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首页> 外文期刊>Orthopaedic Journal of Sports Medicine >Short-Term Trends in Elbow Ulnar Collateral Ligament Surgery in Collegiate Baseball Players: An Analysis of 25,587 Player-Years
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Short-Term Trends in Elbow Ulnar Collateral Ligament Surgery in Collegiate Baseball Players: An Analysis of 25,587 Player-Years

机译：在高级棒球运动员弯头尺侧韧带手术中的短期趋势：分析了25,587名球员 - 年

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Background: Trends over time in the incidence of ulnar collateral ligament (UCL) surgeries in National Collegiate Athletic Association Division I baseball players are currently unknown. Purpose/Hypothesis: The purpose of this study was to evaluate the trends in UCL surgeries over 3 years in Division I baseball programs. We hypothesized that surgical injuries would be consistently high over the course of the study. Study Design: Descriptive epidemiology study. Methods: Athletic trainers from Division I baseball programs were invited to participate in an electronic survey over 3 seasons. A total of 155 baseball programs agreed to participate in 2017, 294 programs participated in 2018, and 296 programs participated in 2019. After each of the 3 collegiate baseball seasons, the athletic trainer from each program entered anonymous, detailed descriptive data and surgical information on injured players into a secured database. Results: During the 3 years of this study, 100% of the enrolled programs successfully completed the survey (155/155 in year 1, 294/294 in year 2, and 296/296 in year 3). This registry of 745 completed surveys over 3 years represented 25,587 player-years from Division I collegiate baseball. The percentage of programs with at least 1 UCL surgery during this time was 57% in 2017, 51% in 2018, and 49% in 2019. The majority of these players were pitchers (84% overall from the 3 years). Seniors underwent a significantly lower percentage of the UCL surgeries (8% in 2017, 10% in 2018, and 13% in 2019) than did underclassmen. Surgeries were performed most often in-season and least often during the preseason. A slight majority of players undergoing surgery originated from warm-weather states, but the number of these players was never significantly higher than was the number of players from cold-weather states. Most surgeries performed each year were UCL reconstruction, but the percentage of UCL repair with ligament augmentation increased each year (10% UCL repairs in 2017, 20% in 2018, and 25% in 2019). Conclusion: UCL injuries requiring surgery were found to be a major source of morbidity in Division I collegiate baseball, supporting our hypothesis. This study can serve as a baseline for tracking long-term trends in UCL surgeries in collegiate baseball.
机译：背景：全国大学援引（UCL）外诊所的发生率随着时间的推移，国家大学运动协会司司目前未知。目的/假设：本研究的目的是评估在I股球计划中3年的UCL手术的趋势。我们假设手术损伤在研究过程中会始终如一。研究设计：描述性流行病学研究。方法：邀请我王室计划的运动培训师参加3季度的电子调查。共有155名棒球计划同意参加2017年，2018年参加了294名计划，296名计划参加了2019年。3个组合式棒球季节之后，每个方案的运动培训师都进入了匿名，详细的描述性数据和外科信息。受伤的球员进入安全数据库。结果：在本研究的3年内，100％的注册计划成功完成了调查（第1年级155/155，294/294年度，第3年296/296）。该登记处为745人完成的调查，超过3年的调查代表了I司对斯基鲍尔司代表的25,587名球员 - 年。在此期间，至少有1个UCL手术的计划的百分比是2017年的57％，2018年51％，2019年为49％。这些球员的大多数是投手（从3年的总体84％）。老年人介绍了UCL手术的比例明显较低（2017年的8％，2018年10％，2019年的13％）比在群体中。在季前赛期间，手术最常见的是季节性最常进行。略有大多数接受手术的球员起源于温暖的天气状态，但这些球员的数量从未显着高于来自寒冷天气状态的球员数量。每年进行的大多数手术是UCL重建，但每年UCL维修的百分比增加每年增加（2017年的UCL维修10％，2019年的20％和25％）。结论：未发现外科手术的UCL伤害是我司大学棒球发病率的主要来源，支持我们的假设。本研究可以作为追踪大学棒球UCL手术中的长期趋势的基线。

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