Abstract
OBJECTIVE: To document the injuries sustained by participants in a 1005 km ultramarathon. METHODS: Clinical notes were reviewed on entrants in the 1005 km Sydney to Melbourne ultramarathon. An injury was recorded following self referral by a participant or if the history obtained from the runner or his support crew indicated the likelihood of a significant injury which could have an impact upon performance. RESULTS: 64 injuries were found in 32 runners. The knee (31.3%) and ankle (28.1%) regions were most commonly injured. The most common single diagnosis was retropatellar pain syndrome, and Achilles tendinitis and medial tibial stress syndrome were the next most common injuries. Peritendinitis/tendinitis of the tendons passing under the extensor retinaculum at the ankle, an injury infrequently reported in other sports, was common (19% of all injuries). CONCLUSIONS: The injuries were typically associated with running but 12 (19% of the total) involved the tendons of the muscles of the anterior compartment of the lower leg, and in almost every case the major site of inflammation was at the extensor retinaculum at the anterior aspect of the ankle. This injury appears to be relatively specific to the ultramarathon-"ultramarathoner's ankle".
Full text
PDF




Images in this article
Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Collins K., Wagner M., Peterson K., Storey M. Overuse injuries in triathletes. A study of the 1986 Seafair Triathlon. Am J Sports Med. 1989 Sep-Oct;17(5):675–680. doi: 10.1177/036354658901700515. [DOI] [PubMed] [Google Scholar]
- Gehlsen G. M., Stewart L. B., Van Nelson C., Bratz J. S. Knee kinematics: the effects of running on cambers. Med Sci Sports Exerc. 1989 Aug;21(4):463–466. [PubMed] [Google Scholar]
- Hutson M. A. Medical implications of ultra marathon running: observations on a six day track race. Br J Sports Med. 1984 Mar;18(1):44–45. doi: 10.1136/bjsm.18.1.44. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Marti B., Vader J. P., Minder C. E., Abelin T. On the epidemiology of running injuries. The 1984 Bern Grand-Prix study. Am J Sports Med. 1988 May-Jun;16(3):285–294. doi: 10.1177/036354658801600316. [DOI] [PubMed] [Google Scholar]
- Nicholl J. P., Williams B. T. Injuries sustained by runners during a popular marathon. Br J Sports Med. 1983 Mar;17(1):10–15. doi: 10.1136/bjsm.17.1.10. [DOI] [PMC free article] [PubMed] [Google Scholar]
- O'Toole M. L., Hiller W. D., Smith R. A., Sisk T. D. Overuse injuries in ultraendurance triathletes. Am J Sports Med. 1989 Jul-Aug;17(4):514–518. doi: 10.1177/036354658901700411. [DOI] [PubMed] [Google Scholar]