Department of Physical Therapy and Athletic Training, Doisy College of Health Sciences, Saint Louis University, St. Louis, MO 63104, USA.
Sport Injury Prevention Research Centre, Faculty of Kinesiology, University of Calgary, Calgary, AB T2N 1N4, Canada.
Int J Environ Res Public Health. 2021 Sep 8;18(18):9480. doi: 10.3390/ijerph18189480.
This study aimed at evaluating the burden and risk factors of patellar and Achilles tendinopathy among youth basketball players. Patellar and Achilles tendinopathy were prospectively monitored in 515 eligible male and female youth basketball players (11-18 years) through a competitive season. Overall, the season prevalence of patellar tendinopathy was 19.0% (95% CI: 15.7-22.7%), 23.2% (95% CI: 18.6-28.2%) in males and 12.5% (95% CI: 8.3-17.9%) in females. The season prevalence of Achilles tendinopathy was 4.3% (95% CI: 2.7-6.4%), 4.1% (95% CI: 2.2-7.0%) in males and 4.5% (95% CI: 2.1-8.4%) in females. Median proportion of symptoms duration was 83% of average total weeks of basketball exposure for patellar tendinopathy and 75% for Achilles tendinopathy. Median time to patellar tendinopathy onset was 8 weeks for male players and 6 weeks for female players. Higher odds of patellar tendinopathy risk were seen in males (OR: 2.23, 95% CI: 1.10-4.69) and players with previous anterior knee pain had significantly elevated odds (OR: 8.5, 95% CI: 4.58-16.89). The burden and risk of patellar tendinopathy is high among competitive youth basketball players. Risk factors include sex and previous anterior knee pain. These findings provide directions for practice and future research.
本研究旨在评估青少年篮球运动员髌腱和跟腱病的负担和危险因素。通过一个竞技赛季，前瞻性监测了 515 名符合条件的男性和女性青少年篮球运动员（11-18 岁）的髌腱和跟腱病。总体而言，髌腱病的赛季患病率为 19.0%（95%CI：15.7-22.7%），男性为 23.2%（95%CI：18.6-28.2%），女性为 12.5%（95%CI：8.3-17.9%）。跟腱病的赛季患病率为 4.3%（95%CI：2.7-6.4%），男性为 4.1%（95%CI：2.2-7.0%），女性为 4.5%（95%CI：2.1-8.4%）。髌腱病症状持续时间中位数为平均篮球暴露总周数的 83%，跟腱病为 75%。髌腱病发病中位时间为男性 8 周，女性 6 周。男性髌腱病发病风险较高（OR：2.23，95%CI：1.10-4.69），有前膝痛史的运动员发病风险显著升高（OR：8.5，95%CI：4.58-16.89）。竞技青少年篮球运动员髌腱病负担和风险较高。危险因素包括性别和前膝痛。这些发现为实践和未来研究提供了方向。
