美国高中运动相关的韧带踝关节损伤的流行病学研究，2005/06 年至 2010/11 年。
Epidemiology of U.S. high school sports-related ligamentous ankle injuries, 2005/06-2010/11.
机构信息
College of Medicine, The Ohio State University, Columbus, Ohio, USA.
出版信息
Clin J Sport Med. 2013 May;23(3):190-6. doi: 10.1097/JSM.0b013e31827d21fe.
OBJECTIVE
Describe ankle injury epidemiology among US high school athletes in 20 sports.
DESIGN
Descriptive prospective epidemiology study.
SETTING
Sports injury data for the 2005/06 to 2010/11 academic years were collected using an Internet-based injury surveillance system, Reporting Information Online.
PARTICIPANTS
A nationwide convenience sample of US high schools.
ASSESSMENT OF RISK FACTORS
Injuries sustained as a function of sport and gender.
MAIN OUTCOME MEASURES
Ankle sprain rates and patterns, outcomes, and mechanisms.
RESULTS
From 2005/06 to 2010/11, certified athletic trainers reported 5373 ankle sprains in 17,172,376 athlete exposures (AEs), for a rate of 3.13 ankle sprains per 10,000 AEs. Rates were higher for girls than for boys (rate ratio [RR], 1.25; 95% confidence interval [CI], 1.17-1.34) in gender-comparable sports and higher in competition than practice for boys (RR, 3.42; 95% CI, 3.20-3.66) and girls (RR, 2.71; 95% CI, 2.48-2.95). The anterior talofibular ligament was most commonly injured (involved in 85.3% of sprains). Overall, 49.7% of sprains resulted in loss of participation from 1 to 6 days. Although 0.5% of all ankle sprains required surgery, 6.6% of those involving the deltoid ligament also required surgery. The athletes were wearing ankle braces in 10.6% of all the sprains. The most common injury mechanism was contact with another person (42.4% of all ankle sprains).
CONCLUSIONS
Ankle sprains are a serious problem in high school sports, with high rates of recurrent injury and loss of participation from sport.
目的
描述美国高中 20 项运动项目中运动员的踝关节损伤流行病学情况。
设计
描述性前瞻性流行病学研究。
设置
使用基于互联网的伤害监测系统（在线报告信息）收集 2005/06 学年至 2010/11 学年的运动伤害数据。
参与者
全美范围内的高中的便利抽样。
风险因素评估
运动和性别导致的损伤。
主要结果测量指标
踝关节扭伤的发生率和类型、结果和机制。
结果
2005/06 学年至 2010/11 学年，经认证的运动训练师报告了 17172376 名运动员暴露（AE）中 5373 例踝关节扭伤，每 10000AE 中有 3.13 例踝关节扭伤。在性别可比的运动中，女性的发生率高于男性（比率比 [RR]，1.25；95%置信区间 [CI]，1.17-1.34），男性在比赛中高于训练（RR，3.42；95% CI，3.20-3.66）和女性（RR，2.71；95% CI，2.48-2.95）。前距腓韧带是最常见的损伤部位（85.3%的扭伤涉及该韧带）。总体而言，49.7%的扭伤导致运动员 1 至 6 天无法参赛。虽然所有踝关节扭伤中有 0.5%需要手术，但涉及三角韧带的扭伤中有 6.6%也需要手术。在所有扭伤中，运动员佩戴踝关节支具的比例为 10.6%。最常见的损伤机制是与他人接触（所有踝关节扭伤中有 42.4%是这种机制）。
结论
踝关节扭伤是高中体育中的一个严重问题，具有较高的复发性损伤和因伤无法参赛的比例。
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