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Archery injuries: A literature review
- Authors: Agranovich O.Е.1, Petrova E.V.1, Trofimova S.I.1, Sapogovskiy A.V.1, Melchenko E.V.1, Blagovechtchenski E.D.1, Afonichev K.А.1
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Affiliations:
- H. Turner National Medical Research Center for Children’s Orthopedics and Trauma Surgery
- Issue: Vol 12, No 1 (2024)
- Pages: 117-126
- Section: Scientific reviews
- URL: https://journals.eco-vector.com/turner/article/view/625717
- DOI: https://doi.org/10.17816/PTORS625717
- ID: 625717
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Abstract
BACKGROUND: Archery is one of the oldest human skills that survived to the present day. At first, it was used for hunting and war and later became a sport. The interest in archery has grown annually. Each type of sport has specific injuries. Information about archery-related injuries will allow us to develop preventive measures and help make this sport safer. The article will be useful for coaches, sports doctors, physiotherapists, and orthopedic surgeons.
AIM: To present modern information about frequency, types of archery-related injuries, and preventive methods.
MATERIALS AND METHODS: The publication search was performed in the PubMed/MEDLINE databases from 1978 to 2023 using combinations of OR, AND operators, and keywords: archery, archery injuries, rotator cuff injuries, arrow injuries, and overuse. Consequently, we extracted 49 foreign and domestic scientific sources.
RESULTS: Archery injuries occur in 4.4 per 10,000 people involved in this sport. Acute injuries in archers are rare, mainly due to shooting errors and most often lead to soft tissue damage because of a fracture of a bow, arrow, or bowstring during a shot (83.3%) or as a result of touching the bowstring with a bow. Chronic injuries occur in 83.9% of archery athletes. The main risk factors for their occurrence include overuse, high repetitions during training, lack of strength of the athlete, and incorrect technique. Overuse (67.9%) is the most common cause of chronic tendon, ligament, and joint injuries. Injuries occurred in 30%–53% of cases in the shoulders (rotator cuff tear, scapular dyskinesia, and shoulder impingement syndrome), 12.8% in the elbow (medial and lateral epicondylitis and traumatic bursitis), 8.9%–19.9% in the spine and forearm (chronic tendovaginitis and tunnel syndromes).
CONCLUSIONS: Proper training and safety measures help prevent acute injuries. Practicing archery techniques and strength training are the main measures of preventing muscle overuse and reducing the incidence of chronic injuries.
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About the authors
Olga Е. Agranovich
H. Turner National Medical Research Center for Children’s Orthopedics and Trauma Surgery
Email: olga_agranovich@yahoo.com
ORCID iD: 0000-0002-6655-4108
SPIN-code: 4393-3694
MD, PhD, Dr. Sci. (Med.)
Russian Federation, 64-68 Parkovaya str., Pushkin, Saint Petersburg, 196603Ekaterina V. Petrova
H. Turner National Medical Research Center for Children’s Orthopedics and Trauma Surgery
Email: pet_kitten@mail.ru
ORCID iD: 0000-0002-1596-3358
SPIN-code: 2492-1260
MD, PhD, Cand. Sci. (Med.)
Russian Federation, 64-68 Parkovaya str., Pushkin, Saint Petersburg, 196603Svetlana I. Trofimova
H. Turner National Medical Research Center for Children’s Orthopedics and Trauma Surgery
Email: trofimova_sv@mail.ru
ORCID iD: 0000-0003-2690-7842
SPIN-code: 5833-6770
MD, PhD, Cand. Sci. (Med.)
Russian Federation, 64-68 Parkovaya str., Pushkin, Saint Petersburg, 196603Andrey V. Sapogovskiy
H. Turner National Medical Research Center for Children’s Orthopedics and Trauma Surgery
Email: sapogovskiy@gmail.com
ORCID iD: 0000-0002-5762-4477
SPIN-code: 2068-2102
MD, PhD, Cand. Sci. (Med.)
Russian Federation, 64-68 Parkovaya str., Pushkin, Saint Petersburg, 196603Evgenii V. Melchenko
H. Turner National Medical Research Center for Children’s Orthopedics and Trauma Surgery
Email: emelcheko@gmail.com
ORCID iD: 0000-0003-1139-5573
SPIN-code: 1552-8550
MD, PhD, Cand. Sci. (Med.)
Russian Federation, 64-68 Parkovaya str., Pushkin, Saint Petersburg, 196603Evgeny D. Blagovechtchenski
H. Turner National Medical Research Center for Children’s Orthopedics and Trauma Surgery
Email: eblagovechensky@hse.ru
ORCID iD: 0000-0002-0955-6633
SPIN-code: 2811-5723
PhD, Cand. Sci. (Biol.)
Russian Federation, 64-68 Parkovaya str., Pushkin, Saint Petersburg, 196603Konstantin А. Afonichev
H. Turner National Medical Research Center for Children’s Orthopedics and Trauma Surgery
Author for correspondence.
