美国国家橄榄球联盟(NFL)中的胫腓骨远端腱鞘损伤:与恢复全面参赛时间相关的病理范围。

IF 2.7 2区 医学 Q1 SPORT SCIENCES Sports Health-A Multidisciplinary Approach Pub Date : 2025-03-01 Epub Date: 2024-05-28 DOI:10.1177/19417381241253223
Andrew W Kuhn, Michael J Coughlin, Shane J McGonegle, Mackenzie M Herzog, Nate Weir, E Meade Spratley, Cody M O'Cain, Robert B Anderson
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引用次数: 0

摘要

背景:研究通常对孤立的高位踝关节扭伤进行评估,但最近的数据表明,这些损伤通常伴有并发症,可能会影响恢复全面运动能力:研究设计:横断面研究:研究设计:横断面研究:证据等级:3级:通过NFL损伤监测数据库查询确定了2017年至2019年期间NFL球员遭受的胫腓骨远端联合损伤,并通过视频分析进行了核实。每个损伤都经过了全面的磁共振成像(MRI)检查。利用回归建模来探讨众多成像结果对恢复全面参赛时间的影响:结果:有 83 例踝关节外旋损伤涉及胫骨联合。孤立的胫腓骨远端腓骨联合损伤很少见(11例;13%),且多伴有其他韧带损伤(三角韧带和外侧韧带复合体)和/或骨折。回归建模结果显示,在众多影像学检查结果中,恢复全面运动时间的损伤模式分为三组:腓骨联合损伤-骨折组合(250天[四分位距[IQR]142-266天])、腓骨联合损伤伴三角肌深层完全撕裂或急性舒张期(175天[IQR,20-248天])以及所有其他腓骨联合损伤(27天[IQR,18-46天]):结论:在踝关节外旋受伤的 NFL 运动员中,孤立的胫腓骨远端联合韧带损伤很少见,更常见的是伴有病变。恢复全面比赛的时间受相关骨折和三角韧带完全撕裂或舒张的影响,但没有其他相关的磁共振成像变量,如外侧韧带复合体受累或存在骨软骨损伤或骨挫伤。
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Distal Tibiofibular Syndesmosis Injuries in the National Football League (NFL): A Spectrum of Pathology That Correlates With Time to Return to Full Participation.

Background: Studies routinely evaluate high ankle sprains in isolation, but recent data suggest that these injuries are often associated with concomitant pathology, potentially influencing return to full participation.

Hypothesis: In National Football League (NFL) players, isolated high ankle sprains are rare and syndesmosis injuries with concomitant pathology will result in increased time to return to full participation.

Study design: Cross-sectional study.

Level of evidence: Level 3.

Methods: Distal tibiofibular syndesmosis injuries sustained by NFL players between 2017 and 2019 were identified through NFL Injury Surveillance Database queries and verified with video analysis. Each injury underwent a comprehensive magnetic resonance imaging (MRI) review. Regression modeling was utilized to explore the influence of numerous imaging findings on time to return to full participation.

Results: There were 83 external rotation ankle injuries involving the syndesmosis. Isolated distal tibiofibular syndesmosis injuries were rare (n = 11; 13%) and more often associated with other ligamentous injury (deltoid ligament and lateral ligamentous complex) and/or fractures. Regression modeling resulted in clustering of 3 injury pattern groups for time to return to full participation across numerous imaging findings: syndesmosis injury-fracture combinations (250 days [interquartile range [IQR,] 142-266 days]), syndesmosis injury with complete deep deltoid tear or acute diastasis (175 days [IQR, 20-248 days]), and all other syndesmosis injuries (27 days [IQR, 18-46 days]).

Conclusion: In NFL athletes with external rotation ankle injuries, isolated distal tibiofibular syndesmosis injuries were rare and more often associated with concomitant pathology. Time to return to full participation was affected by an associated fracture and complete deep deltoid ligament tear or diastasis but no other relevant MRI variables such as lateral ligament complex involvement or the presence of osteochondral lesions or bone contusions.

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来源期刊
Sports Health-A Multidisciplinary Approach
Sports Health-A Multidisciplinary Approach Medicine-Orthopedics and Sports Medicine
CiteScore
6.90
自引率
9.10%
发文量
101
期刊介绍: Sports Health: A Multidisciplinary Approach is an indispensable resource for all medical professionals involved in the training and care of the competitive or recreational athlete, including primary care physicians, orthopaedic surgeons, physical therapists, athletic trainers and other medical and health care professionals. Published bimonthly, Sports Health is a collaborative publication from the American Orthopaedic Society for Sports Medicine (AOSSM), the American Medical Society for Sports Medicine (AMSSM), the National Athletic Trainers’ Association (NATA), and the Sports Physical Therapy Section (SPTS). The journal publishes review articles, original research articles, case studies, images, short updates, legal briefs, editorials, and letters to the editor. Topics include: -Sports Injury and Treatment -Care of the Athlete -Athlete Rehabilitation -Medical Issues in the Athlete -Surgical Techniques in Sports Medicine -Case Studies in Sports Medicine -Images in Sports Medicine -Legal Issues -Pediatric Athletes -General Sports Trauma -Sports Psychology
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