破冰:20年研究期间青少年冰球运动员上肢损伤的模式和流行。

IF 1.8 Q2 ORTHOPEDICS
HAND Pub Date : 2025-07-31 DOI:10.1177/15589447251357040
Peter V Dinh, Timothy A Reiad, Margaret R Wang, Jacob M Johnson, David Bruni, Reena A Bhatt, Joseph A Gil
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引用次数: 0

摘要

背景:上肢(UE)损伤,范围从锁骨到指尖,是普遍的冰球。尽管曲棍球越来越受欢迎,但关于UE伤害的综合流行病学数据有限。本研究分析了美国年轻球员中与冰球相关的急性UE损伤模式,重点关注年龄和性别特异性损伤分布。方法:对国家电子损伤监测系统2006 - 2023年5 ~ 24岁冰球相关损伤进行分析。损伤按患者人口统计学和解剖区域分类。Logistic回归模型分析了损伤模式与相关预测变量之间的关系(P < 0.05)。结果:在258 302例冰球相关损伤中,91 889例(35.57%)涉及UE。肩关节(锁骨、肩胛骨、肱骨近端)是最常见的UE损伤部位(40.73%),其次是手腕(19.55%),其次是手指(11.23%)。骨折是主要的损伤类型(35.85%)。青少年球员(5-13岁)骨折发生率高于其他年龄组(比值比[OR] = 1.78)。大学年龄球员(19-24岁)更容易脱臼(OR = 3.52)。男性肩部脱臼(OR = 6.55)和肩部损伤的几率更高(OR = 1.70),而女性手腕损伤(OR = 1.92)和手腕拉伤或扭伤(OR = 2.92)的几率更高。结论:这项对冰球运动员UE损伤的综合分析强调了这些损伤的重大负担,并确定了与损伤类型、解剖位置和人口因素相关的重要模式。这些发现为制定有针对性的伤害预防策略和提高冰球运动员的安全水平提供了基础。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Breaking the Ice: Patterns and Prevalence of Upper Extremity Injuries in Youth Ice Hockey Players Over a 20-Year Study Period.

Background: Upper extremity (UE) injuries, ranging from the clavicle to the fingertips, are prevalent in ice hockey. Despite hockey's growing popularity, comprehensive epidemiological data on UE injuries are limited. This study analyzes patterns of acute hockey-related UE injuries among young players in the United States, focusing on age-specific and sex-specific injury distributions.

Methods: The National Electronic Injury Surveillance System was analyzed for ice hockey-related injuries among patients aged 5 to 24 years from 2006 to 2023. Injuries were classified by patient demographics and anatomical region. Logistic regression models analyzed the association between injury patterns and predictive variables of interest (P < .05).

Results: Of 258 302 estimated ice hockey-related injuries, 91 889 (35.57%) involved the UE. The shoulder (clavicle, scapula, proximal humerus) was the most common site of UE injuries (40.73%), followed by the wrist (19.55%) and then digits (11.23%). Fractures were the predominant injury type (35.85%). Youth players (5-13 years) had higher odds of fractures (odds ratio [OR] = 1.78) compared with other age groups. College-aged players (19-24 years) were more prone to dislocations (OR = 3.52). Males had higher odds of shoulder dislocations (OR = 6.55) and shoulder injuries overall (OR = 1.70), whereas females had higher odds of wrist injuries (OR = 1.92) and wrist strains or sprains (OR = 2.92).

Conclusions: This comprehensive analysis of UE injuries in ice hockey athletes highlights the significant burden of these injuries and identifies important patterns related to injury types, anatomical locations, and demographic factors. These findings provide a foundation for developing targeted injury prevention strategies and improving player safety in ice hockey.

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来源期刊
HAND
HAND Medicine-Surgery
CiteScore
3.30
自引率
0.00%
发文量
209
期刊介绍: HAND is the official journal of the American Association for Hand Surgery and is a peer-reviewed journal featuring articles written by clinicians worldwide presenting current research and clinical work in the field of hand surgery. It features articles related to all aspects of hand and upper extremity surgery and the post operative care and rehabilitation of the hand.
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