Kelly Bryan T, Barnes Ronnie P, Powell John W, Warren Russell F
Sports Medicine and Shoulder Service, Hospital for Special Surgery, New York, New York, USA.
Am J Sports Med. 2004 Mar;32(2):328-31. doi: 10.1177/0363546503261737.
Quarterbacks are at risk for shoulder injury secondary to both the throwing motion as well as from contact injury.
To delineate the incidence and etiology of shoulder injuries to quarterbacks in the National Football League (NFL).
Using the NFL Injury Surveillance System (NFLISS), all reported injuries to quarterbacks between 1980 and 2001 were identified.
A total of 1534 quarterback injuries were identified with a mean of 18.8 and a median of 6.0 days of playing time lost. The majority of these injuries occurred during a game (83.8%). Passing plays were responsible for 77.4% of all quarterback-related injuries. Shoulder injuries were the second most common injury reported (233 or 15.2%), following closely behind head injuries (15.4%). Direct trauma was responsible for 82.3% of the injuries, with acromioclavicular joint sprains being the most common injury overall (40%). Overuse injuries were responsible for 14% of the injuries, the most common being rotator cuff tendinitis (6.1%) followed by biceps tendinitis (3.5%).
In this review, the vast majority of shoulder injuries in quarterbacks occurred as a result of direct trauma (82.3%), and less than 15% were overuse injuries resulting from the actual throwing motion.
由于投掷动作以及接触性损伤，四分卫有肩部受伤的风险。
明确美国国家橄榄球联盟（NFL）中四分卫肩部损伤的发生率和病因。
使用NFL损伤监测系统（NFLISS），确定了1980年至2001年间所有报告的四分卫损伤。
共确定了1534例四分卫损伤，平均失赛时间为18.8天，中位数为6.0天。这些损伤大多数发生在比赛期间（83.8%）。传球进攻导致了所有与四分卫相关损伤的77.4%。肩部损伤是报告的第二常见损伤（233例或15.2%），仅次于头部损伤（15.4%）。直接创伤导致了82.3%的损伤，其中肩锁关节扭伤是最常见的损伤类型（40%）。过度使用损伤占损伤的14%，最常见的是肩袖肌腱炎（6.1%），其次是肱二头肌肌腱炎（3.5%）。
在本综述中，四分卫肩部损伤的绝大多数是由直接创伤导致的（82.3%），不到15%是由实际投掷动作引起的过度使用损伤。
