Robertson Greg A J, Wood Alexander M, Heil Kieran, Aitken Stuart A, Court-Brown Charles M
Royal Infirmary of Edinburgh, Edinburgh, Scotland, United Kingdom.
Royal Infirmary of Edinburgh, Edinburgh, Scotland, United Kingdom.
Injury. 2014 Apr;45(4):677-83. doi: 10.1016/j.injury.2013.06.006. Epub 2013 Jul 3.
Rugby union is the second commonest cause of sporting fracture in the UK, yet little is known about patient outcomes following such fractures.
To describe the epidemiology of fractures in rugby union, their morbidity and the likelihood of return to rugby post-injury in a known UK population at all skill levels.
All rugby union fractures sustained during 2007-2008 in the Edinburgh, Mid and East Lothian populations were prospectively recorded, when patients attended the only adult orthopaedic service in Lothian. The diagnosis was confirmed by an orthopaedic surgeon. Patients living outside the region were excluded from the study. Patients were contacted by telephone in February 2012 to ascertain their progress in return to rugby.
A total of 145 fractures were recorded over the study period in 143 patients. The annual incidence of rugby-related fractures was 0.28/1000 of the general population and 29.86/1000 of the adult registered rugby playing population. 120 fractures were of the upper limb and 25 were of the lower limb. 117 fractures (81%) in 115 patients (80%) were followed up at a mean interval of 50 months (range 44-56 months). 87% of the cohort returned to rugby post-injury (87% of upper limb fractures and 86% of lower limb fractures), with 85% returning to rugby at the same level or higher. Of those who returned, 39% did so by 1 month post-injury, 77% by 3 months post-injury and 91% by 6 months post-injury. For those who returned following upper limb fractures, 48% did so by 1 month post-injury, 86% by 3 months post-injury and 94% by 6 months post-injury. In patients who returned following lower limb fractures, 0% did so by 1 month post-injury, 42% by 3 months post-injury and 79% by 6 months post-injury. From the whole cohort, 32% had ongoing fracture related problems, yet only 9% had impaired rugby ability secondary to these problems.
Most patients sustaining a fracture playing rugby union will return to rugby at a similar level. While one third of them will have persisting symptoms 4 years post-injury, for the majority this will not impair their rugby ability.
在英国，英式橄榄球是导致运动骨折的第二大常见原因，但对于此类骨折后的患者预后情况，人们了解甚少。
描述在英国一个已知的涵盖所有技能水平人群中，英式橄榄球运动骨折的流行病学情况、其发病率以及受伤后重返橄榄球运动的可能性。
前瞻性记录了2007 - 2008年期间在爱丁堡、中洛锡安和东洛锡安地区发生的所有英式橄榄球骨折病例，这些患者前往洛锡安地区唯一的成人骨科服务机构就诊，骨折诊断由骨科医生确认。居住在该地区以外的患者被排除在研究之外。2012年2月通过电话联系患者，以确定他们重返橄榄球运动的进展情况。
在研究期间，共记录了143例患者的145处骨折。与橄榄球相关骨折的年发病率在普通人群中为0.28/1000，在成年注册橄榄球运动员人群中为29.86/1000。上肢骨折120处，下肢骨折25处。115例患者（80%）的117处骨折（81%）得到随访，平均随访间隔为50个月（范围44 - 56个月）。87%的队列在受伤后重返橄榄球运动（上肢骨折患者中有87%，下肢骨折患者中有86%），其中85%的人以相同或更高水平重返橄榄球运动。在那些重返运动的人中，39%在受伤后1个月内重返，77%在受伤后3个月内重返，91%在受伤后6个月内重返。对于上肢骨折后重返的患者，48%在受伤后1个月内重返，86%在受伤后3个月内重返，94%在受伤后6个月内重返。在下肢骨折后重返的患者中，受伤后1个月内无人重返，42%在受伤后3个月内重返，79%在受伤后6个月内重返。在整个队列中，32%有与骨折相关的持续问题，但只有9%因这些问题导致橄榄球运动能力受损。
大多数在进行英式橄榄球运动时骨折的患者将以类似水平重返橄榄球运动。虽然其中三分之一的人在受伤4年后仍有持续症状，但对大多数人来说，这不会损害他们的橄榄球运动能力。
