系统评价运动性半月板损伤的流行病学特征
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摘要
背景:虽然很多健康效益与体育运动有关,但在过去几年中,随着参与体育运动的人数慢慢增加,被半月板损伤所困扰的人数也在慢慢上升。目的:系统评价运动损伤中半月板损伤的流行病学特征。方法:计算机检索PubMed、EMbase、Wan Fang Data、VIP和CNKI数据库,搜集有关国内运动损伤中半月板损伤的流行病学研究,检索时限均从建库至2018-09-30。由2位研究者独立筛选文献、提取资料,并评价纳入研究的偏倚风险后,采用Stata 12.0软件进行合并分析。结果与结论:(1)共纳入21篇文献;(2)Meta结果显示,运动损伤中半月板损伤患病率为5%[95%CI(0.04,0.05)],纳入文献中有5篇文献分别介绍了内、外侧半月板损伤患病率,外侧半月板损伤患病率为8%[95%CI(0.05,0.11)],内侧半月板损伤患病率为7%[95%CI(0.04,0.09)];(3)纳入运动损伤男女比例为1.5,男性患者多于女性,运动损伤患者年龄在14-24岁之间;(4)专项训练是运动损伤中最主要的原因;(5)当前证据显示,运动损伤中半月板损伤患病率较高,外侧半月板损伤患病率稍高于内侧,主要由专项训练水平所决定。受纳入研究数量和质量的限制,上述结论尚待更多高质量研究予以验证。
BACKGROUND: Although many health benefits are related to sports, over the past few years, as the number of people participating in sports has gradually increased, the number of people suffering from meniscus injuries has been on a rise.OBJECTIVE: To systematically review the epidemiological characteristics of meniscus injury in sports injury.METHODS: PubMed, EMbase, WanFang, VIP and CNKI databases were searched to collect studies of the epidemiological characteristics of meniscus injury in sports injury from inception to September 30, 2018. Two reviewers independently screened literature, extracted data and assessed the risk of bias of included studies. Meta-analysis was performed using Stata 12.0 software.RESULTS AND CONCLUSION:(1) Twenty-one studies were included.(2) The results of meta-analysis showed that: the prevalence of meniscus injury in sports injury was 5% [95%CI(0.04, 0.05)]. Five articles included in the literature introduced the incidence of medial and lateral meniscus injury, respectively. The prevalence of lateral meniscus injury in sports injury was 8% [95%CI(0.05, 0.11)] and the prevalence of medial meniscus injury in sports injury was 7% [95%CI(0.04, 0.09)].(3) The ratio of male to female was 1.5 and male patients were more than female, with the age ranging from 14 to 24 years.(4) Special training was the main cause of sports injuries.(5) Current evidence shows that there is a high prevalence of meniscus injury in sports injury. The incidence of lateral meniscus injury is slightly higher than that of medial side. The main reason of sports injuries is mainly determined by the level of special training. Due to limited quality and quantity of the included studies, more high-quality studies are needed to verify above conclusion.
BACKGROUND: Although many health benefits are related to sports, over the past few years, as the number of people participating in sports has gradually increased, the number of people suffering from meniscus injuries has been on a rise.OBJECTIVE: To systematically review the epidemiological characteristics of meniscus injury in sports injury.METHODS: PubMed, EMbase, WanFang, VIP and CNKI databases were searched to collect studies of the epidemiological characteristics of meniscus injury in sports injury from inception to September 30, 2018. Two reviewers independently screened literature, extracted data and assessed the risk of bias of included studies. Meta-analysis was performed using Stata 12.0 software.RESULTS AND CONCLUSION:(1) Twenty-one studies were included.(2) The results of meta-analysis showed that: the prevalence of meniscus injury in sports injury was 5% [95%CI(0.04, 0.05)]. Five articles included in the literature introduced the incidence of medial and lateral meniscus injury, respectively. The prevalence of lateral meniscus injury in sports injury was 8% [95%CI(0.05, 0.11)] and the prevalence of medial meniscus injury in sports injury was 7% [95%CI(0.04, 0.09)].(3) The ratio of male to female was 1.5 and male patients were more than female, with the age ranging from 14 to 24 years.(4) Special training was the main cause of sports injuries.(5) Current evidence shows that there is a high prevalence of meniscus injury in sports injury. The incidence of lateral meniscus injury is slightly higher than that of medial side. The main reason of sports injuries is mainly determined by the level of special training. Due to limited quality and quantity of the included studies, more high-quality studies are needed to verify above conclusion.
