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首页> 外文期刊>Clinical journal of sport medicine: official journal of the Canadian Academy of Sport Medicine >Epidemiology of US high school sports-related fractures, 2005-2009.
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Epidemiology of US high school sports-related fractures, 2005-2009.

机译：美国高中运动相关骨折的流行病学，2005-2009年。

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OBJECTIVE: To describe the epidemiology of fractures among US high school athletes participating in 9 popular sports. DESIGN: Descriptive epidemiologic study. SETTING: Sports injury data for the 2005-2009 academic years were collected using an Internet-based injury surveillance system, Reporting Information Online (RIO). PARTICIPANTS: A nationally representative sample of 100 US high schools. ASSESSMENT OF RISK FACTORS: Injuries sustained as a function of sport and sex. MAIN OUTCOME MEASURES: Fracture injury rates, body site, outcome, surgery, and mechanism. RESULTS: Fractures (n = 568 177 nationally) accounted for 10.1% of all injuries sustained by US high school athletes. The highest rate of fractures was in football (4.61 per 10 000 athlete exposures) and the lowest in volleyball (0.52). Boys were more likely than girls to sustain a fracture in basketball (rate ratio, 1.35,; 95% confidence interval, 1.06-1.72) and soccer (rate ratio, 1.34; 95% confidence interval, 1.05-1.71). Overall, the most frequently fractured body sites were the hand/finger (28.3%), wrist (10.4%), and lower leg (9.3%). Fractures were the most common injury to the nose (76.9%), forearm (56.4%), hand/finger (41.7%), and wrist (41.6%). Most fractures resulted in >3 weeks' time lost (34.3%) or a medical disqualification from participation (24.2%) and were more likely to result in >3 weeks' time lost and medical disqualification than all other injuries combined. Fractures frequently required expensive medical diagnostic imaging examinations such as x-ray, computed tomographic scan, and magnetic resonance imaging. Additionally, 16.1% of fractures required surgical treatment, accounting for 26.9% of all injuries requiring surgery. Illegal activity was noted in 9.3% of all fractures with the highest proportion of fractures related to illegal activity in girls' soccer (27.9%). CONCLUSIONS: Fractures are a major concern for US high school athletes. They can severely affect the athlete's ability to continue sports participation and can impose substantial medical costs on the injured athletes' families. Targeted, evidence-based, effective fracture prevention programs are needed.
机译：目的：描述参加9种流行运动的美国高中运动员骨折的流行病学。设计：描述性流行病学研究。地点：2005-2009学年的运动损伤数据是使用基于Internet的损伤监测系统“在线报告信息”（RIO）收集的。参与者：美国100所高中的全国代表样本。风险因素评估：所遭受的伤害是运动和性行为的函数。主要观察指标：骨折损伤率，身体部位，预后，手术和机制。结果：骨折（美国全国568 177人）占美国高中运动员所有受伤的10.1％。骨折的发生率最高的是足球（每10,000名运动员暴露4.61例），而排球的破裂率最低（0.52％）。男孩比女孩更有可能在篮球（比率：1.35; 95％的置信区间：1.06-1.72）和足球（比率：1.34; 95％的置信区间：1.05-1.71）中发生骨折。总体而言，最容易骨折的身体部位是手/手指（28.3％），腕部（10.4％）和小腿（9.3％）。骨折是鼻子（76.9％），前臂（56.4％），手/手指（41.7％）和手腕（41.6％）最常见的损伤。与所有其他伤害的总和相比，大多数骨折导致> 3周的时间流失（34.3％）或因参加比赛而失去医疗资格（24.2％），更有可能导致> 3周的时间流逝和医疗失格。骨折经常需要昂贵的医学诊断成像检查，例如X射线，计算机断层扫描和磁共振成像。此外，有16.1％的骨折需要手术治疗，占所有需要手术的损伤的26.9％。在所有骨折中，有9.3％的人发现非法活动，而与非法活动有关的骨折比例最高的是女足球（27.9％）。结论：骨折是美国高中运动员的主要关注点。它们会严重影响运动员继续参加运动的能力，并可能给受伤的运动员家庭带来巨大的医疗费用。需要有针对性的，循证的，有效的骨折预防方案。

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