首页> 外文期刊>American Journal of Sports Medicine >Acromioclavicular joint injuries in national collegiate athletic association football: Data from the 2004-2005 through 2008-2009 national collegiate athletic association injury surveillance system
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Acromioclavicular joint injuries in national collegiate athletic association football: Data from the 2004-2005 through 2008-2009 national collegiate athletic association injury surveillance system

机译:美国国家大学生体育协会橄榄球的肩锁关节损伤:2004-2005年至2008-2009年美国大学生体育协会损伤监测系统的数据

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Background: Injuries to the shoulder are common in collegiate football, and injuries to the acromioclavicular (AC) joint have previously accounted for up to 41% of all shoulder injuries. Purpose: To determine the incidence and epidemiology of injury to the AC joint in National Collegiate Athletic Association (NCAA) football athletes. Study Design: Descriptive epidemiology study. Methods: The NCAA Injury Surveillance System (ISS) mens football database was reviewed from the 2004-2009 playing seasons. The exposure data set from the same years was reviewed for the purposes of computing rates of injury per athlete exposure (AE). The injury rate (number of injuries divided by number of AEs) was computed per 10,000 AEs for competition and practice exposures. Ninety-five percent confidence intervals (95% CIs) for the incidence rates were calculated using assumptions of a Poisson distribution. Results: According to the estimates made by the NCAA ISS, a total of 748 injuries to the AC joint occurred in NCAA football players during 2,222,155 AEs, accounting for 4.49% of all injuries sustained during this 5-year surveillance period. The overall rate of injury was 3.34 per 10,000 AEs (95% CI, 3.10-3.59). Players were 11.68 (95% CI, 10.11-13.49) times more likely to sustain an injury in games than practices. Partial sprains (types I or II) accounted for 96.4% of injuries, while complete sprains (≥type III) accounted for the remaining 3.6%. The average amount of time lost per injury was 11.61 days. Complete sprains resulted in a mean time loss of 31.9 days (95% CI, 24.4-39.6) while partial injuries resulted in 11.0 days lost (95% CI, 9.6-12.3). Overall, 2.41% of injuries underwent surgical intervention, with 22.2% of complete sprains and 1.7% of partial injuries resulting in surgery. Complete sprains of the AC joint were 13.5 (95% CI, 4.63-35.26) times more likely to result in surgical intervention than partial sprains. The majority of injuries (71.93%) resulted from contact with another player and 47.09% occurred while tackling or being tackled. Of all injuries, 47.63% occurred during offensive plays, while defense accounted for 20.77%. Conclusion: AC joint injuries in NCAA football players are predominantly low-grade sprains, leading to approximately 12 days of lost competition. The few severe sprains that occurred often resulted in surgery or required approximately 5 weeks of rehabilitation.
机译:背景:在大学橄榄球中,肩部受伤很常见,而肩锁关节(AC)的受伤以前占所有肩部受伤的41%。目的:确定国家大学体育协会(NCAA)足球运动员AC关节受伤的发生率和流行病学。研究设计:描述性流行病学研究。方法:回顾了2004-2009赛季的NCAA伤害监测系统(ISS)男子足球数据库。为了计算每个运动员暴露的伤害率(AE),对来自同一年的暴露数据集进行了审查。竞赛和练习暴露的伤害率(伤害数除以AE数)每10,000 AE计算一次。使用泊松分布的假设来计算发病率的95%置信区间(95%CI)。结果:根据NCAA ISS的估计,NCAA足球运动员在2,222,155例AE中共造成748例AC关节受伤,占该5年监测期内所有伤害的4.49%。总体伤害率为每10,000例AE发生3.34(95%CI,3.10-3.59)。玩家在游戏中受伤的可能性比练习高11.68倍(95%CI,10.11-13.49)。部分扭伤(I型或II型)占受伤的96.4%,而完全扭伤(≥III型)占其余3.6%。每次伤害平均损失的时间为11.61天。完全扭伤导致平均时间损失31.9天(95%CI,24.4-39.6),而部分受伤导致损失11.0天(95%CI,9.6-12.3)。总体而言,有2.41%的受伤接受了手术干预,其中22.2%的完全扭伤和1.7%的部分受伤导致了手术。 AC关节完全扭伤导致手术干预的可能性是部分扭伤的13.5倍(95%CI,4.63-35.26)倍。受伤的大部分(71.93%)是由于与另一名球员接触而造成的,而47.09%的受伤是在攻打或解决中发生的。在所有伤害中,47.63%发生在进攻比赛中,而防守则占20.77%。结论:NCAA足球运动员的AC关节损伤主要是低度扭伤,导致大约12天的比赛损失。很少发生的严重扭伤经常导致手术或需要大约5周的康复时间。

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