Harte Daniel, Deehan Daniel, Ramsey Lucia, Martin Suzanne, Slater Paul, Wilson Lynn
Southern Health and Social Care Trust, Portadown, UK.
Ulster University, Derry-Londerry Campus, UK.
BMJ Open Sport Exerc Med. 2024 Jun 28;10(2):e001974. doi: 10.1136/bmjsem-2024-001974. eCollection 2024.
Gaelic football requires ball handling, such as bouncing, fist passing and catching. To date, no research has examined the types of injuries sustained to the hand in this sport. This study aims to establish the types of orthopaedic hand injuries sustained in Gaelic football.
This was a retrospective descriptive epidemiology study of Gaelic football-related hand injuries treated at a hand therapy unit. The nature of injuries was categorised along with collated variables on player demographics and injury profiles. Potential correlations between injury and continuous demographic data were analysed using the Mann-Whitney U and Kruskal-Wallis tests. Pearson's χ test was used for categorical data (p<0.05).
287 referrals were identified. Most players were men (n=189; 65.9%), and the average age was 17 (IQR 14-25). Most fractures were to the volar base of the middle phalanx (n=110; 42.8%). Significant differences were found between the age of male and female players with fractures under 18 (p<0.05), the distribution of left and right-hand fractures by age (p<0.05), the distribution of fractures by bone type (p<0.05) and also between sex and affected ray (p<0.05), bone type (p<0.05) and mechanism of injury (p=0.05).
This study established the types of musculoskeletal hand injuries sustained by players in Gaelic football. Considering developmental, anthropometric and rule differences between male and female players across the age range may explain variations in injuries. This data can help devise injury prevention and management strategies for Gaelic football.
盖尔式足球需要进行诸如击球、用拳传球和接球等控球动作。迄今为止，尚无研究调查过这项运动中手部所受损伤的类型。本研究旨在确定盖尔式足球运动中手部遭受的骨科损伤类型。
这是一项对在手部治疗单元接受治疗的与盖尔式足球相关的手部损伤进行的回顾性描述性流行病学研究。损伤的性质与整理后的球员人口统计学和损伤情况变量一同进行分类。使用曼-惠特尼U检验和克鲁斯卡尔-沃利斯检验分析损伤与连续人口统计学数据之间的潜在相关性。分类数据采用Pearson卡方检验（p<0.05）。
共确定了287例转诊病例。大多数球员为男性（n=189；65.9%），平均年龄为17岁（四分位距14 - 25岁）。大多数骨折发生在中节指骨掌侧基部（n=110；42.8%）。18岁以下骨折的男性和女性球员年龄之间（p<0.05）、按年龄划分的左手和右手骨折分布（p<0.05）、按骨类型划分的骨折分布（p<0.05）以及性别与受累射线之间（p<0.05）、骨类型之间（p<0.05）和损伤机制之间（p=0.05）均存在显著差异。
本研究确定了盖尔式足球运动员手部遭受的肌肉骨骼损伤类型。考虑到不同年龄段男女球员在发育、人体测量学和规则方面的差异，可能解释了损伤的差异。这些数据有助于制定盖尔式足球的损伤预防和管理策略。
