Camp Christopher L, Curriero Frank C, Pollack Keshia M, Mayer Stephanie W, Spiker Andrea M, D'Angelo John, Coleman Struan H
The Sports Medicine Center, Department of Orthopedic Surgery, Mayo Clinic, Rochester, Minnesota, USA.
Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA.
Am J Sports Med. 2017 Aug;45(10):2372-2378. doi: 10.1177/0363546517704835. Epub 2017 May 12.
Although sliding occurs frequently in professional baseball, little is known about the epidemiology and effect of injuries that occur during sliding in this population of elite athletes.
To describe the incidence and characteristics of sliding injuries, determine their effect in terms of time out of play, and identify common injury patterns that may represent appropriate targets for injury prevention programs in the future.
Descriptive epidemiologic study.
All offensive sliding injuries occurring in Major League Baseball (MLB) and Minor League Baseball (MLB) that resulted in time out of play during a span of 5 seasons (2011-2015) were identified. In addition to player demographics, data extracted included time out of play, location on field where injury occurred, level of play, treatment (surgical vs nonsurgical), direction of slide (head vs feet first), body region injured, and diagnosis. Descriptive statistics were used to describe the distribution of these injuries, and injury rates were calculated per slide.
From 2011 to 2015, 1633 injuries occurred as a result of a slide. The total number of days missed per season was 4263. Surgical intervention was required for 134 (8.2%) injuries, and the mean days missed was 66.5 for players treated surgically and 12.3 days for players treated nonoperatively ( P < .001). MLB players were more likely than MiLB players to require surgical intervention (12.3% vs 7.5%, P = .019). Injuries to the hands/fingers represented 25.3% of all injuries and 31.3% of those requiring surgery. Although the majority of injuries occurred at second base (57%), the per-slide injury rate was similar across all bases ( P = .991). The estimated overall frequency of injury in MLB was once per every 336 slides, and the rate of injury for head- and feet-first slides was 1 in 249 and 413 slides, respectively ( P = .119).
Injuries occurring while sliding in professional baseball result in a significant amount of time out of play for these elite athletes. Injuries occurring at second base and those occurring to the hands and fingers were most prevalent and may be an appropriate target for future injury prevention programs.
尽管滑垒在职业棒球运动中频繁发生，但对于这群精英运动员在滑垒过程中所受损伤的流行病学情况及影响却知之甚少。
描述滑垒损伤的发生率及特征，确定其对缺赛时间的影响，并识别可能成为未来损伤预防项目合适目标的常见损伤模式。
描述性流行病学研究。
确定在5个赛季（2011 - 2015年）期间美国职业棒球大联盟（MLB）和美国职业棒球小联盟（MiLB）中所有导致缺赛的进攻性滑垒损伤。除球员人口统计学数据外，提取的数据还包括缺赛时间、损伤发生的场上位置、比赛级别、治疗方式（手术或非手术）、滑垒方向（头先着地或脚先着地）、受伤身体部位及诊断结果。使用描述性统计来描述这些损伤的分布情况，并计算每次滑垒的损伤发生率。
2011年至2015年期间，因滑垒导致1633例损伤。每个赛季的总缺赛天数为4263天。134例（8.2%）损伤需要手术干预，接受手术治疗的球员平均缺赛66.5天，非手术治疗的球员平均缺赛12.3天（P < .001）。MLB球员比MiLB球员更有可能需要手术干预（12.3%对7.5%，P = .019）。手部/手指损伤占所有损伤的25.3%，占需要手术治疗损伤的31.3%。尽管大多数损伤发生在二垒（57%），但所有垒位的每次滑垒损伤发生率相似（P = .991）。MLB中估计的总体损伤频率为每336次滑垒发生1次，头先着地和脚先着地滑垒的损伤率分别为每249次和413次滑垒发生1次（P = .119）。
职业棒球运动中滑垒时发生的损伤导致这些精英运动员大量缺赛。发生在二垒的损伤以及手部和手指的损伤最为普遍，可能是未来损伤预防项目的合适目标。
