Characterization of distal biceps tendon and triceps tendon injuries in National Football League players from 2009 to 2022

IF 1.5 Q3 ORTHOPEDICS

Journal of orthopaedics Pub Date : 2025-01-28 DOI:10.1016/j.jor.2025.01.033

Ashwin R. Garlapaty , Molly Jones , John Baumann , Christian Gunn , James L. Cook , Steven F. DeFroda

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引用次数: 0

Abstract

Purpose

The purpose of this study is to determine the incidence and impact of distal biceps and triceps tendon injuries in the National Football League (NFL) from the 2009-10 to the 2022-23 seasons. This study explores the impact that player and injury characteristics have on injury risk, return-to-play, and player performance.

Methods

Data from the 2009-10 to the 2022-23 NFL seasons were analyzed for players with distal biceps or triceps tendon tears. Return-to-play (RTP) and performance metrics were recorded for each player during the season before and first two post-injury seasons. Data were analyzed to determine statistically significant differences in proportions using chi-square, Fisher's exact, or McNemar tests. Statistical significance was set at p < 0.05.

Results

Fifty tendon ruptures (26 biceps, 24 triceps) were identified. Biceps injuries were more common in defensive players (73.1 %), while triceps injuries predominantly affected offensive players (58.3 %). Significant risk factors for biceps injuries included BMI ≥31 (p = 0.0008) and ≥4 seasons of experience (p = 0.031, OR = 2.7). Triceps injuries were associated with BMI ≥31 (p = 0.01), age ≥26 (p < 0.0001), and ≥4 seasons of experience (p = 0.006). RTP rates were 73.1 % for biceps and 70.8 % for triceps injuries. However, only 52.6 % and 41.2 % of players with biceps and triceps injuries, respectively, returned to pre-injury performance levels. Younger players (<26 years) and those with fewer years of experience (≤4 years) were more likely to achieve prior performance levels.

Conclusion

Distal biceps and triceps tendon injuries are typically season-ending for NFL players. Significant risk factors include BMI ≥31, ≥4 years of NFL experience, and game exposure, with age ≥26 being an additional risk factor for triceps tendon injuries. RTP rates exceed 70 %, indicating a strong potential for athletes to return to the NFL post-injury.

查看原文本刊更多论文

2009年至2022年国家橄榄球联盟球员远端肱二头肌腱和肱三头肌腱损伤的特征

目的本研究的目的是确定国家橄榄球联盟（NFL） 2009-10赛季至2022-23赛季远端二头肌和三头肌肌腱损伤的发生率和影响。本研究探讨了球员和伤病特征对受伤风险、复出和球员表现的影响。方法分析2009-10赛季至2022-23赛季NFL二头肌或三头肌远端肌腱撕裂运动员的数据。记录每个球员在受伤前和受伤后的前两个赛季的比赛恢复（RTP）和表现指标。使用卡方检验、Fisher精确检验或McNemar检验对数据进行分析，以确定统计学上显著的比例差异。p <；0.05.结果50例肌腱断裂（二头肌26例，三头肌24例）。二头肌损伤在防守球员中更为常见（73.1%），而三头肌损伤主要影响进攻球员（58.3%）。肱二头肌损伤的显著危险因素包括BMI≥31 （p = 0.0008）和≥4年的经验（p = 0.031, OR = 2.7）。三头肌损伤与BMI≥31 （p = 0.01）、年龄≥26 (p <；0.0001)，≥4年的经验（p = 0.006）。二头肌损伤的RTP率为73.1%，三头肌损伤的RTP率为70.8%。然而，分别只有52.6%和41.2%的二头肌和三头肌受伤的球员恢复到受伤前的水平。年轻球员（26岁）和经验较少的球员（≤4年）更有可能达到以前的表现水平。结论远端二头肌和三头肌肌腱损伤是NFL球员典型的赛季结束。重要的危险因素包括BMI≥31，≥4年的NFL经验和游戏暴露，年龄≥26岁是肱三头肌肌腱损伤的额外危险因素。RTP率超过70%，表明运动员在受伤后重返NFL的潜力很大。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of orthopaedics ORTHOPEDICS-

CiteScore

3.50

自引率

6.70%

发文量

202

审稿时长

56 days

期刊介绍： Journal of Orthopaedics aims to be a leading journal in orthopaedics and contribute towards the improvement of quality of orthopedic health care. The journal publishes original research work and review articles related to different aspects of orthopaedics including Arthroplasty, Arthroscopy, Sports Medicine, Trauma, Spine and Spinal deformities, Pediatric orthopaedics, limb reconstruction procedures, hand surgery, and orthopaedic oncology. It also publishes articles on continuing education, health-related information, case reports and letters to the editor. It is requested to note that the journal has an international readership and all submissions should be aimed at specifying something about the setting in which the work was conducted. Authors must also provide any specific reasons for the research and also provide an elaborate description of the results.