Email: afonichev@list.ru
ORCID iD: 0000-0002-6460-2567
SPIN-code: 5965-6506
MD, PhD, Dr. Sci. (Med.)
Russian Federation, 64-68 Parkovaya str., Pushkin, Saint Petersburg, 196603References
- Sirufo MM, Bassino EM, De Pietro F, et al. Microvascular damage in a young female archer assessed by nailfold videocapillaroscopy: a case report. Int J Environ Res Public Health. 2020;17(12):4218. doi: 10.3390/ijerph17124218
- Leroyer P, Van Hoecke J, Helal JN. Biomechanical study of the final push-pull in archery. J Sports Sci. 1993;11(1):63–69. doi: 10.1080/02640419308729965
- In-Soo L. Comparative analysis of the correlation between anxiety, salivary alpha amylase, cortisol levels, and athletes’ performance in archery competitions. J Exerc Nutr Biochem. 2018;31(4):69–74. doi: 10.20463/jenb.2018.0032
- Lo-Presti D, Romano C, Massaroni C, et al. Cardio-respiratory monitoring in archery using a smart textile based on flexible fiber bragg grating sensors. Sensors. 2019;19(16):3581. doi: 10.3390/s19163581
- Åman M, Forssblad M, Henriksson-Larsén K. Incidence and severity of reported acute sports injuries in 35 sports using insurance registry data. Scandinavian Med Sci Sports. 2015;26(4):451–462. doi: 10.1111/sms.12462
- Responsive management: archery participation among adult United States residents in 2014. 2015. Available from: http://archerytrade.org/wp-content/uploads/2018/01/ATA_Participation_2015_Report_final.pdf
- centershot.ru/articles/1484/ [Internet]. Archery center shot. Types of bows. Available from: https://www.centershot.ru/articles/1484/
- Motalina VA. Features of the training process in archery in the preparatory period. Young scientist. 2022;(34):135–139. EDN: MWBCLR (In Russ.)
- Razali R. Influence of muscle activity on shooting performance in archery: preliminary findings. In: 30 International Conference on Biomechanics in Sports. 2012. P. 319–322. doi: 10.13140/RG.2.1.3843.2160
- Mann DL, Littke N. Shoulder injuries in archery. Can J Sport Sci. 1989;14(2):85–92.
- Larven J, Park J. Shooting technique biomechanics. Version 3. Sydney: Archery Australia Inc.; 2007.
- Yiming H, Nan LC. Muscle fatigue and activation pattern of upper back and shoulder gridle muscles in archery. Med Sci Sports Exerc. 2006;38(5):444.
- Kolayiş EI. The effects of hearth rate and aiming time on performance in Turkish Archery National Team. Uluslararasıİnsan Bilimleri Dergisi. 2008.
- Kalinichenko AN. Formation of the structure of motor actions of archery shooters with the use of technical means of training [dissertation abstract]: 13.00.04. Kiev, 1995. 26 p.
- Fuller CW, Ekstrand J, Junge A, et al. Consensus statement on injury definitions and data collection procedures in studies of football (soccer) injuries. Br J Sports Med. 2006;40(3):193–201. doi: 10.1136/bjsm.2005.025270
- Palsbo SE. Epidemiology of recreational archery injuries: Implications for archery ranges and injury prevention. J Sports Med Phys Fitness. 2012;52(3):293–299.
- Kluger N. Sports purpura from floorball, indoor climbing, and archery. Cutis. 2015;95(5):E3–E4.
- Niestroj CK, Schöffl V, Küpper T. Acute and overuse injuries in elite archers. J Sports Med Phys Fitness. 2018;58(7–8):1063–1070. doi: 10.23736/S0022-4707.17.07828-8
- Alberola-Zorrilla P, Castaño-Ortiz C, Sánchez-Zuriaga D. Where do archers hurt? Epidemiology of injuries during archery practice. Physiother Theory Pract. 2022:1–8. doi: 10.1080/09593985.2022.2136507
- Jacob OJ. Penetrating thoracoabdominal injuries with arrows: experience with 63 patients. Aust N Z J Surg. 1995;65(6):394–397. doi: 10.1111/j.1445-2197.1995.tb01766.x
- Madhok BM, Roy DD, Yeluri S. Penetrating arrow injuries in Western India. Injury. 2005;36(9):1045–1050. doi: 10.1016/j.injury.2005.05.032
- Karger B, Sudhues H, Brinkmann B. Arrow wounds: major stimulus in the history of surgery. World J Surg. 2001;25(12):1550–1555. doi: 10.1007/s00268-001-0168-3
- Karger B, Sudhues H, Kneubuehl BP, et al. Experimental arrow wounds: ballistics and traumatology. J Trauma. 1998;45(3):495–501. doi: 10.1097/00005373-199809000-00011
- de Jongh K, Dohmen D, Salgado R, et al. “William Tell” injury: MDCT of an arrow through the head. Am J Roentgenol. 2004;182(6):1551–1553. doi: 10.2214/ajr.182.6.1821551
- Joly LM, Oswald AM, Disdet M, et al. Difficult endotracheal intubation as a result of penetrating cranio-facial injury by an arrow. Anesth Analg. 2002;94(1):231–232, table of contents. doi: 10.1097/00000539-200201000-00045
- Krukemeyer MG, Grellner W, Gehrke G, et al. Survived crossbow injuries. Am J Forensic Med Pathol. 2006;27(3):274–276. doi: 10.1097/01.paf.0000221086.42098.72
- Kaynaroğlu V, Kiliç YA. Archery-related sports injuries. In: Doral MN, Karlsson J, editors. Sports injuries. Berlin, Heidelberg: Springer; 2012. P. 1081–1086. doi: 10.1007/978-3-642-15630-4_143
- Fingleton LJ. Arrow wounds to the heart and mediastinum. Br J Surg. 1987;74(2):126–128. doi: 10.1002/bjs.1800740219
- Mullan FJ, O’Kane HO, Dasmahapatra HK, et al. Mediastinal transfixion with a crossbow bolt. Br J Surg. 1991;78(8):972–973. doi: 10.1002/bjs.1800780825
- Vogel RB, Rayan GM. Metacarpal fracture from archery: a case report. J Okla State Med Assoc. 2003;96(2):79–80.
