Location of Injury Complication Findings Sources
Hip Osteoarthritis Common in women with highlmedium sports exposure. Javelin throwers. High jumpers. And runners show degenerative changes. 23, 56, 88, 98
Knee Osteoarthritis Common reason for pemianent disability due to sports injury. ACL injury other knee injuries- linked to an increased  risk. High BMl- increased risk. Team sport athleteslsports that involve a high risk of knee injury report more pain. Disability. and osteoarthritis. Soccer playersl weight lifters- increased risk. Risk does not increase below elite level or in recreational. 8, 17, 24, 34, 38, 39, 40, 41, 44, 49, 54, 68, 79
  Jumper's Knee More knee pain after 15 yrs. 53% reported they had quit their sport due to their pain (only 7% of controls). 26
  Replacement Recreational exercisers have a lower incidence of knee replacements than controls. Former athletes have the highest rate of knee replacements. 54
Upper- extremity Rotator cuff tears Pemianent disability in baseball and tennis. Labrum tears in overhead throwing sports. Tears lruptures in javelin throwers (3 kg). 5, 27, 41, 51, 57, 62, 103
  Degenerative changes Cartilage breakdown in elbow. Osteophytes and sclerosis in javelin throwers. 5, 41
  Tendon Injuries Hand, wrist 78, 82, 86
Ankle Osteoarthritis Long-term. high intensity training is associated with Premature development. Found in long-distance runners and orienteers (more instability and degenerative changes). Elite voleybal Imptures of the lateral ligaments. severe mechanical instability. subchondral sclerosis, osteophytes. 15, 28, 39, 41, 55, 87
  Lateral Sprain Ankle instability: recurrence of sprains 39, 41
  Inversion Trauma Long-term pain and disability 39, 41
Low-Back/ Spinal Osteophytes, Radiological abnormalities Abnormalities found in gymnastics. tennis. wrestling, and soccer (more than controls). Elite javelin throwers-radiological and clinical symptoms in the lumbar spine. Shot putters, discus throwers, and high jumpers- high prevalence of osteophytes. 32, 41, 50, 85
  Disc Weight Iifting- associated with degeneration 95
  Degeneration, bulging Throughout lumbar spine. Soocer- degeneration in the lower lumbar region. Bulging common in both.  
Muscle/ Tendon Rupture or tear Rupture or tear of pectoralis major and rectus femoris lead to long-term. permanent problems. 41, 64
  Achilles injuries Most common injury to tendon in running sports. Achilles overuse injury may cause future limitations. Complete ruptures are found more often in athletes who participate in sports involving explosive acceleration or maximal effort. 41, 60, 65, 77
Fractures Stress fractures Female patients reported menstrual irregularities. Runners with high weekly training mileage (117 km average) were found to be at risk of recurrent stress fractures of the lower extremities. Baseball pitchers with high loads may be susceptible to repeat stress fractures. 3, 19, 30, 41, 72, 83, 91, 92
  Low-bone Mass/ Osteoporosis risk High training volumes at high intensities may have adetrimental effect on bone density (men or women). Highest risk for amenorrhelc athletes: bone loss present regardless. Weight-bearing activity may not compensate for reduced estrogen levels. 41, 46, 63, 69
  Malpositions/ immobility Disability and joint degeneration. Immobilization and disuse of injured extremity leads to a rapid loss in local bone mass. Fracture in lower extremity- more prominent loss of bone than after an injury of upper extremity. Substantial reductions in bone mass at adjacent sites proximal and distal to fracture sites in extremities. 3, 12, 19, 41, 52
Table 2: Selected Injuries in Elite Level Athletics.