Ladehoff Lauren C, Kuruvilla Davis, Coughlin Emily, Mhaskar Rahul, Remaley D Trey
Morsani College of Medicine, University of South Florida, Tampa, Florida, USA.
Department of Medical Education, University of South Florida, Tampa, Florida, USA.
Orthop J Sports Med. 2024 Sep 6;12(9):23259671241259481. doi: 10.1177/23259671241259481. eCollection 2024 Sep.
American football is the most popular sport in the United States, with over 5.6 million people >6 years old playing the sport. Fractures in American football athletes are significant, as they compromise an athlete's performance and can also lead to prolonged recovery periods, affecting team dynamics and player careers. Analyzing these injuries is critical to evaluate preventive measures and tailor rehabilitation strategies to ensure the well-being and sustained peak performance of football athletes on and off the field.
To analyze the trend of American football fractures by body site, sex, and age in amateur athletes over a 20-year period between 2002 and 2021.
Descriptive epidemiology study.
The National Electronic Injury Surveillance System (NEISS) database was queried to characterize football-related fractures and injuries from 2002 to 2021 in patients aged 0-99 years old. National injury estimates were calculated using sample weights. Chi-square analysis and one-way ANOVA were performed to compare categorical variables.
Of 56,809 cases of American football-related fractures over 20 years, patients aged 10 to 14 years had the highest incidence of fractures, composing 41.2% of all fractures (n = 23,389), and patients aged <18 years represented 88.8% of all fractures (n = 50,457). The median age of players when fractures occurred was 13 years. Upper extremity fractures (n = 41,863 [73.7%]) were the most common fracture reported compared with lower extremity and head, neck, and trunk fractures. Among upper extremity fractures, finger fractures had the highest prevalence (35.6%), followed by lower arm fractures (19.9%) and wrist fractures (13%). While most cases resulted in release after treatment (93.1%), 5.9% resulted in treatment and hospitalization. When analyzing trends in American football-related fractures over time, we observed the largest number of fractures in 2006 (n = 3664), while the smallest number of fractures occurred in 2020 (n = 1313). Also, a downward trend was found in American football-related fractures since 2006, with a mean of 101 fewer fractures each year.
Our analysis showed that American football-related fractures diagnosed in the emergency department in the United States were most likely to occur in pediatric patients (10-18 years old). In addition, patients experiencing American football-related fractures were most likely to have an upper extremity fracture and not require hospitalization. The trend in American football-related fractures has been decreasing since 2006.
美式橄榄球是美国最受欢迎的运动，超过560万6岁以上的人参与这项运动。美式橄榄球运动员骨折问题严重，因为这会影响运动员的表现，还可能导致康复期延长，影响球队动态和球员职业生涯。分析这些损伤对于评估预防措施和制定康复策略至关重要，以确保橄榄球运动员在场上和场下的健康及持续的最佳表现。
分析2002年至2021年20年间业余运动员美式橄榄球骨折按身体部位、性别和年龄的趋势。
描述性流行病学研究。
查询国家电子伤害监测系统（NEISS）数据库，以描述2002年至2021年0至99岁患者与橄榄球相关的骨折和损伤情况。使用样本权重计算全国伤害估计数。进行卡方分析和单因素方差分析以比较分类变量。
在20年里的56809例与美式橄榄球相关的骨折病例中，10至14岁的患者骨折发生率最高，占所有骨折的41.2%（n = 23389），18岁以下的患者占所有骨折的88.8%（n = 50457）。骨折发生时运动员的中位年龄为13岁。与下肢、头部、颈部和躯干骨折相比，上肢骨折（n = 41863 [73.7%]）是报告中最常见的骨折类型。在上肢骨折中，手指骨折患病率最高（35.6%），其次是前臂骨折（19.9%）和腕部骨折（13%）。虽然大多数病例经治疗后出院（93.1%），但5.9%的病例需要治疗并住院。在分析与美式橄榄球相关骨折随时间的趋势时，我们观察到2006年骨折数量最多（n = 3664），而2020年骨折数量最少（n = 1313）。此外，自2006年以来，与美式橄榄球相关的骨折呈下降趋势，平均每年减少101例骨折。
我们的分析表明，在美国急诊科诊断的与美式橄榄球相关的骨折最有可能发生在儿科患者（10至18岁）中。此外，与美式橄榄球相关骨折的患者最有可能发生上肢骨折且无需住院。自2006年以来，与美式橄榄球相关的骨折趋势一直在下降。
