男性和女性大学生足球运动员踝关节损伤的十年流行病学研究。
Ten-Year Epidemiology of Ankle Injuries in Men's and Women's Collegiate Soccer Players.
机构信息
University of Arizona College of Medicine, Phoenix.
Orthopaedic Department, Mayo Clinic, Phoenix, AZ.
出版信息
J Athl Train. 2019 Aug;54(8):881-888. doi: 10.4085/1062-6050-144-18. Epub 2019 Aug 7.
CONTEXT
Data from the National Collegiate Athletic Association (NCAA) Injury Surveillance Program (ISP) have indicated that ankle injuries are the most common injuries among NCAA soccer players.
OBJECTIVE
To review 10 years of NCAA-ISP data for soccer players' ankle injuries to understand how the time period (2004-2005 through 2008-2009 versus 2009-2010 through 2013-2014), anatomical structure injured, and sex of the athlete affected the injury rate, mechanism, and prognosis.
DESIGN
Descriptive epidemiology study.
SETTING
Online injury surveillance.
MAIN OUTCOME MEASURE(S): The NCAA-ISP was queried for men's and women's soccer ankle data from 2004 to 2014. Ankle-injury rates were calculated on the basis of injuries per 1000 athlete-exposures. Rate ratios (RRs) were used to compare injury rates. Injury proportion ratios (IPRs) were used to compare injury characteristics.
RESULTS
When compared with the 2004-2005 through 2008-2009 seasons, the 2009-2010 through 2013-2014 seasons showed a similar rate of injuries (RR = 0.94, 95% confidence interval [CI] = 0.85, 1.04) but fewer days missed ( < .001) and fewer recurrent injuries (IPR = 0.55, 95% CI = 0.41, 0.74). The 4 most common ankle injuries, which accounted for 95% of ankle injuries, were lateral ligament complex tears (65.67%), tibiofibular ligament (high ankle) sprains (10.3%), contusions (10.1%), and medial (deltoid) ligament tears (9.77%). Of these injuries, high ankle sprains were most likely to cause athletes to miss ≥30 days (IPR = 1.9, 95% CI = 1.24, 2.90). Men and women had similar injury rates (RR = 1.02, 95% CI = 0.94, 1.11). Men had more contact injuries (IPR = 1.28, 95% CI = 1.16, 1.41) and contusion injuries (IPR = 1.34, CI = 1.03, 1.73) but fewer noncontact injuries (IPR = 0.86, 95% CI = 0.78, 0.95) and lateral ligamentous complex injuries (IPR = 0.92, 95% CI = 0.86, 0.98).
CONCLUSIONS
Although the rate of ankle injuries did not change between the 2004-2005 through 2008-2009 seasons and the 2009-2010 through 2013-2014 seasons, the prognoses improved. Among the 4 most common ankle injuries, high ankle sprains resulted in the worst prognosis. Overall, male and female NCAA soccer players injured their ankles at similar rates; however, men were more likely to sustain contact injuries.
背景
美国大学生体育协会（NCAA）伤害监测计划（ISP）的数据显示，足球运动员中最常见的损伤是踝关节损伤。
目的
回顾 NCAA-ISP 10 年来有关足球运动员踝关节损伤的数据，了解时间段（2004-2005 年至 2008-2009 年与 2009-2010 年至 2013-2014 年）、受伤解剖结构和运动员性别如何影响损伤率、损伤机制和预后。
设计
描述性流行病学研究。
地点
在线伤害监测。
主要观察指标
查询 2004 年至 2014 年 NCAA-ISP 的男子和女子足球踝关节数据。按每 1000 名运动员暴露的损伤计算损伤率。使用率比（RR）比较损伤率。使用损伤比例比（IPR）比较损伤特征。
结果
与 2004-2005 年至 2008-2009 赛季相比，2009-2010 年至 2013-2014 赛季的损伤率相似（RR=0.94，95%置信区间[CI]：0.85，1.04），但错过的天数更少（<0.001），复发性损伤更少（IPR=0.55，95%CI：0.41，0.74）。4 种最常见的踝关节损伤占踝关节损伤的 95%，分别为外侧韧带复合体撕裂（65.67%）、下胫腓联合（高位踝关节）扭伤（10.3%）、挫伤（10.1%）和内侧（三角肌）韧带撕裂（9.77%）。在这些损伤中，高位踝关节扭伤最有可能导致运动员错过≥30 天（IPR=1.9，95%CI：1.24，2.90）。男女运动员的损伤率相似（RR=1.02，95%CI：0.94，1.11）。男性运动员接触性损伤（IPR=1.28，95%CI：1.16，1.41）和挫伤（IPR=1.34，CI：1.03，1.73）更多，但非接触性损伤（IPR=0.86，95%CI：0.78，0.95）和外侧韧带复合体损伤（IPR=0.92，95%CI：0.86，0.98）更少。
结论
尽管 2004-2005 年至 2008-2009 赛季和 2009-2010 年至 2013-2014 赛季之间的踝关节损伤率没有变化，但预后有所改善。在 4 种最常见的踝关节损伤中，高位踝关节扭伤的预后最差。总体而言，NCAA 男女足球运动员踝关节损伤的发生率相似；然而，男性更有可能遭受接触性损伤。
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