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Illini Sports Medicine, 301 West Lincoln Street, Suite 210, Belleville, IL 62220, USA. lwadswor@slu.edu
Golfers most frequently report injuries to the low back, nondominant shoulder, and elbow. Injury patterns differ between elite and recreational golfers; professional and elite golfers tend to experience golf injury related to overuse while amateur golfers may experience injury related to adverse swing technique and overuse. Therapeutic interventions should include assessment and treatment of deficiencies in the kinetic chain and professional instruction to modify swing technique. Changes in the swing may include instruction in a more efficient technique or shortening the swing to decrease biomechanical forces affecting the injured area.
PMID: 18001607 [PubMed - indexed for MEDLINE]
1: Sports Med. 1998 Jul;26(1):43-57.
Physical Education Department, Laval University, Ste-Foy, Québec, Canada.
Over the years, golf has become an increasingly popular sport, attracting new players of almost all ages and socioeconomic groups. Golf is practised by up to 10 to 20% of the overall adult population in many countries. Beyond the enjoyment of the sport itself, the health-related benefits of the exercise involved in walking up to 10 km and of relaxing in a pleasant natural environment are often reported to be the main motives for adhering to this activity by recreational golfers. Golf is considered to be a moderate risk activity for sports injury; however, excessive time spent golfing and technical deficiencies lead to overuse injuries. These are the 2 main causes of injuries among golfers, and each has specific differences in the pattern in which they occur in professional and amateur golfers. Golf injuries originate either from overuse or from a traumatic origin and primarily affect the elbow, wrist, shoulder and the dorsolumbar sites. Professional and weekend golfers, although showing a similar overall anatomical distribution of injuries by body segment, tend to present differences in the ranking of injury occurrence by anatomical site; these differences can be explained by their playing habits and the biomechanical characteristics of their golf swing. Many of these injuries can be prevented by a preseason, and year-round, sport-specific conditioning programme including: (i) muscular strengthening, flexibility and aerobic exercise components; (ii) a short, practical, pre-game warm-up routine; and (iii) the adjustment of an individual's golf swing to meet their physical capacities and limitations through properly supervised golf lessons. Finally, the correct selection of golf equipment and an awareness of the environmental conditions and etiquette of golf can also contribute to making golf a safe and enjoyable lifetime activity.
1: Phys Med Rehabil Clin N Am. 2006 Aug;17(3):589-607.
Department of Orthopedics, Brown University Medical School, Providence, RI 02903, USA. jrp@urehab.necoxmail.com
There are more than 25 million golfers in the united States, and many have an injury related to golf. Low back injuries are the most common golf injuries, followed by elbow injuries. Successful treatment of golf injuries often includes modification of the golf swing. Adaptations allow many individuals, including those who are physically challenged, to enjoy playing golf.
1: Am J Prev Med. 2008 Jul;35(1):55-9.
College of Medicine, The Ohio State University, The Research Institute, Nationwide Children's Hospital, Center for Injury Research and Policy, Columbus, Ohio 43205, USA.
BACKGROUND: Golf carts today are used in a variety of public and private settings. Injuries related to golf carts are an important and increasing problem for people of all ages. This study analyzes trends and potential causes of nonfatal golf cart-related injury on a national level.
METHODS: The National Electronic Injury Surveillance System database was used to examine all cases of nonfatal golf cart-related injury treated in U.S. emergency departments (EDs) from 1990 to 2006. Analysis was conducted in 2007.
RESULTS: An estimated 147,696 (95% CI=144,404; 150,987) injuries, involving individuals aged 2 months to 96 years, were treated in EDs in the U.S. for golf cart-related injuries during the study period. Injuries to children (aged<16) constituted 31.2% of the cases. The most common type of injury was soft tissue damage (47.7%). Patients required hospitalization in 7.8% of the cases. Falling from a golf cart was the most common cause of injury (38.3%). Of golf cart-related injuries with a reported location, 70.3% occurred at sports facilities, 15.2% occurred on streets or public property, and 14.5% occurred around a home or farm. The number of golf cart-related injuries increased steadily each year, with an increase of 132.3% over the 17-year study period.
