John R Baumann, Ashwin R Garlapaty, James L Cook, Steven F DeFroda
{"title":"国家橄榄球联盟中股四头肌腱和髌骨肌腱损伤的最新趋势。","authors":"John R Baumann, Ashwin R Garlapaty, James L Cook, Steven F DeFroda","doi":"10.1177/23259671241304437","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>While quadriceps tendon (QT) and patellar tendon (PT) tears are relatively rare in the National Football League (NFL), the impact they can have on a player's season and career is significant. Despite the importance of extensor tendon injuries within the NFL, there is a lack of recent literature describing their risk factors, incidence, and impact on performance.</p><p><strong>Purposes: </strong>To determine the incidence and impact of QT and PT injuries in the NFL between the 2009-2010 and 2022-2023 seasons and to explore the impact that player and injury characteristics have on injury risk, return to play (RTP), and player performance.</p><p><strong>Study design: </strong>Descriptive epidemiology study.</p><p><strong>Methods: </strong>Publicly available data were reviewed to capture all PT and QT tears reported in the NFL between the 2009-2010 and 2022-2023 seasons. RTP and performance metrics were recorded for each player during the season before injury and the first 2 seasons postinjury. Data were analyzed to determine statistically significant differences in proportions using chi-square tests, Fisher exact tests, or McNemar tests. Statistical significance was set at <i>P</i> < .05.</p><p><strong>Results: </strong>A total of 80 extensor tendon tears (24 QT tears, 56 PT tears) were identified between the 2009-2010 and 2022-2023 NFL seasons. Risk factors for QT injury included body mass index ≥31, age ≥26 years, and >4 years of NFL experience. The risk for QT injury was higher in offensive and defensive linemen compared with skill players. The risk for PT injury was higher for offensive linemen compared with other position groups. Overall, 96.3% of extensor tendon injuries were season ending. The RTP rate for QT injuries was greater (58.3%) than that for PT injuries (55.4%). QT injuries resulted in a greater rate of return to prior performance level and a quicker return to performance compared with PT injuries.</p><p><strong>Conclusion: </strong>The rates of QT and PT injury were higher in this study compared with those found in prior NFL studies. This study found similar RTP rates after QT injury but significantly lower RTP rates after PT injury compared with the previous literature. This highlights the significant, devastating, and increasing impact that extensor tendon injuries have on NFL players.</p>","PeriodicalId":19646,"journal":{"name":"Orthopaedic Journal of Sports Medicine","volume":"13 2","pages":"23259671241304437"},"PeriodicalIF":2.4000,"publicationDate":"2025-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11806464/pdf/","citationCount":"0","resultStr":"{\"title\":\"Recent Trends in Quadriceps Tendon and Patellar Tendon Injuries in the National Football League.\",\"authors\":\"John R Baumann, Ashwin R Garlapaty, James L Cook, Steven F DeFroda\",\"doi\":\"10.1177/23259671241304437\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>While quadriceps tendon (QT) and patellar tendon (PT) tears are relatively rare in the National Football League (NFL), the impact they can have on a player's season and career is significant. Despite the importance of extensor tendon injuries within the NFL, there is a lack of recent literature describing their risk factors, incidence, and impact on performance.</p><p><strong>Purposes: </strong>To determine the incidence and impact of QT and PT injuries in the NFL between the 2009-2010 and 2022-2023 seasons and to explore the impact that player and injury characteristics have on injury risk, return to play (RTP), and player performance.</p><p><strong>Study design: </strong>Descriptive epidemiology study.</p><p><strong>Methods: </strong>Publicly available data were reviewed to capture all PT and QT tears reported in the NFL between the 2009-2010 and 2022-2023 seasons. RTP and performance metrics were recorded for each player during the season before injury and the first 2 seasons postinjury. Data were analyzed to determine statistically significant differences in proportions using chi-square tests, Fisher exact tests, or McNemar tests. Statistical significance was set at <i>P</i> < .05.</p><p><strong>Results: </strong>A total of 80 extensor tendon tears (24 QT tears, 56 PT tears) were identified between the 2009-2010 and 2022-2023 NFL seasons. Risk factors for QT injury included body mass index ≥31, age ≥26 years, and >4 years of NFL experience. The risk for QT injury was higher in offensive and defensive linemen compared with skill players. The risk for PT injury was higher for offensive linemen compared with other position groups. Overall, 96.3% of extensor tendon injuries were season ending. The RTP rate for QT injuries was greater (58.3%) than that for PT injuries (55.4%). QT injuries resulted in a greater rate of return to prior performance level and a quicker return to performance compared with PT injuries.