Garlapaty Ashwin R, Jones Molly, Baumann John, Gunn Christian, Cook James L, DeFroda Steven F
University of Missouri School of Medicine, Columbia, MO, USA.
Department of Orthopaedic Surgery, University of Missouri, Columbia, MO, USA.
J Orthop. 2025 Jan 28;68:20-26. doi: 10.1016/j.jor.2025.01.033. eCollection 2025 Oct.
The purpose of this study is to determine the incidence and impact of distal biceps and triceps tendon injuries in the National Football League (NFL) from the 2009-10 to the 2022-23 seasons. This study explores the impact that player and injury characteristics have on injury risk, return-to-play, and player performance.
Data from the 2009-10 to the 2022-23 NFL seasons were analyzed for players with distal biceps or triceps tendon tears. Return-to-play (RTP) and performance metrics were recorded for each player during the season before and first two post-injury seasons. Data were analyzed to determine statistically significant differences in proportions using chi-square, Fisher's exact, or McNemar tests. Statistical significance was set at p < 0.05.
Fifty tendon ruptures (26 biceps, 24 triceps) were identified. Biceps injuries were more common in defensive players (73.1 %), while triceps injuries predominantly affected offensive players (58.3 %). Significant risk factors for biceps injuries included BMI ≥31 (p = 0.0008) and ≥4 seasons of experience (p = 0.031, OR = 2.7). Triceps injuries were associated with BMI ≥31 (p = 0.01), age ≥26 (p < 0.0001), and ≥4 seasons of experience (p = 0.006). RTP rates were 73.1 % for biceps and 70.8 % for triceps injuries. However, only 52.6 % and 41.2 % of players with biceps and triceps injuries, respectively, returned to pre-injury performance levels. Younger players (<26 years) and those with fewer years of experience (≤4 years) were more likely to achieve prior performance levels.
Distal biceps and triceps tendon injuries are typically season-ending for NFL players. Significant risk factors include BMI ≥31, ≥4 years of NFL experience, and game exposure, with age ≥26 being an additional risk factor for triceps tendon injuries. RTP rates exceed 70 %, indicating a strong potential for athletes to return to the NFL post-injury.
本研究旨在确定2009 - 10赛季至2022 - 23赛季美国国家橄榄球联盟（NFL）中肱二头肌远端和肱三头肌腱损伤的发生率及其影响。本研究探讨了球员和损伤特征对损伤风险、重返赛场及球员表现的影响。
对2009 - 10赛季至2022 - 23赛季NFL中肱二头肌远端或肱三头肌腱撕裂的球员数据进行分析。记录每位球员在受伤前赛季及受伤后的前两个赛季的重返赛场（RTP）情况和表现指标。使用卡方检验、费舍尔精确检验或 McNemar 检验分析数据，以确定比例上的统计学显著差异。统计学显著性设定为p < 0.05。
共确定了50例肌腱断裂（26例肱二头肌，24例肱三头肌）。肱二头肌损伤在防守球员中更为常见（73.1%），而肱三头肌损伤主要影响进攻球员（58.3%）。肱二头肌损伤的显著风险因素包括BMI≥31（p = 0.0008）和经验≥4个赛季（p = 0.031，OR = 2.7）。肱三头肌损伤与BMI≥31（p = 0.01）、年龄≥26岁（p < 0.0001）和经验≥4个赛季（p = 0.006）有关。肱二头肌损伤的重返赛场率为73.1%，肱三头肌损伤为70.8%。然而，肱二头肌和肱三头肌损伤的球员分别只有52.6%和41.2%恢复到受伤前的表现水平。年轻球员（<26岁）和经验较少（≤4年）的球员更有可能达到之前的表现水平。
肱二头肌远端和肱三头肌腱损伤通常会导致NFL球员赛季结束。显著风险因素包括BMI≥31、NFL经验≥4年和比赛场次，年龄≥26岁是肱三头肌腱损伤的额外风险因素。重返赛场率超过70%，表明运动员受伤后重返NFL的潜力很大。
