCarlo E F, O'Brien S J, Altchek D W. Lateral epicondylitis: correlation of MR imaging, surgical, and histopathologic findings.  Radiology. 1995;  196 43-46
  • 19 Miller T T, Shapiro M A, Schultz E, Kalish P E. Comparison of sonography and MRI for diagnosing epicondylitis.  J Clin Ultrasound. 2002;  30 193-202
  • 20 Connell D, Burke F, Coombes P et al.. Sonographic examination of lateral epicondylitis.  AJR Am J Roentgenol. 2001;  176 777-782
  • 21 Martin C E, Schweitzer M E. MR imaging of epicondylitis.  Skeletal Radiol. 1998;  27 133-138
  • 22 Tralforos J, Nazarian L N, McShane J M, Edelist D D, Gustavsen G P, Harwood M I. Ultrasound-guided debridement and corticosteroid injection for musculoskeletal injuries refractory to conservative management. Paper presented at: Radiological Society of North America 2002 Chicago; Illinois
  • 23 McCarroll J R. Overuse injuries of the upper extremity in golf.  Clin Sports Med. 2001;  20 469-479
  • 24 Murray P M, Cooney W P. Golf-induced injuries of the wrist.  Clin Sports Med. 1996;  15 85-109
  • 25 Aldridge III J M, Mallon W J. Hook of the hamate fractures in competitive golfers: results of treatment by excision of the fractured hook of the hamate.  Orthopedics. 2003;  26 717-719
  • 26 Dalinka M K, Merrill C. Sosman Lecture. MR imaging of the wrist.  AJR Am J Roentgenol. 1995;  164 1-9
  • 27 Singson R D, Zalduondo F M. Value of unenhanced spin-echo MR imaging in distinguishing between synovitis and effusion of the knee.  AJR Am J Roentgenol. 1992;  159 569-571
  • 28 Whitten C G, Moore T E, Yuh W T, Kathol M H, Renfrew D L, Walker C W. The use of intravenous gadopentetate dimeglumine in magnetic resonance imaging of synovial lesions.  Skeletal Radiol. 1992;  21 215-218
  • 29 Jacobson J A, van Holsbeeck M T. Musculoskeletal ultrasonography.  Orthop Clin North Am. 1998;  29 135-167
  • 30 Breidahl W H, Stafford Johnson D B, Newman J S, Adler R S. Power Doppler sonography in tenosynovitis: significance of the peritendinous hypoechoic rim.  J Ultrasound Med. 1998;  17 103-107
  • 31 Patel S, Fessell D P, Jacobson J A, Hayes C W, van Holsbeeck M T. Artifacts, anatomic variants, and pitfalls in sonography of the foot and ankle.  AJR Am J Roentgenol. 2002;  178 1247-1254
  • 32 Glajchen N, Schweitzer M. MRI features in de Quervain's tenosynovitis of the wrist.  Skeletal Radiol. 1996;  25 63-65
  • 33 Giovagnorio F, Andreoli C, De Cicco M L. Ultrasonographic evaluation of de Quervain disease.  J Ultrasound Med. 1997;  16 685-689
  • 34 Chien A J, Jacobson J A, Martel W, Kabeto M U, Marcantonio D R. Focal radial styloid abnormality as a manifestation of de Quervain tenosynovitis.  AJR Am J Roentgenol. 2001;  177 1383-1386
  • 35 Kato H, Nakamura R, Horii E, Nakao E, Yajima H. Diagnostic imaging for fracture of the hook of the hamate.  Hand Surg. 2000;  5 19-24
  • 36 Guha A R, Marynissen H. Stress fracture of the hook of the hamate.  Br J Sports Med. 2002;  36 224-225
  • 37 Fahlstrom M, Bjornstig U, Lorentzon R. Acute Achilles tendon rupture in badminton players.  Am J Sports Med. 1998;  26 467-470
  • 38 Fahlstrom M, Lorentzon R, Alfredson H. Painful conditions in the Achilles tendon region: a common problem in middle-aged competitive badminton players.  Knee Surg Sports Traumatol Arthrosc. 2002;  10 57-60
  • 39 Fahlstrom M, Lorentzon R, Alfredson H. Painful conditions in the Achilles tendon region in elite badminton players.  Am J Sports Med. 2002;  30 51-54
  • 40 McCann P D, Bigliani L U. Shoulder pain in tennis players.  Sports Med. 1994;  17 53-64
  • 41 Farber J M, Buckwalter K A. Sports-related injuries of the shoulder: instability.  Radiol Clin North Am. 2002;  40 235-249
  • 42 Nirschl R P, Ashman E S. Elbow tendinopathy: tennis elbow.  Clin Sports Med. 2003;  22 813-836
  • 43 Helms C A, Fritz R C, Garvin G J. Plantaris muscle injury: evaluation with MR imaging.  Radiology. 1995;  195 201-203
  • 44 Astrom M, Gentz C F, Nilsson P, Rausing A, Sjoberg S, Westlin N. Imaging in chronic Achilles tendinopathy: a comparison of ultrasonography, magnetic resonance imaging and surgical findings in 27 histologically verified cases.  Skeletal Radiol. 1996;  25 615-620
  • 45 Delgado G J, Chung C B, Lektrakul N et al.. Tennis leg: clinical US study of 141 patients and anatomic investigation of four cadavers with MR imaging and US.  Radiology. 2002;  224 112-119
  • 46 Menz M J, Lucas G L. Magnetic resonance imaging of a rupture of the medial head of the gastrocnemius muscle. A case report.  J Bone Joint Surg Am. 1991;  73 1260-1262
  • 47 Jamadar D A, Jacobson J A, Theisen S E et al.. Sonography of the painful calf: differential considerations.  AJR Am J Roentgenol. 2002;  179 709-716
  • 48 Bianchi S, Martinoli C, Abdelwahab I F, Derchi L E, Damiani S. Sonographic evaluation of tears of the gastrocnemius medial head (“tennis leg”).  J Ultrasound Med. 1998;  17 157-162
  • 49 Leekam R N, Agur A M, McKee N H. Using sonography to diagnose injury of plantaris muscles and tendons.  AJR Am J Roentgenol. 1999;  172 185-189
  • 50 Schweitzer M E, Karasick D. MR imaging of disorders of the Achilles tendon.  AJR Am J Roentgenol. 2000;  175 613-625
  • 51 Hartgerink P, Fessell D P, Jacobson J A, van Holsbeeck M T. Full- versus partial-thickness Achilles tendon tears: sonographic accuracy and characterization in 26 cases with surgical correlation.  Radiology. 2001;  220 406-412

Jon A JacobsonM.D. 

Department of Radiology, University of Michigan Medical Center

1500 East Medical Center Drive, TC-2910L, Ann Arbor, MI 48109-0326

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