Koehne Niklas H, Locke Auston R, Yendluri Avanish, Schwartz Luke B, Namiri Nikan K, Li Xinning, Galatz Leesa M, Parsons Bradford O, Kelly John D, Parisien Robert L
Department of Orthopaedic Surgery, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Department of Orthopaedic Surgery, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
J Shoulder Elbow Surg. 2025 Apr;34(4):955-961. doi: 10.1016/j.jse.2024.07.040. Epub 2024 Sep 17.
Basketball-related shoulder dislocations frequently present to emergency departments in the US. This study aimed to identify the primary mechanisms, distributions, and trends of these injuries.
All data were extracted from the National Electronic Injury Surveillance System, a public database representing approximately 100 US emergency departments. National Electronic Injury Surveillance System was queried for all basketball-related injuries and shoulder dislocations from January 1, 2013 to December 31, 2022. Clinical narratives were used to assign injury mechanisms and the presence of player contact.
Between 2013 and 2022, 52,417 basketball-related shoulder dislocations were reported. A total of 30.9% of all basketball-related shoulder injuries were dislocations and 30.5% of all joint dislocations occurred at the shoulder. Basketball-related shoulder dislocations decreased significantly from 2013 to 2022 (P < .001). From 2019 to 2020, a 31.0% decrease was identified. The most common mechanism of shoulder dislocation was falling (36.9%). Males accounted for 92.5% of all shoulder dislocations. However, females were significantly more likely than males to dislocate their shoulders from player contact (15.5% of female dislocations vs. 10.0% of male dislocations, P < .001). Only 0.2% of all dislocations resulted in hospitalization. A total of 10.4% of dislocations resulted from contact with another player. Compared to other age groups, young adults (43.3%) and adolescents (42.7%) presented with the majority of shoulder dislocations. Children were more likely to dislocate their shoulder from sustaining a direct blow (25.5%), while all other age groups were more likely to have fallen. Children were also the most likely to sustain a dislocation involving player contact (23.9%).
Basketball-related shoulder dislocations decreased significantly from 2013 to 2022. Females and children were significantly more likely to present with a dislocation by sustaining player contact. Across all demographics, teaching athletes how to break their falls safely may decrease rates of dislocation by minimizing impacts on a posteriorly outstretched arm.
在美国，与篮球相关的肩部脱位经常出现在急诊科。本研究旨在确定这些损伤的主要机制、分布情况和趋势。
所有数据均从国家电子伤害监测系统提取，该公共数据库代表了约100家美国急诊科。查询国家电子伤害监测系统中2013年1月1日至2022年12月31日期间所有与篮球相关的损伤和肩部脱位情况。利用临床记录来确定损伤机制和球员接触情况。
2013年至2022年期间，共报告了52417例与篮球相关的肩部脱位。在所有与篮球相关的肩部损伤中，共有30.9%为脱位，在所有关节脱位中，30.5%发生在肩部。2013年至2022年期间，与篮球相关的肩部脱位显著减少（P <.001）。2019年至2020年期间，发现减少了31.0%。肩部脱位最常见的机制是跌倒（36.9%）。所有肩部脱位中，男性占92.5%。然而，女性因球员接触导致肩部脱位的可能性显著高于男性（女性脱位的15.5% vs.男性脱位的10.0%，P <.001）。所有脱位中只有0.2%导致住院治疗。共有10.4%的脱位是与另一名球员接触所致。与其他年龄组相比，年轻人（43.3%）和青少年（42.7%）出现的肩部脱位最多。儿童因直接受击导致肩部脱位的可能性更大（25.5%），而所有其他年龄组因跌倒导致脱位的可能性更大。儿童也是最有可能因球员接触而发生脱位的（23.9%）。
2013年至2022年期间，与篮球相关的肩部脱位显著减少。女性和儿童因球员接触而出现脱位的可能性显著更高。在所有人群中，如果教会运动员如何安全地缓冲跌倒冲击力，通过尽量减少对后伸手臂的影响，可能会降低脱位发生率。
