Anderson David Stewart, Cathcart John, Wilson Iseult, Hides Julie, Leung Felix, Kerr Daniel
Life and Health Sciences, Ulster University - Jordanstown Campus, Newtownabbey, UK.
Institute of Nursing and Health Research, School of Health Sciences, Ulster University - Jordanstown Campus, Newtownabbey, UK.
BMJ Open Sport Exerc Med. 2020 Oct 28;6(1):e000806. doi: 10.1136/bmjsem-2020-000806. eCollection 2020.
The objective of this systematic review was to explore the incidence of lower limb musculoskeletal (MSK) injuries sustained by rugby union, rugby league, soccer, Australian Rules and Gaelic football players under 18 years. The review sought to identify the mechanisms and types of injury sustained and to compare between sports.
This systematic review focused on the incidence of lower limb injury in adolescent team sports that involved running and kicking a ball. A literature search of studies published prior to January 2020 was conducted using SportDiscus, Medline and PubMed databases. The Standard Quality Assessment Criteria appraisal tool was used to assess the quality of each article included in the review. Two or more authors independently reviewed all papers.
Sixteen papers met the inclusion criteria; prospective cohort (N=14), retrospective (n=1) and longitudinal (n=1). These studies investigated injuries in rugby union and rugby league (n=10), football (soccer) (n=3), Australian Rules (n=2) and Gaelic football (n=1). There were a total of 55 882 participants, aged 7-19 years old, who reported 6525 injuries. The type, site and mechanisms of injury differed across sports.
Lower limb injuries were common in adolescent rugby, soccer, Gaelic football and Australian Rules football players, however these studies may not fully reflect the true injury burden where recurrent and overuse injuries have not been considered. There were differences between sports in the mechanisms, types and severity of injury.
本系统评价的目的是探讨18岁以下橄榄球联盟、橄榄球联赛、足球、澳式足球和盖尔式足球运动员下肢肌肉骨骼（MSK）损伤的发生率。该评价旨在确定所遭受损伤的机制和类型，并对不同运动项目进行比较。
本系统评价聚焦于涉及跑步和踢球的青少年团队运动中下肢损伤的发生率。使用SportDiscus、Medline和PubMed数据库对2020年1月之前发表的研究进行文献检索。采用标准质量评估标准评估工具来评估纳入评价的每篇文章的质量。由两名或更多作者独立审查所有论文。
16篇论文符合纳入标准；前瞻性队列研究（n = 14）、回顾性研究（n = 1）和纵向研究（n = 1）。这些研究调查了橄榄球联盟和橄榄球联赛（n = 10）、足球（n = 3）、澳式足球（n = 2）和盖尔式足球（n = 1）中的损伤情况。共有55882名年龄在7至19岁之间的参与者，报告了6525例损伤。不同运动项目的损伤类型、部位和机制各不相同。
下肢损伤在青少年橄榄球、足球、盖尔式足球和澳式足球运动员中很常见，然而这些研究可能未充分反映未考虑反复性和过度使用性损伤时的真实损伤负担。不同运动项目在损伤机制、类型和严重程度方面存在差异。
