2008 年至 2022 年间，男性橄榄球运动员的下肢损伤有所减少，而女性橄榄球运动员的非接触膝部损伤没有减少

Q3 Medicine Arthroscopy Sports Medicine and Rehabilitation Pub Date : 2024-10-01 DOI:10.1016/j.asmr.2024.100967

Avanish Yendluri B.S. , Zachary S. Gallate M.S. , Rohit R. Chari B.S. , Auston R. Locke M.P.H. , Kyle K. Obana , David P. Trofa M.D. , Rachel M. Frank M.D. , Robert L. Parisien M.D.

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引用次数: 0

摘要

目的评估 2008 年至 2022 年期间在美国急诊科（ED）就诊的高中和大学年龄段橄榄球运动员下肢损伤的分布情况和机制。方法对 2008 年 1 月至 2022 年 12 月期间的下肢橄榄球损伤（14-23 岁）查询全国电子损伤监测系统。提取了每个病例的患者人口统计学特征、受伤部位、诊断和处置情况。线性回归分析评估了不同时期的差异。结果在研究期间，约有 31,318 名（845 例全国电子伤害监测系统病例）高中和大学年龄段的橄榄球运动员因下肢受伤而前往美国急诊室就诊。男性球员占受伤人数的 66.9%。线性回归分析表明，从 2008 年到 2022 年，每年到美国急诊室就诊的下肢受伤病例明显减少（P = .001）。最常见的受伤机制绝大多数是非接触性扭转运动（11108 例，35.5%），其次是撞击/碰撞（5298 例，16.9%）。拉伤/扭伤是最常见的诊断结果（17243 例，55.1%）。最常见的受伤部位是踝关节（12659 人，40.4%）和膝关节（11016 人，35.2%）。在针对不同性别的线性回归分析中，男性球员的下肢受伤率显著下降（P = .001），但女性球员的下肢受伤率没有显著下降（P = .112）。此外，χ2 分析表明，女队员因扭转而造成的膝关节损伤比例明显更高（女队员为 15.9%，男队员为 9.0%，P = .01）。结论高中和大学年龄段的男性橄榄球运动员的下肢损伤正在减少，但女性橄榄球运动员的下肢损伤并没有相应减少。此外，女性球员受非接触性扭转膝关节损伤的影响尤为严重。

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Between 2008 and 2022, Lower-Extremity Injuries Declined in Male Rugby Players, Whereas Noncontact Knee Injuries Showed No Decline in Female Rugby Players

Purpose

To assess the distribution and mechanisms of lower-extremity injuries among high school and college age rugby players presenting to U.S. emergency departments (EDs) from 2008 to 2022.

Methods

The National Electronic Injury Surveillance System was queried for lower-extremity rugby injuries (ages 14-23 years) from January 2008 to December 2022. Patient demographics, injury location, diagnosis, and disposition were extracted for each case. Linear regression analysis assessed differences over time. Injury distribution for male versus female players was evaluated using Pearson χ² analysis.

Results

An estimated 31,318 (845 National Electronic Injury Surveillance System cases) high school and college-age rugby players presented to U.S. EDs with a lower-extremity injury during the study period. Male players accounted for 66.9% of the injuries. Linear regression analysis revealed a significant decrease in the annual frequency of lower-extremity injuries presenting to U.S. EDs from 2008 to 2022 (P = .001). The most common injury mechanism was overwhelmingly a noncontact twisting motion (11,108, 35.5%) followed by a hit/collision (5,298, 16.9%). Strains/sprains were the most common diagnosis (17,243, 55.1%). Injuries most commonly occurred at the ankle (12,659, 40.4%) and knee (11,016, 35.2%). In a sex-specific linear regression analysis, there was a significant decrease in lower-extremity injuries sustained by male players (P = .001) but no significant decrease among female players (P = .112). Furthermore, χ² analysis revealed that female players sustained a significantly greater proportion of knee injuries secondary to twists (15.9% for female vs 9.0% for male players, P = .01).

Conclusions

Lower-extremity injuries are declining among high school and college-age male rugby players. However, there has not been a corresponding decrease among female rugby players. Furthermore, female players are disproportionately affected by noncontact twisting knee injuries.