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 70
- Downloads 0
Treating Patellar Instability After Total Knee Arthroplasty with Medial Retinaculum Reconstruction: A Clinical Case and Narrative Review
Background: Patellar instability after a total knee arthroplasty is a disabling complication that often needs surgical revision, prolonging hospital in-stay and rehabilitation. Different surgical techniques exist in lite...
Efficacy and Safety of Fat-Derived Autologous Expanded Mesenchymal Stem Cell Therapy for the Management of Musculoskeletal Conditions: A 5-Year Experience
This editorial addresses the efficacy of single or repeated fat-derived autologous expanded Mesenchymal Stem Cell (MSC) therapy for orthopaedic conditions, specifically degenerative and injury-related joint and soft tiss...
How Sterile Are Our Operating Rooms? A Comparison of Air Quality During Primary TKA and THA
Introduction: Airborne Biologic Particles (ABPs) are a potential risk factor for infection following total joint arthroplasty. Factors such as temperature and humidity may affect the number of ABPs which can increase the...
Four-Dimensional CT Assessment of the Transverse Carpal Ligament Attachments-A Pilot Study
Introduction: The wrist is a complex joint, and static imaging techniques may not capture subtle kinematic abnormalities. Four-dimensional (4D) CT presents an alternative method of assessing the dynamic movement of the T...
Incidence of Midfoot Instability in Patients with Achilles Tendon Ruptures (ATR): Why ATR is a Secondary Sign of Spring Ligament Laxity
Achilles Tendon Rupture (ATR) is a common yet debilitating injury that affects individuals of all ages and activity levels. Several theories describe the pathogenesis of ATR. This study aims to evaluate if there is incre...