Fong Daniel Tik-Pui, Man Chi-Yin, Yung Patrick Shu-Hang, Cheung Shui-Yuk, Chan Kai-Ming
Department of Orthopaedics and Traumatology, Prince of Wales Hospital, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong, China.
Injury. 2008 Oct;39(10):1222-7. doi: 10.1016/j.injury.2008.02.032.
This study investigated the sport-related ankle injuries attending an accident and emergency (A&E) department during a 1-year period.
A total of 1715 sports injuries cases attending an A&E department from 1 January 2005 to 31 December 2005 were prospectively recorded. Details of each classified case were recorded in a computerised record system by the triage nurse. At the end of the study period, all sport-related ankle injury cases were analysed.
A total of 240 sport-related ankle injury cases were reported. Most cases were sustained from basketball (32.9%), soccer (31.7%) and hiking (5.8%) sports. The majority of the cases was ligamentous sprains (81.3%) and fractures (10.4%). The mean age of all patients was 24.6 years (S.D. = 12.3). Four fifths (80.4%) were male patients. All cases were not life threatening. Most cases (99.2%) were referred to orthopedics specialty. Radiography was routinely employed in 99.2% of the cases. Ligamentous sprains were mostly sustained in basketball (37.4%) and soccer (28.7%), and were often treated with bandaging (60.0%) and analgesics (48.7%). Most cases were discharged with or without referral to physiotherapy and specialty clinic (95.4%). Fractures were mostly sustained in soccer (52.0%), basketball (20.0%) and hiking (16.0%), and were very often admitted to hospital wards (84.0%). The estimated A&E attendance rate for all sports injuries, ankle injuries, ligamentous sprains and fractures were 1.68, 0.24, 0.19 and 0.02/1000 person-year.
The results of this study together with the previous study on ankle sprain epidemiology suggested the following sports ankle injury pattern in Hong Kong-major and serious ankle ligamentous sprains and fractures were sustained from basketball, soccer and hiking, leading to A&E attendance, while minor sprains were sustained in running and jogging and racquet sports. We suggested that the Sports medicine specialists in Hong Kong should emphasise the ankle injury prevention strategies in these sports.
本研究调查了在一年时间内前往急诊部就诊的与运动相关的踝关节损伤情况。
前瞻性记录了2005年1月1日至2005年12月31日期间前往急诊部就诊的1715例运动损伤病例。分诊护士将每个分类病例的详细信息记录在计算机记录系统中。在研究期结束时，对所有与运动相关的踝关节损伤病例进行了分析。
共报告了240例与运动相关的踝关节损伤病例。大多数病例来自篮球运动（32.9%）、足球运动（31.7%）和徒步旅行（5.8%）。大多数病例为韧带扭伤（81.3%）和骨折（10.4%）。所有患者的平均年龄为24.6岁（标准差=12.3）。五分之四（80.4%）为男性患者。所有病例均无生命危险。大多数病例（99.2%）被转诊至骨科专科。99.2%的病例常规进行了X光检查。韧带扭伤大多发生在篮球运动（37.4%）和足球运动（28.7%）中，通常采用包扎治疗（60.0%）和使用镇痛药（48.7%）。大多数病例在转诊或未转诊至物理治疗和专科诊所的情况下出院（95.4%）。骨折大多发生在足球运动（52.0%）、篮球运动（20.0%）和徒步旅行（16.0%）中，并且经常被收治入院（84.0%）。所有运动损伤、踝关节损伤、韧带扭伤和骨折的估计急诊就诊率分别为1.68、0.24、0.19和0.02/1000人年。
本研究结果与先前关于踝关节扭伤流行病学的研究表明，香港的运动性踝关节损伤模式如下——严重的踝关节韧带扭伤和骨折多发生在篮球、足球和徒步旅行中，导致患者前往急诊部就诊，而轻度扭伤则多发生在跑步、慢跑和球拍类运动中。我们建议香港的运动医学专家应强调这些运动中的踝关节损伤预防策略。
