David F Painter, Benjamin J Ahn, Rory A Byrne, James H Dove, Kieran J Wallace, Rishubh Jain, Brett D Owens
{"title":"在急诊科就诊的上肢矫形垒球受伤者：整个生命周期的流行病学。","authors":"David F Painter, Benjamin J Ahn, Rory A Byrne, James H Dove, Kieran J Wallace, Rishubh Jain, Brett D Owens","doi":"10.1080/00913847.2024.2411574","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Softball is a popular lifetime sport due to its inclusion of both fastpitch and slowpitch varieties, although associated injuries are common.</p><p><strong>Objective: </strong>To compare softball injury rates across patient sex, age, race, injury location, mechanism, and activity.</p><p><strong>Methods: </strong>The National Electronic Injury Surveillance System (NEISS) was queried for all upper extremity softball injuries in patients 10-85+ years old presenting to United States emergency departments between 2012 and 2021.</p><p><strong>Results: </strong>Significantly more of the 178,303 total weighted upper extremity injuries occurred in female (68.1%) than male (31.9%) athletes (<i>p</i> < .001). Male patients (mean 34.9 ± 13.6 years) were older than female patients (17.4 ± 8.4; <i>p</i> = .019). The average incidence rate of UE injuries from 2012-2021 was 187.9 per 100,000 persons, with a significant decrease in injury incidence across the timespan (<i>p</i> < .001). The lowest annual injury incidence (74.7 per 100,000 persons) occurred in 2020. In patients 10-18 years old, female patients accounted for 95.1% of all injuries, whereas male patients accounted for 72.1% of all injuries in patients aged ≥23. Compared to male patients, females more frequently experienced hand (<i>p</i> < .001), lower arm (<i>p</i> = .007), shoulder (<i>p</i> < .001), and wrist (<i>p</i> < .001) injuries in patients 10-18 years old, finger (<i>p</i> < .001), upper arm (<i>p</i> = .016), and wrist (<i>p</i> < .001) injuries in patients 19-22, and finger injuries (<i>p</i> < .001) in patients aged 23 +. Across all ages, the greatest proportion of injuries were treated and released (<i>p</i> < .001). Most injuries occurred while fielding (41.8%) and due to player-ball contact (36.8%).</p><p><strong>Conclusion: </strong>Softball injury ED presentations declined across a decade, including a precipitous drop and rebound effect due to the COVID-19 pandemic. Across the lifespan, upper extremity injuries progressively shifted from female-predominant in younger athletes to male-predominant in adults.</p>","PeriodicalId":51268,"journal":{"name":"Physician and Sportsmedicine","volume":" ","pages":"1-8"},"PeriodicalIF":1.9000,"publicationDate":"2024-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Upper extremity orthopedic softball injuries presenting to the emergency department: epidemiology across the lifespan.\",\"authors\":\"David F Painter, Benjamin J Ahn, Rory A Byrne, James H Dove, Kieran J Wallace, Rishubh Jain, Brett D Owens\",\"doi\":\"10.1080/00913847.2024.2411574\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Softball is a popular lifetime sport due to its inclusion of both fastpitch and slowpitch varieties, although associated injuries are common.</p><p><strong>Objective: </strong>To compare softball injury rates across patient sex, age, race, injury location, mechanism, and activity.</p><p><strong>Methods: </strong>The National Electronic Injury Surveillance System (NEISS) was queried for all upper extremity softball injuries in patients 10-85+ years old presenting to United States emergency departments between 2012 and 2021.</p><p><strong>Results: </strong>Significantly more of the 178,303 total weighted upper extremity injuries occurred in female (68.1%) than male (31.9%) athletes (<i>p</i> < .001). Male patients (mean 34.9 ± 13.6 years) were older than female patients (17.4 ± 8.4; <i>p</i> = .019). The average incidence rate of UE injuries from 2012-2021 was 187.9 per 100,000 persons, with a significant decrease in injury incidence across the timespan (<i>p</i> < .001). The lowest annual injury incidence (74.7 per 100,000 persons) occurred in 2020. In patients 10-18 years old, female patients accounted for 95.1% of all injuries, whereas male patients accounted for 72.1% of all injuries in patients aged ≥23. Compared to male patients, females more frequently experienced hand (<i>p</i> < .001), lower arm (<i>p</i> = .007), shoulder (<i>p</i> < .001), and wrist (<i>p</i> < .001) injuries in patients 10-18 years old, finger (<i>p</i> < .001), upper arm (<i>p</i> = .016), and wrist (<i>p</i> < .001) injuries in patients 19-22, and finger injuries (<i>p</i> < .001) in patients aged 23 +. Across all ages, the greatest proportion of injuries were treated and released (<i>p</i> < .001). Most injuries occurred while fielding (41.8%) and due to player-ball contact (36.8%).