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面部骨折与美国国家篮球协会:流行病学与结局。

Facial Fractures and the National Basketball Association: Epidemiology and Outcomes.

机构信息

Department of Surgery, Otolaryngology-Head and Neck Surgery, Yale University School of Medicine, New Haven, Connecticut, U.S.A.

Department of Otolaryngology-Head and Neck Surgery, The University of Vermont Medical Center, Burlington, Vermont, U.S.A.

出版信息

Laryngoscope. 2020 Dec;130(12):E824-E832. doi: 10.1002/lary.28690. Epub 2020 Apr 20.

DOI:10.1002/lary.28690
PMID:32311769
Abstract

OBJECTIVES/HYPOTHESIS: To identify the epidemiology and impact of facial fractures on player performance and return to play (RTP) in the National Basketball Association (NBA).

STUDY DESIGN

Retrospective case-control series METHODS: Fifty-three NBA players who sustained facial fractures between 1984 and 2018 were identified. Players with pre- and postinjury statistics were included in the performance analysis. A control group was matched by age, body mass index (BMI), position, NBA experience, and player efficiency rating. Fisher exact tests and Student t tests were performed to analyze player demographics and performance variables.

RESULTS

At the time of injury, the average player's age was 26.17 years, BMI was 24.80 kg/m , and NBA experience was 4.97 years. Players missed an average of 3.77 games and 18.21 days prior to RTP. Forty-eight players (90.6%) did RTP the subsequent season, whereas 43 of those players (81.1%) met inclusion criteria for performance analysis. There was no significant change in performance between pre- and postinjury seasons. Players managed operatively missed significantly more games (8.15 vs. 1.85; P = .034) and days (51.08 vs. 5.53; P = .003) than players managed nonoperatively, whereas performance was not impacted. Average career length following facial fracture was significantly shorter compared to controls (5.14 vs. 6.42 years; P = .010) and a decrease in three-pointer percentage (P = .004) was observed.

CONCLUSIONS

The majority of players who suffer facial fractures RTP in the NBA and do not experience significant decline in performance following injury. These results should aid physicians caring for basketball players at any level, and may help inform future guidelines for treatment and injury prevention.

LEVEL OF EVIDENCE

3b Laryngoscope, 2020.

摘要

目的/假设:确定面部骨折在国家篮球协会(NBA)中对球员表现和重返赛场(RTP)的流行病学和影响。

研究设计

回顾性病例对照系列

方法

确定了 1984 年至 2018 年间发生面部骨折的 53 名 NBA 球员。包括有受伤前后统计数据的球员进行表现分析。通过年龄、体重指数(BMI)、位置、NBA 经验和球员效率评分与对照组相匹配。进行 Fisher 精确检验和学生 t 检验,以分析球员人口统计学和表现变量。

结果

受伤时,平均球员年龄为 26.17 岁,BMI 为 24.80kg/m,NBA 经验为 4.97 年。球员平均 RTP 前缺阵 3.77 场比赛和 18.21 天。48 名球员(90.6%)在随后的赛季中 RTP,其中 43 名球员(81.1%)符合表现分析的纳入标准。受伤前后两个赛季的表现没有明显变化。手术管理的球员缺阵比赛明显更多(8.15 比 1.85;P =.034)和天数(51.08 比 5.53;P =.003),而表现不受影响。与对照组相比(5.14 比 6.42 岁;P =.010),面部骨折后的平均职业生涯长度明显缩短,并且三分球百分比下降(P =.004)。

结论

大多数遭受面部骨折的 NBA 球员 RTP,并且在受伤后表现没有明显下降。这些结果应该有助于任何级别的篮球运动员的医生治疗,并可能有助于为未来的治疗和损伤预防指南提供信息。

证据水平

3b 喉镜,2020。

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