尺侧副韧带受伤的 NFL 四分卫重返赛场率很高，但年龄较大的球员伤后表现较差

Q3 Medicine

Arthroscopy Sports Medicine and Rehabilitation Pub Date : 2024-08-01 DOI:10.1016/j.asmr.2024.100954

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引用次数: 0

摘要

目的描述美国国家橄榄球联盟（NFL）中尺侧副韧带（UCL）受伤的四分卫的流行病学、受伤机制（接触性与非接触性）、处理方法和重返赛场（RTP）时间。记录了受伤时的年龄、受伤机制（接触式与非接触式）、处理策略和RTP时间。此外，还研究了受伤前一个赛季到受伤后第二个赛季的球员表现指标，包括出场场次、四分卫评分、完成率、达阵和拦截。球员表现分析采用主成分分析法进行评估，这是一种降维统计方法，可将多个表现指标压缩成一个单一值，即第一个主成分。四分卫受伤时的平均年龄为 28.7 岁（标准偏差为 ± 4.6 岁）。其中 10 次受伤是在与其他球员接触时发生的，11 次是非接触性受伤。大多数 UCL 损伤（n = 13）都得到了非手术治疗。16 名球员完成了 RTP，其中 4 人进行了修复或重建（UCLR）。总体而言，平均恢复时间为 165.6 天（标准差为 ± 178.8 天），但接受 UCLR 的球员平均恢复时间更长（359.0 天 vs 98.25 天，P = .014）。2006年后受伤的球员伤后表现有所改善（P = .041），但受伤时年龄较大的球员伤后表现较差（P = .048）。虽然 RTP 率很高，而且 2006 年后受伤的球员伤后表现有所改善，但受伤时年龄较大与伤后表现较差有关。

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National Football League Quarterbacks With Ulnar Collateral Ligament Injuries Have High Return-to-Play Rates, but Older Players Have Inferior Postinjury Performance

Purpose

To characterize the epidemiology, mechanism (contact vs noncontact), management, and return-to-play (RTP) times for quarterbacks in the National Football League (NFL) who experienced ulnar collateral ligament (UCL) injuries.

Methods

Using the Pro Sports Transactions Archive, NFL quarterbacks who sustained UCL injuries between 1991 and 2023 were identified. Age at time of injury, mechanism of injury (contact vs noncontact), management strategy, and RTP time were recorded. In addition, player performance metrics including games played, quarterback rating, completion percentage, touchdowns, and interceptions were examined for the season before injury through the second season after injury. Player performance analysis was assessed using principal component analysis, which is a dimensionality reduction statistical method that compresses the several performance metrics into a single value, the first principal component.

Results

A total of 21 injuries in 20 players were identified. The mean age of quarterbacks at time of injury was 28.7 years (± 4.6 years standard deviation). Ten injuries occurred during contact with another player, and 11 injuries were noncontact. Most (n = 13) of UCL injuries were managed nonoperatively. Sixteen players achieved RTP, 4 of whom underwent repair or reconstruction (UCLR). Overall, the mean RTP time was 165.6 days (± 178.8 days standard deviation), but players who underwent UCLR had a longer average RTP time (359.0 days vs 98.25 days, P = .014). Injuries sustained after 2006 were associated with improved postinjury performance (P = .041), but older age at time of injury was associated with diminished postinjury performance (P = .048).

Conclusions

NFL quarterbacks sustain more noncontact UCL injuries and are undergoing UCLR at greater rates than previously reported. Although RTP rates are high and players demonstrate improved postinjury performance for injuries sustained after 2006, older age at the time of injury is associated with worse postinjury performance.