The aim of this review was to identify all types of injuries connected to the gestures of dancers and understand the associated biomechanical patterns. This is the first step in the definition of a prevention program that lacks in this kind of athletic activity. A search of Medline/PubMed, EMBASE, and the Cochrane database from 1990 to 2019 using the search terms ‘‘dance and injuries’’ and ‘‘dance and injuries and epidemiology’’ initially resulted in 601 citations. A total of 16 articles were eligible for a review. All health problems that lead to stop the activity of a dancer are classified as "dancer's injuries". They were divided in acute and overuse injuries, the first being traumatic and the latter ones microtraumatic. The anatomical region most affected by injuries in dance was clearly the ankle and foot. It can be inferred that professional and pre-professional dancers had a higher prevalence of back injuries in comparison to amateur dancers, while amateurs suffered more frequently from hip/groin/thigh injuries. Doctors, teachers, sport trainers and dancers themselves, all those who contribute to the dancer's performance, should know the most prevalent dancers’ injuries. Moreover, they should know the prevention procedures, in order to minimize the risk of injury and recurrences.
Lee L, Reid D, Cadwell J, Palmer P. Injury incidence, dance exposure and the use of the movement competency screen (mcs) to identify variables associated with injury in full-time pre-professional dancers. Vol. 12, Int J Sports Phys Ther. 2017. p. 352–70.
2.
Seters C, Rijn RM, Middelkoop M, JH S. Risk factors for lower-extremity injuries among contemporary dance students. Vol. 30, Clin J Sport Med. 2017. p. 60–6.
3.
Kenny SJ, Palacios-Derflingher L, Shi Q, Whittaker JL, Emery CA. Association between previous injury and risk factors for future injury in preprofessional ballet and contemporary dancers. Vol. 29, Clin J Sport Med. 2017. p. 209–17.
4.
A 72-year analysis of the oldest horse race in Italy. Vol. 50, Injury. 2019. p. 56–9.
5.
Nilsson C, Leanderson J, Wykman A, Strender LE. The injury panorama in a Swedish professional ballet company. Vol. 9, Knee Surg Sports Traumatol Arthrosc. 2001. p. 242–6.
6.
Negus V, Hopper D, Briffa NK. Associations between turnout and lower extremity injuries in classical ballet dancers. Vol. 35, J Orthop Sports Phys Ther. 2005. p. 307–18.
7.
Liederbach M, Dilgen FE, Rose DJ. Incidence of anterior cruciate ligament among elite ballet and modern dancers: a 5-year prospective study. Vol. 36, Am J Sports Med. 2008. p. 1779–88.
8.
Steinberg N, Siev-Ner I, Zeev A, Dar G. The association between hallux valgus and proximal joint alignment in young female dancers. Vol. 36, Int J Sports Med. 2015. p. 67–74.
9.
Byhring S, Bø K. Musculoskeletal injuries in the Norwegian National Ballet: a prospective cohort study. Vol. 12, Scand J Med Sci Sports. 2002. p. 365–70.
10.
Brown TD. Foot and Ankle Injuries in Dance. Vol. 33. 2004. p. 303–9.
11.
Nunes N, Haddad JJ, Bartlett DJ, K.D O. Musculoskeletal Injuries among young, recreational, female dancers before and after dancing in pointe shoes. Vol. 14, Pediatric Physical Therapy. 2002. p. 100–6.
J. M, E J. Foot and ankle injuries in dance. Vol. 19, Clin Sports Med. 2000. p. 351–68.
14.
Drezewska M, Sliwinski Z. Lumbosacral pain in ballet school students. Vol. 15, Pilot study. Orthop Traumatol Rehabil. 2013. p. 149–58.
15.
Järvinen M, Orava S. Groin pain (Adductor Syndrome. Vol. 5, Oper Techn Sport Med. 1997. p. 133–7.
16.
Garrick JG, Requa RK. Ballet injuries: an analysis of epidemiology and financial outcome. Vol. 21, Am J Sports Med. 1993. p. 586–90.
17.
Coplan J. Ballet dancer’s turnout and its relationship to self-reported injury. Vol. 32, J Orthop Sports Phys Ther. 2002. p. 579–84.
18.
Gamboa JM, Roberts LA, Maring J, Fergus A. Injury patterns in elite preprofessional ballet dancers and the utility of screening programs to identify risk characteristics. Vol. 38, J Orthop Sports Phys Ther. 2008. p. 126–36.
