The Delayed Presentation and Diagnosis of Youth Wrestling Injuries: A 20-Year Analysis of National Injury Data.

William H Huffman, Steven R Ayotte, Lori Jia, Kevin Pirruccio, Xinning Li, John D Kelly, Robert L Parisien
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Abstract

Introduction: The nature of wrestling may lead athletes to mask injuries with the delayed presentations of youth wrestling-related injuries not being well characterized.

Methods: This descriptive epidemiological study queried the National Electronic Injury Surveillance System database to characterize delayed presentations of wrestling-related injuries in middle and high-school athletes. Data collection consisted of national estimates, demographics, and injury characteristics of patients with delayed (D) presentations (≥1 day) and same-day (S) presentations to US emergency departments after sustaining a wrestling-related injury during the scholastic wrestling season (December to February, 2000 to 2019).

Results: Of middle and high-school wrestlers presenting to US emergency departments, 5.6% (95% confidence interval [CI] 4.3% to 7.1%) reported delayed presentations for a total of 1,110 patients (CI, 591 to 1,630) annually. Most commonly (P < 0.001), injuries were sustained on Saturdays in both cohorts (D, 28.2%; CI, 22.4% to 34.8%; S, 29.6%; CI, 24.3% to 35.5%). Patients reporting delayed presentations were less likely to sustain fractures (D, 11.5%; CI, 8.3% to 15.6%; S, 18.9%; CI, 15.0% to 23.5%; P = 0.019) and injuries of the head/neck (D, 20.0%; CI, 16.5 to 24.1%; S, 26.2%; CI, 21.4% to 31.7%; P = 0.011).

Discussion: A substantial proportion of adolescent wrestlers report delayed presentations of injuries. This emphasizes the need for vigilance in detecting subtle signs of injury.

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青少年摔跤受伤的延迟出现和诊断:20 年全国受伤数据分析》。
简介:摔跤运动的性质可能会导致运动员掩盖损伤,而青少年摔跤相关损伤的延迟表现并不十分明确:摔跤运动的性质可能会导致运动员掩盖损伤,而青少年摔跤相关损伤的延迟表现还没有得到很好的描述:这项描述性流行病学研究查询了国家电子伤害监测系统数据库,以了解初中和高中运动员摔跤相关伤害的延迟表现特征。收集的数据包括在学校摔跤赛季(2000 年 12 月至 2019 年 2 月)期间,摔跤相关损伤后延迟(D)就诊(≥1 天)和当天(S)就诊到美国急诊科的患者的全国估计值、人口统计学和损伤特征:在前往美国急诊科就诊的初中和高中摔跤运动员中,5.6%(95% 置信区间 [CI] 4.3% 至 7.1%)的人报告延迟就诊,每年共有 1,110 名患者(CI,591 至 1,630 人)延迟就诊。在两个队列中,受伤最常见(P < 0.001)的时间都是在周六(D,28.2%;CI,22.4% 至 34.8%;S,29.6%;CI,24.3% 至 35.5%)。报告延迟就诊的患者发生骨折(D,11.5%;CI,8.3%至15.6%;S,18.9%;CI,15.0%至23.5%;P = 0.019)和头颈部受伤(D,20.0%;CI,16.5%至24.1%;S,26.2%;CI,21.4%至31.7%;P = 0.011)的可能性较小:有相当一部分青少年摔跤运动员报告了延迟出现的损伤。讨论:有相当一部分青少年摔跤运动员延迟出现受伤症状,这强调了在发现细微受伤迹象时保持警惕的必要性。
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CiteScore
2.60
自引率
6.70%
发文量
282
审稿时长
8 weeks
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