Department of Plastic, Aesthetic, Hand and Reconstructive Surgery, Hannover Medical School, Carl-Neuberg-Strasse 1, 30625, Hannover, Germany.
Department of Trauma and Orthopedic Surgery, Plastic, Hand and Reconstructive Surgery, Armed Forces Hospital Westerstede, Lange Strasse 38, 26655, Westerstede, Germany.
BMC Musculoskelet Disord. 2020 Dec 8;21(1):826. doi: 10.1186/s12891-020-03807-z.
Hand injuries are common in sports and associated with high dropout rates and costs. Hence, efforts should strive for further risk prevention measures in order to increase safety in sports. This implies knowledge of sports injury risk profiles. So far, major surveillance programs exist mainly in Anglo-American countries, reflecting the specific concerns of sports in this part of the world. Data on sports injuries within Europe are scarce. As sports behaviour appears to vary demographically, we hypothesised that risk injury profiles differ as well.
To assess whether the described sports injuries of the hand are applicable to the German population, we performed a five-year retrospective, single-centre analysis of sports-related hand injuries, using data from the Enterprise Clinical Research Data Warehouse of the Hannover Medical School.
Notable differences in comparison to other data were observed. Ball sports, cycling and equestrian sports caused most of the recorded hand injuries, which were predominantly fractures of the wrist and hand. Hand injuries in equestrian sports were associated with significantly higher operation and hospitalisation rates as well as a significantly longer inpatient treatment.
Risk profiles for sports-related hand injuries appear to differ not only in terms of age- and sex, but also geographically. Nation- and Europe-wide hand trauma registries as well as a broad registry participation are necessary in order to accurately assess the risk patterns in Europe; henceforth reducing hand injuries and their sequelae.
手伤在运动中很常见，与较高的辍学率和成本有关。因此，应努力采取进一步的风险预防措施，以提高运动安全性。这意味着需要了解运动损伤风险概况。到目前为止，主要的监测计划主要存在于英裔美国国家，反映了这一地区体育的特殊关注点。欧洲关于运动损伤的数据很少。由于运动行为在人口统计学上似乎有所不同，我们假设风险损伤概况也存在差异。
为了评估手部描述的运动损伤是否适用于德国人群，我们使用汉诺威医学院 Enterprise Clinical Research Data Warehouse 的数据，对五年的手部运动相关性损伤进行了回顾性单中心分析。
与其他数据相比，观察到了显著的差异。球类运动、骑自行车和马术运动造成了大多数记录的手部损伤，主要是手腕和手部骨折。马术运动中的手部损伤与更高的手术和住院率以及更长的住院治疗时间显著相关。
运动相关性手部损伤的风险概况不仅在年龄和性别方面存在差异，而且在地理上也存在差异。需要在全国和全欧洲范围内建立手部创伤登记处，并广泛参与登记处，以便准确评估欧洲的风险模式；从而减少手部损伤及其后遗症。
