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首页> 外文期刊>Orthopaedic Journal of Sports Medicine >Elbow Dislocation and Subluxation Injuries in the National Collegiate Athletic Association, 2009-2010 Through 2013-2014
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Elbow Dislocation and Subluxation Injuries in the National Collegiate Athletic Association, 2009-2010 Through 2013-2014

机译：2009-2010年至2013-2014年，美国大学体育协会的肘关节脱位和半脱位损伤

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Background: Examination of the incidence of elbow dislocation and subluxation injuries in the collegiate athlete population is limited. Purpose: To determine the incidence of elbow dislocation and subluxation injuries in the National Collegiate Athletic Association (NCAA) and investigate the risk factors involved. Study Design: Descriptive epidemiology study. Methods: All elbow subluxation and dislocation injuries from the 2009-2010 through 2013-2014 academic years in the NCAA Injury Surveillance Program database were extracted. The incidence was calculated for different injuries, sports, activity, time in game, competition status, and injury characteristics. Such differences were compared by use of risk ratios to determine risk factors for injury. Results: The overall incidence of elbow instability injuries was 0.04 per 10,000 athlete-exposures (AEs). Elbow dislocations were more common, with 553 injuries (82.2%, 0.03/10,000 AEs), while elbow subluxations were the minority, with 119 injuries (17.8%, 0.01/10,000 AEs). Men’s wrestling had the highest incidence of elbow instability (1.08/10,000 AEs), more than women’s gymnastics (0.74), men’s football (0.11), and women’s volleyball (0.06). All injuries occurred via a contact mechanism, and 99.2% were new injuries. Sixty-nine percent of injuries kept athletes sidelined for more than 2 weeks. Injuries were 3 times more likely to occur in competition (0.08/10,000 AEs) than practice (0.03/10,000 AEs). Injuries sustained during competition were 1.4 times more likely to occur early in the match than late. Conclusion: Elbow instability injuries are an infrequent but serious source of disability for select NCAA athletes, with a number of associated risk factors. Athletes sustaining these injuries, along with their coaches and medical providers, may benefit from these return-to-play data to best manage expectations and outcomes.
机译：背景：在大学运动员中，对肘脱位和半脱位损伤的发生率的检查是有限的。目的：确定美国大学体育协会（NCAA）的肘关节脱位和半脱位损伤的发生率，并调查涉及的危险因素。研究设计：描述性流行病学研究。方法：从NCAA伤害监测计划数据库中提取2009-2010年至2013-2014学年的所有肘部半脱位和脱位损伤。计算出不同伤害，运动，活动，比赛时间，比赛状态和伤害特征的发生率。通过使用风险比率比较这些差异，以确定伤害的风险因素。结果：肘关节不稳定损伤的总发生率为每10,000名运动员暴露（AE）0.04。肘关节脱位更为常见，有553例受伤（82.2％，0.03 / 10,000 AEs），而半脱位是少数，有119例受伤（17.8％，0.01 / 10,000 AEs）。男子摔跤手肘不稳的发生率最高（1.08 / 10,000 AEs），高于女子体操（0.74），男子足球（0.11）和女子排球（0.06）。所有伤害都是通过接触机制发生的，其中99.2％是新伤害。 69％的受伤使运动员在场上呆了两个多星期。比赛中（0.08 / 10,000 AEs）受伤的可能性是练习中（0.03 / 10,000 AEs）的3倍。比赛早期受伤的可能性是比赛早期发生的可能性的1.4倍。结论：对于某些NCAA运动员来说，肘部不稳定伤是很少见但严重的致残原因，并伴有许多相关的危险因素。遭受这些伤害的运动员以及他们的教练和医疗提供者可能会从这些重返比赛数据中受益，以最好地管理期望和结果。

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