Prakash Akilesh Anand
Department of Sports Medicine, ACSMC, Coimbatore, Tamil Nadu, India.
Indian J Orthop. 2017 Sep-Oct;51(5):614-619. doi: 10.4103/ortho.IJOrtho_338_16.
Cricket, classified as noncontact game, has been shown to be associated with increased incidence of injury. Further the recent consensus update in cricket injury surveillance have updated the injury definitions which includes "Medical Attention" injuries. The purpose of this review was to systematically review the various case reports and studies reporting injuries in the game of cricket that fall under the gambit of medical attention injuries.
A systematic review was conducted online using PubMed and Google Scholar, as per Preferred Reporting Items for Systematic reviews and Metaanalyses guidelines. Predefined eligibility criteria were applied, and the data thus compiled were analysed.
A total of 32 studies reporting 43 players including 42 males and 1 female were included in the review. Bowling injuries were the most commonly reported injury. Impact injury was the most common mode with acute presentation in batting and fielding injury, whereas it was gradual onset mode with chronic presentation in bowling injuries. Head and neck injuries were the most common in batting injuries while extremity injuries were common in fielding and bowling injuries. No injuries were reported in umpires.
The evidence provided, although not sufficient for any recommendation, it should alert the physicians and those concerned with the primary care of the cricketers to be vigilant of the eccentricity and severity of the injuries, their atypical presentation, mode, mechanism and trend, thereby being prepared for the unexpected presentations.
板球被归类为非接触性运动,但已被证明与受伤发生率增加有关。此外,最近板球伤病监测的共识更新了伤病定义,其中包括“需要医疗关注”的伤病。本综述的目的是系统回顾各种病例报告和研究,这些报告涉及板球运动中属于需要医疗关注伤病范畴的伤病情况。
按照系统评价和Meta分析的首选报告项目指南,在PubMed和谷歌学术上进行了在线系统评价。应用了预先定义的纳入标准,并对汇总的数据进行了分析。
本综述共纳入32项研究,涉及43名球员,其中包括42名男性和1名女性。投球伤病是最常报告的伤病。撞击伤是击球和防守伤病中急性表现的最常见方式,而在投球伤病中,它是以慢性表现的逐渐发病方式。头部和颈部伤病在击球伤病中最常见,而四肢伤病在防守和投球伤病中常见。裁判中未报告有伤病情况。
所提供的证据虽然不足以给出任何建议,但应提醒医生和关注板球运动员初级保健的人员,要警惕伤病的特殊性和严重性、其非典型表现、方式、机制和趋势,从而为意外情况做好准备。