Chandran Avinash, Moffit Reagan E, DeJong Lempke Alexandra F, Boltz Adrian J, Alexander Andrew S, Robison Hannah J, Kerr Zachary Yukio, Collins Christy L, Wikstrom Erik A
Datalys Center for Sports Injury Research and Prevention, Indianapolis, Indiana, USA.
Division of Sports Medicine, Boston Children's Hospital, Boston, Massachusetts, USA.
Am J Sports Med. 2023 Jan;51(1):169-178. doi: 10.1177/03635465221138281.
Epidemiological studies of lateral ankle sprains in NCAA sports are important in appraising the burden of this injury and informing prevention efforts.
To describe the epidemiology of lateral ankle sprains in NCAA sports during the 2014-15 through 2018-19 seasons.
Descriptive epidemiology study.
Injury and exposure information collected within the NCAA Injury Surveillance Program (ISP) were examined. Counts, rates, and proportions of lateral ankle sprains were used to describe injury incidence by sport, event type (practices, competitions), season segment (preseason, regular season, postseason), injury mechanism (player contact, noncontact, and surface contact, injury history (new, recurrent), and time loss (time loss [≥1 day], non-time loss). Injury rate ratios (IRRs) were used to examine differential injury rates, and injury proportion ratios (IPRs) were used to examine differential distributions.
A total of 3910 lateral ankle sprains were reported (4.61 per 10,000 athlete exposures) during the study period, and the overall rate was highest in men's basketball (11.82 per 10,000 athlete exposures). The competition-related injury rate was higher than the practice-related rate (IRR, 3.24; 95% CI, 3.04-3.45), and across season segments, the overall rate was highest in preseason (4.99 per 10,000 athlete exposures). Lateral ankle sprains were most often attributed to player-contact mechanisms in men's (43.2%) and women's sports (35.1%), although injuries were more prevalently attributed to player contact in men's than in women's sports (IPR, 1.23; 95% CI, 1.13-1.34). Overall, 49.7% of all lateral ankle sprains were time loss injuries.
The findings of this study are consistent with previous epidemiological investigations of lateral ankle sprains among NCAA athletes. Results offer additional context on differential injury mechanisms between men's and women's sports and on injury risk across the competitive season. Future research may examine the effectiveness of deploying injury prevention programs before the start of a season.
美国大学体育协会（NCAA）体育赛事中外侧踝关节扭伤的流行病学研究对于评估该损伤的负担以及为预防工作提供信息至关重要。
描述2014 - 15赛季至2018 - 19赛季NCAA体育赛事中外侧踝关节扭伤的流行病学情况。
描述性流行病学研究。
对NCAA损伤监测项目（ISP）收集的损伤和暴露信息进行检查。外侧踝关节扭伤的计数、发生率和比例用于按运动项目、赛事类型（训练、比赛）、赛季阶段（季前赛、常规赛、季后赛）、损伤机制（运动员接触、非接触、与地面接触）、损伤史（新伤、复发伤）以及失能时间（失能时间[≥1天]、非失能时间）来描述损伤发生率。损伤率比（IRR）用于检查不同的损伤率，损伤比例比（IPR）用于检查不同的分布情况。
在研究期间共报告了3910例外侧踝关节扭伤（每10000名运动员暴露中有4.61例），总体发生率在男子篮球项目中最高（每10000名运动员暴露中有11.82例）。与比赛相关的损伤率高于与训练相关的损伤率（IRR，3.24；95%置信区间，3.04 - 3.45），在各个赛季阶段中，总体发生率在季前赛最高（每10000名运动员暴露中有4.99例）。外侧踝关节扭伤在男子（43.2%）和女子体育项目（35.1%）中最常归因于运动员接触机制，尽管男子体育项目中损伤归因于运动员接触的比例高于女子体育项目（IPR，1.23；95%置信区间，1.13 - 1.34）。总体而言，所有外侧踝关节扭伤中有49.7%为失能时间损伤。
本研究的结果与先前关于NCAA运动员外侧踝关节扭伤的流行病学调查一致。研究结果为男子和女子体育项目之间不同的损伤机制以及整个比赛赛季的损伤风险提供了更多背景信息。未来的研究可以考察在赛季开始前部署损伤预防计划的有效性。
