美国国家冰球联盟跟腱断裂后的结局:一项回顾性体育数据库研究

Outcomes Following Achilles Tendon Ruptures in the National Hockey League: A Retrospective Sports Database Study.

作者信息

Lezak Bradley A, Butler James J, Phadke Rohan, Mercer Nathaniel P, Krebsbach Sebastian, von Treuheim Theodor Di Pauli, Tham Alexander, Rosenbaum Andrew J, Kennedy John G

机构信息

Foot and Ankle Division, Department of Orthopaedic Surgery, NYU Langone Health, New York City, NY 10002, USA.

Albany Medical Center, Albany, NY 12208, USA.

出版信息

J Clin Med. 2025 Aug 4;14(15):5471. doi: 10.3390/jcm14155471.

Abstract

The purpose of this study was to evaluate Achilles tendon ruptures (ATR) in NHL players and the effects on return to play and player performance metrics. The incidence, mechanism of injury, management strategy, return to play (RTP), and post-injury were assessed from official online sports databases. : A retrospective review of NHL players who sustained a partial or complete tear of the Achilles tendon from 2008 to 2024 was performed. Data were collected from NHL injury databases and media reports, and included player demographics, injury mechanism, treatment, and post-injury performance metrics. A Wilcoxon signed rank test was used to compare pre-injury and post-injury performance metrics, with significance set at < 0.05. Here, 15 NHL players with a mean age of 27.8 years were identified, with a prevalence rate of 0.125 injuries per 10,000 athletic exposures. Overall, 73.3% of ATRs were non-contact in nature, with 60.0% of ATRs occurring during off-season training. Fourteen players were managed with non-operative treatment, with no re-ruptures reported. The RTP rate was 93.3%, with players missing a mean number of 45.7 games. However, there was a deterioration in post-injury performance metrics, including games played per season, plus/minus rating, and time on ice per game post-injury. : This study found that Achilles tendon ruptures are an uncommon injury in NHL players, with a prevalence rate of 0.125 injuries per 10,000 athletic exposures. A high RTP rate of 93.3% was observed in this cohort. However, there was a deterioration in post-injury performance metrics, including games played per season, plus/minus rating, and time on ice per game post-injury, highlighting the potential devastating sequelae of ATRs in elite NHL athletes.

摘要

本研究的目的是评估国家冰球联盟(NHL)球员的跟腱断裂情况以及对其重返赛场和球员表现指标的影响。从官方在线体育数据库评估了发病率、损伤机制、管理策略、重返赛场情况以及伤后情况。对2008年至2024年期间发生跟腱部分或完全撕裂的NHL球员进行了回顾性研究。数据从NHL损伤数据库和媒体报道中收集,包括球员人口统计学信息、损伤机制、治疗方法以及伤后表现指标。采用Wilcoxon符号秩检验比较伤前和伤后的表现指标,显著性设定为<0.05。在此研究中,确定了15名平均年龄为27.8岁的NHL球员,每10000次运动暴露的患病率为0.125次损伤。总体而言,73.3%的跟腱断裂为非接触性损伤,60.0%的跟腱断裂发生在休赛期训练期间。14名球员接受了非手术治疗,未报告再次断裂情况。重返赛场率为93.3%,球员平均缺阵45.7场比赛。然而,伤后表现指标有所恶化,包括每个赛季参加的比赛场次、正负值评分以及伤后每场比赛的上场时间。本研究发现,跟腱断裂在NHL球员中是一种罕见的损伤,每10000次运动暴露的患病率为0.125次损伤。在该队列中观察到较高的重返赛场率,为93.3%。然而,伤后表现指标有所恶化,包括每个赛季参加的比赛场次、正负值评分以及伤后每场比赛的上场时间,这突出了跟腱断裂在精英NHL运动员中可能产生的毁灭性后遗症。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d110/12347230/96c76e96f772/jcm-14-05471-g001.jpg

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