Brinkman Joseph C, Tummala Sailesh V, McQuivey Kade S, Hassebrock Jeffrey D, Pagdilao Christian, Makovicka Justin L, Chhabra Anikar
Department of Orthopedic Surgery, Mayo Clinic Arizona, Phoenix, Arizona, USA.
Arizona State University, Tempe, Arizona, USA.
Orthop J Sports Med. 2021 Sep 2;9(9):23259671211032007. doi: 10.1177/23259671211032007. eCollection 2021 Sep.
Spine injuries are common in collegiate wrestlers and can lead to reinjury, persistent pain, and time lost from participation.
To describe the epidemiology of spine injuries in National Collegiate Athletic Association (NCAA) wrestlers between academic years 2009 to 2010 and 2013 to 2014.
Descriptive epidemiology study.
The incidence and characteristics of spine injuries were identified utilizing the NCAA-Injury Surveillance Program database. Spine injuries were assessed for injury type, injury mechanism, time of season, event type, recurrence, participation restriction, and time lost from participation. Rates of injury were calculated as the number of injuries divided by the total number of athlete-exposures (AEs). Injury rate ratios (IRRs) were calculated for event type and time of season, and results with 95% confidence intervals that did not include 1.0 were considered statistically significant.
There were an estimated 2040 spine injuries reported in the database over the 4-year period, resulting in an injury rate of 0.71 per 1000 AEs. Spine injuries were over twice as likely to occur in competitions as in practices (IRR, 2.02; 95% confidence interval, 1.10-3.69). More injuries occurred in both the preseason (0.94 per 1000 AEs) and the postseason (1.12 per 1000 AEs) compared with the regular season (0.55 per 1000 AEs). Contact injuries (42%) were the most common mechanism of injury, and brachial plexus injury (20%) was the most common diagnosis. Only 1.3% of injuries required surgery, and athletes most commonly returned to sport within 24 hours (33%) or within 6 days (25%).
This investigation found an overall injury rate of 0.71 per 1000 AEs in wrestling athletes between academic years 2009 to 2010 and 2013 to 2014. The majority of these injuries were new, and athletes most commonly returned to sport within 24 hours. The injury rate was highest in competition, and both the preseason and the postseason showed a higher injury rate than that in season. Efforts to improve injury prevention and management should be informed by these findings.
脊柱损伤在大学生摔跤运动员中很常见，可能导致再次受伤、持续疼痛以及无法参赛。
描述2009至2010学年与2013至2014学年期间美国国家大学体育协会（NCAA）摔跤运动员脊柱损伤的流行病学情况。
描述性流行病学研究。
利用NCAA损伤监测计划数据库确定脊柱损伤的发生率和特征。对脊柱损伤的类型、损伤机制、赛季时间、赛事类型、复发情况、参赛限制以及缺赛时间进行评估。损伤率的计算方法为损伤次数除以运动员暴露总次数（AE）。计算赛事类型和赛季时间的损伤率比值（IRR），95%置信区间不包含1.0的结果被视为具有统计学意义。
在4年期间，数据库中报告的脊柱损伤估计有2040例，损伤率为每1000次运动员暴露0.71例。脊柱损伤在比赛中发生的可能性是训练中的两倍多（IRR为2.02；95%置信区间为1.10 - 3.69）。与常规赛（每1000次运动员暴露0.55例）相比，季前赛（每1000次运动员暴露0.94例）和季后赛（每1000次运动员暴露1.12例）中的损伤更多。接触性损伤（42%）是最常见的损伤机制，臂丛神经损伤（20%）是最常见的诊断。只有1.3%的损伤需要手术，运动员最常于24小时内（33%）或6天内（25%）重返赛场。
本调查发现，在2009至2010学年与2013至2014学年期间，摔跤运动员的总体损伤率为每1000次运动员暴露0.71例。这些损伤大多是新伤，运动员最常于24小时内重返赛场。比赛中的损伤率最高，季前赛和季后赛的损伤率均高于赛季中。这些发现应为改进损伤预防和管理工作提供参考。