- Konda M, Mangal R, Daniel A, et al. Archery-related musculoskeletal injuries: an epidemiological study revealing injury sites, risk factors, and implications for prevention. Orthop Rev (Pavia). 2023;15. doi: 10.52965/001c.88933
- Bayram K, Levent Ö, Hayri E, et al. Sonographic assessment of finger flexor tendons in olympic archers. Turk J Phys Med Rehabil. 2012;58:85–87. doi: 10.4274/tftr.59013
- Prine BR, Pazik MN, Prine A, et al. Characteristics and reported injuries of recreational and competitive archers. J Sports Med Phys Fitness. 2023;63(11):1202–1207. doi: 10.23736/S0022-4707.23.15257-1
- Fukuda H, Neer CS 2nd. Archer’s shoulder. Recurrent posterior subluxation and dislocation of the shoulder in two archers. Orthopedics. 1988;11(1):171–174. doi: 10.3928/0147-7447-19880101-17
- Guo C, Liu X, Yang Y, et al. Analysis of rotator cuff muscle injury on the drawing side of the recurve bow: a finite element method. Comput Math Methods Med. 2022;2022. doi: 10.1155/2022/8572311
- Thomas WM. Anatomy trains. US: Elsevier; 2009.
- Akhoury G. Prevalence of shoulder pain in competitive archery. Asian J Sports Med. 2017;8(1). doi: 10.5812/asjsm.40971
- Ishigaki T, Hirokawa M, Ezawa Y, et al. Supraspinatus tendon changes and glenohumeral range of motion in college baseball players. Int J Sports Med. 2022;43(2):145–150. doi: 10.1055/a-1524-2038
- Pinghui ZHOU, Mijuan ZHOU, Pu HU. Efficacy of ultrasound-guided injection in the treatment of periarticular bursitis of the shoulder. Journal of Practical Medical Imaging. 2020;21(1):22–24.
- Lee TQ. Editorial commentary: precise repair of partial subscapularis tendon tears is essential. Arthroscopy. 2019;35(5):1314–1315. doi: 10.1016/j.arthro.2019.02.022
- Zou A-P, An F-M, Xin Y-Q. Study on the diagnostic value of the supraspinatus tendon tear check test. China Orthopaedic Injury. 2022;35(3):220–224. doi: 10.12200/j.issn.1003-0034.2022.03.005
- Lipeng Z, Min S. Clinical research progress of supraspinatus tendinitis. Journal of Changchun University of Traditional Chinese Medicine. 2006;4:81–82.
- Kocaman G, Atay E, Alp M, et al. Site and type assessments of sports injuries in archers. Spor Hekimligi Dergisi. 2018;53(1):1–8. doi: 10.5152/tjsm.2018.084
- Duralde XA. Neurologic injuries in the athlete’s shoulder. J Athl Train. 2000;35:316–328.
- Kujala UM, Salminen JJ, Taimela S, et al. Subject characteristics and low back pain in young athletes and nonathletes. Med Sci Sports Exerc. 1992;24:627–32.
- Sorensen BF. Bow hunter’s stroke. Neurosurgery. 1978;2(3):259–261. doi: 10.1227/00006123-197805000-00013
- Naraen A, Giannikas KA, Livesley PJ. Overuse epiphyseal injury of the coracoid process as a result of archery. Int J Sports Med. 1999;20:53–55. doi: 10.1055/s-2007-971092
- Park JY, Oh KS, Yoo HY, et al. Case report: Thoracic outlet syndrome in an elite archer in full-draw position. Clin Orthop Relat Res. 2013;471:3056–3060. doi: 10.1007/s11999-013-2865-2
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