CONCLUSIONS: Given the growing capabilities and popularity of golf carts, coupled with the marked increase in golf cart-related injuries observed over the study period (>130%), intensified efforts are needed to prevent these injuries, especially among children.
1: Sports Med. 2006;36(2):171-87.
Macquarie Injury Management Group, Department of Health and Chiropractic, Macquarie University, Sydney, New South Wales, Australia.
Golf is one of a few activities that people of all ages and skill level can play. Injury as with all sports can occur. The low back is the most common injury sustained whilst playing golf, and the dynamic action of the golf swing is a major contributing factor to injury. The golf swing is a complex movement that utilises the whole body in a coordinated fashion and when repeated frequently can result in injury. Injury can be overuse or traumatic in nature. Overuse injuries predominate in the professional golfer, and amateur golfer injury tends to occur secondary to an incorrect golf swing. Upper limb injuries are also common due to their role in linking the fast moving golf club with the power-generating torso. Fortunately, injury from a club or ball strike is rare. More common are the overuse injuries associated with the back, neck and shoulder. Most golf injury data have been collected retrospectively and further epidemiological study of a prospective nature is required to determine injury incidence and factor relating to the onset of injury.
1: Clin Sports Med. 1996 Jan;15(1):85-109.
Orthopedic Hand Surgery Service, Wilford Hall Medical Center, Lackland Air Force Base, Texas, USA.
Golf injuries of the wrist are rare, but when they occur they can be devastating for the avid golfer, competitive amateur golfer, or the professional golfer, as the hand and wrist are so integral to the game. The majority of golf injuries are overuse injuries of the wrist flexor or extensor tendons. The left wrist (in the right-handed golfer) is the most common location. Analysis of the golf swing finds excessive motion of the left wrist (in the right-handed golfer), along with a catapulting function, accounting for vulnerability of the left wrist to injury. Hyperextension and radial deviation of the right wrist may cause impingement syndrome and injury may also occur during impact of the swing phase. The majority of golf-induced overuse syndromes of the wrist are successfully treated nonoperatively, but may require restriction from golf for an extended period of time. Many of the wrist problems that we see can often be related to a strong grip (left hand positioned clockwise on the golf club handle), overgripping (too tight a grip) golf club grips in poor repair, or poor swing techniques. The most common bony injury of the wrist is fracture of the hook of the hamate. This injury is a source of chronic ulnar-sided wrist pain in the golfer and is often diagnosed late or left undiagnosed. Proper-fitting golf clubs, proper swing technique, and avoidance of obstacles may prevent this injury. Like any other sport, golf requires the use of proper equipment, proper technique, and conditioning to prevent injury.
1: Am J Sports Med. 2004 Jul-Aug;32(5):1324-30.
Harvard Shoulder Service, Massachusetts General Hospital, Brigham and Women's Hospital, Boston, USA.
Although often perceived as a leisurely activity, golf can be a demanding sport, which can result in injury, usually from overuse and sometimes from poor technique. The shoulder is a commonly affected site, with the lead shoulder, or the left shoulder in the right-handed golfer, particularly vulnerable to injury. A thorough understanding of the biomechanics of the golf swing is helpful in diagnosing and managing these injuries. Common shoulder problems affecting golfers include subacromial impingement, acromioclavicular arthrosis, rotator cuff tear, glenohumeral instability, and glenohumeral arthrosis. Although the majority of patients with these disorders will respond to nonsurgical treatment, including rest and a structured program of physical therapy, further benefits can be obtained with subtle modifications of the golf swing. Those golfers who fail to respond to nonsurgical management can often return to competitive play with appropriate surgical treatment. Copyright 2004 American Orthopaedic Society for Sports Medicine
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