Introduction to Spine Injuries in the Pickleball Athlete.

IF 2.6 2区 医学 Q1 ORTHOPEDICS
Jalen Dansby, Paal Nilssen, Alfonso Ocampo, Nakul Narendran, Cameron Murphy, David L Skaggs, Terrence T Kim
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Abstract

Introduction: Pickleball is one of the fastest growing sports in the United States. Despite its popularity, there is limited research on pickleball-related orthopaedic injuries, particularly in the spine. This study aims to provide a deeper understanding of spinal injuries in pickleball players and offers insights into injury patterns and risk factors.

Methods: A retrospective review from our urban tertiary medical center's electronic medical record from 2013 to 2023 was done using OpenAI's Generative Pretrained Transformer-4 model to identify pickleball-related orthopaedic injuries. After artificial intelligence-driven identification, a manual review of medical records identified injuries related to the spine. The resulting medical records were manually reviewed for variables such as injury year, age, sex, spinal region affected, and treatment. Artificial intelligence did not generate any data, participate in writing, or assist with statistical analysis. Statistical analyses were done using Stata software, with significance set at P < 0.05.

Results: Among 1,527 pickleball-related orthopaedic injuries, 135 (8.8%) involved the spine (77% women, median age: 62 ± 12.4 years). Pickleball-related spinal injuries increased 56-fold from 2013 to 2023. Most injuries involved the lumbar spine (84%), followed by the cervical spine (15%) and thoracic spine (1%). The most common complaint was lumbar radicular symptoms (63%). Forty-six percent of patients had a body mass index over 25, and this was associated with lumbar radiculopathy and acute disk herniation (P < 0.05). Most patients sought outpatient care (98%) and 10% required surgical intervention, primarily spinal decompression.

Conclusion: Pickleball-related spine injuries are relatively uncommon but increasing as the sport grows in popularity, with the lumbar spine being the most frequently affected region. Elevated body mass index emerged as an important modifiable potential risk factor, and the study found a relatively high rate of surgical intervention at 10%. These findings can help guide counseling and treatment for pickleball athletes, although further research is needed to better understand risk factors, treatment options, prognosis, and return-to-play guidelines.

匹克球运动员脊柱损伤介绍。
匹克球是美国发展最快的运动之一。尽管它很受欢迎,但对匹克球相关的骨科损伤,特别是脊柱损伤的研究有限。本研究旨在深入了解匹克球运动员的脊髓损伤,并提供损伤模式和危险因素的见解。方法:采用OpenAI的生成式预训练Transformer-4模型对2013年至2023年我国城市三级医疗中心的电子病历进行回顾性分析,以识别匹克球相关的骨科损伤。在人工智能驱动的识别之后,对医疗记录的人工审查确定了与脊柱相关的损伤。由此产生的医疗记录是手动审查变量,如受伤年份、年龄、性别、受影响的脊柱区域和治疗。人工智能没有产生任何数据,也没有参与写作,也没有协助统计分析。采用Stata软件进行统计学分析,P < 0.05为显著性。结果:在1,527例匹克球相关的骨科损伤中,135例(8.8%)涉及脊柱(77%为女性,中位年龄:62±12.4岁)。从2013年到2023年,匹克球相关的脊髓损伤增加了56倍。大多数损伤涉及腰椎(84%),其次是颈椎(15%)和胸椎(1%)。最常见的主诉是腰椎神经根症状(63%)。46%的患者体重指数超过25,这与腰椎神经根病和急性椎间盘突出有关(P < 0.05)。大多数患者寻求门诊治疗(98%),10%需要手术干预,主要是脊柱减压。结论:匹克球相关的脊柱损伤相对不常见,但随着这项运动的普及而增加,腰椎是最常受影响的区域。体重指数升高成为一个重要的可改变的潜在风险因素,研究发现手术干预的比例相对较高,为10%。这些发现可以帮助指导匹克球运动员的咨询和治疗,尽管需要进一步的研究来更好地了解风险因素、治疗方案、预后和恢复比赛指南。
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
CiteScore
6.10
自引率
6.20%
发文量
529
审稿时长
4-8 weeks
期刊介绍: The Journal of the American Academy of Orthopaedic Surgeons was established in the fall of 1993 by the Academy in response to its membership’s demand for a clinical review journal. Two issues were published the first year, followed by six issues yearly from 1994 through 2004. In September 2005, JAAOS began publishing monthly issues. Each issue includes richly illustrated peer-reviewed articles focused on clinical diagnosis and management. Special features in each issue provide commentary on developments in pharmacotherapeutics, materials and techniques, and computer applications.
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