篮球运动员前交叉韧带损伤和踝关节扭伤的发病率：一项系统评价和荟萃分析。

The incidence rate of ACL injuries and ankle sprains in basketball players: A systematic review and meta-analysis.

作者信息

Stojanović Emilija, Faude Oliver, Nikić Miloš, Scanlan Aaron T, Radovanović Dragan, Jakovljević Vladimir

机构信息

Department of Physiology, Faculty of Medical Sciences, University of Kragujevac, Kragujevac, Serbia.

Department of Sport, Exercise and Health, University of Basel, Basel, Switzerland.

出版信息

Scand J Med Sci Sports. 2023 Jun;33(6):790-813. doi: 10.1111/sms.14328. Epub 2023 Feb 19.

DOI:10.1111/sms.14328

PMID:36752659

Abstract

OBJECTIVE

To quantify the incidence rate of anterior cruciate ligament (ACL) injuries and ankle sprains according to player sex, playing level, and exposure setting (training vs. games) in basketball players.

METHODS

PubMed, MEDLINE, Google Scholar, and ScienceDirect were searched. Only studies reporting the number of ACL injuries and/or ankle sprains alongside the number of athlete-exposures (training sessions and/or games) in basketball players were included.

RESULTS

Thirty studies (17 reporting ACL injuries and 16 reporting ankle sprains) were included in the meta-analysis. Higher (p < 0.05) ACL injury incidence rates per 1000 athlete-exposures were recorded in females (female: 0.20 95% confidence intervals [0.16-0.25]; male: 0.07 [0.05-0.08]; female-to-male ratio: 3.33 [3.10-3.57]), in players competing at higher playing levels (amateur: 0.06 [0.04-0.09]; intermediate: 0.16 [0.13-0.20]; elite: 0.25 [0.14-0.64]), and in games (games: female, 0.27 [0.21-0.32]; male, 0.06 [0.03-0.08]; training: female, 0.03 [0.02-0.05]; male: 0.01 [0.00-0.02]; game-to-training ratio: 7.90 [4.88-12.91]). Higher (p < 0.05) ankle sprain incidence rates per 1000 athlete-exposures were observed in males (female: 0.82 [0.61-1.03]; male: 0.90 [0.61-1.19]; female-to-male ratio: 0.91 [0.83-0.99]), in players competing at higher playing levels (amateur: 0.54 [0.51-0.57]; intermediate: 1.12 [1.00-1.24]; elite: 1.87 [1.29-2.46]), and in games (games: 2.51 [1.85-3.16]; training: 0.80 [0.52-0.80]; game-to-training ratio: 2.77 [2.35-3.26]).

CONCLUSION

According to player sex, ACL injury incidence rate is higher in females, while ankle sprain incidence rate is greater in males. ACL injury and ankle sprain incidence rates are greater in players competing at higher playing levels and during games compared to training.

摘要

目的

根据篮球运动员的性别、比赛水平和暴露环境（训练与比赛），对前交叉韧带（ACL）损伤和踝关节扭伤的发生率进行量化。

方法

检索了PubMed、MEDLINE、谷歌学术和科学Direct数据库。纳入的研究仅报告了篮球运动员中ACL损伤和/或踝关节扭伤的数量以及运动员暴露次数（训练课程和/或比赛）。

结果

荟萃分析纳入了30项研究（17项报告ACL损伤，16项报告踝关节扭伤）。每1000次运动员暴露中，女性的ACL损伤发生率更高（女性：0.20，95%置信区间[0.16 - 0.25]；男性：0.07[0.05 - 0.08]；女性与男性比例：3.33[3.10 - 3.57]），比赛水平较高的运动员中发生率更高（业余：0.06[0.04 - 0.09]；中级：0.16[0.13 - 0.20]；精英：0.25[0.14 - 0.64]），比赛中发生率更高（比赛：女性，0.27[0.21 - 0.32]；男性，0.06[0.03 - 0.08]；训练：女性，0.03[0.02 - 0.05]；男性：0.01[0.00 - 0.02]；比赛与训练比例：7.90[4.88 - 12.91]）。每1000次运动员暴露中，男性的踝关节扭伤发生率更高（女性：0.82[0.61 - 1.03]；男性：0.90[0.61 - 1.19]；女性与男性比例：0.91[0.83 - 0.99]），比赛水平较高的运动员中发生率更高（业余：0.54[0.51 - 0.57]；中级：1.12[1.00 - 1.24]；精英：1.87[1.29 - 2.46]），比赛中发生率更高（比赛：2.51[1.85 - 3.16]；训练：0.80[0.52 - 0.80]；比赛与训练比例：2.77[2.35 - 3.26]）。