A 7-year study on risks and costs of knee injuries in male and female youth participants in 12 sports

A 7-year study on risks and costs of knee injuries in male and female youth participants in 12 sports
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DOI:
10.1034/j.1600-0838.2000.010002090.x
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发表时间:
2000-04-01
影响因子:
4.1
通讯作者:
Thomée, R
Thomée, R
中科院分区:
医学2区
文献类型:
--
作者:
de Loës, M;Dahlstedt, LJ;Thomée, R

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膝关节损伤是常见的,在各种运动中占所有运动损伤的15%-50%。因此,膝关节损伤的费用是运动损伤医疗费用的一大部分。此外,女性在运动过程中患膝关节损伤的风险被认为比男性更高。全国性组织“青年和体育”是瑞士青年有组织的体育和娱乐活动的主要来源,每年约有37万人参加,年龄在14至20岁之间。这项研究的目的是综合来自两个来源的膝关节损伤数据,第一个是关于“青年和体育”活动登记中发现的风险暴露的数据,第二个伤害及其相关费用由活动引起并提交给瑞士军事保险,这使得能够计算膝盖损伤发生率,比较男性和女性之间的风险,并估计医疗费用。研究包括7档12项运动中的3864名膝关节损伤。女性在高山、速降滑雪、体操排球、篮球和团体手球等六项运动中的风险显著增加,尤其是膝关节损伤和十字韧带损伤的发生率,以及每小时的参与成本,都显示出与男女前五名相同的运动项目:冰球;团体手球、足球、高山滑雪和篮球、女子高山运动和体操的排名也很高,膝关节损伤在男性和女性中所占比例分别为10%和13%,但其对每小时参与成本的贡献比例分别为27%和33%。从本研究可以得出结论,在六个项目中,女性比男性更容易发生膝关节损伤,膝关节损伤在医疗费用中所占比例很高。
Knee injuries are common and account in various sports for 15-50% of all sports injuries. The cost of knee injuries is therefore a large part of the cost for medical care of sports injuries Furthermore, the risk of acquiring a knee injury during sports is considered higher for females than for males. The nationwide organization "Youth and Sports" represents the major source of organized sports and recreation for Swiss youth and engages annually around 370 000 participants in the age group of 14 to 20 pars. The purpose of this study was to combine data on knee injuries from two sources, the first being data on the exposure to risk found in the activity registration in "Youth and Sports" and the second injuries with their associated costs resulting from the activities and filed at the Swiss Military Insurance, This allowed calculation of knee injury incidences, to compare risks between males and females and to estimate the costs of medical treatment, The study comprises 3864 knee injuries from 12 sports during 7 gears. Females were significantly more at risk in six sports: alpinism, downhill skiing, gymnastics volleyball, basketball and team handball, The incidences of knee injuries and of cruciate ligament injuries in particular, together with the costs per hour of participation, all displayed the same sports as the top five for both females and males: icehockey; team handball, soccer, downhill skiing and basketball, Female alpinism and gymnastics had also high rankings, Knee injuries comprised 10% of all injuries in males and 13% in females, but their proportional contribution to the costs per hour of participation was 27% and 33%, respectively From this study it can be concluded that females were significantly more at risk for knee injuries than males in six sports and that knee injuries accounted for a high proportion of the costs of medical treatment.