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冲浪运动损伤的流行病学:澳大利亚一中心十年临床研究

The epidemiology of surfing injuries in a major Australian Centre - A ten year clinical audit.

机构信息

Gold Coast University Hospital, Australia.

Gold Coast University Hospital, Australia.

出版信息

Injury. 2022 Jun;53(6):1887-1892. doi: 10.1016/j.injury.2022.03.045. Epub 2022 Mar 30.

DOI:10.1016/j.injury.2022.03.045
PMID:35459545
Abstract

INTRODUCTION

Australia is one of the largest surfing nations with over 10% of the population participating; yet there is a paucity of literature analysing the injuries from surfing participation, particularly injuries requiring orthopaedic care. This study retrospectively analyses surfing injuries presenting to a tertiary hospital Emergency Department over a ten-year period with aims of quantifying surfing injuries and investigating injury characteristics requiring orthopaedic input.

METHODS

A retrospective clinical audit of presentations to Gold Coast Public Hospital Emergency Departments over a ten-year period was conducted using electronic hospital databases. Broad search teams were used to identify presentations, followed by exclusion based on relevance. Subsequent analysis of data was performed to investigate patient demographics and injury characteristics.

RESULTS

A total of 2680 surfing related injury presentations were analysed. The median age was 30 years (range 2-77), with 455 females (17%) and 2225 males (83%). Lacerations were the most common injury type (37.9%), followed by ligament injury (21.3%), fractures (12.2%), and contusions (11.4%). The most common areas for lacerations were head/face (59.2%), lower limb (30%), and upper limb (26.5%). Dislocation rate was 4.9%, with shoulder dislocation (76.5%), and patella dislocation (12.1%) being the most common types. 1512 presentations (56.4%) required orthopaedic management. 93.5% did not require admission and were discharged.

CONCLUSION

Over half (56.4%) of surfing injuries were orthopaedic in nature; requiring orthopaedic advice or management. Lacerations, ligament injury, fractures and dislocations were the most commonly managed injuries. This emphasises the importance of understanding the prevalence and characteristics of surfing injuries for an orthopaedic service.

摘要

简介

澳大利亚是世界上最大的冲浪国家之一,有超过 10%的人口参与冲浪;然而,关于冲浪运动相关损伤的文献却很少,特别是需要骨科治疗的损伤。本研究回顾性分析了 10 年来在一家三级医院急诊科就诊的冲浪损伤患者,旨在量化冲浪损伤,并调查需要骨科干预的损伤特征。

方法

使用电子医院数据库对过去 10 年黄金海岸公立医院急诊科就诊的冲浪损伤患者进行回顾性临床审核。使用广泛的搜索团队来识别就诊患者,然后根据相关性进行排除。随后对数据进行分析,以调查患者的人口统计学和损伤特征。

结果

共分析了 2680 例与冲浪相关的损伤就诊病例。中位年龄为 30 岁(范围 2-77 岁),女性 455 例(17%),男性 2225 例(83%)。撕裂伤是最常见的损伤类型(37.9%),其次是韧带损伤(21.3%)、骨折(12.2%)和挫伤(11.4%)。撕裂伤最常见的部位是头部/面部(59.2%)、下肢(30%)和上肢(26.5%)。脱位率为 4.9%,其中肩脱位(76.5%)和髌骨脱位(12.1%)最为常见。1512 例(56.4%)就诊病例需要骨科治疗。93.5%的患者无需住院,予以出院。

结论

超过一半(56.4%)的冲浪损伤为骨科性质;需要骨科建议或治疗。撕裂伤、韧带损伤、骨折和脱位是最常见的处理损伤。这强调了了解骨科服务中冲浪损伤的流行程度和特征的重要性。

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