踢足球（英式足球）时 ACL 受伤的风险有多大？系统评价与荟萃分析。
'What's my risk of sustaining an ACL injury while playing football (soccer)?' A systematic review with meta-analysis.
机构信息
Department of Athletic Training, Florida International University, Nicole Wertheim College of Nursing and Health Sciences, Miami, Florida, USA.
Department of Pediatrics, College of Medicine, University of Cincinnati, Cincinnati, Ohio, USA.
出版信息
Br J Sports Med. 2019 Nov;53(21):1333-1340. doi: 10.1136/bjsports-2016-097261. Epub 2018 Mar 29.
OBJECTIVE
To estimate the incidence proportion (IP) and incidence rate (IR) of ACL injury in football players.
DESIGN
Systematic review with meta-analysis.
DATA SOURCES
PubMed, CINAHL and SPORTDiscus electronic databases were searched from inception to 20 January 2017.
ELIGIBILITY CRITERIA FOR SELECTING STUDY
Studies that reported the total number of participants/population by sex, total number of ACL injuries by sex and total person-time by sex were included.
RESULTS
Twenty-eight studies were included. The IP and IR of ACL injury in female football players were 2.0% (95% CI 1.2% to 3.1%) and 2.0/10 000 athlete exposures (AEs) (95% CI 1.6 to 2.6; I=91%) over a period of one season to 4 years. The IP and IR of ACL injury in male players were 3.5% (95% CI 0.7% to 8.2%) and 0.9/10 000 AEs (95% CI 0.7 to 1.1; I=94%). Studies that evaluated matched cohorts of female and male players showed no difference in IP (relative risk=1.2; 95% CI 0.9 to 1.6; P=0.47) over a period of one season to 4 years. Women were at greater risk than men (incidence rate ratio (IRR)=2.2; 95% CI 1.6 to 3.1; I=83%; P<0.001). When accounting for participation level, the difference in IR between women and men was greatest for intermediate players (IRR=2.9; 95% CI 2.4 to 3.6) compared with amateur (IRR=2.6; 95% CI 1.4 to 4.8) and elite (IRR=2.0; 95% CI 1.1 to 3.4) players.
SUMMARY/CONCLUSION: Overall, more men sustained ACL injury in football. There was no difference in the relative risk of ACL injury between female and male football players in a window that spanned one season to 4 years. The IR of ACL injury among women was 2.2 times higher than the IR of ACL injury among men. The reported sex disparity in ACL injury was independent of participation level.
目的
估计足球运动员前交叉韧带（ACL）损伤的发生率比例（IP）和发生率（IR）。
设计
系统评价与荟萃分析。
数据来源
从建库至 2017 年 1 月 20 日，检索了 PubMed、CINAHL 和 SPORTDiscus 电子数据库。
纳入研究的选择标准
纳入了报告总参赛人数/人群按性别划分、ACL 损伤总人数按性别划分和总人员暴露时间按性别划分的研究。
结果
共纳入 28 项研究。女性足球运动员 ACL 损伤的 IP 和 IR 分别为 2.0%（95%CI 1.2%至 3.1%）和 2.0/10000 名运动员暴露（AE）（95%CI 1.6 至 2.6；I=91%），研究时间为 1 个赛季至 4 年。男性运动员 ACL 损伤的 IP 和 IR 分别为 3.5%（95%CI 0.7%至 8.2%）和 0.9/10000AE（95%CI 0.7 至 1.1；I=94%）。评估女性和男性匹配队列的研究显示，1 个赛季至 4 年期间，IP 无差异（相对风险=1.2；95%CI 0.9 至 1.6；P=0.47）。女性比男性面临更大的风险（发病率比（IRR）=2.2；95%CI 1.6 至 3.1；I=83%；P<0.001）。当考虑参与水平时，女性与男性之间的 IR 差异在中级运动员中最大（IRR=2.9；95%CI 2.4 至 3.6），而在业余运动员（IRR=2.6；95%CI 1.4 至 4.8）和精英运动员（IRR=2.0；95%CI 1.1 至 3.4）中则较小。
总结/结论：总体而言，更多男性在足球运动中遭受 ACL 损伤。在 1 个赛季至 4 年的时间窗口内，女性和男性足球运动员 ACL 损伤的相对风险没有差异。女性 ACL 损伤的 IR 是男性的 2.2 倍。ACL 损伤的报告性别差异与参与水平无关。
Zotero 插件