Sports Medicine Institute, Hospital for Special Surgery Florida, West Palm Beach, Florida, USA.
Sports Medicine Institute, Hospital for Special Surgery, New York, New York, USA.
Am J Sports Med. 2022 Jul;50(9):2534-2541. doi: 10.1177/03635465221104490. Epub 2022 Jun 28.
Location, frequency, and severity of in-game injuries by defensive position played have never been determined in professional baseball players.
Catchers would have a higher frequency of hip and knee injuries; infielders and outfielders would have a higher frequency of general lower extremity injuries; and pitchers would have a higher frequency and severity of shoulder and elbow/forearm injuries.
Descriptive epidemiology study.
The Major League Baseball Health and Injury Tracking System database was queried for all injuries in Major League Baseball and Minor League Baseball during the 2011-2019 seasons. Injuries were stratified by the following variables: athlete's level of play at the time of injury, anatomic region injured, whether the injury occurred during a game, and position played at the time of injury (infielder, outfielder, catcher, or pitcher). Number of days missed from competition immediately after an injury was used as a surrogate for injury severity: mild (0 days missed), moderate (1-5 days), and severe (>5 days). Observed versus expected injury ratios were calculated for each anatomic region based on position played, and ratios were adjusted by the number of players per position type during a standard inning of play.
A total of 112,405 work-related injuries were reported, with the majority of injuries (86,520; 77%) occurring in Minor League Baseball athletes. Injuries to the leg, hand, shoulder, torso, and foot were the most common for athletes in both leagues, while hip/groin injuries were the least common. Catchers sustained the most in-game defensive head/neck injuries, while infielders and outfielders had the highest number of knee injuries. Starting and relief pitchers had the greatest total proportion of in-game defensive injuries across every other body region. Infielders and outfielders sustained injuries less frequently than expected across all body regions, while pitchers experienced more injuries than expected for all body parts. Catchers experienced more injuries than expected to the head/neck, hand, hip/groin, knee, and foot, and were more likely than other position players to sustain a knee injury that was categorized as severe based on time missed.
The location, severity, and frequency of injuries vary by defensive position among professional baseball players.
职业棒球运动员的场上位置、受伤频率和严重程度从未确定过。
接球手的臀部和膝盖受伤频率更高；内野手和外野手的下肢一般受伤频率更高；投手的肩部和肘部/前臂受伤频率和严重程度更高。
描述性流行病学研究。
查询 2011-2019 赛季美国职棒大联盟和小联盟所有伤病史据库中的所有伤病史。受伤情况按以下变量分层：受伤时运动员的比赛级别、受伤的解剖区域、受伤是否发生在比赛中以及受伤时的位置（内野手、外野手、接球手或投手）。受伤后立即错过比赛的天数被用作受伤严重程度的替代指标：轻度（0 天错过）、中度（1-5 天）和重度（>5 天）。根据所打的位置计算每个解剖区域的观察到的与预期的受伤比例，并根据每个标准局中每个位置类型的球员人数对比例进行调整。
共报告了 112405 例与工作相关的受伤，其中大多数（86520；77%）发生在小联盟运动员身上。联赛运动员中腿部、手部、肩部、躯干和脚部受伤最常见，而臀部/腹股沟受伤最少。接球手在比赛中头部/颈部受伤最多，而内野手和外野手膝盖受伤最多。首发投手和救援投手在每个其他身体部位的比赛中防守受伤比例最大。内野手和外野手在所有身体部位的受伤频率都低于预期，而投手的受伤频率高于所有身体部位的预期。接球手的头部/颈部、手部、臀部/腹股沟、膝盖和脚部受伤比预期更频繁，并且比其他位置球员更容易发生因错过比赛而被归类为严重的膝盖受伤。
职业棒球运动员的防守位置不同，受伤的位置、严重程度和频率也不同。
