滑雪板爱好者和滑雪者髋关节脱位的分析：一项1992年至2002年的10年前瞻性研究。

An analysis of hip dislocations among snowboarders and skiers: a 10-year prospective study from 1992 to 2002.

作者信息

Matsumoto Kazu, Sumi Hiroshi, Sumi Yasuhiko, Shimizu Katsuji

机构信息

Department of Orthopedic Surgery, Gifu University School of Medicine, 40 Tsukasamachi, Gifu 500-8705, Japan.

出版信息

J Trauma. 2003 Nov;55(5):946-8. doi: 10.1097/01.TA.0000087647.36560.78.

DOI:10.1097/01.TA.0000087647.36560.78

PMID:14608170

Abstract

BACKGROUND

We evaluated the types and mechanisms of hip dislocation sustained while snowboarding and skiing, a subject about which there have been few studies.

METHODS

In a prospective cohort study between 1992 and 2002, we studied 30 snowboarders and 8 skiers with hip dislocations.

RESULTS

The incidence of dislocation with or without fracture of the hip joint in snowboarders was five times higher than in skiers (0.45 per 100,000 visits for snowboarders vs. 0.09 for skiers). The most remarkable differences between skiing and snowboarding hip injuries were that in the former there was a significantly higher incidence of anterior hip dislocation (p < 0.05) and in the latter there was a significantly higher incidence of posterior hip dislocation (p < 0.05). Furthermore, the rate of type V hip dislocation (with fracture of the femoral head) was higher in snowboarders (9 of 30 cases [30.0%]) than in skiers (1 of 8 cases [12.5%]).

CONCLUSION

Hip dislocations are much more common in snowboarders than in skiers. Furthermore, the causes and types of hip dislocation differ between snowboarding and skiing.

摘要

背景

我们评估了单板滑雪和滑雪时发生髋关节脱位的类型及机制，关于该主题的研究较少。

方法

在1992年至2002年的一项前瞻性队列研究中，我们研究了30名单板滑雪者和8名滑雪者的髋关节脱位情况。

结果

单板滑雪者髋关节脱位伴或不伴骨折的发生率比滑雪者高五倍（单板滑雪者每10万次就诊中有0.45例，而滑雪者为0.09例）。滑雪和单板滑雪导致的髋关节损伤最显著的差异在于，前者前髋关节脱位的发生率显著更高（p < 0.05），而后者后髋关节脱位的发生率显著更高（p < 0.05）。此外，V型髋关节脱位（伴有股骨头骨折）的发生率在单板滑雪者中（30例中有9例[30.0%]）高于滑雪者（8例中有1例[12.5%]）。