引文
[1]张海平.运动员的半月板损伤[J].沈阳体育学院学报,1991,10(1):31-35.
[2]曾小娥,钟雯.运动损伤研究现状综述[J].科技信息,2008,25(7):196-197.
[3]马明非.北京市部分高校篮球运动员膝关节损伤调查与康复方法探讨[D].北京:首都体育学院,2007.
[4]尚久华,马金玉,刘岩,等.冰球运动员运动创伤调查分析[J].中国运动医学杂志,2006,25(1):108-110.
[5]吴丽君,张学军,郭新明,等.对我国高水平男子网球运动员运动创伤状况的调查分析[J].体育科学,2002,22(3):119-121.
[6]崔国庆,田得祥,任玉衡.古典式摔跤运动创伤的流行病学研究[J].中国运动医学杂志,2000,19(3):313-316.
[7]夏玉芳.广东省男子柔道?摔跤运动员膝关节运动损伤流行病学纵向调查与分析[D].广州:广州体育学院,2014.
[8]廖八根,夏玉芳,陈速.广东省男子自由式摔跤运动员膝关节损伤纵向跟踪调查分析[J].中国运动医学杂志,2015,34(12):1152-1154.
[9]魏双平,廖八根,夏玉芳.广东省柔道运动员膝关节损伤流行病学纵向调查[J].体育科技,2017,38(6):19-21.
[10]刘兆林.国际自由式摔跤运动员运动损伤调查[J].湖北体育科技,2006,25(4):396-398.
[11]余家阔,田得祥,胡跃林,等.滑雪运动创伤的流行病学研究[J].中国运动医学杂志,1998,17(4):365-367.
[12]崔国庆,田得祥,任玉衡,等.柔道运动创伤的流行病学调查[J].中国运动医学杂志,2001,20(1):106-108.
[13]王冬冬.山东省体育高考学生运动损伤的流行病学调查与致病分析[D].济南:山东体育学院,2011.
[14]王旋农,邈昌莉,李威,等.舞蹈师范专业体操专修学生运动损伤的调查与分析[J].江西师范大学学报(自然科学版),2004,28(3):280-282.
[15]姚鸿恩,荣湘江.我国篮球运动员运动损伤患病率调查[J].中国运动医学杂志,1995,15(3):175-178.
[16]张立波.我国越野滑雪运动员膝关节损伤的调查研究[D]苏州:苏州大学,2010.
[17]任玉衡,史和福,田得祥,等.优秀排球运动员的运动创伤流行病学研究[J].体育科学,1999,19(2):72-74.
[18]任玉衡,田得祥,史和福,等.优秀运动员的运动创伤流行病学调查[J].中国运动医学杂志,2000,19(4):377-386.
[19]姚鸿恩,荣湘江.中国手球运动员运动损伤患病率及其病因学分析[J].北京体育师范学院学报,1995,7(2):50-52.
[20]张志伟,滕青山,尚文元,等.自行车运动员运动损伤调查分析[J].中国运动医学杂志,2011,30(6):569-570.
[21]庞晓峰,衣雪洁,常波.自由式滑雪运动创伤流行病学调查[J].中国运动医学杂志,2004,23(5):565-567.
[22]崔国庆,田得祥,任玉衡,等.自由式摔跤运动创伤的流行病学研究[J].中国运动医学杂志,2000,19(2):207-210.
[23]周捷,田得祥,任玉衡,等.足球运动创伤初步流行病学研究[J].体育科学,1997,17(6):61-66.
[24]John R,Dhillon MS,Syam K,et al.Epidemiological profile of sports-related knee injuries in northern India:An observational study at a tertiary care centre.J Clin Orthop Trauma.2016;7(3):207-211.
[25]Swenson DM,Collins CL,Best TM,et al.Epidemiology of knee injuries among U.S.high school athletes,2005/2006-2010/2011.Med Sci Sports Exerc.2013;45(3):462-469.
