University of Colorado School of Medicine, Denver, CO.
Center for Outcomes-Based Orthopedic Research, Steadman Philippon Research Institute, Vail, Co.
Phys Sportsmed. 2023 Feb;51(1):33-39. doi: 10.1080/00913847.2021.1980745. Epub 2021 Sep 16.
Acromioclavicular joint (ACJ) injuries are among the most common injuries in contact and non-contact sports. As winter sports become more popular, there has been an increase in shoulder injuries among recreational skiers and snowboarders.
This was a retrospective analysis of all patients who presented to the Denver Health Winter Park Medical Center with ACJ injury from 2012 to 2017. We examined the incidence of ACJ injuries, the injury mechanism, demographics, and type of ACJ injuries among skiers and snowboarders treated at the clinic.
A total of 341 ACJ injuries (6.7% of total visits) were encountered during the study period. The majority of ACJ injures were type I (41.3%) and mainly occurred in men (86.5%). Most (96.8%) of the cases were primary ACJ injuries on the right shoulder (56.9%). The average age of patients with ACJ injuries was 30.0 years (range 10-72). More than half (62.2%) of ACJ injuries occurred while snowboarding. The most common mechanism of injury (93.5%) was fall to the snow while skiing/snowboarding. Women were more likely to have a type I ACJ injury than men (80.4% vs 35.4%; < 0.001). Women with ACJ injuries were more likely to suffer the injury while skiing than snowboarding (71.7% vs 28.3%; < 0.001), compared to men who were more likely to suffer the injury while snowboarding than skiing (67.5% vs 32.5%; < 0.001).
Most of the ACJ injuries were type I and occurred mostly in men. Snowboarders were more likely to have an ACJ injury than skiers.
Level IV, Epidemeiology Study.
肩锁关节（ACJ）损伤是接触性和非接触性运动中最常见的损伤之一。随着冬季运动的普及，休闲滑雪者和单板滑雪者的肩部受伤人数有所增加。
这是对 2012 年至 2017 年期间因 ACJ 损伤到丹佛健康冬季公园医疗中心就诊的所有患者进行的回顾性分析。我们检查了在诊所治疗的滑雪者和单板滑雪者的 ACJ 损伤发生率、损伤机制、人口统计学和 ACJ 损伤类型。
在研究期间共遇到 341 例 ACJ 损伤（占总就诊量的 6.7%）。大多数 ACJ 损伤为 I 型（41.3%），主要发生在男性（86.5%）。大多数（96.8%）的病例为右肩原发性 ACJ 损伤（56.9%）。ACJ 损伤患者的平均年龄为 30.0 岁（范围 10-72 岁）。超过一半（62.2%）的 ACJ 损伤发生在单板滑雪时。最常见的损伤机制（93.5%）是滑雪/单板滑雪时摔倒在雪地上。女性比男性更有可能发生 I 型 ACJ 损伤（80.4%比 35.4%；<0.001）。发生 ACJ 损伤的女性滑雪的可能性高于单板滑雪（71.7%比 28.3%；<0.001），而男性发生 ACJ 损伤的可能性则是单板滑雪高于滑雪（67.5%比 32.5%；<0.001）。
大多数 ACJ 损伤为 I 型，主要发生在男性。与滑雪者相比，单板滑雪者更有可能发生 ACJ 损伤。
IV 级，流行病学研究。
