Hame Sharon L, LaFemina Jennifer M, McAllister David R, Schaadt Geoffrey W, Dorey Frederick J
Sports Medicine Section, Department of Orthopaedic Surgery, University of California, Los Angeles School of Medicine, USA.
Am J Sports Med. 2004 Mar;32(2):446-51. doi: 10.1177/0363546503261708.
To determine the demographics and incidence of fractures in collegiate athletes.
Retrospective review of prospectively collected data.
Division I collegiate athletes who sustained a fracture while enrolled at the university from 1986 to 2000 were identified through training room records. Type and location of fracture, sport, gender, age, position, height, and weight were recorded and analyzed. Team information was obtained from athletic department records and was used to calculate incidence.
Between 1986 and 2000, 5900 Division I athletes at our institution sustained 349 primary fractures (5.9%). By gender, the incidence did not differ significantly between males and females (P =.236), except in water polo where the men sustained significantly more fractures. By type, females sustained significantly more stress fractures (P =.001) than males. Overall, by location, the hand contributed the greatest number of total fractures. By sport, the incidence rate was highest in basketball (0.081) for male athletes and in gymnastics (0.069) for female athletes. The incidence of a second fracture during the study period was twice the rate of the first fracture.
As expected, athletes participating in contact sports contributed the greatest number of fractures. Participation in basketball for men and in gymnastics for women posed the greatest risk. Female athletes sustained significantly more stress fractures.
确定大学生运动员骨折的人口统计学特征和发生率。
对前瞻性收集的数据进行回顾性分析。
通过训练室记录识别出1986年至2000年在大学就读期间发生骨折的第一级别大学生运动员。记录并分析骨折的类型和部位、运动项目、性别、年龄、位置、身高和体重。团队信息从体育部门记录中获取，并用于计算发生率。
1986年至2000年期间，我校5900名第一级别运动员发生了349例原发性骨折（5.9%）。按性别划分，男性和女性的发生率无显著差异（P = 0.236），但在水球项目中男性骨折明显更多。按类型划分，女性应力性骨折明显多于男性（P = 0.001）。总体而言，按部位划分，手部骨折总数最多。按运动项目划分，男性运动员中篮球项目的发生率最高（0.081），女性运动员中体操项目的发生率最高（0.069）。在研究期间，再次骨折的发生率是首次骨折发生率的两倍。
正如预期的那样，参加接触性运动的运动员骨折数量最多。男性参加篮球运动和女性参加体操运动的风险最大。女性运动员应力性骨折明显更多。
