West Stephen W, Hudson Sam J, Starling Lindsay, Cross Matthew, Williams Sean, McKay Carly D, Cazzola Dario, Brooks John H M, Murray Rory, Williams Andy, Kemp Simon P T, Stokes Keith A
Centre for Health, and Injury and Illness Prevention in Sport, University of Bath, Bath, UK
UK Collaborating Centre on Injury and Illness Prevention in Sport, University of Bath, Bath, UK.
Br J Sports Med. 2024 Dec 18;58(24):1496-1504. doi: 10.1136/bjsports-2024-108639.
To determine the rates, severity and burden of knee injuries in professional male rugby union from the English Premiership.
Injury and exposure data were captured over 20 seasons using a prospective cohort design. Knee injury incidence, days' absence and burden were recorded for each injury type and by pitch surface type for match and training.
The rate of knee injury in matches was 9.8/1000 hours (95% CIs 9.3-10.3). Mean days lost were 50 (95% CI 46 to 53) in matches and 51 (95% CI 44 to 57) in training. In matches, medial collateral ligament injuries were the most common, while anterior cruciate ligament (ACL) injuries had the highest mean severity and burden. There was no significant change in the count of knee injuries over time; however, average severity increased significantly (annual change: 2.18 days (95% CI 1.60 to 2.77); p<0.001). The incidence of match knee injury was 44% higher on artificial pitches than grass pitches (incidence rate ratio: 1.44 (95% CI 1.21 to 1.69); p<0.01), with no significant difference in severity between surfaces. In matches, the tackle was the event most commonly associated with knee injuries for all diagnoses, except ACL injuries (running). In training, running was a more common injury event than the tackle.
Knee injuries in matches are common and severe in English professional men's rugby union. Despite an increased focus on player conditioning and injury prevention throughout the study period, rates of knee injury remained stable, and resulting days' absence increased. New strategies for the prevention of knee injuries should be considered a priority.
确定英格兰超级联赛职业男子英式橄榄球联盟中膝关节损伤的发生率、严重程度和负担。
采用前瞻性队列设计，收集了20个赛季的损伤和暴露数据。记录了每种损伤类型以及比赛和训练中按场地表面类型划分的膝关节损伤发生率、缺勤天数和负担。
比赛中膝关节损伤发生率为9.8/1000小时（95%可信区间9.3 - 10.3）。比赛中的平均缺勤天数为50天（95%可信区间46至53天），训练中的平均缺勤天数为51天（95%可信区间44至57天）。在比赛中，内侧副韧带损伤最为常见，而前交叉韧带（ACL）损伤的平均严重程度和负担最高。随着时间的推移，膝关节损伤数量没有显著变化；然而，平均严重程度显著增加（年度变化：2.18天（95%可信区间1.60至2.77）；p<0.001）。人工草皮上比赛膝关节损伤的发生率比天然草皮高44%（发生率比：1.44（95%可信区间1.21至1.69）；p<0.01），不同场地表面的严重程度没有显著差异。在比赛中，对于所有诊断，除了ACL损伤（跑步）外，擒抱是最常与膝关节损伤相关的事件。在训练中，跑步是比擒抱更常见的损伤事件。
在英格兰职业男子英式橄榄球联盟中，比赛中的膝关节损伤常见且严重。尽管在整个研究期间对运动员体能训练和损伤预防的关注有所增加，但膝关节损伤发生率保持稳定，且由此导致的缺勤天数增加。应优先考虑预防膝关节损伤的新策略。
