在年轻运动员多关节膝关节受伤后重返体育
River Fine1, William Curtis1, Kaleb Stevens1
1University of New Mexico Health Sciences Center, Albuquerque, New Mexico, USA.
Orthopaedic journal of sports medicine
|September 5, 2023
概括
大多数年轻运动员在多关节膝关节损伤 (MLKI) 后恢复运动,但不到一半的年轻运动员达到受伤前的水平. 较高的受伤前体育水平和更好的主观分数预测恢复到受伤前体育水平.
科学领域:
- 整形外科 整形外科 整形外科
- 运动医学 运动医学
- 康复 康复 康复 康复
背景情况:
- 前十字带 (ACL) 重建后的运动回归 (RTS) 在年轻运动员中得到了充分记录.
- 在这个人群中,关于RTS发病率和多关节膝关节损伤 (MLKI) 后的结果的数据有限.
研究的目的:
- 为了确定年轻运动员在MLKI后RTS的速率.
- 确定与在伤害前水平或以上达到RTS相关的因素.
主要方法:
- 追溯116名运动员 (≤23岁) 患有需要手术干预的MLKI的病例系列.
- 主要结局:自我报告的RTS在伤害前的水平或更高.
- 二次结果:IKDC-SF,ACL-RSI,SF-12分数. 这是一个很好的结果.
主要成果:
- 90%的运动员达到一定程度的RTS,其中43.3%的运动员恢复到受伤前的水平或更高.
- 较高的受伤前体育水平与较高的RTS相关 (OR, 3.516).
- 参与切割运动与RTS负相关 (OR,0.013).
- 恢复到受伤前水平的运动员IKDC-SF和ACL-RSI得分明显更高.
结论:
- 大多数年轻运动员可以在MLKI后恢复运动,尽管回到受伤前的水平并不常见.
- 较高的受伤前运动水平和特定的主观结果得分 (IKDC-SF,ACL-RSI) 与成功恢复到受伤前的体育水平有关.
- 参与切割或旋转运动可能会对恢复到受伤前水平的能力产生负面影响.
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