A meta-analysis of the incidence of anterior cruciate ligament tears as a function of gender, sport, and a knee injury-reduction regimen
A meta-analysis of the incidence of anterior cruciate ligament tears as a function of gender, sport, and a knee injury-reduction regimen
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DOI：
10.1016/j.arthro.2007.07.003
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发表时间：
2007-12-01
影响因子：
4.7
通讯作者：
Shi, Kelvin
中科院分区：
文献类型：
--
作者：
Prodromos, Chadwick C.;Han, Yung;Shi, Kelvin
目的：文献表明，前交叉韧带（ACL）撕裂率因性别、运动和对损伤减少训练计划的反应而异。然而，对于这些撕裂率的大小或它们的变化作为这些变量的函数，还没有达成共识。例如，据报道，男女前交叉韧带撕裂率高达9:1。我们的目的是对所有相关文献进行荟萃分析，以准确估计ACL撕裂的真实发生率与性别、运动和减伤训练之间的关系。方法：检索PubMed文献，确定所有与前交叉韧带撕裂有关的研究。进行了书目交叉参考，以确定其他文章。应用元分析原理来生成ACL发生率作为性别、运动和先前损伤减少训练的函数。结果：男女前交叉韧带撕裂发生率分别为：篮球，3.5；足球,2.67;长曲棍球,1.18;高山滑雪1.0分。大学生足球撕裂率女性为0.32，男性为0.12。在篮球比赛中，这一比例分别为0.29和0.08。休闲高山滑雪运动员的患病率为0.63，专业滑雪运动员的患病率为0.03，无性别差异。两项排球研究均未发现前交叉韧带撕裂。训练使足球运动员的前交叉韧带撕裂发生率降低了0.24，而篮球运动员的前交叉韧带撕裂发生率完全没有降低。结论：在足球和篮球比赛中，女性前交叉韧带撕裂的发生率大约是男性的3倍。减少伤害的项目对足球有效，但对篮球无效。休闲高山滑雪者的ACL撕裂发生率最高，而专业高山滑雪者的发生率最低。事实上，排球可能是一项低风险的运动，而不是高风险的运动。高山滑雪运动员和长曲棍球运动员ACL撕裂率无性别差异。常年踢足球和打篮球的女运动员的前交叉韧带撕裂率约为5%。证据等级：四级，治疗性病例系列。
Purpose: The literature has shown that anterior cruciate ligament (ACL) tear rates vary by gender, by sport, and in response to injury-reduction training programs. However, there is no consensus as to the magnitudes of these tear rates or their variations as a function of these variables. For example, the female-male ACL tear ratio has been reported to be as high as 9:1. Our purpose was to apply meta-analysis to the entire applicable literature to generate accurate estimates of the true incidences of ACL tear as a function of gender, sport, and injury-reduction training. Methods: A PubMed literature search was done to identify all studies dealing with ACL tear incidence. Bibliographic cross-referencing was done to identify additional articles. Meta-analytic principles were applied to generate ACL incidences as a function of gender, sport, and prior injury-reduction training. Results: Female-male ACL tear incidences ratios were as follows: basketball, 3.5; soccer, 2.67; lacrosse, 1.18; and Alpine skiing, 1.0. The collegiate soccer tear rate was 0.32 for female subjects and 0.12 for male subjects. For basketball, the rates were 0.29 and 0.08, respectively. The rate for recreational Alpine skiers was 0.63, and that for experts was 0.03, with no gender variance. The two volleyball studies had no ACL tears. Training reduced the ACL tear incidence in soccer by 0.24 but did not reduce it at all in basketball. Conclusions: Female subjects had a roughly 3 times greater incidence of ACL tears in soccer and basketball versus male subjects. Injury-reduction programs were effective for soccer but not basketball. Recreational Alpine skiers had the highest incidences of ACL tear, whereas expert Alpine skiers had the lowest incidences. Volleyball may in fact be a low-risk sport rather than a high-risk sport. Alpine skiers and lacrosse players had no gender difference for ACL tear rate. Year-round female athletes who play soccer and basketball have an ACL tear rate of approximately 5%. Level of Evidence: Level IV, therapeutic case series.