Department of Otolaryngology, Head and Neck Surgery, Philadelphia College of Osteopathic Medicine, 4190 City Line Avenue, Philadelphia, PA.
Department of Otolaryngology-Head and Neck Surgery, Division of Facial Plastic Reconstructive Surgery, Ochsner LSU Health, 1501 Kings Highway, Shreveport, LA.
J Craniofac Surg. 2021 Jun 1;32(4):1561-1564. doi: 10.1097/SCS.0000000000007136.
Despite its popularity, there have been no reports outlining adult craniofacial trauma in the setting of golf injuries. Our main objective was to identify and describe trends in head and neck injuries incurred while participating in golf including injury type, anatomic location, and patient disposition.
A retrospective cohort analysis of the National Electronic Injury Surveillance System (NEISS) was conducted from 2009-2018. Population characteristics of golf-related injuries were recorded, including, age, sex, and race distributions. Distribution of injury anatomic location, injury type, distribution of fracture location, patient disposition was further analyzed. A one way ANOVA was utilized to obtain the mean ages for all injuries and compare them for any statistical difference. To identify statistical significance, a Fisher exact test with a Monte Carlo simulation was performed.
A total of 509 golf-related injuries (national estimate 24,425 cases) were recorded over the study period. Lacerations were the most common injury overall (54.2%), while contusions and abrasions were the next most common injuries (27.3%). The most common fracture subtype observed was midface (40.43%), followed by nasal bone (27.66%), mandible (12.77%), skull (12.77%), and cervical spine (6.38%). The highest proportion of patients admitted for further treatment were individuals >70 years of age. Fractures had the highest rate of admission (29.8%).
A better understanding of golf injuries can allow for rapid detection and appropriate treatment when encountered. This knowledge can also help to develop safety precautions by potentially reforming rules and regulations as well as protective equipment.
尽管高尔夫运动广受欢迎,但目前尚无关于成年人在高尔夫运动中发生颅面外伤的报告。我们的主要目的是确定和描述在参与高尔夫运动时发生的头颈部损伤的趋势,包括损伤类型、解剖部位和患者处理情况。
对 2009 年至 2018 年期间国家电子伤害监测系统(NEISS)进行回顾性队列分析。记录了与高尔夫相关的伤害的人口统计学特征,包括年龄、性别和种族分布。进一步分析了损伤解剖部位、损伤类型、骨折部位分布、患者处理情况的分布。利用单因素方差分析获得所有损伤的平均年龄,并比较它们之间是否存在统计学差异。为了确定统计学意义,使用 Fisher 确切检验和蒙特卡罗模拟进行检验。
在研究期间共记录了 509 例与高尔夫相关的损伤(全国估计有 24425 例)。总体而言,撕裂伤是最常见的损伤类型(54.2%),其次是挫伤和擦伤(27.3%)。观察到的最常见骨折亚型是中面部(40.43%),其次是鼻骨(27.66%)、下颌骨(12.77%)、颅骨(12.77%)和颈椎(6.38%)。接受进一步治疗的患者中,年龄>70 岁的比例最高。骨折患者的住院率最高(29.8%)。
更好地了解高尔夫球伤可以帮助我们在遇到时快速发现并进行适当的治疗。这些知识还可以帮助通过潜在地改革规则和法规以及防护设备来制定安全预防措施。