A Decade of Hip Injuries in NCAA Football Players: Epidemiological Study of NCAA Injury Surveillance System Data.

Transcription

1 A Decade of Hip Injuries in NCAA Football Players: Epidemiological Study of NCAA Injury Surveillance System Data. Justin Makovicka MD, Anikar Chhabra MD, Karan Patel MD, Sailesh Tummala BS, Jeff Hassebrock MD, Andrew Chung MD, Zach Christopher MD, David Hartigan MD 25 MFMER slide-

2 Disclosures Anikar Chhabra Consultant: Arthrex, Trice Medical, Zimmer Biomet Education Support: Stryker, Cayenne Medical David Hartigan Consultant: Arthrex Education Support: Stryker, Smith & Nephew Other Authors No Relevant Disclosures 25 MFMER slide-2

3 Introduction Highest proportion of NCAA student-athletes >6, Leading cause of sports-related injuries per exposure ~Double rate found in basketball Complex, high-energy sport High likelihood of injury risk for all types of hip injuries Hip Injuries in football athletes ~9% High School ~7% NCAA ~3.% NFL Previous research limited to professional athletes Important to evaluate in NCAA athletes 25 MFMER slide-3

4 NCAA ISS Data-collection surveillance program Collect injury & exposure data Foundation for evidence-based decision making Convenience sampling of NCAA teams Reporting by athletic trainer Details of injury Activity, mechanism, comp vs practice Number of athlete exposures 25 MFMER slide-4

5 Purpose To analyze the NCAA Injury Surveillance System men s football hip injury database from the through academic years to determine the specific incidence, risk factors, and epidemiology of hip injuries in NCAA football players. 25 MFMER slide-5

6 Methods NCAA ISS database queried for hip injuries in football players over -yr period Combined two 5-yr sets (24-29 & 29-24) Programs participating varied by year 24-29: 6 programs 29-24: 25 programs Each NCAA division represented in sampling Definitions Reportable Injury: Result of practice or competition Required attention from ATC or physician Athlete-Exposure: athlete participating in practice or competition 25 MFMER slide-6

7 Analysis Injury Rate: $%&'() *+,%)-(.!" = $%&'() /2((34567.%)(. Overall & individual rates (event & season type) calculated Injury Rate Ratios:!"" = (9 B@<C>DEDE@F EFG;?E>H 9 I@<C>DEDE@F JKH ( 9 C?MBDEB> EFG;?E>H 9 N?MBDEB> JKH Compare injury rates between event & season types ) ) 25 MFMER slide-7

8 Results,68 hip injuries over -yr period 3,2,38 athlete-exposures Overall injury rate: 5.8 hip injuries per, AEs 25 MFMER slide-8

9 Results Event Type: Time in Season: Comparison Rate Ratios (95% CI) Competition vs Practice 3.56 ( ) Pre-season vs In-Season 2.37 ( ) Pre-season vs Post-Season 3.56 ( ) In-Season vs Post-Season.5 (.5-2.5) Time Loss: Avg of 5.93 days 25 MFMER slide-9

10 Results Injury Type: Injury Total Injuries (%) -6 Days Lost (%) 7-3 Days Lost (%) 4-29 Days Lost (%) 3+ Days Lost (%) Adductor Strain 625 (38.63%) Hip Flexor Strain 462 (28.55%) Hip Contusion 293 (8.%) Internal Rotator Strain 79 (4.88%) Other Hip Injury 7 (4.39%) Gluteus/Abductor Strain 32 (.98%) External Rotator Strain 2 (.24%) Articular Lesions 2 (.74%) 387 (6.92%) 39 (66.88%) 229 (78.6%) 49 (62.3%) 5 (7.83%) 27 (84.38%) 3 (65.%) 4 (33.33%) 5 (24.%) 89 (9.26%) 4 (3.99%) 2 (5.9%) 5 (7.4%) (3.3%) 3 (5.%) (.%) 5 (8.%) 39 (8.44%) 6 (2.5%) 3 (3.8%) 5 (7.4%) 2 (6.25%) (5.%) (8.33%) 2 (.92%) 6 (.3%) 2 (.68%) 3 (3.8%) 2 (2.82%) (.%) (5.%) 2 (6.67%) Hip Subluxations/Dislocation s Greater Trochanteric Bursitis/ Snapping Hip Syndrome 3 (.8%) (.62%) Labral Tears (.6%) 4 (3.77%) 6 (6.%) (.%) (7.69%) 2 (2.%) (.%) (7.69%) 2 (2.%) (.%) (7.69%) (.%) (.% 25 MFMER slide-

11 Discussion Muscle Strains >75% of injuries Adductor & hip flexor most common Consistent with NFL findings Event Type: More frequent in competition competition injury rates across multiple levels of play Less predictable playing environment, greater speed & intensity Time in Season: More frequent in pre-season 6-yr review: 2x injury rate during spring practice Nature of practices: In-Season: mental preparation Pre-Season: development & fundamentals Conditioning level 25 MFMER slide-

12 Conclusion During the -yr period from through academic years, NCAA football players suffered hip injuries at a rate of 5.8 injuries per, AEs. These athletes most commonly suffered muscle strains and the injuries more frequently occurred in competition and during the pre-season. Invaluable to better understanding these injuries & allowing for prevention efforts to decrease their frequency. 25 MFMER slide-2

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