The epidemiology of 1345 shoulder dislocations and subluxations in French Rugby Union players: a five-season prospective study from 2008 to 2013
The epidemiology of 1345 shoulder dislocations and subluxations in French Rugby Union players: a five-season prospective study from 2008 to 2013
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DOI：
10.1136/bjsports-2014-093718
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发表时间：
2015-12-01
影响因子：
18.4
通讯作者：
Herman, Serge
中科院分区：
文献类型：
--
作者：
Bohu, Yoann;Klouche, Shahnaz;Herman, Serge
了解橄榄球运动员肩关节脱位/半脱位的流行病学有助于制定有针对性的预防计划和治疗。我们进行了多年的流行病学调查肩关节脱位/半脱位在一个大的队列的橄榄球players.Methods一个描述性流行病学研究进行了前瞻性的五个赛季（2008-2013年）在法国橄榄球联盟的所有球员持牌。橄榄球运动员按年龄分为五组。如果受伤发生在训练或比赛中，球员和队医将向俱乐部保险公司报告。该研究的目标是确定率，类型和原因肩关节脱位/半脱位。结果88 044受伤的报道，包括1345（1.5%）事件脱位/半脱位1317名男性和28名女性，平均年龄22.5 +/- 5.9岁。大约10/10，000的男性和5/10，000的女性报告每个赛季都会发生肩关节脱位/半脱位，其中包括83/10，000的高级专业人员、17/10，000的高级业余爱好者、21/10，000的青少年、12/10，000的学员和< 1/10，000的橄榄球学校球员。肩关节脱位/半脱位在高年级和低年级运动员中明显更常见（p< 0.001）。受伤主要发生在赛季中期（44%）的比赛中（66%）。最常见的位置是前锋（56%），主要机制是铲球（69%）。当报告时，66%的受伤球员有复发史，22%有骨折，6.7%有肩锁关节损伤。神经损伤与肩关节脱位的cases.Conclusions 6%的高级专业人员和初级男性前锋橄榄球运动员肩关节脱位/半脱位的历史，应特别注意运动医学专业人员和骨科医生。
Background An understanding of the epidemiology of shoulder dislocation/subluxation in rugby union players could help develop targeted prevention programmes and treatment. We performed a multiyear epidemiological survey of shoulder dislocation/subluxation in a large cohort of rugby players.Methods A descriptive epidemiological study was performed prospectively for five playing seasons (2008-2013) in all players licensed in the French Rugby Union. Rugby players were categorised into five groups by age. The player and the team physician reported the injury to the club insurance company if it occurred during training or a match. The goals of the study were to define the rate, type and causes of shoulder dislocation/subluxation.Results 88 044 injuries were reported, including 1345 (1.5%) episodes of dislocation/subluxation in 1317 men and 28 women, mean age 22.5 +/- 5.9 years. About 10/10 000 men and 5/10 000 women reported an episode of shoulder dislocation/subluxation per season, including 83/10 000 senior professionals, 17/10 000 senior amateurs, 21/10 000 juniors, 12/10 000 cadets and < 1/10 000 rugby school players. Shoulder dislocation/subluxation was significantly more frequent in senior and junior players (p< 0.001). Injuries mainly occurred during a match (66%) in the middle of the season (44%). The most frequent playing position was forwards (56%) and the main mechanism was tackling (69%). When reported, the history of recurrence was found in 66% of injured players, fractures in 22% and acromioclavicular injury in 6.7%. Nerve injury was associated with shoulder dislocation in 6% of cases.Conclusions Senior professionals and junior male forward rugby players with a history of shoulder dislocation/subluxation should receive special attention from sports medicine professionals and orthopaedic surgeons.