Sport-Specific Injury Pattern Recorded During Anterior Cruciate Ligament Reconstruction
Sport-Specific Injury Pattern Recorded During Anterior Cruciate Ligament Reconstruction
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DOI：
10.1177/0363546513501791
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发表时间：
2013-12-01
影响因子：
4.8
通讯作者：
Engebretsen, Lars
中科院分区：
文献类型：
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作者：
Granan, Lars-Petter;Inacio, Maria C. S.;Engebretsen, Lars
背景：前交叉韧带（ACL）损伤更常见于某些切割和旋转运动。然而，与这些运动相关的受伤模式尚未得到很好的描述。目的：（1）通过导致ACL损伤的活动描述ACL重建（ACLR）时的患者人口统计学和损伤模式，（2）估计损伤时活动与孤立ACL损伤几率以及半月板、软骨、研究设计：横断面研究;证据等级：3。方法：本研究结合了2004年至2011年来自挪威和美国的2个ACLR登记队列。纳入了10，958例原发性ACLR队列。受伤时最常见的体育活动如下：足球、滑雪、美式足球、篮球和团队手球。终点是并发损伤模式在ACLR的时间：孤立的ACL，半月板，软骨，和多韧带injuries.Results：所有的运动进行了比较，最流行的损伤机制：足球。滑雪受伤1.13（95%置信区间[CI]，1.01-1.27）倍更有可能导致单独ACL撕裂，2.05（95% CI，1.01-4.16）倍更可能导致后交叉韧带撕裂，1.94（95% CI，1.51-2.49）倍，导致内侧副韧带（MCL）撕裂的可能性增加，导致多韧带损伤的可能性增加1.73（95% CI，1.38-2.17）倍。参加美式足球比赛的运动员发生MCL撕裂的可能性高2.72倍（95% CI，1.32-5.62）。那些打篮球受伤的人患外侧半月板撕裂的可能性是1.28（95% CI，1.06-1.54）倍，软骨损伤的可能性是1.23（95% CI，1.01-1.51）倍，半月板和软骨损伤的可能性是1.38（95% CI，1.11-1.72）倍。团队手球运动员损伤后内侧半月板撕裂的发生率较低（OR = 0.68，95%CI = 0.46-0.99），外侧半月板损伤的发生率较高（OR = 1.27，95%CI = 1.10-1.48）。与足球相比，美式足球更有可能导致多韧带损伤，而篮球更有可能导致软骨和外侧半月板损伤。手术时观察到的损伤模式可能反映了所进行的特定运动对膝关节施加的力。
Background: Anterior cruciate ligament (ACL) injuries are more commonly seen with certain cutting and pivoting sports. However, injury patterns associated with these sports have not been well described.Purpose: (1) To describe the patient demographics and injury pattern at the time of ACL reconstruction (ACLR) by activities that lead to ACL injuries and (2) to estimate the association of activities at the time of injury with the odds of isolated ACL injuries as well as with meniscus, cartilage, and multiligament injuries diagnosed at the time of ACLR.Study Design: Cross-sectional study; Level of evidence, 3.Methods: This study combined 2 ACLR registry cohorts, from Norway and the United States, from 2004 to 2011. A cohort of 10,958 primary ACLRs was included. The most prevalent sports activities at the time of injury were the following: soccer, skiing, American football, basketball, and team handball. The end points were the concurrent injury patterns at the time of ACLR: isolated ACL, meniscus, cartilage, and multiligament injuries.Results: All sports were compared with the most prevalent injury mechanism: soccer. Skiing injuries were 1.13 (95% confidence interval [CI], 1.01-1.27) times more likely to result in isolated ACL tears, 2.05 (95% CI, 1.01-4.16) times more likely to result in posterior cruciate ligament tears, 1.94 (95% CI, 1.51-2.49) times more likely to result in medial collateral ligament (MCL) tears, and 1.73 (95% CI, 1.38-2.17) times more likely to result in multiligament injuries. Athletes playing American football were 2.72 (95% CI, 1.32-5.62) times more likely to have MCL tears. Those injured playing basketball were 1.28 (95% CI, 1.06-1.54) times more likely to have lateral meniscus tears, 1.23 (95% CI, 1.01-1.51) times more likely to have cartilage damage, and 1.38 (95% CI, 1.11-1.72) times more likely to have meniscus and cartilage injuries. Athletes injured playing team handball were less likely to have MCL tears (odds ratio [OR], 0.68; 95% CI, 0.46-0.99) and more likely to have lateral meniscus injuries (OR, 1.27; 95% CI, 1.10-1.48).Conclusion: Injury patterns were associated with certain sports. Compared with soccer, American football has a higher likelihood of resulting in multiligament injuries, whereas basketball has a higher likelihood of resulting in cartilage and lateral meniscus injuries. Injury patterns seen at the time of surgery may reflect the forces applied to the knee by the specific sports performed.