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Sidofördelning av främre korsbandsskador i olika idrotter: en registerstudie baserad på data från svenska korsbandsregistret 2005-2014
Swedish School of Sport and Health Sciences, GIH, Department of Sport and Health Sciences.
2014 (Swedish)Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesisAlternative title
Side-distribution of anterior cruciate ligament injuries in different sports : a register study based on data from the Swedish ACL registry 2005-2014 (English)
Abstract [en]

Aim

The aim of the present investigation was to study the side distribution (right, left) and possible gender differences in terms of anterior cruciate ligament (ACL) injuries in different sports.

Method

This Register study comprises a total of 27856 subjects from the Swedish National Anterior Cruciate Ligament Register. Side- distribution and possible gender differences were analyzed. The different sports consisted of aerobics, alpine skiing, basket, cross-country skiing, dancing, enduro, floorball, gymnastics, handball, ice hockey/bandy, martial arts, outdoor activities, racket sports, snowboard, soccer, and volleyball. Due to injuries that had occurred in the traffic and at work 5076 subjects were excluded. Statistical data have been analyzed with one way ANOVA and x2 test and the Tukey post hoc test has also been used. Statistical significance was noted at the p< 0, 05level.

Results

In alpine skiing, soccer, floorball and handball a significant difference between the right and the left leg was found. Alpine skiers (52, 2 %) and handball players (55, 3 %) more often injured the left anterior cruciate ligament. Right sided anterior cruciate ligament injuries were ore common in floorball (57, 6 %) and soccer (53, 2 %) (p< 0, 05). No significant side-toside differences were seen in the other sports in this register study. Male soccer players more often (55, 3 %) injured their anterior cruciate ligament of the right leg, while no side- to- side difference was found in female soccer players (49, 1%) this gender difference was significant (p< 0,001). No side- to side difference was shown in snowboard when it came to females (56, 3 %). Male snowboarders more often injured their anterior cruciate ligament of the left leg (58, 2 %). This gender difference in snowboard was significant (p<0, 05). In cross-country skiing males more often injured their left ACL (20%) compared to females (56, 4 %), this gender difference was significant (p<0, 05). In total, women more often injured their left anterior cruciate ligament and men more often their right anterior cruciate ligament.

Conclusion

There was a difference in terms of side distribution of anterior cruciate ligament injuries in some sports. Alpine skiers and handball players more often injured their left anterior cruciate ligament while soccer players and floorball players more often injured their right anterior cruciate ligament. Gender differences were seen in soccer where males more frequently injured their right anterior cruciate ligament, in snowboarding where females more frequently injured their right anterior cruciate ligament and in cross-country skiing where the males more often injured their left anterior cruciate ligament.

Abstract [sv]

Syfte

Syftet med denna undersökning var att ta fram information om sidofördelningen (höger, vänster) avseende främre korsbandsskador i olika idrotter samt att klargöra om det förelåg några könsskillnader ur denna aspekt.

Metod

Denna registerstudie omfattade totalt 27856 personer från Svenska Korsbandsregistret. Sidofördelning av främre korsbandsskador och eventuella könsskillnader analyserades. De olika idrotterna var: alpint/telemark, basket, dans, enduro, fotboll, friluftsliv, gymnastik, handboll, innebandy, ishockey/bandy, kampsport, motion, racketsport, snowboard, tur/längdskidåkning och volleyboll. På grund av att knäskadan hade inträffat i trafik eller på arbete exkluderades 5076 personer. De statistiska beräkningarna har gjorts med envägs ANOVA och x2 test. Dessutom användes Tukey post hoc test. Signifikansnivån sattes till p<0,05.

Resultat

I alpin skidåkning, fotboll, handboll och innebandy påvisades det en signifikant skillnad mellan höger och vänster ben. Alpina skidåkare (52, 2 %) och handbollsspelare (55, 3 %) hade fler vänstersidiga främre korsbandsskador, medan främre korsbandsskador var vanligare på höger knä var vanligare hos innebandyspelare (57, 6 %) och fotbollsspelare (53, 2 %). I övriga sporter sågs inga signifikanta sidoskillnader (p<0,05). En skillnad mellan könen sågs i fotboll, snowboard och tur/längdskidåkning. Manliga fotbollsspelare skadade oftare det främre korsbandet i höger knä (55, 3 %), medan ingen sidoskillnad sågs hos kvinnliga spelare (49, 1 %) (p<0,001). Ingen sidoskillnad sågs hos kvinnliga snowboardåkare (56, 3 %) men manliga åkare drabbades oftare av en främre korsbandsskada i vänster knä (58, 2 %) (p<0,05). Ingen signifikant sidoskillnad sågs hos kvinnliga tur/längdskidåkare (56, 4 %) eller manliga längdskidåkare (20 %)var för sig, men skillnaden mellan könen var signifikant (p<0,05). Totalt sett drabbades kvinnor oftare av främre korsbandskador i vänster knä, männen drabbades oftare i höger knä.

Konklusion

Det finns skillnader inom olika idrotter vad gäller sidofördelning av främre korsbandsskador. Alpina skidåkare och handbollsspelare skadade oftare sitt främre korsband i vänster knä, medan fotbollspelare och innebandyspelare drabbades av flest främre korsbandsskador i höger knä. Könsskillnader förelåg avseende fotboll, där manliga spelare mer frekvent skadade sitt främre korsband i höger knä, i snowboard, där kvinnliga åkare mer frekvent skadade sitt främre korsband i höger knä och i tur/längdskidåkning, där manliga skidåkare mer frekvent skadade sitt främre korsband i vänster knä.

Place, publisher, year, edition, pages
2014. , 27 p.
Series
Examensarbete, 2014:68
Keyword [sv]
främre korsbandsskador, riskfaktorer, sidofördelning, könsskillnader, idrott
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:gih:diva-3380OAI: oai:DiVA.org:gih-3380DiVA: diva2:735297
Educational program
Magisterprogrammet i idrottsvetenskap med inriktning mot idrottsmedicin
Presentation
2014-05-21, GIH, Stockholm, 22:17 (Swedish)
Supervisors
Examiners
Available from: 2014-08-06 Created: 2014-07-24 Last updated: 2014-08-06Bibliographically approved

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