Chan Jimmy J, Xiao Ryan C, Hasija Rohit, Huang Hsin-Hui, Kim Jaehon M
Leni and Peter W. May Department of Orthopaedic Surgery, Icahn School of Medicine at Mount Sinai, New York, NY.
Institute for Healthcare Delivery Science, Department of Population Health Science and Policy, Icahn School of Medicine at Mount Sinai, New York, NY.
J Hand Surg Am. 2023 Mar;48(3):307.e1-307.e7. doi: 10.1016/j.jhsa.2021.10.011. Epub 2021 Dec 8.
Hand and wrist injuries are common among competitive athletes and can have a substantial impact on playing time and future participation. The purpose of this study was to provide epidemiological data from the National Collegiate Athletic Association Injury Surveillance Program to correlate injury diagnosis with the need for surgery and time loss.
Using the National Collegiate Athletic Association Injury Surveillance Program, this retrospective study extracted data of hand and wrist injuries for all 25 National Collegiate Athletic Association sports from the academic years 2004-2005 to 2013-2014. The "severe" category was defined as injuries resulting in the following: (1) surgery, (2) season-ending status, or (3) more than 30 days of playing time loss. The epidemiologic data included injury rate per 100,000 athlete exposures (defined as 1 athlete participating in 1 practice or competition) based on diagnoses and demographic information such as sports and sex. We used a Poisson regression model to estimate the incidence rate and 95% confidence interval.
Overall, 4,851 hand injuries were identified, with an injury rate of 41.2 per 100,000 athlete exposures. The most common diagnoses were metacarpal or phalangeal fractures (19.9%), lacerations or contusions (15.4%), and wrist sprains (14.7%). The surgical rate was 9.6%, and the season-ending rate was 5.8%. Severe injuries occurred in 17.5% of the hand and wrist injuries; within this subset, the most common diagnoses included metacarpal or phalangeal fractures (43.8%), scaphoid fractures (12.8%), and thumb ulnar collateral ligament tears (8.7%). Scaphoid fractures and metacarpal or phalangeal fractures had the highest surgical rate and season-ending rate among all the injuries.
The injury rate of hand and wrist injuries is comparable with those of other common sports injuries. Approximately one fifth of the injuries were considered severe, which led to a high surgical rate, and these had a considerable impact on the athletes' ability to finish the season.
TYPE OF STUDY/LEVEL OF EVIDENCE: Outcome research level II.
手部和腕部损伤在竞技运动员中很常见，会对比赛时间和未来参赛产生重大影响。本研究的目的是提供美国国家大学体育协会损伤监测项目的流行病学数据，以关联损伤诊断与手术需求及时间损失情况。
利用美国国家大学体育协会损伤监测项目，这项回顾性研究提取了2004 - 2005学年至2013 - 2014学年期间25项美国国家大学体育协会运动项目中所有手部和腕部损伤的数据。“严重”类别定义为导致以下情况的损伤：（1）手术，（2）赛季结束状态，或（3）超过30天的比赛时间损失。流行病学数据包括基于诊断以及运动项目和性别等人口统计学信息的每100,000名运动员暴露的损伤率（定义为1名运动员参加1次训练或比赛）。我们使用泊松回归模型来估计发病率和95%置信区间。
总体而言，共识别出4851例手部损伤，每100,000名运动员暴露的损伤率为41.2。最常见的诊断为掌骨或指骨骨折（19.9%）、撕裂伤或挫伤（15.4%）以及腕部扭伤（14.7%）。手术率为9.6%，赛季结束率为5.8%。17.5%的手部和腕部损伤为严重损伤；在这个子集中，最常见的诊断包括掌骨或指骨骨折（43.8%）、舟骨骨折（12.8%）以及拇指尺侧副韧带撕裂（8.7%）。在所有损伤中，舟骨骨折以及掌骨或指骨骨折的手术率和赛季结束率最高。
手部和腕部损伤的发生率与其他常见运动损伤相当。约五分之一的损伤被认为是严重的，这导致了较高的手术率，并且这些损伤对运动员完成赛季的能力有相当大的影响。
研究类型/证据水平：结果研究II级。
