Yamamoto Kazuhiko, Murakami Kazuhiro, Sugiura Tsutomu, Ishida Jun-ichi, Imai Yuichiro, Fujimoto Masaki, Kirita Tadaaki
Department of Oral and Maxillofacial Surgery, Nara Medical University, Kashihara, Nara, Japan.
Dent Traumatol. 2009 Apr;25(2):194-7. doi: 10.1111/j.1600-9657.2008.00747.x.
The purpose of this study was to investigate the demographics, the type of impact, the site and the treatment of maxillofacial fractures sustained during baseball and softball to develop an effective preventive strategy.
Data of 82 patients treated for baseball- and softball-related maxillofacial fractures at the Department of Oral and Maxillofacial Surgery, Nara Medical University between 1982 and 2007 were retrospectively analyzed.
Injuries were found in 64 men in baseball and 16 men and two women in softball with average ages of 19.6 and 30.0 years, respectively. Fractures were caused by being hit by the ball in 61 patients followed by collision in 16 patients. Fractures of the mandible and the mid-face were found in 44 and 38 patients, respectively. The mental and angle region of the mandible and zygoma and alveolar bone of the maxilla were frequently involved. Treatment was mostly conservative. Open reduction and internal fixation were performed only in 15 patients.
Most maxillofacial fractures in these sports were ball-related. Therefore, effective preventive means should be considered to protect against such injuries.
本研究旨在调查棒球和垒球运动中颌面部骨折患者的人口统计学特征、受伤类型、受伤部位及治疗情况，以制定有效的预防策略。
对1982年至2007年奈良医科大学口腔颌面外科收治的82例与棒球和垒球相关的颌面部骨折患者的数据进行回顾性分析。
棒球运动中64名男性受伤，垒球运动中16名男性和2名女性受伤，平均年龄分别为19.6岁和30.0岁。61例患者骨折是由球击中所致，16例患者是由碰撞所致。下颌骨骨折44例，面中部骨折38例。下颌骨颏部和角部、颧骨及上颌牙槽骨骨折最为常见。治疗多采用保守治疗。仅15例患者行切开复位内固定术。
这些运动中多数颌面部骨折与球有关。因此，应考虑采取有效的预防措施以避免此类损伤。
