Andersson Jonny K, Bengtsson Håkan, Waldén Markus, Karlsson Jón, Ekstrand Jan
Department of Surgery, Aspetar Orthopaedic and Sports Medicine Hospital, Doha, Qatar.
Department of Orthopaedics, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
Orthop J Sports Med. 2021 Jan 25;9(1):2325967120977091. doi: 10.1177/2325967120977091. eCollection 2021 Jan.
The literature on upper extremity injuries in professional soccer players is scarce, and further insight into the onset and cause of these injuries as well as potential differences between goalkeepers and outfield players is important.
To investigate the epidemiology of hand, wrist, and forearm injuries in male professional soccer players between 2001 and 2019.
Descriptive epidemiology study.
Between the 2001-2002 and 2018-2019 seasons, 120 European male soccer teams were followed prospectively for a varying number of seasons (558 team-seasons in total). Time-loss injuries and player-exposures to training sessions and matches were recorded on an individual basis in 6754 unique players. Injury incidence was reported as the number of injuries per 1000 player-hours, and between-group differences were analyzed using statistics and rate ratios (RRs) with 95% CIs. Between-group differences in layoff time were analyzed.
In total, 25,462 injuries were recorded, with 238 (0.9%) of these affecting the hand (71.4%; n = 170), wrist (16.8%; n = 40), and forearm (11.8%; n = 28), producing an incidence of 0.065 injuries per 1000 hours. A majority of the injuries were traumatic with an acute onset (98.7%; n = 235). Fractures were the most common injuries recorded (58.8%; n = 140), often involving the metacarpal bones (25.2%; n = 60) and phalanges (10.1%; n = 24). The injury incidence was significantly higher for goalkeepers (115 injuries; 0.265 per 1000 hours) compared with outfield players (123 injuries; 0.038 per 1000 hours) (RR, 7.0 [95% CI, 5.4-9.0]). Goalkeepers also had a significantly longer mean layoff time than outfield players (23 ± 27 vs 15 ± 27 days; = .016).
Injuries to the hand, wrist, and forearm constituted less than 1% of all time-loss injuries in male professional soccer players. Fractures were most common and constituted more than half of all injuries. Goalkeepers had a 7-fold higher incidence and an over 1-week longer mean layoff time compared with outfield players.
关于职业足球运动员上肢损伤的文献较少，进一步了解这些损伤的发病情况、原因以及守门员和非守门员球员之间的潜在差异很重要。
调查2001年至2019年男性职业足球运动员手部、腕部和前臂损伤的流行病学情况。
描述性流行病学研究。
在2001-2002赛季至2018-2019赛季期间，对120支欧洲男子足球队进行了为期不同赛季的前瞻性跟踪（共558队-赛季）。对6754名不同球员的训练课程和比赛中的失时伤病和球员暴露情况进行了个体记录。损伤发生率以每1000球员小时的损伤数报告，并使用统计学方法和95%置信区间的率比（RR）分析组间差异。分析了停赛时间的组间差异。
共记录了25462例损伤，其中238例（0.9%）影响手部（71.4%；n = 170）、腕部（16.8%；n = 40）和前臂（11.8%；n = 28），每1000小时的发生率为0.065例损伤。大多数损伤为急性创伤性损伤（98.7%；n = 235）。骨折是记录中最常见的损伤（58.8%；n = 140），常累及掌骨（25.2%；n = 60）和指骨（10.1%；n = 24）。守门员的损伤发生率（115例损伤；每1000小时0.265例）显著高于非守门员球员（123例损伤；每1000小时0.038例）（RR，7.0[95%CI，5.4-9.0]）。守门员的平均停赛时间也显著长于非守门员球员（23±27天对15±27天；P = 0.016）。
手部、腕部和前臂损伤占男性职业足球运动员所有失时伤病的比例不到1%。骨折最为常见，占所有损伤的一半以上。与非守门员球员相比，守门员的损伤发生率高7倍，平均停赛时间长超过1周。
