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Prevalence of Shoulder Labral Injury in Collegiate Football Players at the National Football League Scouting Combine

机译:在国家橄榄球联盟球探联合会的大学橄榄球运动员中,肩唇损伤的患病率

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Background: Labral tears confirmed by magnetic resonance imaging (MRI) are a relatively common injury among collegiate athletes and can influence a player’s ability to compete at the professional level. Purpose: To determine the prevalence of MRI-confirmed shoulder labral injuries in collegiate football players entering the National Football League (NFL) Combine and to further describe these injuries by tear location, player position, history of surgical intervention, and associated concomitant shoulder injuries. Study Design: Descriptive epidemiology study. Methods: Data from 2009 to 2015 were retrospectively collected through review of the injury data registry available to the medical and training staff of all NFL teams following the completion of the NFL Combine. After players with potential labral tears were identified through history and examination, their MRIs were reviewed by 2 fellowship-trained orthopaedic sports medicine surgeons. Players diagnosed with a labral tear confirmed by MRI were separated for further analysis. Results: A total of 2285 players were analyzed for the presence of labral tears at the NFL Combine. Overall, 377 shoulders (in 340/2285 players; 14.9%) demonstrated MRI evidence of labral tear; whereas linebackers had the highest rate of labral tear (19.2%), linemen had significantly higher risk for labral injury in at least 1 shoulder (odds ratio, 1.31; 95% CI, 1.02-1.67; P = .029) compared with nonlinemen. Of the 377 shoulders analyzed, 115 (30.5%) exhibited an anterior labral tear, 131 (34.7%) had a posterior labral tear, and 131 (34.7%) had combined anterior and posterior tears. One hundred twenty (31.8%) shoulders had superior labral anterior-posterior (SLAP) tears. A total of 203 (53.8%) shoulders demonstrated evidence of previous surgical intervention on imaging. Conclusion: Injury involving the labrum is relatively common among participants at the NFL Combine, especially linebackers and linemen. Further investigation is necessary to determine the impact these injuries have on player draft position and NFL performance.
机译:背景:通过磁共振成像(MRI)确认的唇裂是大学运动员中比较常见的伤害,可能会影响运动员在专业水平上的比赛能力。目的:确定进入国家橄榄球联盟(NFL)的大学橄榄球运动员经MRI确认的肩唇劳损的发生率,并通过泪液位置,球员位置,手术干预史以及相关的肩部受伤进一步描述这些伤害。研究设计:描述性流行病学研究。方法:通过对NFL联合体完成后所有NFL球队的医疗和培训人员可用的伤害数据注册表进行回顾,回顾性地收集了2009年至2015年的数据。在通过历史和检查确定了可能存在唇裂的球员后,由两名受过研究金培训的骨科运动医学外科医生对他们的MRI进行了检查。由MRI确诊为唇裂的球员被分开进行进一步分析。结果:总共2285名球员在NFL联合赛中被分析过唇裂的存在。总体上,有377个肩膀(在340/2285个球员中;占14.9%)表现出MRI的唇lab裂证据。与后卫相比,后卫的唇撕裂发生率最高(19.2%),而后卫至少在1个肩部有更高的唇裂风险(优势比,1.31; 95%CI,1.02-1.67; P = .029)。在分析的377个肩膀中,有115个(30.5%)表现出前唇裂,有131个(34.7%)表现为后唇裂,而131个(34.7%)合并了前,后裂。一百二十(31.8%)个肩膀有上唇唇前后裂(SLAP)。共有203位(53.8%)的肩膀表现出先前影像学上手术干预的证据。结论:NFL联合会的参与者,尤其是后卫和巡线员,相对于唇唇的损伤较为普遍。有必要进一步调查以确定这些伤害对球员吃水位置和NFL表现的影响。

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