</p><p><strong>Conclusion: </strong>Softball injury ED presentations declined across a decade, including a precipitous drop and rebound effect due to the COVID-19 pandemic. Across the lifespan, upper extremity injuries progressively shifted from female-predominant in younger athletes to male-predominant in adults.</p>\",\"PeriodicalId\":51268,\"journal\":{\"name\":\"Physician and Sportsmedicine\",\"volume\":\" \",\"pages\":\"1-8\"},\"PeriodicalIF\":1.9000,\"publicationDate\":\"2024-10-06\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Physician and Sportsmedicine\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1080/00913847.2024.2411574\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"ORTHOPEDICS\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Physician and Sportsmedicine","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1080/00913847.2024.2411574","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"ORTHOPEDICS","Score":null,"Total":0}
引用次数: 0
摘要
背景：垒球是一项很受欢迎的终身运动，因为它包括快投和慢投两种类型，但相关的损伤也很常见：比较不同性别、年龄、种族、受伤部位、机制和活动的垒球受伤率：方法：对 2012 年至 2021 年期间在美国急诊科就诊的 10-85 岁以上患者的所有上肢垒球损伤情况进行了全国电子损伤监测系统（NEISS）查询：在总计 178,303 例加权上肢损伤中，女性运动员（68.1%）明显多于男性运动员（31.9%）（P = .019）。2012-2021 年间，上肢受伤的平均发生率为每 10 万人 187.9 例，受伤发生率在时间跨度（p p p = .007）、肩部（p p p = .016）和腕部（p p p 结论）方面均显著下降：垒球运动损伤的 ED 呈报率在十年间有所下降，其中包括 COVID-19 大流行导致的急剧下降和反弹效应。在整个生命周期中，上肢损伤从年轻运动员以女性为主逐渐转变为成年运动员以男性为主。
Upper extremity orthopedic softball injuries presenting to the emergency department: epidemiology across the lifespan.
Background: Softball is a popular lifetime sport due to its inclusion of both fastpitch and slowpitch varieties, although associated injuries are common.
Objective: To compare softball injury rates across patient sex, age, race, injury location, mechanism, and activity.
Methods: The National Electronic Injury Surveillance System (NEISS) was queried for all upper extremity softball injuries in patients 10-85+ years old presenting to United States emergency departments between 2012 and 2021.
Results: Significantly more of the 178,303 total weighted upper extremity injuries occurred in female (68.1%) than male (31.9%) athletes (p < .001). Male patients (mean 34.9 ± 13.6 years) were older than female patients (17.4 ± 8.4; p = .019). The average incidence rate of UE injuries from 2012-2021 was 187.9 per 100,000 persons, with a significant decrease in injury incidence across the timespan (p < .001). The lowest annual injury incidence (74.7 per 100,000 persons) occurred in 2020. In patients 10-18 years old, female patients accounted for 95.1% of all injuries, whereas male patients accounted for 72.1% of all injuries in patients aged ≥23. Compared to male patients, females more frequently experienced hand (p < .001), lower arm (p = .007), shoulder (p < .001), and wrist (p < .001) injuries in patients 10-18 years old, finger (p < .001), upper arm (p = .016), and wrist (p < .001) injuries in patients 19-22, and finger injuries (p < .001) in patients aged 23 +. Across all ages, the greatest proportion of injuries were treated and released (p < .001). Most injuries occurred while fielding (41.8%) and due to player-ball contact (36.8%).
Conclusion: Softball injury ED presentations declined across a decade, including a precipitous drop and rebound effect due to the COVID-19 pandemic. Across the lifespan, upper extremity injuries progressively shifted from female-predominant in younger athletes to male-predominant in adults.
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.
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号
