Comparison of injury patterns among highly specialized athletes in individual, team, and repetitive motion team sports.

IF 1.6 4区医学 Q2 ORTHOPEDICS

Physician and Sportsmedicine Pub Date : 2025-12-01 Epub Date: 2025-10-28 DOI:10.1080/00913847.2025.2580924

Daniel E McLoughlin, Soyang Kwon, Pranav M Bajaj, Linda Sandoval, Patrick F Murday, Jamie K Burgess, Cynthia R LaBella

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引用次数: 0

Abstract

Objective: Overuse injuries are more associated with highly specialized youth athletes in individual sports than those in team sports; however, as baseball, softball, and volleyball involve frequent repetitive motions, these repetitive motion team sports (RMTS) may see a greater proportion of overuse injuries than non-repetitive motion team sports (non-RMTS). The objective of the present study is to compare the distribution of injuries (overuse vs. acute) in RMTS to non-RMTS and individual sports among highly specialized youth athletes.

Methods: We conducted a retrospective review of 805 highly specialized athletes (aged 12.00-17.92 years) who presented with a sports-related injury between January 2015 and June 2022. The injury distribution (proportion of overuse vs. acute injuries) for each sport type group (Individual, RMTS, non-RMTS) was compared to each of the other two via chi-square, and linear regression was used to evaluate the relative odds of any given injury being overuse for sport type and various demographic and sports participation variables.

Results: Among 805 patients, 487 (60.5%) were individual sport athletes, 83 (10.3%) were RMTS athletes, and 235 (29.2%) were non-RMTS athletes. The proportions of overuse injury were 67.1%, 57.5%, and 40.0% in the individual, RMTS, and non-RMTS groups, respectively. Overuse injury proportion was higher in RMTS than non-RMTS (p = 0.0105), though it was not significantly different between RMTS and individual sports (p = 0.098). Patients participating in individual sports (Odds Ratio = 2.93, 95% CI = 2.00-4.29) or RMTS (OR = 2.28, 95% CI = 1.31-3.97) had greater odds of overuse injury relative to acute injury when compared to those in non-RMTS.

Conclusions: Among highly specialized youth athletes, individual sport and RMTS athletes had similar proportions of overuse injuries, and both had a higher proportion of overuse injuries than non-RMTS athletes. Preliminary evidence suggests that RMTS athletes may share some risk characteristics with individual sport athletes, which may help guide future research into injury patterns in this group to help better inform clinicians in counseling highly specialized youth athletes regarding overuse injuries.

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高度专业化运动员在个人、团体和重复性运动团体运动中损伤模式的比较。

目的：高专业青少年运动员在个人项目中过度使用损伤的发生率高于团体项目；然而，由于棒球、垒球和排球涉及频繁的重复运动，这些重复性运动团队运动（RMTS）可能比非重复性运动团队运动（non-RMTS）看到更大比例的过度使用损伤。本研究的目的是比较在高度专业化的青年运动员中，RMTS和非RMTS以及个人运动中的损伤分布（过度使用和急性）。方法：我们对2015年1月至2022年6月期间出现运动相关损伤的805名高度专业化运动员（年龄12.00-17.92岁）进行了回顾性分析。每个运动类型组（个体、RMTS、非RMTS）的损伤分布（过度使用与急性损伤的比例）通过卡方与其他两个组进行比较，并使用线性回归来评估运动类型和各种人口统计学和运动参与变量的任何给定损伤过度使用的相对赔率。结果：805例患者中，个人运动员487例（60.5%），RMTS运动员83例（10.3%），非RMTS运动员235例（29.2%）。个体组、RMTS组和非RMTS组的过度使用损伤比例分别为67.1%、57.5%和40.0%。过度使用损伤比例在RMTS组高于非RMTS组（p = 0.0105），但在RMTS组与单项运动组之间差异不显著（p = 0.098）。与非RMTS相比，参加个人运动（比值比= 2.93,95% CI = 2.00-4.29）或RMTS（比值比= 2.28,95% CI = 1.31-3.97）的患者发生过度使用损伤的几率高于急性损伤。结论：在高度专业化的青少年运动员中，个体运动和RMTS运动员的过度使用损伤比例相似，且两者的过度使用损伤比例均高于非RMTS运动员。初步证据表明，RMTS运动员可能与个体运动运动员有一些共同的风险特征，这可能有助于指导未来对这一群体损伤模式的研究，以帮助临床医生更好地咨询高度专业化的青少年运动员关于过度使用损伤的问题。

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

Physician and Sportsmedicine PRIMARY HEALTH CARE-ORTHOPEDICS

CiteScore

4.90

自引率

4.30%

发文量

审稿时长

>12 weeks

期刊介绍： The Physician and Sportsmedicine is a peer-reviewed, clinically oriented publication for primary care physicians. We examine the latest drug discoveries to advance treatment and recovery, and take into account the medical aspects of exercise therapy for a given condition. We cover the latest primary care-focused treatments serving the needs of our active patient population, and assess the limits these treatments govern in stabilization and recovery. The Physician and Sportsmedicine is a peer-to-peer method of communicating the latest research to aid primary care physicians’ advancement in methods of care and treatment. We routinely cover such topics as: managing chronic disease, surgical techniques in preventing and managing injuries, the latest advancements in treatments for helping patients lose weight, and related exercise and nutrition topics that can impact the patient during recovery and modification.