Datalys Center for Sports Injury Research and Prevention, Indianapolis, Indiana.
Michigan Concussion Center, University of Michigan, Ann Arbor, Michigan.
Clin J Sport Med. 2024 Sep 1;34(5):444-453. doi: 10.1097/JSM.0000000000001240. Epub 2024 Jun 19.
To describe the epidemiology of hamstring tears in National Collegiate Athletic Association (NCAA) sports.
Descriptive epidemiology study. Athletic trainers from NCAA schools reported injuries to the NCAA Injury Surveillance Program.
A convenience sample of NCAA hamstring tear injuries during the 2014/2015 through 2018/2019 academic years.
NCAA student-athletes.
Sport, sex, event type, season segment, injury history, and activity at the time of injury.
Injury counts, rates, and proportions were used.
Two thousand ninety-six hamstring tears from 8 474 400 athlete-exposures (AEs) were reported (2.47 per 10 000 AEs). Rates were highest in Men's Soccer (5.97 per 10 000 AEs) and Women's Soccer (3.13 per 10 000 AEs), among all Men's and Women's sports, respectively. Competition-related rates in Men's and Women's sports were highest in 2015 to 2016 then followed a decreasing pattern across the remainder of the study period. Among sex-comparable sports, rates were higher in men's (compared with women's) Baseball/Softball, Soccer, and Track and Field. The prevalence of recurrent injuries was comparable among men's (14.8%) and women's (11.5%) sports. Time loss hamstring tears were more prevalent in Men's sports than Women's sports [injury proportion ratio = 1.33; 95% confidence interval, (1.21, 1.47)].
Overall, hamstring tear rates were higher across all Men's sports compared with Women's sports. Rates across event type were comparable in several sports; and so, adjustments to practice are needed considering that practice environments are more modifiable than competitions. Indeed, improving hamstring tear prevention programs to reduce the burden of this injury in NCAA athletes remains critical.
描述全美大学生体育协会（NCAA）运动项目中腘绳肌撕裂的流行病学情况。
描述性流行病学研究。来自 NCAA 学校的运动训练员向 NCAA 损伤监测计划报告损伤情况。
2014/2015 学年至 2018/2019 学年 NCAA 腘绳肌撕裂的便利样本。
NCAA 运动员。
运动项目、性别、事件类型、赛季阶段、受伤史以及受伤时的活动情况。
使用损伤计数、发生率和比例。
报告了 2096 例来自 8474400 次运动员暴露（AE）的腘绳肌撕裂（每 10000AE 2.47 例）。男子足球（5.97 例/10000AE）和女子足球（3.13 例/10000AE）的发生率最高，分别在所有男子和女子运动项目中。男子和女子运动项目中与比赛相关的发生率在 2015 年至 2016 年最高，随后在研究期间呈下降趋势。在可比性别运动项目中，棒球/垒球、足球和田径运动中男子的发生率（与女子相比）更高。男子（14.8%）和女子（11.5%）运动项目中复发性损伤的患病率相当。男子运动项目中需要较长时间恢复的腘绳肌撕裂比女子运动项目更为常见[损伤比例比=1.33；95%置信区间（1.21，1.47）]。
总体而言，与女子运动项目相比，所有男子运动项目的腘绳肌撕裂发生率都更高。几种运动项目中各种事件类型的发生率相当；因此，需要调整练习方案，因为练习环境比比赛更具可变性。事实上，改善腘绳肌撕裂预防计划以减少 NCAA 运动员的这种损伤负担仍然至关重要。
