Head, face, and eye injuries in scholastic and collegiate lacrosse - A 4-year prospective study
Head, face, and eye injuries in scholastic and collegiate lacrosse - A 4-year prospective study
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DOI：
10.1177/0363546506293900
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发表时间：
2007-02-01
影响因子：
4.8
通讯作者：
Dick, Randall W.
中科院分区：
文献类型：
--
作者：
Lincoln, Andrew E.;Hinton, Richard Y.;Dick, Randall W.
背景资料：高中和大学长曲棍球中头部、面部和眼部损伤的风险和机制尚未得到很好的记录。目的：确定（1）长曲棍球中头部、面部和眼部损伤的主要机制和（2）男子和女子比赛以及高中和大学水平之间的损伤风险差异。研究设计：描述性流行病学研究。方法：作者收集了507000名高中男女生和649573名大学男女生长曲棍球运动暴露的数据，这些数据使用了4个赛季的运动损伤监测系统。他们确定了最常见的头部、面部和眼睛受伤的情况。结果：高中女生的头部、面部和眼睛受伤率（0.54每1000运动暴露）显着高于（发病率比，1.42; 95%置信区间，1.09-1.86）（0.38/1000运动暴露）;大学女性（每1000次运动暴露中有0.77次）的受伤率较高，（发病率比，1.76; 95%置信区间，1.42-2.19）比男性（0.44每1000运动暴露）。脑震荡在男孩（73%）和男子（85%）受伤中所占比例高于女孩（40%）和妇女（41%）。男性持续几个面部受伤，而相当大比例的女性的受伤涉及的脸和眼眶area.Conclusion：虽然只允许偶然接触，妇女的长曲棍球有较高的头部，面部和眼睛受伤的比率在高中和大学的水平。脑震荡是最常见的损伤。对于男性来说，主要的受伤机制是球员对球员的接触;女性的受伤主要是由于棍棒或球的接触。高中受伤率低于大学，但受伤的性质，受影响的身体部位和机制是相似的。
Background: Risks and mechanisms of head, face, and eye injuries in high school and college lacrosse are not well documented.Purpose: To identify (1) primary mechanisms of head, face, and eye injuries in lacrosse and (2) differences in injury risk between the men's and women's game and between high school and collegiate levels.Study Design: Descriptive epidemiological study.Methods: The authors gathered data on 507 000 girls' and boys' high school and 649 573 women's and men's college lacrosse athletic exposures using sport-specific injury surveillance systems over 4 seasons. They identified the most common scenarios for head, face, and eye injuries.Results: The high school girls' head, face, and eye injury rate (0.54 per 1000 athletic exposures) was significantly higher (incident rate ratio, 1.42; 95% confidence interval, 1.09-1.86) than that for boys (0.38 per 1000 athletic exposures); college women (0.77 per 1000 athletic exposures) sustained a higher rate of injuries (incident rate ratio, 1.76; 95% confidence interval, 1.42-2.19) than did men (0.44 per 1000 athletic exposures). Concussions constituted a higher percentage of injuries among boys (73%) and men (85%) than among girls (40%) and women (41 %). Men sustained few facial injuries, whereas a substantial proportion of women's injuries involved the face and orbital area.Conclusion: Although permitting only incidental contact, women's lacrosse had higher rates of head, face, and eye injuries at both the high school and collegiate levels. Concussion was the most common injury. For men, the primary injury mechanism was player-to-player contact; women's injuries primarily resulted from stick or ball contact. High school injury rates were lower than were college rates, but the nature of injuries, body parts affected, and mechanisms were similar.