球和阿基里斯肌破裂后的体育回归
Adam J Lencer1, Joseph A S McCahon, Adam S Kohring
1From the Jefferson Health NJ, Stratford, NJ (Lencer, McCahon, and Kohring), the Rothman Orthopaedic Institute, Philadelphia, PA (Amponsah, Pedowitz, Parekh, and Daniel), and the Princeton University, Princeton, NJ (Parekh).
The Journal of the American Academy of Orthopaedic Surgeons
|November 7, 2025
概括
球伤害,尤其是老年人的阿基里斯肌破裂,正在上升. 由于害怕再次受伤,许多人没有回到比赛中,尽管手术与非手术治疗的结果相似.
科学领域:
- 运动医学 运动医学
- 整形外科手术 整形外科手术
- 老年医学 老年医学
背景情况:
- 皮克尔球的快速增长带来了受伤的风险,特别是在老龄化人口中.
- 急性阿基里斯肌破裂在这个人口群体中是令人担忧的.
- 了解临床结果和恢复运动 (RTS) 是至关重要的.
研究的目的:
- 在球运动员急性阿基勒斯肌破裂后调查临床结果和RTS.
- 在这个特定的体育背景下分析受伤模式和患者人口统计数据.
主要方法:
- 从球 (2013-2023) 中急性阿基勒斯肌破裂的患者的回顾性分析.
- 通过电话跟踪收集有关比赛历史,RTS和阿基里斯肌断裂得分 (ATRS) 的数据.
- 研究设计:第四级追溯案例系列.
主要成果:
- 包括28名患者 (平均年龄63.9岁);67%的应答率.
- 68%的伤害发生在比赛的第一个月内;32%是首次参加比赛的球员.
- 手术和非手术组之间的ATRS或RTS没有显著差异;整体RTS率在1.6年时为47%.
结论:
- 摘球的受欢迎程度增加了老年人受伤的风险.
- 超过一半的受伤球员没有恢复体育,主要是因为害怕再次受伤.
- 无论如何治疗,长期结果都是有利的,但心理因素会影响RTS.
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