Incidence of anterior tibial spine fracture among skiers does not differ with age.
Incidence of anterior tibial spine fracture among skiers does not differ with age.
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DOI：
10.1007/s00167-021-06782-7
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发表时间：
2022-07
影响因子：
3.8
通讯作者：
Johnson, Robert
中科院分区：
文献类型：
--
作者：
Albertson, Benjamin;Beynnon, Bruce;Endres, Nathan;Johnson, Robert
关键词：
前十字韧带(ACL)损伤在高山滑雪中很常见，表现为前十字韧带内撕裂或胫骨前棘骨折(ATSF)。儿童多见于胫骨前部骨折。然而，一些案例报告描述了成年人在滑雪时受到的这些伤害。本研究的目的是描述高山滑雪运动中ATSF的运动特异性发病率。这项研究历时22年。对患有ATSF的滑雪者进行了鉴定，并复查了X光片以确认诊断。此外，还收集了物质内前交叉韧带损伤组的对照数据。评估这些损伤在儿童、青少年和成人(分别按0-10岁、11-16岁和17岁以上年龄分组)中的发生率，并确定ATSF与前交叉韧带撕裂的危险因素。前交叉韧带损伤1688例，前交叉韧带损伤51例。与青少年(15.4/100,000)和儿童(1.1/100,000)年龄组相比，成人(40.0/100,000天)的物质内前交叉韧带损伤的发生率更高。相比之下，成人(0.9/100,000)、青少年(1.9/100,000)和儿童(1.9/100,000)年龄组的ATSF发生率相似。宽松的滑雪靴贴合度被确定为ATSF的危险因素。高山滑雪者中ATSF的发病率在所有年龄段中都是相似的。然而，与青少年和儿童相比，成人滑雪者的物质内前交叉韧带损伤的发生率要高得多。ATSF的危险因素与足部/脚踝和滑雪靴之间的顺应性有关。三.
Injury to the anterior cruciate ligament (ACL) is common in alpine skiing in the form of either an intra-substance ACL tear or anterior tibial spine fracture (ATSF). Anterior tibial spine fractures are typically reported in children. However, several case reports describe these injuries in adults while skiing. The purpose of this study is to describe the sport specific incidence of ATSF in alpine skiing. The study was conducted over a 22-year period. Skiers who suffered an ATSF were identified and radiographs were reviewed to confirm the diagnosis. Additionally, control data from intra-substance ACL injury groups were collected. The incidence of these injuries in children, adolescents, and adults (grouped as ages 0–10, 11–16, and 17 + years old, respectively) was evaluated and the risk factors for ATSF versus ACL tear were determined. There were 1688 intra-substance ACL and 51 ATSF injuries. The incidence of intra-substance ACL injury was greater in adults (40.0 per 100,000 skier days) compared to the adolescent (15.4 per 100,000) and child (1.1 per 100,000) age groups. In contrast, the incidence of ATSF was similar in the adult (0.9 per 100,000), adolescent (1.9 per 100,000), and child (1.9 per 100,000) age groups. Loose ski boot fit was identified as a risk factor for ATSF. The incidence of ATSF in alpine skiers is similar among all age groups. However, the incidence of intra-substance ACL injuries is far greater in adult skiers compared to adolescents and children. Risk factors for ATSF relate to compliance between the foot/ankle and the ski boot. III.
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影响因子：
2.1
作者：
Kim, Jung Ryul;Song, Ji Hun;Yoo, Wan Hee
通讯作者：
Yoo, Wan Hee
影响因子：
3.3
作者：
Davey, Annabelle;Endres, Nathan K.;Shealy, Jasper E.
通讯作者：
Shealy, Jasper E.
DOI：
10.2106/00004623-195941020-00002
发表时间：
1959-01-01
影响因子：
5.3
作者：
MEYERS, MH;MCKEEVER, FM
通讯作者：
MCKEEVER, FM
影响因子：
4.8
作者：
Beynnon, Bruce D.;Vacek, Pamela M.;Johnson, Robert J.
通讯作者：
Johnson, Robert J.
DOI：
10.1016/j.arthro.2003.10.014
发表时间：
2003-12-01
影响因子：
4.7
作者：
Kocher, MS;Foreman, ES;Micheli, LJ
通讯作者：
Micheli, LJ