[26]Majewski M,Susanne H,Klaus S.Epidemiology of athletic knee injuries:A 10-year study.Knee.2006;13(3):184-188.
[27]Stracciolini A,Casciano R,Levey Friedman H,et al.Pediatric sports injuries:a comparison of males versus females.Am JSports Med.2014;42(4):965-972.
[28]Terzidis IP,Christodoulou A,Ploumis A,et al.Meniscal tear characteristics in young athletes with a stable knee:arthroscopic evaluation.Am J Sports Med.2006;34(7):1170-1175.
[29]Baker BE,Peckham AC,Pupparo F,et al.Review of meniscal injury and associated sports.Am J Sports Med.1985;13(1):1-4.
[30]Yeh PC,Starkey C,Lombardo S,et al.Epidemiology of isolated meniscal injury and its effect on performance in athletes from the National Basketball Association.Am JSports Med.2012;40(3):589-594.
[31]Greis PE,Bardana DD,Holmstrom MC,et al.Meniscal injury:I.Basic science and evaluation.J Am Acad Orthop Surg.2002;10(3):168-176.
[32]Piasecki DP,Spindler KP,Warren TA,et al.Intraarticular injuries associated with anterior cruciate ligament tear:findings at ligament reconstruction in high school and recreational athletes.An analysis of sex-based differences.Am J Sports Med.2003;31(4):601-605.
[33]Rennie WJ,Finlay DB.Meniscal extrusion in young athletes:associated knee joint abnormalities.AJR Am J Roentgenol.2006;186(3):791-794.
[34]Poehling GG,Ruch DS,Chabon SJ.The landscape of meniscal injuries.Clin Sports Med.1990;9(3):539-549.
[35]Powell JW,Barber-Foss KD.Injury patterns in selected high school sports:a review of the 1995-1997 seasons.J Athl Train.1999;34(3):277-284.
[36]Mandelbaum BR,Silvers HJ,Watanabe DS,et al.Effectiveness of a neuromuscular and proprioceptive training program in preventing anterior cruciate ligament injuries in female athletes:2-year follow-up.Am J Sports Med.2005;33(7):1003-1010.
[37]Hewett TE,Ford KR,Hoogenboom BJ,et al.Understanding and preventing acl injuries:current biomechanical and epidemiologic considerations-update 2010.N Am J Sports Phys Ther.2010;5(4):234-251.
[2]曾小娥,钟雯.运动损伤研究现状综述[J].科技信息,2008,25(7):196-197.
[3]马明非.北京市部分高校篮球运动员膝关节损伤调查与康复方法探讨[D].北京:首都体育学院,2007.
[4]尚久华,马金玉,刘岩,等.冰球运动员运动创伤调查分析[J].中国运动医学杂志,2006,25(1):108-110.
[5]吴丽君,张学军,郭新明,等.对我国高水平男子网球运动员运动创伤状况的调查分析[J].体育科学,2002,22(3):119-121.
[6]崔国庆,田得祥,任玉衡.古典式摔跤运动创伤的流行病学研究[J].中国运动医学杂志,2000,19(3):313-316.
[7]夏玉芳.广东省男子柔道?摔跤运动员膝关节运动损伤流行病学纵向调查与分析[D].广州:广州体育学院,2014.
[8]廖八根,夏玉芳,陈速.广东省男子自由式摔跤运动员膝关节损伤纵向跟踪调查分析[J].中国运动医学杂志,2015,34(12):1152-1154.
[9]魏双平,廖八根,夏玉芳.广东省柔道运动员膝关节损伤流行病学纵向调查[J].体育科技,2017,38(6):19-21.
[10]刘兆林.国际自由式摔跤运动员运动损伤调查[J].湖北体育科技,2006,25(4):396-398.
[11]余家阔,田得祥,胡跃林,等.滑雪运动创伤的流行病学研究[J].中国运动医学杂志,1998,17(4):365-367.
[12]崔国庆,田得祥,任玉衡,等.柔道运动创伤的流行病学调查[J].中国运动医学杂志,2001,20(1):106-108.
[13]王冬冬.山东省体育高考学生运动损伤的流行病学调查与致病分析[D].济南:山东体育学院,2011.
[14]王旋农,邈昌莉,李威,等.舞蹈师范专业体操专修学生运动损伤的调查与分析[J].江西师范大学学报(自然科学版),2004,28(3):280-282.