19.
Campoy FAS, Oliveira Coelho LR, Nascimento Bastos F, Netto JJ, Marques Vanderlei LC, Monteiro HL, et al. Investigation of risk factors and characteristics of dance injuries. Vol. 21, Clin J Sport Med. 2011. p. 493–8.
20.
Leanderson C, Leanderson J, Wykman A, Strender LE, Johansson SE, Sundquist K. Musculoskeletal injuries in young ballet dancers. Vol. 19, Knee Surg Sports Traumatol Arthrosc. 2011. p. 1531–5.
21.
Steinberg N, Siev-Ner I, Peleg S, Dar G, Masharawi Y, Zeev A, et al. Injuries in female dancers aged 8 to 16 years. Vol. 48, J Athl Train. 2013. p. 118–23.
22.
CL E, R Q, A B. Injuries in pre-professional ballet dancers: incidence, characteristics and consequences. Vol. 17, J Sci Med Sport. 2014. p. 271–5.
23.
Steinberg N, I A, Zeev A, Redding E. Injuries among talented young dancers: findings from the U.K. Vol. 35, Centres for Advanced Training. Int J Sports Med. 2014. p. 238–44.
24.
Bowerman EA, Whatman C, Harris N, Bradshaw E, Karin J. Are maturation, growth and lower extremity alignment associated with overuse injury in elite adolescent ballet dancers? Vol. 15, Phys Ther Sport. 2014. p. 234–41.
25.
Trentacosta N, Sugimoto D, Micheli LJ. Hip and groin injuries in dancers: a systematic review. Vol. 9, Sports Health. 2017. p. 422–7.
26.
Sobrino FJ, Guillé P. Overuse injuries in professional ballet. Influence of age and years of professional practice. Vol. 5, Orthop J Sports Med. 2017. p. 1–11.
27.
Bisaccia M, Rinonapoli G, Meccariello L, Bisaccia O, Ceccarini P, Rollo G, et al. Validity and reliability of mini-invasive surgery assisted by ultrasound in achilles tendon rupture. Vol. 27, Acta Inform Med. 2019. p. 40–4.
28.
Rollo G, Meccariello L, Rotini R, Pichierri P, Bisaccia M, Fortina M. Efficacy of the “Salento technique”, a modified two-incision approach in distal biceps brachii tendon repair. Vol. 10, Surgical description and outcomes analysis. J Clin Orthop Trauma. 2019. p. 959–64.
29.
Rollo G, Prkić A, Pichierri P, Eygendaal D, Bisaccia M, Marco Filipponi M, et al. Plate-and-bone-strut fixation of distal third humeral shaft aseptic non-unions: A consecutive case series. Vol. 10, J Clin Orthop Trauma. 2019. p. 127–32.
30.
Rollo G, Prkic A, Bisaccia M, Eygendaal D, Pichierri P, Marsilio A, et al. Grafting and fixation after aseptic non-union of the humeral shaft: A case series. Vol. 11, J Clin Orthop Trauma. 2020. p. 51–5.
31.
Rollo G, Porcellini G, Rotini R, Bisaccia M, Pichierri P, Paladini P, et al. A new plate design to treat displaced 3-4 parts proximal humeral fractures in comparison to the most tested and used plate: clinical and radiographic study.
32.
Rollo G, Rotini R, Eygendaal D, Pichierri P, Bisaccia M, Prkic A, et al. Effect of trochleocapitellar index on adult patient-reported outcomes after noncomminuted intra-articular distal humeral fractures. Vol. 27, J Shoulder Elbow Surg. 2018. p. 1326–32.
33.
Rollo G, Pichierri P, Marsilio A, Filipponi M, Bisaccia M. Meccariello L.The challenge of nonunion after osteosynthesis of the clavicle: is it a biomechanical or infection problem? Vol. 14, Clin Cases Miner Bone Metab. 2017. p. 372–8.
34.
Rollo G, Rotini R, Pichierri P, Giaracuni M, Stasi A, Macchiarola L, et al. Grafting and fixation of proximal humeral aseptic non union: a prospective case series. Vol. 14, Clin Cases Miner Bone Metab. 2017. p. 298–304.
35.
Rollo G, Bisaccia M, Franzese R, Pichierri P, Filipponi M, Giaracuni M, et al. The biomechanical potential of the bone graft in the proximal ulna non-union surgery. Vol. 16, Clin Cases Miner Bone Metab. 2019. p. 53–61.
