Bartels Douglas W, Hevesi Mario, Wyles Cody, Macalena Jeffrey, Kakar Sanjeev, Krych Aaron J
Department of Orthopedic Surgery, Mayo Clinic, Rochester, Minnesota, USA.
Department of Orthopaedic Surgery, University of Minnesota, Minneapolis, Minnesota, USA.
Orthop J Sports Med. 2019 Apr 1;7(4):2325967119835375. doi: 10.1177/2325967119835375. eCollection 2019 Apr.
Participation in National Collegiate Athletic Association (NCAA) football is at an all-time high. This population of athletes experiences a substantial injury burden, with many injuries affecting the upper extremities.
PURPOSE/HYPOTHESIS: The purpose of this study was to describe the epidemiology of hand and wrist injuries in college football players from the academic years 2009-2010 to 2013-2014. We hypothesized that variables such as event type (practice vs game), mechanism of injury, and player position would have an effect on the injury incidence.
Descriptive epidemiological study.
An epidemiological study utilizing the NCAA Injury Surveillance Program was performed to investigate rates and patterns of hand and wrist injuries in participating varsity football teams from 2009-2010 to 2013-2014.
A total of 725 hand and wrist injuries were captured in 899,225 athlete-exposures. The observed practice injury rate was 0.51 injuries per 1000 athlete-exposures, compared with a game injury rate of 3.60 ( < .01). Player-on-player contact was the most common injury mechanism reported, with blocking being the most common activity at the time of injury. Offensive linemen were most likely to experience an injury. Of all injuries sustained, 71.4% resulted in no time loss from competition, whereas 9.8% of injuries resulted in longer than 7 days of time loss. A fracture resulted in the greatest time loss from competition (mean ± SD, 8.3 ± 24.0 days; median, 0 days [range, 0-148 days] for injuries sustained in a practice setting) (mean ± SD, 7.7 ± 15.8 days; median, 0 days [range, 0-87 days] for injuries sustained in a game setting).
Hand and wrist injuries were found to be significantly more common in games when compared with practices. This study provides valuable prognostic data regarding expected time loss on a per-injury pattern basis. Further investigation on specific injury subtypes and expected time loss as a result of these injures would provide trainers, players, and coaches with useful information on an expected postinjury recovery and rehabilitation timeline.
参加美国国家大学体育协会(NCAA)橄榄球运动的人数创历史新高。这群运动员承受着巨大的伤病负担,许多伤病影响上肢。
目的/假设:本研究的目的是描述2009 - 2010学年至2013 - 2014学年大学橄榄球运动员手和腕部损伤的流行病学情况。我们假设诸如赛事类型(训练与比赛)、损伤机制和球员位置等变量会对损伤发生率产生影响。
描述性流行病学研究。
利用NCAA损伤监测项目进行一项流行病学研究,以调查2009 - 2010年至2013 - 2014年参赛大学橄榄球队手和腕部损伤的发生率及模式。
在899,225人次运动员暴露中,共记录到725例手和腕部损伤。观察到的训练损伤率为每1000人次运动员暴露0.51例损伤,而比赛损伤率为3.60例(P <.01)。球员之间的接触是报告的最常见损伤机制,阻挡是损伤发生时最常见的活动。进攻线球员最容易受伤。在所有受伤情况中,71.4%未导致比赛时间损失,而9.8%的损伤导致比赛时间损失超过7天。骨折导致的比赛时间损失最长(训练环境中受伤的均值±标准差为8.3 ± 24.0天;中位数为0天[范围,0 - 148天])(比赛环境中受伤的均值±标准差为7.7 ± 15.8天;中位数为0天[范围,0 - 87天])。
与训练相比,手和腕部损伤在比赛中明显更为常见。本研究提供了关于每种损伤模式预期时间损失的有价值的预后数据。对特定损伤亚型以及这些损伤导致的预期时间损失进行进一步研究,将为训练师、球员和教练提供有关预期伤后恢复和康复时间线的有用信息。