Department of Orthopaedic Surgery, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Phys Sportsmed. 2022 Feb;50(1):30-37. doi: 10.1080/00913847.2020.1862632. Epub 2020 Dec 21.
While injuries among collegiate athletes are common and well-studied, there have been no studies comparing which sports and injury types have the highest operation rates. This information would be valuable for athlete governing bodies and providers to improve player safety. Our hypothesis was the surgery incidence rates vary substantially between sports and injury types, with football and knee injuries representing the sport and injury type with the highest respective surgery rates.
This was a descriptive epidemiology study of all injuries requiring surgery as recorded in the National Collegiate Athletic Association (NCAA) Injury Surveillance Program (ISP) for academic years 2004-2005 to 2013-2014. Surgery incidence rates (and 95% confidence intervals, CI) were calculated for each sport (per 10,000 athletic exposures [AE]) and for the most common injury types, by academic year. In addition, absolute numbers of performed surgeries were calculated as well as rates of return to sport.
Sports with the highest surgery incidence rate (per 10,000 AEs) were women's gymnastics (8.9; 95% CI 7.2-10.9), men's football (6.1; 95% CI 5.8-6.4), and men's wrestling (5.3; 95% CI 4.5-6.3). Absolute numbers of injury-related surgeries performed were greatest for men's football (n = 31,043), women's basketball (6,625), and men's basketball (5,717). Anterior cruciate ligament tears had the greatest surgery incidence rate per 100,000 AEs for all sports combined (7.95; 95% CI = 7.5 to 8.5), and also represented the injuries with the lowest rate of return to sport.
Women's gymnastics, men's football, and men's and women's basketball are NCAA sports with an elevated risk of injury requiring of surgery. The results from this study can guide the NCAA and providers regarding which sports should be the focus of future research, new injury prevention strategies, and healthcare personnel allocation during events.
虽然大学生运动员的受伤很常见，也有很多研究，但还没有研究比较哪种运动和受伤类型的手术率最高。这些信息对于运动员管理机构和提供者来说是很有价值的，可以提高运动员的安全性。我们的假设是，手术发生率在不同运动和受伤类型之间存在显著差异，足球和膝关节受伤代表了各自手术率最高的运动和受伤类型。
这是一项描述性流行病学研究，研究了全国大学生体育协会（NCAA）损伤监测计划（ISP）在 2004-2005 学年至 2013-2014 学年期间记录的所有需要手术的损伤。按学年计算了每个运动（每 10000 次运动暴露[AE]）和最常见的损伤类型的手术发生率（和 95%置信区间，CI）。此外，还计算了手术的绝对数量和重返运动的比率。
手术发生率最高（每 10000 次 AE）的运动是女子体操（8.9；95%CI 7.2-10.9）、男子足球（6.1；95%CI 5.8-6.4）和男子摔跤（5.3；95%CI 4.5-6.3）。男子足球（n=31043）、女子篮球（6625）和男子篮球（5717）进行的与损伤相关的手术数量最多。所有运动中，前交叉韧带撕裂的手术发生率最高（每 100000 人 7.95；95%CI=7.5-8.5），也是重返运动率最低的损伤。
女子体操、男子足球以及男女篮球是 NCAA 运动中受伤风险较高、需要手术治疗的运动。这项研究的结果可以指导 NCAA 和提供者确定哪些运动应该成为未来研究、新的损伤预防策略以及赛事期间医疗人员配置的重点。