36.
Medici A, Meccariello L, Rollo G, Nigris G, Mccabe SJ, Grubor P. Falzarano G.Does routine carpal tunnel release during fixation of distal radius fractures improve outcomes? Vol. 48, Injury. 2017. p. 30–3.
37.
Manni M, Bisaccia M, Rinonapoli G, Schiavone A, Meccariello L, Mccabe SJ, et al. Reliability, feasibility and value of echography in clinical-functional results in patients affected by carpal tunnel syndrome: is there a correlation? Vol. 25, Acta Inform Med. 2017. p. 44–8.
38.
Rollo G, Prkić A, Pichierri P, Eygendaal D, Bisaccia M, Filipponi M, et al. Plate-and-bone-strut fixation of distal third humeral shaft aseptic non-unions: a consecutive case series. Vol. 10, J Clin Orthop Trauma. 2019. p. 127–32.
39.
Kadel N. Foot and ankle problems in dancers. Vol. 25, Phys Med Rehabil Clin N Am. 2014. p. 829–44.
40.
Gottschlich LM. Young CC: Spine injuries in dancers. Vol. 10, Curr Sports Med Rep. 2011. p. 40–4.
41.
Russell JA, McEwan IM, Koutedakis Y, Wyon MA. Clinical anatomy and biomechanics of the ankle in dance. Vol. 12, J Dance Med Sci. 2008. p. 75–82.
42.
Ahonen J. Biomechanics of the foot in dance: a literature review. Vol. 12, J Dance Med Sci. 2008. p. 99–108.
43.
Whiting WC, Zernicke RF. Biomecânica da lesão músculo-esquelética (Biomechanics of musculoskeletal lesions) [Portuguese] Rio de Janeiro. 2001.
44.
esporte ZVMB. Performance do desempenho e prevenção de lesão (Comparison of the kinematics of serve in category volleyball youth among female and male athletes. 2004.
45.
A 72-year analysis of the oldest horse race in Italy. Vol. 50, Injury. 2019. p. 56–9.
46.
Rollo G, Falzarano G, Ronga M, Bisaccia M, Grubor P, Erasmo R, et al. Challenges in the management of floating knee injuries: results of treatment and outcomes of 224 consecutive cases in 10 years. Vol. 50, Injury. 2019. p. 30–8.
47.
Bisaccia M, Caraffa A, Meccariello L, Ripani U, Bisaccia O, Gomez-Garrido D, et al. Displaced patella fractures: percutaneous cerclage wiring and second arthroscopic look. Vol. 16, Clin Cases Miner Bone Metab. 2019. p. 48–52.
48.
Rollo G, Bisaccia M, Irimia JC, Rinonapoli G, Pasquino A, Tomarchio A, et al. The advantages of type III Scaphoid Nonunion Advanced Collapse (SNAC) treatment with partial carpal athrodesis in the dominant hand: results of 5-year follow-up. Vol. 72, Med Arch. 2018. p. 253–6.
49.
Gómez-Garrido D, Triviño-Mayoral V, Delgado-Alcala V, Cervera-Irimia J, Medina-Lorca M, SánchezSánchez F, et al. Five year long term results of total joint arthroplasties in the treatment of trapeziometacarpal osteoarthritis. Vol. 90, Acta Biomed. 2019. p. 451–6.
50.
Falzarano G, Pica G, Medici A, Rollo G, Bisaccia M, Cioffi R, et al. Foot loading and gait analysis evaluation of nonarticular tibial pilon fracture: a comparison of three surgical techniques. Vol. 57, J Foot Ankle Surg. 2018. p. 894–8.
51.
Petruccelli R, Bisaccia M, Rinonapoli G, Rollo G, Meccariello L, Falzarano G, et al. Tubular vs profile plate in peroneal or bimalleolar fractures: is there a real difference in skin complication? A retrospective study in three level I trauma center. Vol. 71, Med Arch. 2017. p. 265–9.
52.
Meccariello L, Cioffi S, Franzese R, Olivieri M, Mugnaini M. Percutaneous reduction with k-wires of a bimalleolar Salter Harris III: a case report. Vol. 7, EBMJ. 2012. p. 84–7.
53.
Rinonapoli G, Carraro A, Delcogliano A. The clinical diagnosis of meniscal tear is not easy. Reliability of two clinical meniscal tests and magnetic resonance imaging. Vol. 24, Int J Immunopathol Pharmacol. 2011. p. 39–44.
