Mall Nathan A, Carlisle John C, Matava Matthew J, Powell John W, Goldfarb Charles A
Washington University Department of Orthopaedic Surgery, Chesterfield, MO 63017, USA.
Am J Sports Med. 2008 Oct;36(10):1938-44. doi: 10.1177/0363546508318197. Epub 2008 May 23.
Very little has been published regarding the incidence of and duration of time lost after hand injuries in professional American football players.
(1) Hand, first ray, and finger injuries in professional American football players represent a common cause of missed time from practice and game participation. (2) The effect of upper extremity injuries differs as a function of the anatomic site involved, injury type, and athlete's position.
Descriptive epidemiologic study.
A retrospective review of all documented injuries to the hand, first ray, and fingers sustained by American football players in the National Football League over a 10-year period (1996-2005) was performed using the League's injury surveillance database. The data were analyzed from multiple perspectives, with emphasis on the type of injury, athlete position, and activity at the time of injury.
A total of 1385 injuries occurred to the hand, first ray, and fingers over the 10 seasons studied. Of these injuries, 48% involved the fingers, 30% involved the first ray, and 22% involved the hand, with game injuries more common than practice injuries at each location. Metacarpal fractures and proximal interphalangeal joint dislocations were the 2 most common injuries. Offensive and defensive linemen were the most likely to sustain a hand injury; 80% of hand injuries were metacarpal fractures. The most common injuries to the first ray were fractures (48%) and sprains (36%), which occurred most often in athletes playing a defensive secondary position. Finger injuries were most commonly dislocations at the level of the proximal interphalangeal joint, typically involving the ulnar 2 digits. Finger injuries were most common in wide receivers and defensive secondary players. The act of tackling produced the most injuries (28%).
Upper extremity trauma, especially injury to the hand, first ray, and fingers, is a significant source of morbidity for professional football players. The results of this study may be used to implement preventive measures to help minimize these injuries.
关于美国职业橄榄球运动员手部受伤后的发生率及缺赛时长，已发表的相关内容极少。
（1）美国职业橄榄球运动员的手部、第一掌骨及手指受伤是导致训练和比赛缺赛的常见原因。（2）上肢损伤的影响因损伤涉及的解剖部位、损伤类型及运动员位置而异。
描述性流行病学研究。
利用联盟的伤病监测数据库，对美国国家橄榄球联盟（National Football League）球员在10年期间（1996 - 2005年）手部、第一掌骨及手指的所有已记录损伤进行回顾性分析。从多个角度对数据进行分析，重点关注损伤类型、运动员位置及受伤时的活动情况。
在研究的10个赛季中，手部、第一掌骨及手指共发生1385例损伤。其中，48%的损伤涉及手指，30%涉及第一掌骨，22%涉及手部，各部位比赛损伤均比训练损伤更常见。掌骨骨折和近端指间关节脱位是最常见的两种损伤。进攻线卫和防守线卫最容易手部受伤；80%的手部损伤为掌骨骨折。第一掌骨最常见的损伤是骨折（48%）和扭伤（36%），最常发生在防守二线位置的运动员身上。手指损伤最常见的是近端指间关节脱位，通常累及尺侧两指。手指损伤在宽接球手和防守二线球员中最为常见。擒抱动作导致的损伤最多（28%）。
上肢创伤，尤其是手部、第一掌骨及手指损伤，是职业橄榄球运动员发病的重要原因。本研究结果可用于实施预防措施，以帮助减少这些损伤。
