Sharma Siddhartha, Dhillon Mandeep S, Kumar Prasoon, Rajnish Rajesh Kumar
Department of Orthopaedics, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
Indian J Orthop. 2020 Mar 7;54(3):294-307. doi: 10.1007/s43465-020-00058-x. eCollection 2020 May.
Foot and ankle injuries in elite athletes can result in decreased performance, absence from sport and prolonged morbidity. There is paucity of data on foot and ankle injuries in Olympics athletes.
We conducted a systematic review of the PubMed and EMBASE databases. Studies in English language that reported the incidence and/or prevalence of foot and ankle injuries in during Olympics games (summer, winter and youth Olympics) were included. Studies in languages other than English, those that looked at injuries other than foot and ankle injuries, studies looking at injuries in non-Olympics events and those looking at Olympics trials were excluded. We determined the injury rates and burden of foot and ankle injuries. We also looked at the patterns and trends of foot and ankle injuries.
A total of 399 foot and ankle injuries from 25 publications were included in the review. Foot and ankle injury rates ranged from 0.09 to 0.42 injuries per athlete-years for summer Olympics and 0.02-0.35 injuries per athlete-years for winter Olympics. Quantitative analysis revealed that foot and ankle injuries contributed to 16.9% of all injuries (95% CI 8.1-31.9%) for summer Olympics and 5.1% of all injuries (95% CI 1.9-12.6%) for winter Olympics; however, a high statistical heterogeneity was noted. The three most common injuries were tendon injuries, ligament injuries and stress fractures. The rates and burden of foot and ankle injuries showed a declining trend.
Foot and ankle injuries are an important cause of morbidity amongst Olympics athletes. The declining trend amongst these injuries notwithstanding, there is a need for a global electronic database for reporting of injuries in Olympics athletes.
精英运动员的足踝部损伤会导致运动表现下降、缺赛以及发病时间延长。关于奥运会运动员足踝部损伤的数据较少。
我们对PubMed和EMBASE数据库进行了系统综述。纳入了以英文发表的、报告奥运会（夏季、冬季和青年奥运会）期间足踝部损伤发生率和/或患病率的研究。排除了非英文语言的研究、研究足踝部以外损伤的研究、研究非奥运会赛事损伤的研究以及研究奥运会选拔赛损伤的研究。我们确定了足踝部损伤率和负担。我们还研究了足踝部损伤的模式和趋势。
该综述共纳入了25篇出版物中的399例足踝部损伤。夏季奥运会的足踝部损伤率为每运动员年0.09至0.42例损伤，冬季奥运会为每运动员年0.02至0.35例损伤。定量分析显示，夏季奥运会足踝部损伤占所有损伤的16.9%（95%可信区间8.1 - 31.9%），冬季奥运会为5.1%（95%可信区间1.9 - 12.6%）；然而，存在高度的统计异质性。三种最常见的损伤是肌腱损伤、韧带损伤和应力性骨折。足踝部损伤的发生率和负担呈下降趋势。
足踝部损伤是奥运会运动员发病的重要原因。尽管这些损伤呈下降趋势，但仍需要一个全球电子数据库来报告奥运会运动员的损伤情况。
