Cianciarulo Eduardo Bracco, Vieira Tieslivi da Silva, Lara Paulo Henrique Schmidt, Belangero Paulo Santoro, Ejnisman Benno
Universidade Federal de São Paulo, Escola Paulista de Medicina, Centro de Traumatologia do Esporte, Sao Paulo, SP, Brazil.
Acta Ortop Bras. 2024 Oct 28;32(5):e279152. doi: 10.1590/1413-785220243205e279152. eCollection 2024.
To establish the epidemiological profile of shoulder injuries suffered by surfers, through the injury proportion rate, type, mechanism and/or severity, caused by surfing.
This systematic review was conducted and written in accordance with the guidelines for systematic reviews- PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses). The bibliographic research was carried out between January 2020 and January 2022 in journals indexed in the Web of Science, SPORTDiscus, PubMed, Scopus, Cochrane and Embase databases. Data were analyzed in RStudio, and the methodological quality of the studies was assessed.
Ten studies were included, all of which were retrospective in cross-sectional design and had an average methodological quality of 75%. The meta-analysis showed an injury incidence rate of 14.88%. Odds ratio analysis showed that injuries of joint origin are 7.26 times significantly higher in individuals with shoulder injuries, and injuries of bone origin and skin injuries had reduced odds of 70% and 89%, respectively. The most common mechanism of injury was the movement of paddling (57,68%), with the average prevalence of acute injuries being 31.53% and chronic injuries being 68.47%.
There was a scarcity and/or variation in the categorization of data regarding injuries in the shoulder region resulting from surfing, with injuries of joint and musculotendinous origin being frequent; and rowing, the most overloading factor.
通过冲浪造成的损伤比例、类型、机制和/或严重程度，建立冲浪者肩部损伤的流行病学概况。
本系统评价按照系统评价指南-PRISMA（系统评价和Meta分析的首选报告项目）进行撰写。2020年1月至2022年1月在科学网、SPORTDiscus、PubMed、Scopus、Cochrane和Embase数据库收录的期刊中进行文献研究。在RStudio中对数据进行分析，并评估研究的方法学质量。
纳入10项研究，均为横断面设计的回顾性研究，平均方法学质量为75%。Meta分析显示损伤发生率为14.88%。优势比分析表明，肩部损伤个体中关节源性损伤显著高7.26倍，骨源性损伤和皮肤损伤的优势比分别降低70%和89%。最常见的损伤机制是划水动作（57.68%），急性损伤的平均患病率为31.53%，慢性损伤为68.47%。
关于冲浪导致的肩部区域损伤的数据分类存在不足和/或差异，关节和肌肉肌腱源性损伤较为常见；划水是最主要的过载因素。
