Tummala Sailesh V, Morikawa Landon, Brinkman Joseph C, Crijns Tom J, Vij Neeraj, Gill Vikram, Kile Todd A, Patel Karan, Chhabra Anikar
Department of Orthopaedic Surgery, Mayo Clinic, Phoenix, Arizona, USA.
John A Burns School of Medicine, Honolulu, Hawaii, USA.
Orthop J Sports Med. 2023 Jul 27;11(7):23259671231184459. doi: 10.1177/23259671231184459. eCollection 2023 Jul.
Ankle injuries are more common in the National Basketball Association (NBA) compared with other professional sports.
PURPOSE/HYPOTHESIS: The purpose of this study was to report the incidence and associated risk factors of ankle injuries in NBA athletes. It was hypothesized that factors associated with an increased physiologic burden, such as minutes per game (MPG), usage rate, and associated lower extremity injury, would be associated with increased ankle injury risk and time loss.
Descriptive epidemiology study.
Ankle injury data from the 2015-2016 through 2020-2021 NBA seasons were evaluated. The truncated 2019-2020 season due to the COVID-19 pandemic was omitted. The primary outcome was the incidence of ankle injuries, reported per 1000 game-exposures (GEs). Secondary analysis was performed to identify risk factors for ankle injuries through bivariate analysis and multivariable logistic regression of player demographic characteristics, performance statistics, injury characteristics, and previous lower extremity injuries. Factors influencing the time loss after injury were assessed via a negative binomial regression analysis.
A total of 554 ankle injuries (4.06 injuries per 1000 GEs) were sustained by NBA players over 5 NBA seasons, with sprain/strain the most common injury type (3.71 injuries per 1000 GEs). The majority of ankle injury events (55%) resulted in 2 to 10 game absences. The likelihood of sustaining an ankle injury was significantly associated with a greater number of games played ( = .029) and previous injury to the hip, hamstring, or quadriceps ( = .004). Increased length of absence due to ankle injury was associated with greater height ( = .019), MPG ( < .001), usage rate ( = .025), points per game ( = .011), and a prior history of foot ( = .003), ankle ( < .001), and knee injuries ( < .001).
The incidence of ankle injuries was 4.06 per 1000 GEs in professional basketball players. Games played and prior history of hip, hamstring, or quadriceps injuries were found to be risk factors for ankle injuries. Factors associated with physiologic burden such as MPG and usage rate were associated with an increased time loss after injury.
与其他职业体育项目相比，美国职业篮球联赛（NBA）中脚踝损伤更为常见。
目的/假设：本研究的目的是报告NBA运动员脚踝损伤的发生率及相关风险因素。研究假设与生理负担增加相关的因素，如场均比赛分钟数（MPG）、使用率以及相关的下肢损伤，将与脚踝损伤风险增加和停赛时间延长相关。
描述性流行病学研究。
评估了2015 - 2016赛季至2020 - 2021赛季NBA的脚踝损伤数据。因新冠疫情缩短的2019 - 2020赛季数据被排除。主要结果是脚踝损伤的发生率，以每1000场比赛暴露（GEs）报告。通过对球员人口统计学特征、表现统计数据、损伤特征和既往下肢损伤进行双变量分析和多变量逻辑回归，进行二次分析以确定脚踝损伤的风险因素。通过负二项回归分析评估影响损伤后停赛时间的因素。
在5个NBA赛季中，NBA球员共发生554例脚踝损伤（每1000场比赛暴露中有4.06例损伤），扭伤/拉伤是最常见的损伤类型（每1000场比赛暴露中有3.71例损伤）。大多数脚踝损伤事件（55%）导致缺席2至10场比赛。脚踝受伤的可能性与比赛场次增加（P = .029）以及既往髋部、腘绳肌或股四头肌损伤（P = .004）显著相关。因脚踝损伤导致的缺席时间延长与身高增加（P = .019）、场均比赛分钟数（P < .001）、使用率（P = .025）、场均得分（P = .011）以及既往足部（P = .003）、脚踝（P < .001）和膝盖损伤史（P < .001）相关。
职业篮球运动员脚踝损伤的发生率为每1000场比赛暴露4.06例。比赛场次以及既往髋部、腘绳肌或股四头肌损伤史被发现是脚踝损伤的风险因素。与生理负担相关的因素，如场均比赛分钟数和使用率，与损伤后停赛时间延长相关。
