在球运动员的脊椎损伤的介绍
Jalen Dansby1, Paal Nilssen, Alfonso Ocampo
1From the Department of Orthopaedic Surgery, Cedars-Sinai (Dansby, Ocampo, Skaggs, and Kim), the Department of Spine Surgery, Cedars-Sinai (Nilssen, Narendran, Murphy, Skaggs, and Kim), and the Department of Pediatric Orthopaedics, Cedars-Sinai (Skaggs), Los Angeles, CA.
概括
球脊柱损伤正在上升,其中大多数影响下背部. 较高的体重指数是一个危险因素,10%的球员需要为这些体育伤害进行手术.
科学领域:
- 整形外科手术 整形外科手术
- 运动医学 运动医学
- 脊柱研究 脊柱研究
背景情况:
- 皮克球是美国快速发展的运动.
- 有限的研究存在于球相关的骨科伤害,特别是脊柱伤害.
- 这项研究调查了球运动员的脊柱损伤模式和风险因素.
研究的目的:
- 了解球运动员脊柱损伤的流行病学.
- 为了确定常见的损伤部位和临床表现.
- 探索潜在的风险因素,包括体重指数.
主要方法:
- 从2013-2023年对电子医疗记录的回顾性审查.
- 人工智能辅助识别球相关的骨科损伤,然后对脊柱损伤进行手动图表审查.
- 分析受伤年份,年龄,性别,脊柱区域和治疗结果.
主要成果:
- 在1527起球伤害中,有135起 (8.8%) 涉及脊椎.
- 从2013年到2023年,脊柱损伤增加了56倍.
- 腰椎损伤 (84%) 是最常见的,通常呈现为根部症状;高BMI (>25) 与腰椎根部病变和椎间板 (P <0.05) 有关.
- 10%的患者需要手术,主要是脊柱减压.
结论:
- 与球相关的脊椎损伤正在增加,主要影响腰椎.
- 体重指数升高是一个显著的可修改的风险因素.
- 显著的10%的外科手术干预率凸显了一些伤害的严重程度;需要进一步的研究.
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