[15]姚鸿恩,荣湘江.我国篮球运动员运动损伤患病率调查[J].中国运动医学杂志,1995,15(3):175-178.
[16]张立波.我国越野滑雪运动员膝关节损伤的调查研究[D]苏州:苏州大学,2010.
[17]任玉衡,史和福,田得祥,等.优秀排球运动员的运动创伤流行病学研究[J].体育科学,1999,19(2):72-74.
[18]任玉衡,田得祥,史和福,等.优秀运动员的运动创伤流行病学调查[J].中国运动医学杂志,2000,19(4):377-386.
[19]姚鸿恩,荣湘江.中国手球运动员运动损伤患病率及其病因学分析[J].北京体育师范学院学报,1995,7(2):50-52.
[20]张志伟,滕青山,尚文元,等.自行车运动员运动损伤调查分析[J].中国运动医学杂志,2011,30(6):569-570.
[21]庞晓峰,衣雪洁,常波.自由式滑雪运动创伤流行病学调查[J].中国运动医学杂志,2004,23(5):565-567.
[22]崔国庆,田得祥,任玉衡,等.自由式摔跤运动创伤的流行病学研究[J].中国运动医学杂志,2000,19(2):207-210.
[23]周捷,田得祥,任玉衡,等.足球运动创伤初步流行病学研究[J].体育科学,1997,17(6):61-66.
[24]John R,Dhillon MS,Syam K,et al.Epidemiological profile of sports-related knee injuries in northern India:An observational study at a tertiary care centre.J Clin Orthop Trauma.2016;7(3):207-211.
[25]Swenson DM,Collins CL,Best TM,et al.Epidemiology of knee injuries among U.S.high school athletes,2005/2006-2010/2011.Med Sci Sports Exerc.2013;45(3):462-469.
[26]Majewski M,Susanne H,Klaus S.Epidemiology of athletic knee injuries:A 10-year study.Knee.2006;13(3):184-188.
[27]Stracciolini A,Casciano R,Levey Friedman H,et al.Pediatric sports injuries:a comparison of males versus females.Am JSports Med.2014;42(4):965-972.
[28]Terzidis IP,Christodoulou A,Ploumis A,et al.Meniscal tear characteristics in young athletes with a stable knee:arthroscopic evaluation.Am J Sports Med.2006;34(7):1170-1175.
[29]Baker BE,Peckham AC,Pupparo F,et al.Review of meniscal injury and associated sports.Am J Sports Med.1985;13(1):1-4.
[30]Yeh PC,Starkey C,Lombardo S,et al.Epidemiology of isolated meniscal injury and its effect on performance in athletes from the National Basketball Association.Am JSports Med.2012;40(3):589-594.
[31]Greis PE,Bardana DD,Holmstrom MC,et al.Meniscal injury:I.Basic science and evaluation.J Am Acad Orthop Surg.2002;10(3):168-176.
[32]Piasecki DP,Spindler KP,Warren TA,et al.Intraarticular injuries associated with anterior cruciate ligament tear:findings at ligament reconstruction in high school and recreational athletes.An analysis of sex-based differences.Am J Sports Med.2003;31(4):601-605.
[33]Rennie WJ,Finlay DB.Meniscal extrusion in young athletes:associated knee joint abnormalities.AJR Am J Roentgenol.2006;186(3):791-794.
[34]Poehling GG,Ruch DS,Chabon SJ.The landscape of meniscal injuries.Clin Sports Med.1990;9(3):539-549.
[35]Powell JW,Barber-Foss KD.Injury patterns in selected high school sports:a review of the 1995-1997 seasons.J Athl Train.1999;34(3):277-284.
[36]Mandelbaum BR,Silvers HJ,Watanabe DS,et al.Effectiveness of a neuromuscular and proprioceptive training program in preventing anterior cruciate ligament injuries in female athletes:2-year follow-up.Am J Sports Med.2005;33(7):1003-1010.
[37]Hewett TE,Ford KR,Hoogenboom BJ,et al.Understanding and preventing acl injuries:current biomechanical and epidemiologic considerations-update 2010.N Am J Sports Phys Ther.2010;5(4):234-251.