Otero Jesse E, Graves Christopher M, Bollier Matthew J
University of Iowa Department of Orthopaedic Surgery and Rehabilitation200 Hawkins Drive, Iowa City, IA 52242.
Iowa Orthop J. 2017;37:65-70.
Injury is common in the sport of wrestling. More than 6000 athletes compete in NCAA wrestling yearly. Despite this popularity, little is known about the epidemiology of wrestlers' injuries and factors affecting return to competition. We hypothesized that patterns of injury and associated factors influence return to participation.
Retrospective database review of one Division I NCAA wrestling program over nine seasons (2002 to 2011).
From 2002 to 2011, 125 wrestlers were varsity participants at a single NCAA Division I program. Among these wrestlers, there were 4275 exposures per year on average. We identified 1034 musculoskeletal injuries, skin injuries, and concussions in 120 athletes (96% of participants). Eighty-two percent of athletes missed at least one day secondary to these injuries, while 69% were unable to compete in at least one match. The injury rate was estimated at 19.6 (SD 16.5) per 1000 exposures. The rate of injuries requiring surgery was estimated at 1.4 (SD 2.1) per 1000 exposures. Weight class, record, age at injury, and eligibility status did not affect the rate or type of injury. A significant difference was noted in the athletes who returned to competition following surgery. Athletes who returned to competition after surgical treatment for an injury ultimately competed in more matches (62.4 vs 18.2, p < 0.001), had more wins (45.2 vs 12.1, p<0.001) and a higher win percentage (67.5 vs 51.2 p < 0.01) than those who did not return following surgery.
Return to competition in collegiate wrestling is dependent on many factors in addition to severity of injury and surgery type. There is a positive association between return to sport and success as a collegiate wrestler. Our findings will be helpful to wrestlers and coaches in guiding expectations after injury. Level of Evidence: Level 4 diagnostic.
损伤在摔跤运动中很常见。每年有超过6000名运动员参加美国全国大学体育协会（NCAA）摔跤比赛。尽管这项运动很受欢迎，但对于摔跤运动员损伤的流行病学以及影响其重返比赛的因素却知之甚少。我们推测损伤模式及相关因素会影响重返赛场的情况。
对一个NCAA一级摔跤项目九个赛季（2002年至2011年）的数据进行回顾性数据库分析。
2002年至2011年期间，有125名摔跤运动员参加了一个NCAA一级项目的校队比赛。在这些运动员中，平均每年有4275人次参赛。我们在120名运动员（占参赛选手的96%）中发现了1034例肌肉骨骼损伤、皮肤损伤和脑震荡。82%的运动员因这些损伤至少缺赛一天，而69%的运动员至少无法参加一场比赛。损伤发生率估计为每1000人次参赛19.6次（标准差16.5）。需要手术治疗的损伤发生率估计为每1000人次参赛1.4次（标准差2.1）。体重级别、比赛记录、受伤时的年龄以及参赛资格状态均不影响损伤发生率或损伤类型。在手术后重返比赛的运动员中发现了显著差异。因伤接受手术治疗后重返比赛的运动员最终参加的比赛更多（62.4场对18.2场，p<0.001），获胜场次更多（45.2场对12.1场，p<0.001），胜率更高（67.5%对51.2%，p<0.01），高于手术后未重返比赛的运动员。
除损伤严重程度和手术类型外，大学摔跤运动员重返比赛还取决于许多因素。重返赛场与成为一名成功的大学摔跤运动员之间存在正相关。我们的研究结果将有助于摔跤运动员和教练在受伤后指导预期。证据级别：4级诊断。
