Epidemiology of Patella Instability Injuries in Collegiate Level Athletes in the United States
Journal Title: Journal of Orthopaedic Science and Research - Year 2022, Vol 3, Issue 2
Abstract
Objective: Patella instability injuries are often sports-related and occur in young athletes. These injuries severely impact the season and career trajectory of high-level competitors. This is the first large epidemiological study that evaluates these injury events in NCAA athletes. Methods: Patellar instability injuries across 16 sports among NCAA men and women during the 2004-05 to 2013-14 academic years were analyzed using the NCAA Injury Surveillance Program (NCAA-ISP). Patellar instability injuries per 100,000 Athlete-Exposures (AEs), operative rate, annual injury and reinjury rates, in-season status (pre/regular/post-season) and time lost were compiled and calculated. Results: A total of 11,778,265 Athlete-Exposures (AE) were identified and included. 380 patellar instability injuries were identified (Injury Rate IR = 3.23 per 100,000 AEs). 91 (23.95%) were severe injuries with a significantly higher time loss from play (40.5 days) and risk of operative management (50.55%). The most common sports during which a patellar instability event occurred were Women’s Gymnastics (IR=7.87), Soccer (IR=5.83), and Basketball (IR=4.34) and Men’s Wrestling (IR=5.44), Football (IR=4.84), and Soccer (IR=3.06). Male athletes had a statistically significant higher risk of season or career-ending injuries in all patellar instability injuries (3.20% vs 0.89%, p=0.0013). Severe injuries were more likely to result from contact mechanisms (58.24% vs 40.66%). Conclusion: Patella instability injuries have a profound impact on the longevity and sustainability of a collegiate athletes’ career. The risk of recurrence once a patellar injury has occurred is significant and athletes often require surgery. While more female athletes sustained these injuries, male athletes were more likely to require operative management and sustain a season-ending injury.
Authors and Affiliations
Jimmy J Chan, Christine S Williams, Kevin K Chen, Christopher J Ball, Ettore Vulcano
Keywords
Related Articles
- EP ID EP706455
- DOI https://doi.org/10.46889/JOSR.2022.3213
- Views 63
- Downloads 0
Functional, Radiological Results and Quality of Life after Primary Total Hip Arthroplasty
Introduction: The objective of this work was to evaluate the clinical and radiological results; and the quality of life of patients with THA at final follow-up. Patients and Method: This was a prospective, multicenter...
Spinal Surgical Indication: Surgeon Benefit versus Patient Benefit?
In the world of surgery, spinal surgery is one of the topics that their surgical indications largely depend on the patient's clinical symptoms and physical examination, while the para-clinics have only auxiliary or con...
Interbody Fusion Device in the Treatment of Cervicobrachial Syndrome: A Prospective 5-Year Follow-Up Extension Study of Porous Titanium Cervical Cages
Background: To assess long-term clinical and radiological data of porous titanium cervical interbody cages. Methods: We recruited 34 out of 49 patients previously enrolled in the EFFECT trial on 3D printed titanium c...
Assessment of the Piso-Triquetral Kinematics-A Pilot Study Using Dynamic CT
Introduction: The purpose of this study was to use 4D-CT to quantify the motion of the pisiform with relation to the triquetrum, in order to understand the piso-triquetral joint kinematics through active wrist movement...
The Protein Profiles of Local Tissue Postoperative Incision Infection After Plate Internal Fixation of Calcaneal Fractures
Background: Nowadays, the internal fixation has been an effective way for calcaneal fractures treatment. However, postoperative incision infection was one of the common complications found after the internal fixation ope...