国家冰球联盟球员脚踝骨折后的高恢复率和表现没有恶化

IF 1.5 Q3 ORTHOPEDICS

Journal of orthopaedics Pub Date : 2025-07-29 DOI:10.1016/j.jor.2025.07.033

Alexander Tham , Katherine L. Esser , Jared Rubin , Bradley A. Lezak , Nathaniel P. Mercer , James J. Butler , Hayden Hartman , Andrew J. Rosenbaum , John G. Kennedy

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引用次数: 0

摘要

踝关节骨折是高强度运动中常见的损伤，但在职业冰球运动中尚未得到广泛研究。鉴于国家冰球联盟（NHL）的高速度、高碰撞性，脚踝骨折可能会显著影响球员的表现和球队资源。目的探讨NHL球员踝关节骨折的发生率、处理及对比赛恢复（RTP）和表现指标的影响。方法对2013年至2023年NHL运动员进行回顾性分析，确定了30名踝关节骨折的运动员。损伤数据、治疗干预（手术与非手术）和损伤机制从在线数据库中记录。使用非参数统计方法比较了伤病前后赛季的表现指标。结果计算的踝关节骨折发生率为0.52 / 10000。所有患者均恢复NHL比赛，平均恢复时间为1.8±1.0个月。伤病前后赛季的表现指标，包括进球、助攻、得分、上场时间或投篮效率，没有显著差异。接受手术治疗的球员恢复时间更长(2.7个月vs 1.4个月；P = 0.007)，但与非手术治疗的球员相比，缺席的比赛次数相似（16.6±14.5比16.2±12.1,P = 0.756）。冰球撞击损伤比接触相关损伤更可能需要手术（p = 0.038）。没有球员出现骨折。本研究发现，在NHL球员中，踝关节骨折是一种罕见的损伤，但并不会导致球员表现指标的显著下降。所有NHL球员均成功重返NHL赛场，平均RTP时间为1.8个月。综上所述，这些发现表明，NHL球员的脚踝骨折对他们恢复和保持受伤前表现水平的能力影响最小。

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High rates of return-to-play and No deterioration in performance following ankle fractures in National Hockey League players

Background

Ankle fractures are common injuries in high-impact sports but have not been extensively studied in professional hockey. Given the high-speed, collision-heavy nature of the National Hockey League (NHL), ankle fractures may significantly affect player performance and team resources.

Purpose

To investigate the incidence, management, and impact of ankle fractures on return-to-play (RTP) and performance metrics among NHL players.

Methods

A retrospective review of NHL players from 2013 to 2023 identified 30 athletes who sustained ankle fractures. Injury data, treatment intervention (surgical vs. non-surgical), and mechanism of injury were recorded from an online databse. Performance metrics were compared between pre- and post-injury seasons using non-parametric statistical methods.

Results

The calculated rate of occurrence was 0.52 ankle fractures per 10,000 athlete exposures. All players returned to NHL play, with a mean time to return of 1.8 ± 1.0 months. There were no significant differences in performance metrics, including goals, assists, points, time on ice, or shooting efficiency, between pre- and post-injury seasons. Surgically treated players had a longer recovery time (2.7 vs. 1.4 months; p = 0.007) but missed a similar number of games compared to non-surgically treated players (16.6 ± 14.5 vs 16.2 ± 12.1 games missed, p = 0.756). Puck impact injuries were more likely to require surgery than contact-related injuries (p = 0.038). No player sustained a refracture.

Conclusion

This study found that ankle fractures are a rare injury sustained by NHL players but do not lead to statistically significant deterioration in player performance metrics. All NHL players successfully returned to play at the NHL level at a mean time to RTP of 1.8 months. Taken together, these findings indicate that ankle fractures in NHL players have minimal effect on their ability to return to and maintain pre-injury performance levels.

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来源期刊

Journal of orthopaedics ORTHOPEDICS-

CiteScore

3.50

自引率

6.70%

发文量

202

审稿时长

56 days

期刊介绍： Journal of Orthopaedics aims to be a leading journal in orthopaedics and contribute towards the improvement of quality of orthopedic health care. The journal publishes original research work and review articles related to different aspects of orthopaedics including Arthroplasty, Arthroscopy, Sports Medicine, Trauma, Spine and Spinal deformities, Pediatric orthopaedics, limb reconstruction procedures, hand surgery, and orthopaedic oncology. It also publishes articles on continuing education, health-related information, case reports and letters to the editor. It is requested to note that the journal has an international readership and all submissions should be aimed at specifying something about the setting in which the work was conducted. Authors must also provide any specific reasons for the research and also provide an elaborate description of the results.