The incidence and distribution of stress fractures in competitive track and field athletes - A twelve-month prospective study

The incidence and distribution of stress fractures in competitive track and field athletes - A twelve-month prospective study
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DOI:
10.1177/036354659602400217
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发表时间:
1996-03-01
影响因子:
4.8
通讯作者:
Brukner, PD
Brukner, PD
中科院分区:
医学1区
文献类型:
--
作者:
Bennell, KL;Malcolm, SA;Brukner, PD

文献摘要

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对 53 名女性和 58 名男性田径运动员(年龄范围为 17 至 26 岁)进行了为期 12 个月的前瞻性评估。 20 名运动员发生 26 处应力性骨折,总发生率为 21.1%。每1000小时训练的应力性骨折发生率为0.70。男性和女性之间没有观察到差异(P > 0.05)。研究期间发生的 130 例肌肉骨骼损伤中,有 26 例应力性骨折,占 20%。尽管参加不同项目的运动员应力性骨折发生率没有差异(P > 0.05),但短跑、跨栏和跳跃与足部骨折数量显着增加相关;中长跑与长骨和骨盆骨折的发生率较高(P < 0.05)。总体而言,最常见的骨损伤部位是胫骨,有 12 例损伤(46%),其次是舟骨,有 4 例损伤(15%),腓骨有 3 例损伤(12%)。我们的研究中应力性骨折的高发生率表明应确定田径运动员的危险因素。
The incidence and distribution of stress fractures were evaluated prospectively over 12 months in 53 female and 58 male competitive track and field athletes (age range, 17 to 26 years). Twenty athletes sustained 26 stress fractures for an overall incidence rate of 21.1%. The incidence was 0.70 for the number of stress fractures per 1000 hours of training. No differences were observed between male and female rates (P > 0.05). Twenty-six stress fractures composed 20% of the 130 musculoskeletal injuries sustained during the study. Although there was no difference in stress fracture incidence among athletes competing in different events (P > 0.05), sprints, hurdles, and jumps were associated with a significantly greater number of foot fractures; middle- and long-distance running were associated with a greater number of long bone and pelvic fractures (P < 0.05). Overall, the most common sites of bone injuries were the tibia with 12 injuries (46%), followed by the navicular with 4 injuries (15%), and the fibula with 3 injuries (12%). The high incidence of stress fractures in our study suggests that risk factors in track and field athletes should be identified.