Stocker B D, Nyland J A, Caborn D N, Sternes R, Ray J M
Department of Orthopaedic Surgery, University of Kentucky, Lexington 40536-0284, USA.
J Ky Med Assoc. 1997 Nov;95(11):458-64.
The study attempted to: 1) determine knee injury and reinjury incidence of Kentucky high school football players; 2) relate results to initial care provider, treatment following initial physician exam, time lost from injury, injury type, player position, and team size; and 3) assess coaches opinions and practices about lateral prophylactic knee brace (LPKB) usage and effectiveness. A post season, mail-in coaches' survey (50.2% return, 101/201) collected these data. Returned surveys represented 4690 players with average team size (x +/- SD) of 43 +/- 13. Two hundred fifty seven reported knee injuries yielded .055 knee injuries/player with .04 knee injuries/player being "new" and .015 knee injuries/player recurring (27% of reported knee injuries) during the season. Games accounted for 56.4% (56/101) of reported knee injuries. Coaches generally believed that LPKB usage prevented knee injuries (56.4%, 56/101) and allowed LPKB usage (92.1%, 93/101), however only 8.3% (8/101) required their wear (interior linemen 50%, linebackers 25%, entire team (25%). Interior linemen had the greatest number of knee injuries, followed by offensive backs and linebackers. Most knee injuries (81%, 208/257) were out 3-6 weeks or less, 64% (164/257) involved sprains or contusions, 38% (97/257) were treated surgically (alone or with rehabilitation) and 36% (92/257) were treated solely with rehabilitation. Total knee injury and reinjury incidence were under-estimated compared to existing reports. Improved injury recording methods, and post-symposia coaches evaluation are recommended.
1）确定肯塔基州高中橄榄球运动员的膝盖损伤和再次损伤发生率；2）将结果与初始护理提供者、初次医生检查后的治疗、受伤缺勤时间、损伤类型、球员位置和球队规模相关联；3）评估教练对于外侧预防性护膝（LPKB）使用情况和有效性的看法及做法。一项赛季后的邮寄教练调查问卷（回收率50.2%，101/201）收集了这些数据。回收的调查问卷代表了4690名球员，平均球队规模（x±标准差）为43±13。257名报告有膝盖损伤，得出每名球员的膝盖损伤率为0.055，其中每名球员“新伤”率为0.04，每名球员再次受伤率为0.015（占报告膝盖损伤的27%）。比赛导致的膝盖损伤占报告损伤的56.4%（56/101）。教练普遍认为使用LPKB可预防膝盖损伤（56.4%，56/101）且允许使用LPKB（92.1%，93/101），然而只有8.3%（8/101）要求球员佩戴（内线球员50%，线卫25%，全队25%）。内线球员的膝盖损伤数量最多，其次是进攻后卫和线卫。大多数膝盖损伤（81%，208/257）缺阵3 - 6周或更短时间，64%（164/257）涉及扭伤或挫伤，38%（97/257）接受了手术治疗（单独或与康复治疗一起），36%（92/257）仅接受了康复治疗。与现有报告相比，总膝盖损伤和再次损伤发生率被低估。建议改进损伤记录方法以及会后对教练的评估。
