Gotlin Matthew J, Minhas Shobhit V, Buchalter Daniel B, Feder Oren I, Alaia Michael J, Jazrawi Laith M
NYU Langone Orthopedic Hospital, Department of Orthopedic Surgery, NYU Langone Health, New York, New York, U.S.A.
Arthrosc Sports Med Rehabil. 2020 Sep 25;2(5):e505-e510. doi: 10.1016/j.asmr.2020.05.013. eCollection 2020 Oct.
To examine finger, thumb, hand, wrist, and forearm fractures in the National Hockey League (NHL) and determine: (1) basic demographic data, (2) return to sport (RTS) rates, (3) performance after RTS, and (4) the difference in RTS between players treated operatively versus conservatively.
NHL players with finger, thumb, hand, wrist, and forearm fractures between the 1995-1996 and 2014-2015 seasons were identified through team injury reports and archives on public record. Player demographics, RTS rate, games played per season, and performance score for each player were recorded and compared between the preinjury season and one season following injury.
A total of 247 total NHL players with hand, wrist, and forearm fractures were identified, consisting of 30.8% finger, 38.5% hand, 13.8% thumb, 14.6% wrist, and 2.4% forearm fractures. Defenseman comprised the majority of players (40.1%). The overall RTS rate was 98.0%, with no significant difference between players with surgery or between injury location groups. In total, 52 players (21.1%) underwent surgery with no significant correlation of surgery rates based on fracture location. The mean number of missed games was 13.8 ± 9.9, with players sustaining wrist and forearm fractures missing the largest number of games (21.6 ± 17.7and 22.8 ± 7.5 games missed, respectively). There was no significant change in games played or performance scores 1 year after injury for players with any of the fracture types compared with baseline preoperative games played and performance.
NHL players have a high RTS rate following hand, wrist, and forearm fractures. Players were able to return to preinjury performance within 1 year, regardless of treatment or type of fracture.
Level IV, case series.
研究国家冰球联盟（NHL）中手指、拇指、手部、腕部和前臂骨折情况，并确定：（1）基本人口统计学数据；（2）重返赛场（RTS）率；（3）重返赛场后的表现；（4）手术治疗与保守治疗球员之间的RTS差异。
通过球队伤病报告和公开记录档案，确定1995 - 1996赛季至2014 - 2015赛季期间患有手指、拇指、手部、腕部和前臂骨折的NHL球员。记录球员的人口统计学数据、RTS率、每个赛季的比赛场次以及每位球员的表现得分，并在受伤前赛季和受伤后一个赛季进行比较。
共确定了247名患有手部、腕部和前臂骨折的NHL球员，其中手指骨折占30.8%，手部骨折占38.5%，拇指骨折占13.8%，腕部骨折占14.6%，前臂骨折占2.4%。后卫占球员大多数（40.1%）。总体RTS率为98.0%，手术球员之间或损伤部位组之间无显著差异。共有52名球员（21.1%）接受了手术，手术率与骨折部位无显著相关性。平均缺赛场次为13.8±9.9场，腕部和前臂骨折球员缺赛场次最多（分别为21.6±17.7场和22.8±7.5场）。与术前基线比赛场次和表现相比，任何骨折类型的球员在受伤1年后的比赛场次和表现得分均无显著变化。
NHL球员手部、腕部和前臂骨折后RTS率较高。无论治疗方式或骨折类型如何，球员都能够在1年内恢复到受伤前的表现水平。
IV级，病例系列。
