关键词: Fracture-dislocation Hip dislocation Quality of life Soccer

Mesh : Humans Hip Dislocation / etiology surgery Hip Fractures / surgery Quality of Life Soccer Sports

来  源:   DOI:10.1016/j.jbmt.2023.11.037

Abstract:
Soccer is one of the most popular sports with millions of active professional and non-professional players worldwide. Traumatic hip dislocations are rare in soccer but can lead to major sequelae both physically and psychologically. The aim of this review was to obtain insight into the outcomes after surgerically repaired hip fracture-dislocation in soccer players as well as rehabilitation and prevention.
Two cases of a posterior hip fracture-dislocation that occurred during an amateur soccer match are presented and mechanism of injury, complications and rehabilitation were analysed. Follow-up of both patients was at least one year after surgery. Questionnaires and physical examinations were obtained to quantify and qualify outcome.
In both cases the hip-dislocations were reduced within 3 h after injury. Semi-elective open reduction and internal fixation was performed within seven days. In one case, there was a concomitant Pipkin fracture and sciatic nerve neuropathy. There were no postoperative complications. Follow-up showed full of range of motion and normal hip functionality in both cases. However, both patients indicated a reduced quality of life and anxiety related to the accident.
Traumatic hip fracture-dislocations during soccer practice are extremely rare. Despite uncomplicated fracture healing after surgery and return of hip function, both patients still suffer from psychological problems resulting in a decreased quality of life. Further research is required to enhance psychological outcomes, as well as to facilitate return to pre-injury levels of participation and engagement in sports following traumatic hip fracture-dislocations related to soccer.
摘要:
背景:足球是最受欢迎的运动之一,全世界有数百万活跃的职业和非职业运动员。创伤性髋关节脱位在足球中很少见,但在身体和心理上都可能导致重大后遗症。这篇综述的目的是深入了解手术修复足球运动员髋部骨折脱位后的结果以及康复和预防。
方法:介绍了2例业余足球比赛中发生的后髋部骨折脱位的病例及其损伤机制,分析并发症和康复情况。两名患者的随访时间为手术后至少一年。获得问卷和体格检查以量化和鉴定结果。
结果:在两种情况下,髋关节脱位在受伤后3小时内减少。在7天内进行半选择性切开复位和内固定。在一个案例中,伴有Pipkin骨折和坐骨神经病变.术后无并发症发生。随访显示两种情况下的活动范围很广,髋关节功能正常。然而,两名患者均表示与事故相关的生活质量下降和焦虑.
结论:足球训练中创伤性髋部骨折脱位极为罕见。尽管手术后骨折愈合简单,髋关节功能恢复,两名患者仍然患有心理问题,导致生活质量下降。需要进一步的研究来增强心理结果,以及在与足球有关的创伤性髋部骨折脱位后,促进恢复受伤前的参与和参与运动水平。
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