Kopec Thomas J, Hibberd Elizabeth E, Roos Karen G, Djoko Aristarque, Dompier Thomas P, Kerr Zachary Y
Department of Kinesiology, Samford University, Birmingham, AL.
The University of Alabama, Tuscaloosa.
J Athl Train. 2017 Apr;52(4):350-359. doi: 10.4085/1062.6050-52.2.01. Epub 2017 Mar 20.
Deltoid ligament sprains among collegiate student-athletes have not been extensively investigated. Research regarding the mechanisms, participation-restriction time, and recurrence of deltoid ligament sprains in collegiate student-athletes is lacking.
To describe the epidemiology of deltoid ligament sprains in 25 National Collegiate Athletic Association championship sports.
Descriptive epidemiology study.
National Collegiate Athletic Association Injury Surveillance Program.
MAIN OUTCOME MEASURE(S): We analyzed deltoid ligament sprains recorded in the Injury Surveillance Program for the 2009-2010 through 2014-2015 academic years. Deltoid ligament sprain injury rates, rate ratios, and injury proportion ratios with 95% confidence intervals (CIs) were reported.
During the study period, 380 deltoid ligament sprains were reported, resulting in a combined injury rate of 0.79/10 000 athlete-exposures (AEs; 95% CI = 0.71, 0.87). Most deltoid ligament sprains occurred in practices (54.2%, n = 206). However, the competition injury rate was higher than the practice injury rate (rate ratio = 3.74; 95% CI = 3.06, 4.57). The highest deltoid ligament sprain rates were in women's gymnastics (2.30/10 000 AEs; 95% CI = 1.05, 3.55), men's soccer (1.73/10 000 AEs; 95% CI = 1.14, 2.32), women's soccer (1.61/10 000 AEs; 95% CI = 1.13, 2.09), and men's football (1.40/10 000 AEs; 95% CI = 1.18, 1.62). Nearly half of all deltoid ligament sprains (49.7%, n = 189) were due to player contact, and 39.5% (n = 150) were non-time-loss injuries (ie, participation restricted for less than 24 hours). Only 8.2% (n = 31) of deltoid ligament sprains were recurrent.
The highest deltoid ligament sprain rates were in women's gymnastics, men's and women's soccer, and men's football. However, the rate for women's gymnastics was imprecise (ie, the CI was wide), highlighting the need for further surveillance of deltoid ligament sprains in the sport. Most deltoid ligament sprains were due to player contact. Future researchers should assess interventions that may prevent deltoid ligament sprains.
大学生运动员三角韧带扭伤尚未得到广泛研究。关于大学生运动员三角韧带扭伤的机制、参赛限制时间和复发情况的研究尚缺。
描述25项美国全国大学生体育协会锦标赛项目中三角韧带扭伤的流行病学特征。
描述性流行病学研究。
美国全国大学生体育协会损伤监测项目。
我们分析了2009 - 2010学年至2014 - 2015学年损伤监测项目中记录的三角韧带扭伤情况。报告了三角韧带扭伤的损伤率、率比和损伤比例比及其95%置信区间（CI）。
在研究期间，共报告了380例三角韧带扭伤，综合损伤率为0.79/10000运动员暴露次数（AE；95%CI = 0.71，0.87）。大多数三角韧带扭伤发生在训练中（54.2%，n = 206）。然而，比赛损伤率高于训练损伤率（率比 = 3.74；95%CI = 3.06，4.57）。三角韧带扭伤发生率最高的项目是女子体操（2.30/10000 AE；95%CI = 1.05，3.55）、男子足球（1.73/10000 AE；95%CI = 1.14，2.32）、女子足球（1.61/10000 AE；95%CI = 1.13，2.09）和男子橄榄球（1.40/10000 AE；95%CI = 1.18，1.62）。几乎一半（49.7%，n = 189）的三角韧带扭伤是由于运动员之间的接触，39.5%（n = 150）为非失时损伤（即参赛限制少于24小时）。只有8.2%（n = 31）的三角韧带扭伤为复发性损伤。
三角韧带扭伤发生率最高的项目是女子体操、男子和女子足球以及男子橄榄球。然而，女子体操项目的发生率不太精确（即置信区间较宽），这突出表明需要对该项目中的三角韧带扭伤进行进一步监测。大多数三角韧带扭伤是由于运动员之间的接触。未来的研究人员应评估可能预防三角韧带扭伤的干预措施。
