Revista de Medicina Desportiva (English) January 2019 | Page 32
also reported during ballet practice
and they are more frequent on the
male practitioners due to the fre-
quent holding of the female dan-
cers on their arms during complex
movements. 14
Regarding the mechanism of the
traumatic injuries, the great majo-
rity occurs during jumps (on the
beginning of the movement, during
air suspension or during the return
to the ground), and the incidence
depends on the range of motion:
9.9% of the injuries occurs during
small jumps, 5.9% during medium
and 9.0% during high jumps. Some
typical more demanding exercises on
the ballet are associated to a greater
prevalence of injuries. The arabes-
ques, a position in which the dancer
rests his body weight over a lower
limb and performs hyperextension
and lifting of the suspended leg, are
associated to 7.1% of injuries, while
the portées, where the male dancer
holds the female dancer on his arm
in order she can make some motion
suspended in the air, are associated
to 5.2% of injuries (Figure 3). 17
The female athletes, in compari-
son with the male athletes, have a
greater incidence of isolated inju-
ries without relapse and they have
a lower rate of complications or
sequels. 27 As far as temporality is
concerned, it is more frequent an
average window of 24 hours between
the traumatic event and the report
of the injury by the athlete. On the
return to sport, the more serious
injuries that require longer periods
of rest or rehabilitation are the frac-
tures of the tibia or of the metatar-
sals (35%), chronic instability of the
ankle (10%), facet syndrome of the
lower back (9%) and low back radi-
culopathy (9%). 28,29
Figure 3 – Typical movements of the ballet:
A – Arabesque on the left side;
B – Portée on the rightb side.
30 january 2019 www.revdesportiva.pt
Conclusion
The longer the time exposure to
training sessions, the greater the
frequency the dancers and the
greater the severity, correspond-
ing, therefore, to the professional
athletes the greater targets for
traumatic injuries in this sport. 1,2
These injuries afflicts several and
different body parts of the athlete
are they are intimately associated to
the typical movements repeatedly
performed on this sport. 2,14-23 The
high incidence of injuries on profes-
sional dancers demonstrates the
need to implement and to develop
preventive measures, to have an
early diagnosis and to apply an early
and adequate therapeutic regimen
in order the athletes can return soon
and in safe to sports practice. 1 There
should be stimulated the realization
of epidemiological studies about the
traumatic injuries on this sport due
to the eventual positive impact that
these studies might have on preven-
tion, diagnosis and early treatment
of the injuries.
Bibliography
1. Bronner S, McBride C, Gill A. Musculoskele-
tal injuries in professional modern dancers: a
prospective cohort study of 15 years. Journal of
Sports Sciences. 2018 Aug; 36(16):1880-1888.
2. Sobrino FJ, de la Cuadra C, Guillén P.
Overuse Injuries in Professional Ballet: Injury-
-Based Differences Among Ballet Discipli-
nes. Orthop J Sports Med. 2015 Jun 26;
3(6):2325967115590114.
3. Leanderson C, Leanderson J, Wykman
A et al. Musculoskeletal injuries in young
ballet dancers. Knee Surg Sports Traumatol
Arthrosc. 2011; 19:1531-1535.
4. Bronner S, Ojofeitimi S & Rose D. Injuries in
a modern dance company: effect of comprehen-
sive management of injury incidence and time
loss. Am J Sports Med. 2003; 31:365-373.
5. Kadel N. Foot and ankle injuries in dance. Phys
Med Rehabil Clin N Am. 2006; 17:813-826.
6. Sobrino F & Guillén P. Lesiones en el ballet.
Estudio epidemiológico. In: Lesiones Deportivas.
Libro del XXII Simposium Internacional de
Traumatología Ortopedia Fremap. Madrid,
Spain: Fundación Mapfre Medicina. 1996;
73-120.
