Department of Emergency Medicine, University Hospital, Bern, Switzerland.
PLoS One. 2023 Feb 3;18(2):e0268912. doi: 10.1371/journal.pone.0268912. eCollection 2023.
This study was carried out to identify the frequency and types of injuries in adult ice hockey, in order to better understand injury patterns and identify potential areas for injury prevention.
We conducted a retrospective database review of acute injuries reported in ice hockey in patients presenting to a Level-1 adult Emergency Centre in Switzerland. Patients between January 1, 2013 and December 31, 2019 and over 16 years of age were identified in our computerised patient database. Each consultation was reviewed to derive information on demographics, playing level and the features of the injury, including location, type, mechanism and consequences. Different age groups were compared, as were amateur and professional players. A statistical analysis was performed.
A total of 230 patients were identified. The most common diagnoses were fracture (28.3%), contusion/abrasion (23.9%), laceration (12.6%) and concussion (10.4%). The most commonly affected body parts were the face (31.3%), the shoulder/clavicle (13.0%) and the head (12.2%). Most lesions were caused by player-player contact (37.4%), contact with the puck (24.3%) and falls (10.9%). In comparison to the younger cohorts, patients >36 years of age more frequently suffered injuries caused by falls, (p < 0.001) and were less frequently injured by player-player contact (p = 0.01813). In amateur players, significantly more injuries were caused by stick contact (OR 0, 95% CI (0.00-0.83), p = 0.02) and surgery was more rarely performed (OR 2.35, 95% CI 0.98-5.46, p = 0.04).
Injuries continue to play a major role in ice hockey, especially in the face and due to player-player contact. Future investigations should focus on player-player contact and possible effective preventive measures. Players must be encouraged to employ face protection and to wear a mouth guard at all times.
本研究旨在确定成人冰球运动中损伤的频率和类型，以便更好地了解损伤模式并确定潜在的预防损伤区域。
我们对瑞士一家 1 级成人急救中心收治的报告为急性损伤的冰球患者进行了回顾性数据库研究。在我们的计算机化患者数据库中，确定了 2013 年 1 月 1 日至 2019 年 12 月 31 日期间 16 岁以上的患者。每位就诊患者的信息均通过回顾性分析得出，包括人口统计学特征、运动水平以及损伤的特征，包括损伤的位置、类型、机制和后果。对不同年龄段、业余和专业运动员进行了比较。并进行了统计学分析。
共确定了 230 名患者。最常见的诊断是骨折（28.3%）、挫伤/擦伤（23.9%）、撕裂伤（12.6%）和脑震荡（10.4%）。最常受伤的部位是面部（31.3%）、肩部/锁骨（13.0%）和头部（12.2%）。大多数损伤是由球员之间的接触（37.4%）、与冰球的接触（24.3%）和摔倒（10.9%）引起的。与年轻组相比，年龄>36 岁的患者更常因摔倒受伤（p<0.001），而因球员之间的接触受伤的频率较低（p=0.01813）。在业余运动员中，明显更多的损伤是由球杆接触引起的（OR 0，95%CI（0.00-0.83），p=0.02），手术治疗的比例也较低（OR 2.35，95%CI 0.98-5.46，p=0.04）。
损伤在冰球运动中仍占很大比例，尤其是在面部和由于球员之间的接触。未来的研究应集中在球员之间的接触和可能的有效预防措施上。必须鼓励运动员始终佩戴面部保护装置和护齿器。
