Mor Amit, Devgan Ashish, Bhakhar Anurag, Yadav Umesh, Paul Nirvin, Yadav Arvind
Department of Orthopaedics, Pt. B. D. Dharma PGIMS, Rohtak, India.
Department of Trauma Surgery, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, 249203, India.
J Clin Orthop Trauma. 2025 Mar 7;64:102958. doi: 10.1016/j.jcot.2025.102958. eCollection 2025 May.
Our study aims to investigate injury patterns and treatment results in sports-related knee and shoulder injuries among athletes from Haryana, the most prominent state in the contribution of Olympic medals for India.
A cross-sectional prospective observational study was conducted in a tertiary referral centre. Over five years, from May 2018 to June 2023, 920 participants were included in our study.
Most injuries (59.90 %) occurred between the ages of 16 and 20. Men (62.60 %) outnumbered women (37.40 %). On average, the individuals weighed 68.57 ± 13.65 kg, stood 1.57 ± 0.11 m tall, and had a BMI of 25.75 ± 4.81 kg/m2. Kabaddi players, most commonly injured athletes (42.60 %), followed by wrestling (31.30 %). Most athletes were professional, with 35.43 % competing at the national level, while 33.26 % competed at the state level. The average delay in presentation was 14.28 ± 8.12 months. Most injuries occurred during competitive matches (61.30 %), rest during practice. Contact injuries accounted for 31.41 % of cases, while non-contact injuries accounted for 54.02 % of all injuries. Only knee and shoulder injuries were considered, accounting for 77.28 % and 22.72 % of all injuries. Most observed injuries were ACL rupture (60.76 %), followed by meniscal tears (54.45 %) and collateral ligament injuries (26.96 %). 424 patients treated conservatively, whereas 53.9 % cases underwent arthroscopic/open surgical procedures. 74.13 % of athletes returned to competitive sports after their injury of which 38.71 % returned to the previous level of activity. The duration of time lost to injury ranged from 4 to 60 months (average 10.58 ± 4.74). Return to sports was significantly affected by the athletes' gender, BMI, level of competitiveness, and management modality (p-value <0.01 each).
Limiting the frequency, severity, and amount of time missed in sports while enabling athletes to return virtually to their pre-injury activity level should continue to be the primary goal of injury prevention.
我们的研究旨在调查哈里亚纳邦运动员与运动相关的膝部和肩部损伤的损伤模式及治疗结果，哈里亚纳邦是印度在奥运奖牌贡献方面最突出的邦。
在一家三级转诊中心进行了一项横断面前瞻性观察研究。从2018年5月至2023年6月的五年间，920名参与者纳入我们的研究。
大多数损伤（59.90%）发生在16至20岁之间。男性（62.60%）人数多于女性（37.40%）。平均而言，个体体重为68.57±13.65千克，身高1.57±0.11米，体重指数为25.75±4.81千克/平方米。卡巴迪运动员是最常受伤的运动员（42.60%），其次是摔跤运动员（31.30%）。大多数运动员是职业运动员，35.43%在国家级比赛，而33.26%在州级比赛。就诊的平均延迟时间为14.28±8.12个月。大多数损伤发生在比赛期间（61.30%），训练时休息。接触性损伤占病例的31.41%，而非接触性损伤占所有损伤的54.02%。仅考虑膝部和肩部损伤，分别占所有损伤的77.28%和22.72%。观察到的大多数损伤为前交叉韧带断裂（60.76%），其次是半月板撕裂（54.45%）和侧副韧带损伤（26.96%）。424例患者接受保守治疗，而53.9%的病例接受了关节镜/开放手术。74.13%的运动员受伤后重返竞技运动，其中38.71%恢复到之前的活动水平。受伤导致的失能时间为4至60个月（平均10.58±4.74）。运动员的性别、体重指数、竞争水平和治疗方式对重返运动有显著影响（每项p值<0.01）。
在使运动员能够几乎恢复到受伤前活动水平的同时，限制运动中受伤的频率、严重程度和错过的时间量，应继续是预防损伤的主要目标。
