Quinn Matthew, Painter David F, Ahn Benjamin J, Byrne Rory A, Testa Edward J, Albright Alex, Tabaddor Ramin R, DeFroda Steven F
Department of Orthopaedic Surgery, The Warren Alpert Medical School of Brown University, Providence, Rhode Island, U.S.A.
Warren Alpert Medical School of Brown University, Providence, Rhode Island, U.S.A.
Arthrosc Sports Med Rehabil. 2024 May 24;6(4):100954. doi: 10.1016/j.asmr.2024.100954. eCollection 2024 Aug.
To characterize the epidemiology, mechanism (contact vs noncontact), management, and return-to-play (RTP) times for quarterbacks in the National Football League (NFL) who experienced ulnar collateral ligament (UCL) injuries.
Using the Pro Sports Transactions Archive, NFL quarterbacks who sustained UCL injuries between 1991 and 2023 were identified. Age at time of injury, mechanism of injury (contact vs noncontact), management strategy, and RTP time were recorded. In addition, player performance metrics including games played, quarterback rating, completion percentage, touchdowns, and interceptions were examined for the season before injury through the second season after injury. Player performance analysis was assessed using principal component analysis, which is a dimensionality reduction statistical method that compresses the several performance metrics into a single value, the first principal component.
A total of 21 injuries in 20 players were identified. The mean age of quarterbacks at time of injury was 28.7 years (± 4.6 years standard deviation). Ten injuries occurred during contact with another player, and 11 injuries were noncontact. Most (n = 13) of UCL injuries were managed nonoperatively. Sixteen players achieved RTP, 4 of whom underwent repair or reconstruction (UCLR). Overall, the mean RTP time was 165.6 days (± 178.8 days standard deviation), but players who underwent UCLR had a longer average RTP time (359.0 days vs 98.25 days, = .014). Injuries sustained after 2006 were associated with improved postinjury performance ( = .041), but older age at time of injury was associated with diminished postinjury performance ( = .048).
NFL quarterbacks sustain more noncontact UCL injuries and are undergoing UCLR at greater rates than previously reported. Although RTP rates are high and players demonstrate improved postinjury performance for injuries sustained after 2006, older age at the time of injury is associated with worse postinjury performance.
Level IV, therapeutic case series.
描述美国国家橄榄球联盟（NFL）中经历尺侧副韧带（UCL）损伤的四分卫的流行病学特征、损伤机制（接触性与非接触性）、治疗方法以及重返赛场（RTP）时间。
利用职业体育交易档案，确定了1991年至2023年间遭受UCL损伤的NFL四分卫。记录受伤时的年龄、损伤机制（接触性与非接触性）、治疗策略和RTP时间。此外，还检查了受伤前一个赛季至受伤后第二个赛季的球员表现指标，包括比赛场次、四分卫评分、完成率、达阵次数和抄截次数。使用主成分分析评估球员表现分析，主成分分析是一种降维统计方法，将多个表现指标压缩为一个单一值，即第一主成分。
共确定了20名球员的21处损伤。四分卫受伤时的平均年龄为28.7岁（标准差±4.6岁）。10处损伤发生在与另一名球员接触时，11处损伤为非接触性。大多数（n = 13）UCL损伤采用非手术治疗。16名球员实现了RTP，其中4人接受了修复或重建（UCLR）。总体而言，平均RTP时间为165.6天（标准差±178.8天），但接受UCLR的球员平均RTP时间更长（359.0天对98.25天，P = .014）。2006年后受伤与受伤后表现改善相关（P = .041），但受伤时年龄较大与受伤后表现下降相关（P = .048）。
NFL四分卫遭受的非接触性UCL损伤比以前报道的更多，并且接受UCLR的比例更高。尽管RTP率很高，并且2006年后受伤的球员受伤后表现有所改善，但受伤时年龄较大与受伤后表现较差相关。
IV级，治疗性病例系列。
