Center for Injury Research and Policy, The Research Institute.
Pediatrics. 2014 Feb;133(2):272-9. doi: 10.1542/peds.2013-2279. Epub 2014 Jan 13.
The objective of this study was to describe shoulder injuries in a nationally representative sample of high school athletes playing 9 sports. A national estimate of shoulder injuries among high school athletes was subsequently calculated.
Injury data were collected in 9 sports (boys' football, soccer, basketball, wrestling, and baseball; girls' soccer, volleyball, basketball, and softball) during the 2005-2006 through 2011-2012 academic years from a nationally representative sample of high schools via High School Reporting Information Online.
During the 2005-2006 through 2011-2012 academic years, high school athletes in this study sustained 2798 shoulder injuries during 13,002,321 athlete exposures, for an injury rate of 2.15 per 10,000 athlete exposures. This corresponds to a nationally estimated 820,691 injuries during this time period. Rates of injury were higher in competition as compared with practice (rate ratio = 3.17 [95% confidence interval: 2.94-3.41]). The highest rate of injury was in football (4.86) and the lowest in girls' soccer (0.42). The most common types of injury were strain/sprain (37.9%) and dislocation/separation (29.2%). Boys were more likely than girls to sustain their injuries after contact with another person or with the playing surface. Surgical repair was required for 7.9% of the injuries. Time loss from athletic participation varied among sports, with 40.7% of athletes returning within 1 week, whereas 8.2% were medically disqualified for their season/career.
High school shoulder injury rates and patterns varied by sport and gender. Prospective epidemiologic surveillance is warranted to discern trends and patterns to develop evidence-based interventions to prevent shoulder injuries.
本研究旨在描述在参与 9 项运动的高中生中具有代表性的肩部损伤。随后计算了全国范围内高中生肩部损伤的估计值。
通过 High School Reporting Information Online 从具有全国代表性的高中样本中收集了 2005-2006 学年至 2011-2012 学年期间 9 项运动（男生足球、足球、篮球、摔跤和棒球；女生足球、排球、篮球和垒球）中发生的运动损伤数据。
在 2005-2006 学年至 2011-2012 学年期间，本研究中的高中生运动员在 13002321 次运动员暴露中遭受了 2798 次肩部损伤，损伤率为每 10000 名运动员暴露 2.15 次。这相当于在此期间全国估计有 820691 例损伤。与练习相比，比赛中的损伤率更高（比率比=3.17[95%置信区间：2.94-3.41]）。受伤率最高的是足球（4.86），最低的是女子足球（0.42）。最常见的损伤类型是劳损/扭伤（37.9%）和脱位/分离（29.2%）。与女孩相比，男孩更有可能在与他人或与运动表面接触后受伤。需要手术修复的损伤占 7.9%。不同运动的运动员参与运动的时间损失不同，40.7%的运动员在 1 周内恢复，而 8.2%的运动员因赛季/职业而被医学取消资格。
高中肩部损伤的发生率和模式因运动和性别而异。需要进行前瞻性的流行病学监测，以发现趋势和模式，从而制定基于证据的干预措施来预防肩部损伤。
