Is subsequent lower limb injury associated with previous injury?

A systematic review and meta-analysis

Liam A Toohey, Michael K Drew, Jill L Cook, Caroline F Finch, Jamie E Gaida

Research output: Contribution to journalArticle

25 Citations (Scopus)

Abstract

Background Previous injury is a strong risk factor for recurrent lower limb injury in athletic populations, yet the association between previous injury and a subsequent injury different in nature or location is rarely considered. Objective To systematically review data on the risk of sustaining a subsequent lower limb injury different in nature or location following a previous injury. Methods Eight medical databases were searched. Studies were eligible if they reported lower limb injury occurrence following any injury of a different anatomical site and/or of a different nature, assessed injury risk, contained athletic human participants and were written in English. Two reviewers independently applied the eligibility criteria and performed the risk of bias assessment. Meta-analysis was conducted using a random effects model. Results Twelve studies satisfied the eligibility criteria. Previous history of an ACL injury was associated with an increased risk of subsequent hamstring injury (three studies, RR=2.25, 95% CI 1.34 to 3.76), but a history of chronic groin injury was not associated with subsequent hamstring injury (three studies, RR=1.14, 95% CI 0.29 to 4.51). Previous lower limb muscular injury was associated with an increased risk of sustaining a lower limb muscular injury at a different site. A history of concussion and a variety of joint injuries were associated with an increased subsequent lower limb injury risk. Conclusions The fact that previous injury of any type may increase the risk for a range of lower limb subsequent injuries must be considered in the development of future tertiary prevention programmes. Systematic review registration number CRD42016039904 (PROSPERO).

Original languageEnglish
Pages (from-to)1670-1678
Number of pages9
JournalBritish Journal of Sports Medicine
Volume51
Issue number23
Early online date7 Aug 2017
DOIs
Publication statusPublished - Dec 2017

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Meta-Analysis
Lower Extremity
Wounds and Injuries
Tertiary Prevention
Athletic Injuries
Groin
Sports
Joints

Cite this

Toohey, Liam A ; Drew, Michael K ; Cook, Jill L ; Finch, Caroline F ; Gaida, Jamie E. / Is subsequent lower limb injury associated with previous injury? A systematic review and meta-analysis. In: British Journal of Sports Medicine. 2017 ; Vol. 51, No. 23. pp. 1670-1678.
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Is subsequent lower limb injury associated with previous injury? A systematic review and meta-analysis. / Toohey, Liam A; Drew, Michael K; Cook, Jill L; Finch, Caroline F; Gaida, Jamie E.

In: British Journal of Sports Medicine, Vol. 51, No. 23, 12.2017, p. 1670-1678.

Research output: Contribution to journalArticle

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