Epidemiology of knee injuries among U.S. high school athletes, 2005/2006-2010/2011.
Epidemiology of knee injuries among U.S. high school athletes, 2005/2006-2010/2011.
复制标题
DOI：
10.1249/mss.0b013e318277acca
复制
发表时间：
2013-03
影响因子：
4.1
通讯作者：
Comstock RD
中科院分区：
文献类型：
--
作者：
Swenson DM;Collins CL;Best TM;Flanigan DC;Fields SK;Comstock RD
美国高中运动员每年遭受数百万次伤害。膝关节损伤是最昂贵的运动损伤之一，其详细模式在很大程度上仍然未知。我们假设，在美国高中体育运动中，膝关节损伤的模式因运动和性别而异。使用国家高中体育相关伤害监测系统（High School RIO™）收集了20项运动的美国高中体育相关伤害数据。计算膝关节损伤率、比率和损伤比例比率。从2005/06年至2010/11年，在17，172，376例运动员暴露（AE）中发生了5，116例膝关节损伤，总发生率为2.98例膝关节损伤/10，000例AE。膝关节损伤在比赛中比练习中更常见（RR 3.53，95% CI 3.34-3.73）。足球的膝关节损伤率最高（每10 000例AE中有6.29例），其次是女子足球（4.53例）和女子体操（4.23例）。在性别可比的运动项目（足球、排球、篮球、棒球/垒球、长曲棍球、游泳和跳水以及田径）中，女孩的膝关节损伤率显著高于男孩（RR 1.52，95% CI 1.39-1.65）。最常见的受累结构是MCL（报告的膝关节损伤占36.1%），其次是髌骨/髌腱（29.5%）、ACL（25.4%）、半月板（23.0%）、LCL（7.9%）和PCL（2.4%）。在性别相当的运动中，女孩明显更容易遭受ACL损伤（RR 2.38，95% CI 1.91-2.95）。总体而言，21.2%的膝关节损伤接受了手术治疗;在性别可比的运动中，女孩接受手术治疗的频率高于男孩（IPR 1.30，95% CI 1.11-1.53）。膝关节损伤模式因运动和性别而异。继续努力制定预防性干预措施可以减轻这些伤害的负担。
US high school athletes sustain millions of injuries annually. Detailed patterns of knee injuries, among the most costly sports injuries, remain largely unknown. We hypothesize that patterns of knee injuries in US high school sports differ by sport and gender. US High school sports-related injury data were collected for 20 sports using the National High School Sports-Related Injury Surveillance System, High School RIO™. Knee injury rates, rate ratios, and injury proportion ratios were calculated. From 2005/06–2010/11, 5,116 knee injuries occurred during 17,172,376 athlete exposures (AEs) for an overall rate of 2.98 knee injuries per 10,000 AEs. Knee injuries were more common in competition than practice (RR 3.53, 95% CI 3.34–3.73). Football had the highest knee injury rate (6.29 per 10,000 AEs) followed by girls’ soccer (4.53) and girls’ gymnastics (4.23). Girls had significantly higher knee injury rates than boys in gender-comparable sports (soccer, volleyball, basketball, baseball/softball, lacrosse, swimming and diving, and track and field) (RR 1.52, 95% CI 1.39–1.65). The most commonly involved structure was the MCL (reported in 36.1% of knee injuries), followed by the patella/patellar tendon (29.5%), ACL (25.4%), meniscus (23.0%), LCL (7.9%), and PCL (2.4%). Girls were significantly more likely to sustain ACL injuries in gender-comparable sports (RR 2.38, 95% CI 1.91–2.95). Overall, 21.2% of knee injuries were treated with surgery; girls were more often treated with surgery than boys in gender-comparable sports (IPR 1.30, 95% CI 1.11–1.53). Knee injury patterns differ by sport and gender. Continuing efforts to develop preventive interventions could reduce the burden of these injuries.