The epidemiology of shoulder injuries in English professional rugby union
The epidemiology of shoulder injuries in English professional rugby union
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DOI：
10.1177/0363546507300691
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发表时间：
2007-09-01
影响因子：
4.8
通讯作者：
Kemp, Simon P. T.
中科院分区：
文献类型：
--
作者：
Headey, Julia;Brooks, John H. M.;Kemp, Simon P. T.
背景：肩伤对职业橄榄球联盟球员构成相当大的风险；然而，在这一人群中，缺乏关于损伤的详细流行病学信息。目的：描述职业橄榄球联盟肩关节损伤的发生率、严重程度和危险因素。研究设计：描述性流行病学研究。方法：前瞻性报告英国职业橄榄球联盟中医务人员的失时损伤，并对肩部损伤进行评估。结果：训练时肩关节损伤发生率（0.10/1000小时）明显低于比赛时（8.9/1000小时）。最常见的配型损伤为肩锁关节损伤（32%）；最严重的是肩关节脱位和不稳定（平均严重程度为81天），这也导致了最大的缺位比例（42%）和最高的复发率（62%）。大多数比赛中肩部受伤是在铲球中造成的（65%），而外腰是最有可能在铲球中受伤的（2.4/1000）。在训练期间受伤的严重程度（61天）明显高于比赛期间受伤的严重程度（27天），防守训练的受伤风险最高（0.45/1000球员小时；平均严重程度，67天）。每个俱乐部每个赛季平均有241个球员因肩伤而损失。结论：结果表明，通过调整训练活动和实施“预康复”策略，以尽量减少肩部脱位/不稳定的风险，有可能减轻这种损伤负担。
Background: Shoulder injuries constitute a considerable risk to professional rugby union players; however, there is a shortage of detailed epidemiologic information about injuries in this population.Purpose: To describe the incidence, severity, and risk factors associated with shoulder injuries in professional rugby union.Study Design: Descriptive epidemiology study.Method: Medical personnel prospectively reported time-loss injuries in professional rugby union in England, and the shoulder injuries were evaluated.Results: The incidence of shoulder injuries was significantly lower during training (0.10/1000 player-training hours) compared with matches (8.9/1000 player-match hours). The most common match injury was acrornioclavicular joint injury (32%); the most severe was shoulder dislocation and instability (mean severity, 81 days absent), which also caused the greatest proportion of absence (42%) and had the highest rate of recurrence (62%). The majority of match shoulder injuries were sustained in the tackle (65%), and outside backs were the most likely to sustain an injury from tackling (2.4/1000 player-tackles). Injuries sustained during training were significantly more severe (61 days) than were those sustained during match play (27 days), and defensive training sessions carried the highest risk of injury (0.45/1000 player-hours; mean severity, 67 days). A mean of 241 player-days per club per season were lost to shoulder injuries.Conclusion: Results suggest the potential to reduce this injury burden by modifying training activities and implementing "prehabilitation" strategies in an effort to minimize the risk of shoulder dislocation/instability.