Department of Physical Medicine and Rehabilitation, University of Colorado School of Medicine, 12631 East 17th Avenue, Mail Stop F493, AO1, Rm 2510, Aurora, CO 80045.
Department of Physical Medicine and Rehabilitation, University of Colorado School of Medicine, Aurora, CO.
PM R. 2018 Apr;10(4):365-372. doi: 10.1016/j.pmrj.2017.09.003. Epub 2017 Sep 12.
BACKGROUND: More than 7 million athletes participate in high school sports annually, with both the benefits of physical activity and risks of injury. Although catastrophic cervical spine injuries have been studied, limited data are available that characterize less-severe cervical spine injuries in high school athletes. OBJECTIVE: To describe and compare cervical spine injury rates and patterns among U.S. high school athletes across 24 sports over a 10-year period. DESIGN: Descriptive epidemiology study. SETTING: National sample of high schools participating in the High School Reporting Information Online injury surveillance system. PARTICIPANTS: Athletes from participating schools injured in a school sanctioned practice, competition, or performance during the 2005-2006 through 2014-2015 academic years. METHODS: Cervical spine injury data captured by the High School Reporting Information Online system during the 10-year study period were examined. Cervical spine injury was defined as any injury to the cervical spinal cord, bones, nerves, or supporting structures of the cervical spine including muscles, ligaments, and tendons. MAIN OUTCOME MEASUREMENTS: Cervical spine injury rates, diagnoses, mechanisms, and severities. RESULTS: During the study period, 1080 cervical spine injuries were reported during 35,581,036 athlete exposures for an injury rate of 3.04 per 100,000 athlete exposures. Injury rates were highest in football (10.10), wrestling (7.42), and girls' gymnastics (4.95). Muscle injuries were most common (63.1%), followed by nerve injuries (20.5%). A larger proportion of football injuries were nerve injuries compared with all other sports (injury proportion ratio 3.31; confidence interval 2.33-4.72), whereas in boys' ice hockey fractures represented a greater proportion of injuries compared with all other sports (injury proportion ratio 7.64; confidence interval 2.10-27.83). Overall, the most common mechanisms of injury were contact with another player (70.7%) and contact with playing surface (16.1%). CONCLUSIONS: Cervical spine injury rates and patterns vary by sport and gender. Characterizing these differences is the first step in developing effective, evidence-based prevention guidelines. LEVEL OF EVIDENCE: IV.
背景：每年有超过 700 万名运动员参加高中体育活动，既有身体活动的益处，也有受伤的风险。尽管已经研究了灾难性的颈椎损伤，但关于美国高中运动员在 24 项运动中发生的不太严重的颈椎损伤的资料有限。
目的：描述和比较美国高中运动员在 10 年间 24 项运动中的颈椎损伤发生率和类型。
设计：描述性流行病学研究。
地点：参与“高中报告信息在线伤害监测系统”的全国性高中样本。
参与者：在 2005-2006 学年至 2014-2015 学年期间，在学校认可的练习、比赛或表演中受伤的参与学校的运动员。
方法：检查“高中报告信息在线”系统在 10 年研究期间捕获的颈椎损伤数据。颈椎损伤定义为任何发生在颈椎脊髓、骨骼、神经或颈椎支持结构（包括肌肉、韧带和肌腱）的损伤。
主要观察指标：颈椎损伤发生率、诊断、机制和严重程度。
结果：在研究期间，在 35581036 名运动员暴露于运动中报告了 1080 例颈椎损伤，损伤发生率为每 10 万名运动员暴露 3.04 例。足球（10.10）、摔跤（7.42）和女子体操（4.95）的损伤率最高。肌肉损伤最为常见（63.1%），其次是神经损伤（20.5%）。与所有其他运动相比，足球运动中神经损伤的比例更大（损伤比例比 3.31；置信区间 2.33-4.72），而在男子冰球中，与所有其他运动相比，骨折的损伤比例更大（损伤比例比 7.64；置信区间 2.10-27.83）。总体而言，最常见的损伤机制是与其他运动员接触（70.7%）和与运动表面接触（16.1%）。
结论：颈椎损伤的发生率和类型因运动和性别而异。描述这些差异是制定有效、基于证据的预防指南的第一步。
证据水平：IV。
Am J Sports Med. 2009-6-16
Am J Sports Med. 2012-1-27
Curr Rev Musculoskelet Med. 2024-10
Sports Health. 2024
Front Public Health. 2023
Healthcare (Basel). 2023-4-21
Neurotrauma Rep. 2022-3-15
Medicines (Basel). 2021-12-14
Zotero 插件