Shoulder dislocations among high school–aged and college-aged athletes in the United States: an epidemiologic analysis
| العنوان: | Shoulder dislocations among high school–aged and college-aged athletes in the United States: an epidemiologic analysis |
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| المؤلفون: | Oke A. Anakwenze, John N. Twomey-Kozak, Keith G. Whitlock, Jeff A. O’Donnell, Christopher S. Klifto |
| المصدر: | JSES International, Vol 5, Iss 6, Pp 967-971 (2021) JSES International |
| بيانات النشر: | Elsevier, 2021. |
| سنة النشر: | 2021 |
| مصطلحات موضوعية: | Shoulder, medicine.medical_specialty, Basketball, Sports medicine, Population, Psychological intervention, Diseases of the musculoskeletal system, High school athletes, medicine, Orthopedics and Sports Medicine, Collegiate athletes, Shoulder Trauma/Sports, education, Glenohumeral instability, Orthopedic surgery, education.field_of_study, biology, business.industry, Athletes, Incidence (epidemiology), biology.organism_classification, Confidence interval, Shoulder dislocations, NEISS, RC925-935, Physical therapy, Surgery, business, human activities, RD701-811 |
| الوصف: | Hypothesis/background Shoulder dislocations are common orthopedic injuries due to the mobile nature of the glenohumeral joint. High school and collegiate athletes are at particularly high risk for sustaining a dislocation event. Despite the prevalence of these injuries, there is a paucity in the literature regarding incidence of sports-related shoulder dislocations and mechanism of injury within these populations. Therefore, the aim of the present study was to (1) determine the incidence rate of shoulder dislocations in high school-aged and collegiate-aged athletes presenting to emergency departments (EDs) in the United States; (2) to determine the most common sports associated with shoulder dislocations; and (3) to compare the current rates and risk factors for shoulder dislocation with previous trends. Methods The National Electronic Injury Surveillance System is a statistically validated injury surveillance system that collects data from ED visits as a representative probability sample of hospitals in the United States. We queried the National Electronic Injury Surveillance System for the years 2015-2019 to examine the following variables for sports-related shoulder dislocations: patient age (high school = 13-17 years of age; collegiate = 18-23 years of age), sex, year of admission, and sport type. Using a weighted multiplier, annual incidence rates were estimated based on the US Census estimates and injury rates were compared by sex and age group across the study period. Results From 2015 to 2019, there were a total of 1329 athletic-related shoulder dislocations that presented to participating EDs. Of these, 698 (52.5%) shoulder dislocations occurred in collegiate athletes, while 631 (47.5%) occurred in high school athletes. Using weighted and adjusted estimates automatically generated by the National Electronic Injury Surveillance System database, this translates to 89,511 total athletic-related shoulder dislocations across the United States (95% confidence interval lower bound 68,224; 95% confidence interval upper bound 110,798). Male athletes demonstrated a higher proportion of shoulder dislocations (87%) than female athletes (13%). The most common sport-specific mechanisms of traumatic shoulder dislocation were basketball (24.1%), football (21%), soccer (7.1%), baseball (7.1%), and weightlifting (3.3%). Conclusion Sports-related shoulder dislocations are frequent in high school-aged and college-aged athletes presenting to the ED. Interventions to reduce incidence of injury should be sport-specific and focus on those participating in contact and noncontact sports. Male athletes have disproportionately higher rates of dislocation. These findings are consistent with the previous epidemiologic trends in the literature that have examined the incidence of shoulder dislocations in this population. |
| اللغة: | English |
| تدمد: | 2666-6383 2015-2019 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::6cb609a33347a977b983c865af0ef7b5 http://www.sciencedirect.com/science/article/pii/S266663832100181X |
| Rights: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....6cb609a33347a977b983c865af0ef7b5 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 26666383 20152019 |
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