Young men in sports are at highest risk of acromioclavicular joint injuries: a prospective cohort study.
Young men in sports are at highest risk of acromioclavicular joint injuries: a prospective cohort study.
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DOI：
10.1007/s00167-020-05958-x
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发表时间：
2021-07
期刊：
影响因子：
--
通讯作者：
Bøe B
中科院分区：
文献类型：
--
作者：
Skjaker SA;Enger M;Engebretsen L;Brox JI;Bøe B
研究普通人群肩锁关节损伤的发病率。所有入住骨科急诊科的急性肩关节损伤患者均采用电子病历和患者报告问卷进行前瞻性登记。该地区是奥斯陆市，有632，990名居民。如果放射科医生在标准前后位X线片上描述关节间隙或喙锁距离增宽，则无骨折的肩锁关节症状患者被登记为脱位（II-VI型）。没有这些发现的患者被诊断为扭伤（I型）。肩锁关节损伤占所有肩关节损伤的11%（287/2650）。发生率为45/105人-年（95%置信区间[CI] 40-51）。196例（68%）被诊断为扭伤，91例（32%）被诊断为脱位。所有肩锁关节损伤的中位年龄为32岁（四分位距24-44），82%为男性。在所有肩锁关节损伤中，有30%的患者是20多岁的男性。运动损伤占53%，而其他肩关节损伤占27%[OR 3.1（95%CI 2.4-4.0; p < 0.001）]。与肩锁关节损伤相关的最常见运动是足球（24%）、自行车（16%）、武术（11%）、高山滑雪和滑雪板（均为9%）和冰球（6%）。我们的研究表明，在普通人群中，十分之一的肩关节损伤涉及肩锁关节，运动中的年轻男性风险最高。一项预后II级队列研究。
To study the incidence of acromioclavicular joint injuries in a general population. All acute shoulder injuries admitted to an orthopaedic emergency department were registered prospectively, using electronic patient records and a patient-reported questionnaire. The regional area was the city of Oslo with 632,990 inhabitants. Patients with symptoms from the acromioclavicular joint without fracture were registered as a dislocation (type II–VI) if the radiologist described widening of the joint space or coracoclavicular distance on standard anteroposterior radiographs. Patients without such findings were diagnosed as sprains (type I). Acromioclavicular joint injuries constituted 11% of all shoulder injuries (287 of 2650). The incidence was 45 per 105 person-years (95% confidence interval [CI] 40–51). 196 (68%) were diagnosed as sprains and 91 (32%) as dislocations. Median age of all acromioclavicular joint injuries was 32 years (interquartile range 24–44), and 82% were men. Thirty percent of all acromioclavicular joint injuries were registered in men in their twenties. Sports injuries accounted for 53%, compared to 27% in other shoulder injuries [OR 3.1 (95% CI 2.4–4.0; p < 0.001)]. The most common sports associated with acromioclavicular joint injuries were football (24%), cycling (16%), martial arts (11%), alpine skiing and snowboarding (both 9%), and ice hockey (6%). Our study suggests that in the general population, one in ten shoulder injuries involves the acromioclavicular joint and young men in sports are at highest risk. A prognostic level II cohort study.
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