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首页> 外文期刊>Orthopaedic Journal of Sports Medicine >Medial Collateral Ligament Injuries Identified at the National Football League Scouting Combine: Assessment of Epidemiological Characteristics, Imaging Findings, and Initial Career Performance
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Medial Collateral Ligament Injuries Identified at the National Football League Scouting Combine: Assessment of Epidemiological Characteristics, Imaging Findings, and Initial Career Performance

机译：在国家足球联赛侦察兵中确定的内侧辅助韧带伤害：流行病学特征，影像学结果和初始职业表现的评估

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Background: The medial collateral ligament (MCL) is one of the most commonly injured structures in the knee, especially in young athletes. The impact of MCL injury on National Football League (NFL) performance in elite collegiate athletes has not yet been described in the literature. Purpose: We aim to (1) describe the prevalence and severity of MCL injuries in NFL Combine participants, (2) detail injury management, and (3) analyze the impact of MCL injury on NFL performance in terms of draft position, games played, games started, and snap percentage. Study Design: Cohort study; Level of evidence, 3. Methods: A retrospective review of all NFL Combine participants from 2009 to 2015 was performed by reviewing medical records and imaging reports from the combine to identify all players with MCL injuries. A control group was developed from the players evaluated at the combine without MCL injury. For each affected knee, the MCL injury was classified by location and severity based on results of magnetic resonance imaging (MRI). Each player’s respective NFL draft position, number of NFL games played, number of NFL games started, and NFL snap percentage for the first 2 seasons in the league were collected through the use of NFL.com and Pro-Football-Focus, which are web-based, publicly accessible, comprehensive sports statistics databases. Results: A total of 2285 players participated in the NFL Combine between 2009 and 2015. Three hundred one athletes (13.2%) were identified as having MCL injuries; 36 (12%) of the athletes with MCL injury presented with bilateral injuries, for a total of 337 MCL injuries. Additional soft tissue injury was identified on 187 of 337 (55%) MRIs. Players with a history of MCL injury were more likely to play at least 2 years in the NFL compared with those in the control group ( P = .003). Players who had isolated MCL injury performed significantly better compared with athletes who had combined injuries with regard to draft position ( P = .034), proportion playing at least 2 seasons in the NFL ( P = .022), games played ( P = .014), and games started ( P = .020) in the first 2 years. No significant difference was found between players who underwent operative versus nonoperative management of their MCL injury. Conclusion: A relatively high percentage of players at the NFL Combine had evidence of MCL injury (13%). A prior history of MCL tear had no negative impact on an athlete’s NFL performance. Players who had isolated MCL injury performed significantly better compared with athletes who had combined injuries with regard to draft position, proportion playing 2 seasons or more in the NFL, and games played and started in the first 2 years.
机译：背景：内侧辅助韧带（MCL）是膝盖中最常见的结构之一，特别是在年轻运动员中。文学中尚未在文献中描述Elite Collegiate运动员国家足球联盟（NFL）绩效的影响。目的：我们的目标是（1）描述NFL组合参与者的MCL损伤的患病率和严重程度，（2）细节伤害管理，（3）分析MCL损伤对NFL绩效的影响，播出职位，游戏发挥作用，游戏开始，并捕捉百分比。研究设计：队列研究;证据级别，3.方法：通过审查来自联合的医疗记录和成像报告，对所有NFL联合参与者的回顾性审查来自2009年到2015年，以识别所有带MCL伤害的所有球员。从在没有MCL损伤的情况下，从组合评估的球员开发了一个对照组。对于每个受影响的膝关节，基于磁共振成像（MRI）的结果，通过位置和严重程度来分类MCL损伤。每个玩家的各自的NFL起草位置，NFL比赛的数量播放，NFL比赛的数量开始，并通过使用NFL.com和Pro-Footballe-Focus收集联盟中前2个赛季的NFL捕捉百分比，这是网络 - 基于，公开访问，全面的体育统计数据库。结果：共有2285名参与2009年至2015年的NFL组合的玩家。鉴定了三百个运动员（13.2％）被确定为MCL伤害; 36（12％）患有双侧损伤的MCL损伤的运动员，共有337名MCL伤害。额外的软组织损伤于337（55％）的MRIS鉴定。与对照组中的人员相比，患有MCL损伤的历史的球员在NFL中最可能在NFL中发挥至少2年（P = .003）。与孤立的MCL损伤的球员与在牵引位置的运动员组合（P = .034）中的运动员相比显着更好（P = .034），比例在NFL（P = .022）中播放至少2个季节（P =。 014）和游戏在前两年中开始（p = .020）。在接受术语与其MCL损伤的非手术管理的球员之间没有发现显着差异。结论：NFL中的相对较高的球员组合具有MCL损伤的证据（13％）。 MCL撕裂的先前历史对运动员的NFL表现没有负面影响。与孤立的MCL损伤的球员相比，与在联合职位的运动员造成伤害的运动员，在NFL中扮演2个赛季或更多的比例，比赛和在前两年开始播放和开始。

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