Chun Alex G, Snyder Eli M, Obana Kyle K, Ashinsky Beth G, Parisien Robert L, Bottiglieri Thomas S, Ahmad Christopher S, Trofa David P
John A. Burns School of Medicine, University of Hawaii, Honolulu, Hawaii, U.S.A.
Department of Orthopaedics, New York Presbyterian, Columbia University Irving Medical Center, New York, New York, U.S.A.
Arthrosc Sports Med Rehabil. 2025 Apr 1;7(3):101140. doi: 10.1016/j.asmr.2025.101140. eCollection 2025 Jun.
To examine lower extremity youth soccer injuries presenting to US emergency departments.
Data from the National Electronic Injury Surveillance System were analyzed for soccer players ≤18 years old sustaining lower extremity injuries from January 2013 to December 2022. Patient data collected included age, sex, mechanism of injury, setting (practice vs game), diagnosis, lower extremity injury, and disposition. Raw data were used to calculate national estimates (NEs) based on the assigned statistical sample weight of each hospital.
A total of 503,169 lower extremity injuries were diagnosed in US emergency departments (57.2% male; 42.8% female). On average, there was a decrease in 3,124 injuries per year from 2013 to 2022 (95% confidence interval, -5,324 to -925; = .01) and 2,384 per year from 2013 to 2022 excluding 2020 (95% confidence interval, -3,452 to -1,315; < .01). The ankle (NE = 196,592; 39.1%), knee (NE = 147,364; 29.3%), and foot (NE = 58,999; 11.7%) were the most commonly injured. The most common mechanisms of injury were not specified (NE = 188,653; 37.5%), ankle roll (NE = 71,992; 14.3%), and player-to-ground (NE = 581,90; 11.6%). The three most common diagnoses were strain/sprain (NE = 247,274; 49.1%), other/not stated (NE = 91,355; 18.2%), and contusion/abrasion (NE = 74,552; 14.8%).
Youth lower extremity soccer injuries presenting to US emergency departments decreased from 2013 to 2022. Sex-specific analyses showed that there were significant differences in proportions of injuries between male and female participants for mechanism, diagnoses, and body parts injured.
This study provides insight into the epidemiology of lower extremity youth soccer injuries presenting to US emergency departments over a 10-year period.
研究美国急诊科收治的青少年足球运动员下肢损伤情况。
分析了国家电子伤害监测系统中2013年1月至2022年12月期间18岁及以下足球运动员下肢损伤的数据。收集的患者数据包括年龄、性别、损伤机制、场景（训练与比赛）、诊断、下肢损伤情况及处置方式。原始数据用于根据各医院分配的统计样本权重计算全国估计数（NE）。
美国急诊科共诊断出503,169例下肢损伤（男性占57.2%；女性占42.8%）。2013年至2022年期间，平均每年损伤减少3,124例（95%置信区间，-5,324至-925；P = 0.01），2013年至2022年（不包括2020年）平均每年减少2,384例（95%置信区间，-3,452至-1,315；P < 0.01）。踝关节（NE = 196,592；39.1%）、膝关节（NE = 147,364；29.3%）和足部（NE = 58,999；11.7%）是最常受伤的部位。最常见的损伤机制未明确说明（NE = 188,653；37.5%）、踝关节扭伤（NE = 71,992；14.3%）和球员倒地（NE = 58,190；11.6%）。最常见的三种诊断为拉伤/扭伤（NE = 247,274；49.1%）、其他/未提及（NE = 91,355；18.2%）和挫伤/擦伤（NE = 74,552；14.8%）。
2013年至2022年期间，美国急诊科收治的青少年足球运动员下肢损伤有所减少。按性别分析显示，男性和女性参与者在损伤机制、诊断及受伤身体部位的比例上存在显著差异。
本研究为美国急诊科10年间收治的青少年足球运动员下肢损伤的流行病学提供了见解。
