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首页> 外文期刊>Orthopaedic Journal of Sports Medicine >Prevalence and Epidemiology of Injuries Among Elite Cyclists in the Tour de France
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Prevalence and Epidemiology of Injuries Among Elite Cyclists in the Tour de France

机译：环法自行车赛优秀骑手受伤的流行率和流行病学

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Background: Cycling injuries are increasing, particularly among elite athletes during major events such as the Tour de France. Many athletes miss considerable time from sport and require surgical intervention. Little is known about the epidemiology of injuries to guide practice participation strategies, return-to-competition expectations, and injury prevention protocols. Purpose: To evaluate the injury epidemiology, operative incidence, and return-to-competition timeline among all elite cyclists participating in the 21-stage Tour de France race over a span of 8 years. Study Design: Descriptive epidemiological study. Methods: All injuries sustained during 1584 unique rides by cyclists participating in the Tour de France from 2010 to 2017 were evaluated. In the absence of an established Tour de France injury database, demographic, injury, surgical, and return-to-competition details from all athletes who withdrew because of a traumatic injury were retrospectively compiled using publicly available data, which were cross-referenced for validity. The inclusion criterion consisted of any cyclist who withdrew from the Tour de France because of an injury; cyclists who withdrew for noninjury reasons were excluded. Independent variables included injury demographics, missed days, and whether the injury required surgery. Injury prevalence, relative frequency distributions, and sample proportions were dependent metrics for this investigation. Results: Among the 1584 cycling entries evaluated over the 8-year study period, there were 259 cyclists (16%) who withdrew (17 cyclists/year). A total of 138 withdrawals were caused by acute trauma, 49% of which were fractures (n = 67), which represented the most common reason for withdrawal. A total of 29 (43%) cyclists with fractures underwent surgery. The most commonly fractured bones were the clavicle (n = 21), followed by the wrist (n = 6), hand (n = 5), femur (n = 5), humerus (n = 5), and ribs (n = 5). Cyclists who underwent operative fracture fixation had a longer time between the injury and their next race compared with those who did not undergo surgery (77 vs 44 days, respectively; P = .065). Conclusion: The most common injury leading to withdrawal from the Tour de France over the study period was acute fracture, comprising 49% of all injuries. Almost half of the cyclists with fractures underwent surgery. The clavicle was the most commonly fractured bone. For cyclists who underwent operative treatment of their fractures, return to competition was more than 1 month longer than for those who did not. A prospective database is warranted to catalog injuries among these elite cyclists.
机译：背景：骑自行车的伤害正在增加，尤其是在环法自行车赛这样的重大赛事中，精英运动员之间的受伤。许多运动员错过了可观的运动时间，需要进行手术干预。对于伤害流行病学知之甚少，以指导实践参与策略，重返比赛期望和伤害预防方案。目的：评估在21年环法自行车赛中参加8年比赛的所有精英自行车手的伤害流行病学，手术发生率和重返比赛时间表。研究设计：描述性流行病学研究。方法：评估了2010年至2017年参加环法自行车赛的1584次独特骑行过程中遭受的所有伤害。在没有建立的环法自行车赛伤害数据库的情况下，使用公开可用的数据回顾性汇总所有因创伤受伤而退出的运动员的人口统计，伤害，外科手术和重返比赛的详细信息，以确保有效性。列入标准包括因受伤退出环法自行车赛的任何自行车手;因非受伤原因退出的骑自行车者被排除在外。自变量包括受伤人口统计资料，缺勤天数以及受伤是否需要手术。伤害发生率，相对频率分布和样本比例是本次调查的相关指标。结果：在为期8年的研究期内评估的1584个自行车进入项目中，有259个自行车运动员（占16％）退出（17个自行车运动员/年）。急性外伤共导致138次退出，其中49％为骨折（n = 67），这是退出的最常见原因。共有29名（43％）患有骨折的骑自行车者接受了手术。最常见的骨折是锁骨（n = 21），其次是腕部（n = 6），手（n = 5），股骨（n = 5），肱骨（n = 5）和肋骨（n = 5）。与未进行手术的骑车人相比，接受手术性骨折固定的骑车人在受伤和下一次比赛之间的时间更长（分别为77天和44天; P = .065）。结论：在研究期间，导致退出环法自行车赛最常见的伤害是急性骨折，占所有伤害的49％。几乎有骨折的骑自行车者接受了手术。锁骨是最常见的骨折骨。对于接受了骨折手术治疗的骑自行车者，比没有进行骨折治疗的骑自行车者重返比赛时间超过1个月。保证使用前瞻性数据库对这些优秀骑自行车者的受伤进行分类。

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