7. Allen N, Nevill A, Brooks J, et al. Ballet
Injuries: Injury Incidence and Severity Over 1
Year. J Orthop Sports Phys Ther. 2012 Sep;
42(9):781-90.
8. Sobrino F. Patología cronica acumulativa
por microtraumatismos de repeteición: nueva
definición, patogenia, clínica general, factores
de riesgo, controversias. Mapfre Med. 2003;
14:125-133.
9. Sobrino FJ, Guillén P. Overuse Injuries in
Professional Ballet: Influence of Age and Years
of Professional Practice. Orthop J Sports Med.
2017 Jun 28; 5(6):2325967117712704.
10. S. Byhring. Musculoskeletal injuries in the
Norwegian National Ballet: a prospective
cohort study. Scand J Medsci Sports. 2002;
12:365-370.
11. Arendt Y & Kerschbaumer F. Injury and
overuse pattern in professional ballet dancers.
Z Orthop Ihre Grenzgeb. 2003; 141:349-356.
12. Luke A, Kinney S, D’Hemecourt P et al.
Determinants of injuries in young dancers. Med
Probl Perform Art. 2002; 17:105-112.
13. Sobrino F. Lesiones Acumulativas por Micro-
traumatismos de Repetición en el Ballet. Tesis
inédita de la Universidad Complutense de
Madrid, Facultad de Medicina, Departa-
mento de Anatomía y Embriología Humana
II, 2013..
14. Cichanowski HR, Schmitt JS, Johnson RJ et
al. Hip strength in collegiate female athletes
with patellofemoral pain. Med Sci Sports
Exerc. 2007; 39:1227-1232.
15. Brodsky A & Khalil M. Talar compression
syndrome. Foot Ankle. 1987; 7:338-344.
16. Hooper M & Robinson P. Ankle impingement
syndromes. Radiol Clin N Am. 2008; 46:957-971.
17. Norcross MF, Blackburn JT, Goerger BM, et
al. The association between lower extremity
energy absorption and biomechanical factors
related to anterior cruciate ligament injury. Clin
Biomech (Bristol, Avon). 2010; 25:1031-1036.
18. Hillier J, Peace K & Hulme A. MRI features of
foot and ankle injuries in ballet dancers. Br J
Radiol. 2004; 77:532-537.
19. Haddad S. The use of osteotomies in the treat-
ment of hallus limitus and hallus rigidus. Foot
Ankle Clin. 2000; 5:629-661.
20. Moura D, Gaspar R, Fonseca F. Síndrome do
osso trígono. Rev. Port. Ortop. Traum. 2016;
24(1):17-25.
21. Morelli U & Smith V. Groin injuries in athle-
tes. Am Fam Physician. 2001; 64:1405-1414.
22. Kouvalchouk JF. Ressautsdehanche. Encyl-
MedChir. 2003; 14-320:1-9. 28.
23. Larsen E & Johansen J. Snapping hip. Actha
Orthop Scand. 1986; 57: 168-170.
24. Walls R, Brennan S & Hodnett P. Overuse
ankle injuries in professional Irish dancers.
Foot Ankle Surg. 2010; 16:45-49.
25. Nilsson C, Leanderson J, Wykman A et al.
The injury panorama in a Swedish proffesional
ballet company. Knee Surg Sports Traumatol
Arthrosc. 2001; 9:242-246.
26. O’Kane M & John W. Anterior hip pain. Am
Fam Physician. 1999; 60:1687-1696.
27. Brodsky A & Khalil M. Talar compression
syndrome. Foot Ankle. 1987; 7:338-344.
28. Wikstrom EA, Powers ME & Tillman MD.
Dynamic stabilization time after isokinetic and
functional fatigue. J Athl Train. 2004; 39:247-253.
29. Kristenson K, Walden M, Ekstrand J, et al.
Lower injury rates for newcomers to professio-
nal soccer: A prospective cohort study over 9
consecutive seasons. The American Journal of
Sports Medicine. 2013; 41(6):1419-1425.