Braaten Jacob A, Banovetz Mark T, Braaten Marco C, Kennedy Nicholas I, LaPrade Robert F
University of Minnesota Medical School, Minneapolis, Minnesota, U.S.A.
Creighton University School of Medicine, Omaha, Nebraska, U.S.A.
Arthrosc Sports Med Rehabil. 2023 Jul 26;5(5):100781. doi: 10.1016/j.asmr.2023.100781. eCollection 2023 Oct.
To quantitatively determine whether there is an added risk of orthopaedic injury attributable to the collision forces that athletes participating in collision-contact (CC) sports regularly encounter.
The National Electronic Injury Surveillance System was used to collect data on patients presenting to an emergency department with a contact sports-related injury between 2014 and 2020. Select contact sports were classified as either belonging to a CC or noncollision-contact (NCC) sports group based on involvement of frequent and intentional player-to-player collisions.
From 2014 to 2020, 25,784 patients with team-based sports related injuries presented to an emergency department, of whom 7,591 sustained an injury during a CC sport and 18,193 during a NCC sport. The CC group was associated with significantly increased odds of sustaining at least 1 fracture (odds ratio [OR] 1.4, 95% confidence interval [CI] 1.35-1.52) ( < .001), dislocation (OR 1.2, 95 % CI 1.06-1.33) ( < .001), and being admitted into the hospital (OR 1.6, 95% CI 1.34-1.86) ( < .001), compared with the NCC group.
We found that frequent and intentional high-energy collisions associated with CC sports significantly increase the risk of sustaining fractures and dislocations. Furthermore, we found that that the injuries sustained by players engaging in CC sports required hospitalization at a significantly greater rate than those sustained in contact sports that do not involve frequent and intentional player-to-player collisions.
Level III, prognostic (retrospective cohort study).
定量确定参与碰撞接触（CC）运动的运动员经常遇到的碰撞力是否会增加骨科损伤的风险。
利用国家电子伤害监测系统收集2014年至2020年期间因接触性运动相关损伤到急诊科就诊的患者数据。根据是否频繁且有意发生运动员之间的碰撞，将选定的接触性运动分为CC运动组或非碰撞接触（NCC）运动组。
2014年至2020年期间，有25784名因团队运动相关损伤到急诊科就诊的患者，其中7591人在CC运动中受伤，18193人在NCC运动中受伤。与NCC组相比，CC组发生至少1处骨折（优势比[OR]1.4，95%置信区间[CI]1.35 - 1.52）（P <.001）、脱位（OR 1.2，95% CI 1.06 - 1.33）（P <.001）以及住院（OR 1.6，95% CI 1.34 - 1.86）（P <.001）的几率显著增加。
我们发现与CC运动相关的频繁且有意的高能碰撞会显著增加骨折和脱位的风险。此外，我们发现参与CC运动的运动员所受损伤需要住院治疗的比例明显高于那些参与不涉及频繁且有意运动员之间碰撞的接触性运动的运动员。
三级，预后性（回顾性队列研究）。
