Wiersma Alexandria J, Brou Lina, Fields Sarah K, Comstock R Dawn, Kerr Zachary Y
Children's Hospital Colorado, 13123 E 16th Ave, Aurora, CO, USA.
Section of Emergency Medicine, Department of Pediatrics, University of Colorado School of Medicine, 13123 East 16th Avenue, Box B251, Aurora, 80045, CO, USA.
Inj Epidemiol. 2018 Sep 3;5(1):33. doi: 10.1186/s40621-018-0163-x.
Ankle sprains account for a large proportion of injuries presenting to both United States (US) emergency departments (EDs) as well as high school (HS) and collegiate school athletic training settings. The epidemiologic differences across these settings by both sport and diagnosis have not been well differentiated. Ankle injury data from 3 national surveillance datasets. Athletic training setting data from the National High School Sports-Related Injury Surveillance System and the National Collegiate Athletic Association Injury Surveillance Program was from academic years 2009/10 through 2013/14 and the US Consumer Product Safety Commission's National Electronic Injury Surveillance System (ED setting) data was from calendar years 2009 through 2013. Data was analyzed for patients 14-22 years old participating in 12 sports (male football, baseball, basketball, lacrosse, soccer, and wrestling, and female softball, basketball, lacrosse, soccer, volleyball, and field hockey). We calculated sport-specific injury rates, proportions, and rate ratios (RRs) with 95% confidence intervals (CI).
During the study period, the surveillance systems captured 20,261 ankle injuries presenting to EDs plus 5546 HS and 2725 collegiate injuries presenting to school athletic training settings. Rates were higher in collegiate compared to HS athletes presenting in the athletic training setting. Football accounted for the largest proportion of ankle injuries presenting to HS (31.2%) and college (41.0%) athletic training settings; male basketball accounted for the largest proportion presenting to EDs among both HS (41.0%) and college (65.8%) aged patients. Sprains/strains accounted for over 80% of injuries in all three settings. Fractures accounted for a larger proportion of ankle injuries presenting to EDs (9.5%) compared to HS (3.8%) and college (0.8%) athletic training settings. There was no change in injury rates during the study period across the three settings.
Injury rates and patterns varied by sport and presentation setting, with athletic trainers evaluating more ankle injuries overall in the collegiate setting compared to the high school setting. Ankle injuries presenting to EDs were more commonly fractures, suggesting that more severe injuries present to this setting. Understanding the epidemiology of such patterns will help readers interpret differences in publications reporting data from varied clinical settings.
在美国，踝关节扭伤在急诊科就诊的伤病中占很大比例，在高中和大学体育训练环境中也是如此。这些环境中按运动项目和诊断分类的流行病学差异尚未得到很好的区分。本研究分析了来自3个国家监测数据集的踝关节损伤数据。高中体育相关损伤监测系统和美国大学体育协会损伤监测项目的体育训练环境数据来自2009/10学年至2013/14学年，美国消费品安全委员会的国家电子损伤监测系统（急诊科环境）数据来自2009年至2013年。对年龄在14至22岁、参加12项运动（男子足球、棒球、篮球、长曲棍球、足球和摔跤，以及女子垒球、篮球、长曲棍球、足球、排球和曲棍球）的患者数据进行了分析。我们计算了特定运动的损伤率、比例和率比（RR），并给出95%置信区间（CI）。
在研究期间，监测系统记录了20261例在急诊科就诊的踝关节损伤，以及5546例高中和2725例大学体育训练环境中的损伤。在体育训练环境中，大学运动员的损伤率高于高中运动员。在高中（31.2%）和大学（41.0%）体育训练环境中，足球导致的踝关节损伤占比最大；在高中（41.0%）和大学（65.
