印度奥运邦哈里亚纳邦运动员与运动相关的膝盖和肩部损伤的损伤模式和治疗结果

Q2 Medicine

Journal of Clinical Orthopaedics and Trauma Pub Date : 2025-03-07 DOI:10.1016/j.jcot.2025.102958

Amit Mor , Ashish Devgan , Anurag Bhakhar , Umesh Yadav , Nirvin Paul , Arvind Yadav

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引用次数: 0

摘要

我们的研究旨在调查哈里亚纳邦运动员与运动相关的膝盖和肩部损伤的损伤模式和治疗结果，哈里亚纳邦是印度奥运会奖牌贡献最突出的州。材料和方法在一家三级转诊中心进行了一项横断面前瞻性观察研究。从2018年5月到2023年6月的五年间，920名参与者参与了我们的研究。结果16 ~ 20岁年龄组的损伤发生率最高，占59.90%。男性（62.60%）多于女性（37.40%）。平均体重68.57±13.65 kg，身高1.57±0.11 m， BMI为25.75±4.81 kg/m2。卡巴迪运动员是最常见的受伤运动员（42.60%），其次是摔跤运动员（31.30%）。大多数运动员是职业运动员，参加国家级比赛的运动员占35.43%，参加国家级比赛的运动员占33.26%。平均延迟14.28±8.12个月。伤病多发生在竞技比赛中（61.30%），训练中休息。接触伤害占31.41%，非接触伤害占54.02%。仅考虑膝关节和肩部损伤，分别占所有损伤的77.28%和22.72%。损伤最多的是前交叉韧带断裂（60.76%），其次是半月板撕裂（54.45%）和副韧带损伤（26.96%）。424例患者接受保守治疗，53.9%的患者接受关节镜/开放手术。74.13%的运动员伤后恢复竞技运动，其中38.71%的运动员恢复到原来的运动水平。损伤损失时间4 ~ 60个月，平均10.58±4.74个月。运动员性别、身体质量指数、竞技水平和管理方式对重返运动有显著影响（p值均为0.01）。结论限制运动中的频率、严重程度和缺勤时间，同时使运动员几乎恢复到损伤前的活动水平，应该继续作为损伤预防的主要目标。

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Injury patterns and treatment outcomes in sports-related knee and shoulder injuries in athletes from India's Olympic state, Haryana

Background

Our study aims to investigate injury patterns and treatment results in sports-related knee and shoulder injuries among athletes from Haryana, the most prominent state in the contribution of Olympic medals for India.

Material and methods

A cross-sectional prospective observational study was conducted in a tertiary referral centre. Over five years, from May 2018 to June 2023, 920 participants were included in our study.

Result

Most injuries (59.90 %) occurred between the ages of 16 and 20. Men (62.60 %) outnumbered women (37.40 %). On average, the individuals weighed 68.57 ± 13.65 kg, stood 1.57 ± 0.11 m tall, and had a BMI of 25.75 ± 4.81 kg/m2. Kabaddi players, most commonly injured athletes (42.60 %), followed by wrestling (31.30 %). Most athletes were professional, with 35.43 % competing at the national level, while 33.26 % competed at the state level. The average delay in presentation was 14.28 ± 8.12 months. Most injuries occurred during competitive matches (61.30 %), rest during practice. Contact injuries accounted for 31.41 % of cases, while non-contact injuries accounted for 54.02 % of all injuries. Only knee and shoulder injuries were considered, accounting for 77.28 % and 22.72 % of all injuries. Most observed injuries were ACL rupture (60.76 %), followed by meniscal tears (54.45 %) and collateral ligament injuries (26.96 %). 424 patients treated conservatively, whereas 53.9 % cases underwent arthroscopic/open surgical procedures. 74.13 % of athletes returned to competitive sports after their injury of which 38.71 % returned to the previous level of activity. The duration of time lost to injury ranged from 4 to 60 months (average 10.58 ± 4.74). Return to sports was significantly affected by the athletes’ gender, BMI, level of competitiveness, and management modality (p-value <0.01 each).

Conclusion

Limiting the frequency, severity, and amount of time missed in sports while enabling athletes to return virtually to their pre-injury activity level should continue to be the primary goal of injury prevention.

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来源期刊

Journal of Clinical Orthopaedics and Trauma Medicine-Orthopedics and Sports Medicine

CiteScore

4.30

自引率

0.00%

发文量

181

审稿时长

92 days

期刊介绍： Journal of Clinical Orthopaedics and Trauma (JCOT) aims to provide its readers with the latest clinical and basic research, and informed opinions that shape today''s orthopedic practice, thereby providing an opportunity to practice evidence-based medicine. With contributions from leading clinicians and researchers around the world, we aim to be the premier journal providing an international perspective advancing knowledge of the musculoskeletal system. JCOT publishes content of value to both general orthopedic practitioners and specialists on all aspects of musculoskeletal research, diagnoses, and treatment. We accept following types of articles: • Original articles focusing on current clinical issues. • Review articles with learning value for professionals as well as students. • Research articles providing the latest in basic biological or engineering research on musculoskeletal diseases. • Regular columns by experts discussing issues affecting the field of orthopedics. • "Symposia" devoted to a single topic offering the general reader an overview of a field, but providing the specialist current in-depth information. • Video of any orthopedic surgery which is innovative and adds to present concepts. • Articles emphasizing or demonstrating a new clinical sign in the art of patient examination is also considered for publication. Contributions from anywhere in the world are welcome and considered on their merits.