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Medicina dello Sport 2020 March;73(1):90-5

DOI: 10.23736/S0025-7826.20.03199-3

Copyright © 2020 EDIZIONI MINERVA MEDICA

language: English, Italian

Evaluation of the arm pump in the Superbike World Championship

Michele ZASA 1, 2, Paolo SCHIAVI 1, 3 , Letizia MARENGHI 1, 3, Monica LAZZAROTTI 4, Tommaso ANTONETTI 1, 5, Alessio PEDRAZZINI 1, 6

1 World Motorbike Championships (MotoGP & WSBK) Medical Division, Clinica Mobile nel Mondo Srl, Parma, Italy; 2 Department of Biomedical, Biotechnological, and Translational Sciences (S.Bi.Bi.T), University of Parma, Parma, Italy; 3 Orthopedic and Trauma Unit, Hospital of Guastalla, ASL Reggio Emilia, Guastalla, Reggio Emilia, Italy; 4 Medical Division, FIM World Superbike Championship, Genoa, Italy; 5 Unit of Motor Skills Development and Sports Medicine, AUSL Parma, Parma, Italy; 6 Orthopedic and Trauma Unit, Hospital of Cremona-Oglio Po, Oglio Po, Cremona, Italy


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BACKGROUND: Chronic exertional compartment syndrome (CECS) is related with particular sports as motorbike. This syndrome is not easy to diagnose and treat so it could influence the workout and challenge. The aim of this study is to evaluate the incidence and possible etiology of CECS in Superbike World Championship riders through the activity of Clinica Mobile nel Mondo.
METHODS: The riders were clinically assessed during Assen Grand Prix by an orthopedic surgeon of Clinica Mobile nel Mondo.
RESULTS: Thirty-four riders of 150 were symptomatic. The main symptom was pain in the region of flexor muscles of right forearm. In 23 cases the painful area was in the region of flexor muscles of volar forearm only. The onset of symptoms was correlated by the riders with change of direction at high speed in 19 cases. The incidence reported in our group analysis is 22.7%.
CONCLUSIONS: In recent years, an increasing number of cases of upper extremity CECS have been reported, raising the possibility that this condition may have been underrecognized previously. A higher index of suspicion for CECS of the forearm can lead to earlier diagnosis and treatment in athletes with exercise-related forearm pain, pressure, or paresthesia. The incidence in this group analysis is 22.7%. Due to the unknown etiology of CECS, surgery could be considered as a treatment, but we suggested to evaluate other options of treatment in the future, because of the multitude of individual factors and variables at the base of this disease. Further studies will be necessary to define the diagnostic process and therapeutic approach.


KEY WORDS: Motorcycles; Forearm injuries; Pain management; Athletic injuries

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