高中橄榄球和足球不同比赛场地前交叉韧带损伤的流行病学比较
Epidemiological Comparison of ACL Injuries on Different Playing Surfaces in High School Football and Soccer.
作者信息
Ngatuvai Micah S, Yang Jingzhen, Kistamgari Sandhya, Collins Christy L, Smith Gary A
机构信息
Center for Injury Research and Policy, Abigail Wexner Research Institute at Nationwide Children's Hospital, Columbus, Ohio, USA.
Nova Southeastern University, Dr. Kiran C. Patel College of Allopathic Medicine, Davie, Florida, USA.
出版信息
Orthop J Sports Med. 2022 May 5;10(5):23259671221092321. doi: 10.1177/23259671221092321. eCollection 2022 May.
BACKGROUND
Anterior cruciate ligament (ACL) injuries are among the most common serious injuries to athletes in the United States. Among high school sports, the highest rates of ACL injury occur in soccer and football.
PURPOSE
To compare ACL injuries on artificial turf and natural grass using a nationally representative sample of high school athletes participating in football and boys' and girls' soccer.
STUDY DESIGN
Descriptive epidemiology study.
METHODS
ACL injuries among high school athletes participating in football and soccer were obtained from the High School Reporting Information Online surveillance system during the 2007-08 through 2018-19 school years. National estimates and injury proportion ratios (IPRs) with 95% CIs were calculated for ACL injuries that occurred on artificial turf versus natural grass.
RESULTS
A total of 1039 ACL injuries were reported, which represented an estimated 389,320 (95% CI, 358,010-420,630) injuries nationally. There were 74,620 estimated football-related ACL injuries on artificial turf and 122,654 on natural grass. Likewise, 71,877 of the estimated soccer-related ACL injuries occurred on artificial turf and 104,028 on natural grass. A contact-injury mechanism accounted for 50.2% of football-related ACL injuries on artificial turf and 60.8% on natural grass. For soccer-related ACL injuries, a noncontact mechanism predominated on artificial turf (61.5%) and natural grass (66.4%). Among all injuries, ACL injuries were more likely to occur on artificial turf than natural grass in both football (IPR, 1.23 [95% CI, 1.03-1.47]) and girls' soccer (IPR, 1.53 [95% CI, 1.08-2.16]); however, no significant association was found in boys' soccer (IPR, 1.65 [95% CI, 0.99-2.75]). Among lower extremity injuries, ACL injuries were more likely to occur on artificial turf than natural grass in both boys' soccer (IPR, 1.72 [95% CI, 1.03-2.85]) and girls' soccer (IPR, 1.61 [95% CI, 1.14-2.26]); however, the association was not significant in football (IPR, 1.17 [95% CI, 0.98-1.39]).
CONCLUSION
ACL injuries were more likely to occur (ie, had larger IPRs) on artificial turf than natural grass; however, this relationship was not statistically significant for all sports.
背景
在美国，前交叉韧带（ACL）损伤是运动员中最常见的严重损伤之一。在高中体育项目中，ACL损伤发生率最高的是足球和橄榄球。
目的
使用全国具有代表性的参加橄榄球、男子足球和女子足球的高中运动员样本，比较人工草皮和天然草皮上的ACL损伤情况。
研究设计
描述性流行病学研究。
方法
通过高中在线报告信息监测系统获取2007 - 2008学年至2018 - 2019学年参加橄榄球和足球的高中运动员的ACL损伤情况。计算人工草皮与天然草皮上发生的ACL损伤的全国估计数和损伤比例比（IPR）及95%置信区间。
结果
共报告了1039例ACL损伤，全国估计有389320例（95%置信区间，358010 - 420630）损伤。人工草皮上估计有74620例与橄榄球相关的ACL损伤，天然草皮上有122654例。同样，人工草皮上估计有71877例与足球相关的ACL损伤，天然草皮上有104028例。接触性损伤机制占人工草皮上与橄榄球相关的ACL损伤的50.2%，天然草皮上的占60.8%。对于与足球相关的ACL损伤，非接触机制在人工草皮（61.5%）和天然草皮（66.4%）上占主导。在所有损伤中，橄榄球（IPR，1.23 [95%置信区间，1.03 - 1.47]）和女子足球（IPR，1.53 [95%置信区间，1.08 - 2.16]）中，ACL损伤在人工草皮上比天然草皮上更易发生；然而，在男子足球中未发现显著关联（IPR，1.65 [95%置信区间，0.99 - 2.75]）。在下肢损伤中，男子足球（IPR，1.72 [95%置信区间，1.03 - 2.85]）和女子足球（IPR，1.61 [95%置信区间，1.14 - 2.26]）中，ACL损伤在人工草皮上比天然草皮上更易发生；然而，在橄榄球中该关联不显著（IPR，1.17 [95%置信区间，0.98 - 1.39]）。
结论
ACL损伤在人工草皮上比天然草皮上更易发生（即IPR更大）；然而，这种关系在所有运动中并非都具有统计学意义。
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