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首页> 外文期刊>Orthopaedic Journal of Sports Medicine >The Epidemiology of Ankle Injuries Identified at the National Football League Combine, 2009-2015
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The Epidemiology of Ankle Injuries Identified at the National Football League Combine, 2009-2015

机译：国家足球联盟结合踝关节伤害的流行病学，2009 - 2015年

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Background: American football is a leading cause of sports-related injuries, with the knee, ankle, and shoulder most commonly involved. Purpose/Hypothesis: The purpose of this study was to describe the epidemiology, characteristics, and imaging findings of ankle injuries in football players at the National Football League (NFL) Combine and determine the relationship to player position. We hypothesized that there would be a high relative incidence of ankle injuries in these players compared with other sports and that there would be a direct correlation between the incidence of ankle injuries and player position. Study Design: Cross-sectional study; Level of evidence, 3. Methods: A retrospective chart review of data collected from NFL Combine participants between 2009 and 2015 was performed. Patient demographics, history, physical examination results, and imaging findings were reviewed. Results: Of 2285 players, 1216 (53.2%) had a history of ankle injuries; of these, 987 (81.2%) had unilateral injuries, while 229 (18.8%) had bilateral injuries (total of 1445 ankles injured). This included 1242 ankle sprains (86.0% of ankle injuries): 417 (33.6% of sprains) high and 930 (74.9%) low. The most common soft tissue injuries were to the anterior talofibular ligament (n = 158, 12.7% of sprains) and syndesmosis (n = 137, 11.0%). Of all players at the NFL Combine with radiographs, 131 (10.9%) had evidence of an ankle fracture, all of which had healed. Magnetic resonance imaging (MRI) identified 66 players (28.9% of players at the combine who underwent MRI) with articular cartilage injuries: 62 involving the talus and 16 involving the tibia. Furthermore, 85 players (37.3% of players with MRI) with tendon injuries were identified: 26 Achilles, 55 peroneal, 3 flexor hallucis longus, and 19 posterior tibial. A total of 611 players (50.6% of players with radiographs) had signs of arthrosis on radiography. Running backs (61.9%), offensive linemen (60.3%), and tight ends (59.4%) had the highest rates of ankle injuries by position, while kickers/punters (23.3%) and long snappers (37.5%) had the lowest. Conclusion: Prior ankle injuries were present in more than 50% of elite college football players attending the NFL Combine. The rate of these ankle injuries varied by player position: offensive linemen, running backs, and tight ends had the highest overall rates, while special teams players had the lowest. Additional prospective work is needed to determine the impact of prior injuries on future playing career.
机译：背景：美式足球是体育相关伤害的主要原因，膝盖，脚踝和肩部最常涉及。目的/假设：本研究的目的是描述国家足球联盟（NFL）的足球运动员中踝关节伤害的流行病学，特征和成像结果，并确定与玩家职位的关系。我们假设这些参与者与其他运动相比，这些球员中的踝关节伤害的高相对发病率，并且踝关节伤害和球员职位的发生率之间存在直接相关性。研究设计：横截面研究;证据级别，3.方法：执行从2009年至2015年之间的NFL组合参与者收集的数据的回顾性图表。审查了患者人口统计学，历史，体检结果和成像结果。结果：2285名球员，1216名（53.2％）有脚踝受伤的历史;其中，987（81.2％）具有单侧损伤，而229（18.8％）的双侧伤害（共1445岁伤害）。这包括1242踝扭膜（86.0％的踝关节伤害）：417（春季33.6％）高，930（74.9％）低。最常见的软组织损伤是前际韧带（n = 158,158,12.7％）和Syndesmosis（n = 137,11.0％）。在NFL的所有玩家与射线照相结合，131名（10.9％）有证据表明踝关节骨折，所有这些都愈合了。磁共振成像（MRI）确定了66名球员（接受MRI的合并中的28.9％的球员），带有关节软骨损伤：62涉及塔卢斯和16名涉及胫骨。此外，鉴定了85名球员（37.3％的球员的球员）肌腱损伤：26个Achilles，55个腓骨，3个屈肌allucis雄性和19次后胫骨。共有611名球员（50.6％的X射线照相）在射线照相上有关节病。跑步（61.9％），令人反感的Linemen（60.3％），紧张的末端结论：超过50％的Elite College足球运动员出席NFL结合的50％以上踝关节伤害。这些踝关节伤害的速度因球员的位置而异：冒犯线路，跑步背部和紧密的结束具有最高的总体速率，而特殊的团队球员则最低。需要额外的预期工作来确定对未来发挥事业的伤害的影响。

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