</p><p><strong>Conclusion: </strong>The rates of QT and PT injury were higher in this study compared with those found in prior NFL studies. This study found similar RTP rates after QT injury but significantly lower RTP rates after PT injury compared with the previous literature. This highlights the significant, devastating, and increasing impact that extensor tendon injuries have on NFL players.</p>\",\"PeriodicalId\":19646,\"journal\":{\"name\":\"Orthopaedic Journal of Sports Medicine\",\"volume\":\"13 2\",\"pages\":\"23259671241304437\"},\"PeriodicalIF\":2.4000,\"publicationDate\":\"2025-02-06\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11806464/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Orthopaedic Journal of Sports Medicine\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1177/23259671241304437\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2025/2/1 0:00:00\",\"PubModel\":\"eCollection\",\"JCR\":\"Q2\",\"JCRName\":\"ORTHOPEDICS\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Orthopaedic Journal of Sports Medicine","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1177/23259671241304437","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/2/1 0:00:00","PubModel":"eCollection","JCR":"Q2","JCRName":"ORTHOPEDICS","Score":null,"Total":0}
Recent Trends in Quadriceps Tendon and Patellar Tendon Injuries in the National Football League.
Background: While quadriceps tendon (QT) and patellar tendon (PT) tears are relatively rare in the National Football League (NFL), the impact they can have on a player's season and career is significant. Despite the importance of extensor tendon injuries within the NFL, there is a lack of recent literature describing their risk factors, incidence, and impact on performance.
Purposes: To determine the incidence and impact of QT and PT injuries in the NFL between the 2009-2010 and 2022-2023 seasons and to explore the impact that player and injury characteristics have on injury risk, return to play (RTP), and player performance.
Study design: Descriptive epidemiology study.
Methods: Publicly available data were reviewed to capture all PT and QT tears reported in the NFL between the 2009-2010 and 2022-2023 seasons. RTP and performance metrics were recorded for each player during the season before injury and the first 2 seasons postinjury. Data were analyzed to determine statistically significant differences in proportions using chi-square tests, Fisher exact tests, or McNemar tests. Statistical significance was set at P < .05.
Results: A total of 80 extensor tendon tears (24 QT tears, 56 PT tears) were identified between the 2009-2010 and 2022-2023 NFL seasons. Risk factors for QT injury included body mass index ≥31, age ≥26 years, and >4 years of NFL experience. The risk for QT injury was higher in offensive and defensive linemen compared with skill players. The risk for PT injury was higher for offensive linemen compared with other position groups. Overall, 96.3% of extensor tendon injuries were season ending. The RTP rate for QT injuries was greater (58.3%) than that for PT injuries (55.4%). QT injuries resulted in a greater rate of return to prior performance level and a quicker return to performance compared with PT injuries.
Conclusion: The rates of QT and PT injury were higher in this study compared with those found in prior NFL studies. This study found similar RTP rates after QT injury but significantly lower RTP rates after PT injury compared with the previous literature. This highlights the significant, devastating, and increasing impact that extensor tendon injuries have on NFL players.
期刊介绍：
The Orthopaedic Journal of Sports Medicine (OJSM), developed by the American Orthopaedic Society for Sports Medicine (AOSSM), is a global, peer-reviewed, open access journal that combines the interests of researchers and clinical practitioners across orthopaedic sports medicine, arthroscopy, and knee arthroplasty.
Topics include original research in the areas of:
-Orthopaedic Sports Medicine, including surgical and nonsurgical treatment of orthopaedic sports injuries
-Arthroscopic Surgery (Shoulder/Elbow/Wrist/Hip/Knee/Ankle/Foot)
-Relevant translational research
-Sports traumatology/epidemiology
-Knee and shoulder arthroplasty
The OJSM also publishes relevant systematic reviews and meta-analyses.
This journal is a member of the Committee on Publication Ethics (COPE).
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