Ramey Matthew D, Swaminathan Srivatsan J, Locke Auston R, Koehne Niklas H, Schroen Christoph A, Swaminathan Visweshwar G, Corvi John J, Capotosto Salvatore, Cagle Paul J, Hausman Michael R
Oakland University William Beaumont School of Medicine, 586 Pioneer Dr, Rochester, MI 48309, USA.
Icahn School of Medicine at Mount Sinai, 1 Gustave L. Levy Pl, New York, NY 10029, USA.
J Clin Med. 2025 Sep 2;14(17):6208. doi: 10.3390/jcm14176208.
Across many sports, injuries to the upper extremity (UE) are prevalent due to falls on an outstretched hand (FOOSH) and overuse. This retrospective analysis aimed to characterize sports-related UE injuries in the United States (US) over the past decade, examining injury frequency, affected body part, diagnosis, and hospital disposition across age, sex, and sport. The National Electronic Injury Surveillance System (NEISS) was queried for sports injuries presented to US emergency departments (EDs) from 1 January 2014 to 31 December 2023. Patient demographics, injury site, diagnosis, and disposition were recorded. Annual injury trends were evaluated by linear regression. All statistical analysis was conducted using SPSS (version 30.0) software. There were 1,330,108 nationally estimated (NE) UE sports injuries (47,371 NEISS Cases) that were presented to US EDs from 2014 to 2023. Linear regression revealed a significant decrease in annual injuries across the study period (β = -0.63, R = 0.40 = 0.05). For many sports, including football, basketball, soccer, baseball, softball, wrestling, volleyball, hockey, and rugby, rates of UE injury decreased significantly during the study period. Fractures were the predominant diagnosis across all age groups, observed among 99.3% of patients. Football was the most common sport associated with UE injury in elementary to high school-age children, with basketball becoming more common in patients from 19 to 50 years old. Tennis-related injuries were the most common for patients above 50 years old. Across all sports, the most commonly injured body parts were fingers (33.5%), wrists (20.3%), and lower arms (17.3%). Notably, shoulder injuries accounted for 99.1% of all wrestling cases and 71.5% of all lacrosse injuries included in this study. Sports-related UE injuries decreased significantly from 2014 to 2023, with notable declines during the COVID-19 pandemic. The injuries included in this study varied depending on sport, age, and sex, allowing for the recommendation of specific interventions. While few injuries led to hospitalization, those that did typically involved lower arm injuries; further efforts to reduce these injuries will reduce the burden placed on US hospitals.
在许多运动中，上肢（UE）受伤很常见，原因是伸手撑地摔倒（FOOSH）和过度使用。这项回顾性分析旨在描述过去十年美国与运动相关的上肢损伤情况，研究损伤频率、受影响的身体部位、诊断以及不同年龄、性别和运动项目的医院处置情况。查询了国家电子伤害监测系统（NEISS）中2014年1月1日至2023年12月31日期间美国急诊科收治的运动损伤病例。记录了患者的人口统计学信息、损伤部位、诊断和处置情况。通过线性回归评估年度损伤趋势。所有统计分析均使用SPSS（版本30.0）软件进行。2014年至2023年期间，美国急诊科共收治了全国估计为1330108例上肢运动损伤（47371例NEISS病例）。线性回归显示，在研究期间年度损伤显著减少（β = -0.63，R = 0.40，P = 0.05）。对于许多运动项目，包括足球、篮球、足球、棒球、垒球、摔跤、排球、曲棍球和橄榄球，在研究期间上肢损伤率显著下降。骨折是所有年龄组中最主要的诊断，99.3%的患者被观察到有骨折。足球是小学至高中年龄段儿童中与上肢损伤相关最常见的运动项目，篮球在19至50岁患者中更为常见。网球相关损伤在50岁以上患者中最为常见。在所有运动项目中，最常受伤的身体部位是手指（33.5%）、手腕（20.3%）和下臂（17.3%）。值得注意的是，在本研究纳入的所有摔跤病例中，肩部损伤占99.1%，在所有长曲棍球损伤中占71.5%。2014年至2023年期间，与运动相关的上肢损伤显著减少，在新冠疫情期间下降明显。本研究中包含的损伤因运动项目、年龄和性别而异，这有助于推荐具体的干预措施。虽然很少有损伤导致住院，但那些住院的通常涉及下臂损伤；进一步努力减少这些损伤将减轻美国医院的负担。
