Warren Alpert Medical School, Brown University, Providence, Rhode Island.
Sports Health. 2018 Nov/Dec;10(6):552-557. doi: 10.1177/1941738118795483. Epub 2018 Sep 5.
: Although lower extremity injuries are more common than upper extremity injuries in high school- and college-aged soccer players, upper extremity injuries may be equally severe. The epidemiology of upper extremity injuries is poorly characterized in this population.
: Upper extremity injuries are an important contributor to soccer-related morbidity among high school- and college-aged players.
: Descriptive epidemiology study.
: Level 3.
: The National Electronic Injury Surveillance System (NEISS) is a nationally representative sample of 100 hospital emergency departments (EDs). Each record contains demographic and injury information. Records from 1999 to 2016 were analyzed, including patients between the ages of 14 and 23 years with a soccer-related injury sustained at school or during an athletic event.
: A total of 1,299,008 high school- or college-aged patients presented to the ED for a soccer-related injury from 1999 to 2016, of which 20.4% were in the upper extremity. Patients were predominantly male (58.0%) and high school-aged (81.4%). Males constituted a greater proportion of upper extremity injuries when compared with other injury locations (63.5% male for upper extremity). Upper extremity injuries were more likely to be fractures (43.7% vs 13.9%) and dislocations (7.1% vs 3.4%) and less likely to be strains/sprains (27.8% vs 56.6%). Males suffered more shoulder dislocations (81.8% males among patients with shoulder dislocation vs 57.8% among those with other injuries), finger dislocations (72.0% vs 58.0%), upper arm fractures (74.9% vs 57.6%), and forearm fractures (68.3% vs 57.3%).
: Upper extremity injuries are frequent in high school- and college-aged soccer players presenting to the ED. Efforts to reduce soccer-related injuries should include strategies targeting the upper extremity, perhaps reducing the incidence of high-energy falls.
: Efforts to reduce soccer-related injuries should include strategies targeting upper extremity injuries, particularly among males and college-aged players.
尽管在高中和大学年龄段的足球运动员中，下肢受伤比上肢受伤更为常见，但上肢受伤可能同样严重。在该人群中，上肢受伤的流行病学特征描述不足。
上肢受伤是导致高中和大学年龄段足球运动员相关发病率的重要因素。
描述性流行病学研究。
3 级。
国家电子伤害监测系统（NEISS）是全国 100 个急诊部（ED）的代表性样本。每个记录都包含人口统计学和伤害信息。对 1999 年至 2016 年的记录进行了分析，包括年龄在 14 至 23 岁之间、在学校或运动赛事中因足球相关受伤而前往 ED 的患者。
1999 年至 2016 年，共有 1299008 名高中或大学年龄段的患者因足球相关受伤前往 ED，其中 20.4%为上肢受伤。患者主要为男性（58.0%）和高中年龄段（81.4%）。与其他受伤部位相比，男性在上肢受伤中占更大比例（上肢受伤中 63.5%为男性）。上肢受伤更可能是骨折（43.7% vs 13.9%）和脱位（7.1% vs 3.4%），而扭伤/拉伤的可能性较小（27.8% vs 56.6%）。男性更容易发生肩部脱位（肩部脱位患者中有 81.8%为男性，而其他受伤患者中有 57.8%）、手指脱位（72.0% vs 58.0%）、上臂骨折（74.9% vs 57.6%）和前臂骨折（68.3% vs 57.3%）。
上肢受伤在前往 ED 的高中和大学年龄段足球运动员中很常见。减少足球相关伤害的努力应包括针对上肢的策略，也许可以降低高能坠落的发生率。
减少足球相关伤害的努力应包括针对上肢受伤的策略，尤其是针对男性和大学年龄段的球员。