54.
Stretanski MF, Weber JG. Medical and rehabilitation issues in classical ballet. Vol. 81, Am J Phys Med Rehabil. 2002. p. 383–91.
55.
Ceccarini P, Rinonapoli G, Nardi A, Bisaccia M, Giacomo LM, Caraffa A. Bunionette: minimally invasive and percutaneous techniques: a topical review of the literature. Vol. 10, Foot Ankle Spec. 2017. p. 157–61.
56.
Hamilton LH, Hamilton WG, Meltzer JD, Marshall P, Molnar M. Personality, stress, and injuries in professional ballet dancers. Vol. 17, Am J Sports Med. 1989. p. 263–7.
57.
Tol JL, Slim E, Soest AJ, Dijk CN. The relationship of the Kicking Action in Soccer and Anterior Ankle Impingement Syndrome. Vol. 30, Am J Sports Med. 2002. p. 45–50.
58.
Foch E, Aubol K, Milner CE. Relationship between iliotibial band syndrome and hip neuromechanics in women runners. Vol. 77, Gait Posture. 2020. p. 64–8.
59.
Clearmann RR. Physical Medicine and Rehabilitation. 2005.
60.
Winslow J, Yoder E. Patellofemoral pain in female ballet dancers: correlation with iliotibial band tightness and tibial external rotation. Vol. 22, J Orthop Sports Phys Ther. 1995. p. 18–21.
61.
Khan K, Brown J, Way S. Overuse injuries in classical ballet. Vol. 19, Sports Med. 1995. p. 341–57.
62.
Baker R, Patel D. Lower back pain in the athlete: common conditions and treatment. Vol. 32, Prim Care. 2005. p. 201–29.
63.
Medici A, Meccariello L, Falzarano G. Non-operative vs. percutaneous stabilization in Magerl’s A1 or A2 thoracolumbar spine fracture in adults: is it really advantageous for a good alignment of the spine? Preliminary data from a prospective study. Vol. 23, Eur Spine J. 2014. p. 677–83.
64.
Meccariello L, Muzii VF, Falzarano G, Medici A, Carta S, Fortina M, et al. Dynamic corset versus three-point brace in the treatment of osteoporotic compression fractures of the thoracic and lumbar spine: a prospective, comparative study. Vol. 29, Aging Clin Exp Res. 2017. p. 443–9.
65.
Maiettini D, Orgera G, Bisaccia M, Piscitelli L, Laurino F, Meccariello L, et al. Percutaneous vertebroplasty improves pain control and quality of life in patients suffering from back pain: a single center experience. Iran J.
66.
Bonura EM, Morales DJO, Fenga D, Rollo G, Meccariello L, Leonetti D, et al. Conservative treatment of spondylodiscitis: possible therapeutic solution in case of failure of standard therapy. Vol. 73, Med Arch. 2019. p. 39–43.
67.
Cervera-Irimia J, González-Miranda Á, Riquelme-García Ó, Burgos-Flores J, Barrios-Pitarque C, García-Barreno P, et al. Scoliosis induced by costotransversectomy in minipigs model. Vol. 16, Med Glas (Zenica. 2019.
68.
Boyajian-O’Neill L, McClain R, Coleman M, Thomas P. Diagnosis and management of piriformis syndrome: an osteopathic approach. Vol. 108, JAOA. 2008. p. 657–64.
69.
Kirschner J, Foye P, Cole J. Piriformis syndrome, diagnosis and treatment. Vol. 40, Muscle Nerve. 2009. p. 10–8.
70.
Winston P, Awan R, Cassidy JD, Bleakney RK. Clinical examination and ultrasound of self-reported snapping hip syndrome in elite ballet dancers. Vol. 35, Am J Sports Med. 2007. p. 118–26.
71.
Fortina M, Carta S, Crainz E, Urgelli S, Del Vecchio E, Ferrata P. Management of displaced intracapsular femoral neck fracture in young adult: Why complications are still so high? Case report of posttraumatic avascular necrosis in a 30-year-old man and a brief review. Vol. 67, J Trauma. 2009. p. 163–6.
72.
Ferrata P, Carta S, Fortina M, Scipio D, Riva A, Giacinto A. Painful hip arthroplasty: definition. Vol. 8, Clin Cases Miner Bone Metab. 2011. p. 33–6.
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