女子长曲棍球头部和肌肉骨骼损伤的机制与趋势：对国家损伤数据的15年回顾

Mechanisms and Trends in Women's Lacrosse Head and Musculoskeletal Injuries: A 15-Year Review of National Injury Data.

作者信息

Yendluri Avanish, Nietsch Katrina S, Namiri Nikan K, Gonsalves Grant, Corvi John J, Herrera Joseph, Nowinski Christopher J, Parisien Robert L

机构信息

Department of Orthopaedic Surgery, Icahn School of Medicine at Mount Sinai, New York, NY.

Department of Rehabilitation and Human Performance, Icahn School of Medicine at Mount Sinai, New York, NY.

出版信息

Sports Health. 2024 Oct 18:19417381241287520. doi: 10.1177/19417381241287520.

DOI:10.1177/19417381241287520

PMID:39422595

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11556560/

Abstract

BACKGROUND

Head injury rates in lacrosse may be higher among women compared with men. Understanding these trends can guide appropriate injury prevention for female athletes.

HYPOTHESES

Injuries most commonly involve the head, with no significant decline over the study period; contact with other players would be the most common injury mechanism.

STUDY DESIGN

Descriptive epidemiological.

LEVEL OF EVIDENCE

Level 3.

METHODS

The National Electronic Injury Surveillance System (NEISS) was queried (January 1, 2008 to December 31, 2022) for women's lacrosse injuries presenting to United States (US) emergency departments (EDs). Patient demographics, injury diagnosis, body part injured, disposition, and clinical narrative were extracted. The provided narrative identified the mechanism of injury. Linear regression analysis assessed trends over time.

RESULTS

An estimated 57,635 women's lacrosse injuries occurred during the study period extrapolated from 1899 evaluated NEISS cases. The mean age was 15.81 ± 5.35 years, with 68.3% of injuries sustained by high school (14- to 18-year-old) players. Over one-third of all injuries were to the head (national estimate [NE], 19,358; 33.6%), followed by the ankle (NE, 10,475; 18.2%), then the knee (NE, 6969; 12.1%). Strain/sprains were most common (NE, 19,402; 33.7%) followed by closed head injury (CHI)/sports-related concussion (SRC) (NE, 11,794; 20.5%) and contusion/abrasion (NE, 10,605; 18.4%). ED presentations of CHIs/SRCs and fractures remained elevated with no significant decline over the study period ( 0.05), despite a significant decrease in strains/sprains and contusions/abrasions ( < 0.01 and = 0.01, respectively). The most common injury mechanism was collision/contact with another player (NE, 10,664; 18.5%).

CONCLUSION

An estimated one-third of women's lacrosse players in the study sample had a head injury. CHIs and SRCs accounted for 20.5% of all injuries.

CLINICAL RELEVANCE

Given the high proportion of contact-related head injuries, headgear mandates and improved player safety protocols may be warranted.

摘要

背景

与男性相比，女子长曲棍球运动中的头部受伤率可能更高。了解这些趋势可为女性运动员制定适当的 injury prevention措施。

假设

injuries最常累及头部，在研究期间无显著下降；与其他球员的contact是最常见的损伤机制。

研究设计

描述性流行病学。

证据水平

3级。

方法

查询国家电子 injury surveillance系统（NEISS）（2008年1月1日至2022年12月31日），以获取前往美国急诊科（ED）的女子长曲棍球injuries信息。提取患者人口统计学信息、损伤诊断、受伤身体部位、处置情况和临床记录。提供的记录确定了损伤机制。线性回归分析评估随时间的趋势。

结果

根据1899例评估的NEISS病例推断，研究期间估计发生了57,635例女子长曲棍球injuries。平均年龄为15.81±5.35岁，68.3%的injuries由高中（14至18岁）球员遭受。所有injuries中超过三分之一累及头部（全国估计数[NE]，19,358；33.6%），其次是脚踝（NE，10,475；18.2%），然后是膝盖（NE，6969；12.1%）。拉伤/扭伤最为常见（NE，19,402；33.7%），其次是闭合性头部损伤（CHI）/与运动相关的脑震荡（SRC）（NE，11,794；20.5%）和挫伤/擦伤（NE，10,605；18.4%）。尽管拉伤/扭伤和挫伤/擦伤显著减少（分别为<0.01和=0.01），但研究期间CHI/SRC和骨折的ED就诊率仍居高不下，无显著下降（P>0.05）。最常见的损伤机制是与另一名球员碰撞/接触（NE，10,664；18.5%）。