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Oblique Muscle Strains

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1. In your opinion why is the prevalence of oblique strains continuing to increase?
2. What can be done to decrease the incidence of this injury?
3. How can you apply this information to your profession?
4. In your opinion is this type of injury only related to throwing athletes?

P.S. I will be sending you an article soon. but in the mean time if you find something interesting on the above topic please let me know.

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Solution Summary

In reference to Oblique Muscle Strains, this solution explains why the prevalence of oblique strains continues to increase, what can be done to decrease the incidence of this injury, how this information can be applied in a person's profession and, finally, whether or not this type of injury only relates to throwing athletes.

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Hi,

You did not attach an article, so I went with what I located. Let's take a closer look.

RESPONSE:

1. In your opinion why is the prevalence of oblique strains continuing to increase?

Oblique strain is caused by tearing of the internal oblique muscle from the undersurface of one of the lower four ribs or costal cartilages. MRI can delineate the sheets of musculature that make up the lateral abdominal wall. MRI can document the site of a muscle tear, characterize the severity of injury, and monitor healing (http://www.ajronline.org/cgi/content/abstract/181/6/1511). The abdominal wall muscles (rectus abdominis, external and internal obliques, and transverse abdominis) are injured by direct blows to the abdomen or by sudden or repetitive trunk movement, either rotation or flexion/ extension. With the exception of the rare rectus sheath hematoma that does not self-tamponade, the treatment for these problems is non-operative with symptoms guiding rehabilitation and return to play decisions.

Abdominal wall injuries are also reported to be less common than actually perceived by sports medicine practitioners. Sports practitioners argue that they are more prevalent than the average doctor. For example, the National Collegiate Athletic Association injury statistics for 2004-2005 cite a high of 0.71 abdominal muscle injuries per 1000 player-hours in wrestling competition to a low of 0.01 injuries per 1000 player-hours in autumn football practices. British professional soccer clubs reported an incidence of "torso" injuries of up to 7% of all injuries over the course of several seasons. Injury definition is most likely the explanation for this discrepancy (http://www.springerlink.com/content/k0181784342171v0/).

Why the increase?

a. Increase in weight and height of athletes leads to more oblique injuries:

Mr. Euchner points out several interesting facts. First, he cites a study by The American Journal of Sports Medicine, which found that there was a 60% increase in days lost to injury among big league ballplayers from 1989-2001. As to the cause of this increase, he points to the increase in both height and weight of athletes increase as one potential reason for the increase in oblique strains. He notes, for example, ...

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