PDF(Pubmed)
Abstract：
UNASSIGNED: The exact incidence of shoulder dislocation in the general population of the United States (US) has yet to be well studied.
UNASSIGNED: To establish the current incidence and patterns of shoulder dislocations in the US, especially regarding sports-related activity.
UNASSIGNED: Descriptive epidemiology study.
UNASSIGNED: This was a retrospective analysis of shoulder dislocations encountered in emergency departments in the US between 1997 and 2021 as recorded in the National Electronic Injury Surveillance System (NEISS). Data were further analyzed according to patient age, sex, and sports participation. Information from the United States Census Bureau was used to determine the overall incidence of dislocations.
UNASSIGNED: A total of 46,855 shoulder dislocations were identified in the NEISS database, representing a national estimate of 1,915,975 dislocations (mean 25.2 per 100,000 person-years). The mean patient age was 35.3 years. More than half of the dislocations (52.5%) were sports-related, and basketball (16.4%), American football (15.6%), and cycling (9%) were the sports most commonly associated with dislocation. Most dislocations (72.1%) occurred in men. This disparity by sex was more significant for sports-related dislocations (86.1% in men) than nonsports-related dislocations (56.7% in men; P < .001). With sports-related dislocations, people <21 years experienced a significantly higher proportion versus those >39 years (44.6% vs 14.9%; P < .001), while the opposite distribution was seen with nonsports-related dislocations (<21 years: 12% vs >39 years: 51.7%; P < .001). Women outnumbered men with shoulder dislocation among people >61 years.
UNASSIGNED: Sports-related shoulder dislocations were more common among younger and male individuals than older and female individuals. Contact sports such as basketball and American football were associated with more shoulder dislocations compared with noncontact sports.
UNASSIGNED: To establish the current incidence and patterns of shoulder dislocations in the US, especially regarding sports-related activity.
UNASSIGNED: Descriptive epidemiology study.
UNASSIGNED: This was a retrospective analysis of shoulder dislocations encountered in emergency departments in the US between 1997 and 2021 as recorded in the National Electronic Injury Surveillance System (NEISS). Data were further analyzed according to patient age, sex, and sports participation. Information from the United States Census Bureau was used to determine the overall incidence of dislocations.
UNASSIGNED: A total of 46,855 shoulder dislocations were identified in the NEISS database, representing a national estimate of 1,915,975 dislocations (mean 25.2 per 100,000 person-years). The mean patient age was 35.3 years. More than half of the dislocations (52.5%) were sports-related, and basketball (16.4%), American football (15.6%), and cycling (9%) were the sports most commonly associated with dislocation. Most dislocations (72.1%) occurred in men. This disparity by sex was more significant for sports-related dislocations (86.1% in men) than nonsports-related dislocations (56.7% in men; P < .001). With sports-related dislocations, people <21 years experienced a significantly higher proportion versus those >39 years (44.6% vs 14.9%; P < .001), while the opposite distribution was seen with nonsports-related dislocations (<21 years: 12% vs >39 years: 51.7%; P < .001). Women outnumbered men with shoulder dislocation among people >61 years.
UNASSIGNED: Sports-related shoulder dislocations were more common among younger and male individuals than older and female individuals. Contact sports such as basketball and American football were associated with more shoulder dislocations compared with noncontact sports.
摘要：
■在美国（US）的普通人群中，肩关节脱位的确切发生率尚未得到充分研究。
■为了确定美国肩脱位的当前发生率和模式，尤其是与体育相关的活动。
■描述性流行病学研究。
■这是美国国家电子伤害监测系统（NEISS）记录的1997年至2021年之间在美国急诊科遇到的肩关节脱臼的回顾性分析。根据患者年龄进一步分析数据，性别,体育参与。来自美国人口普查局的信息用于确定脱位的总体发生率。
■在NEISS数据库中确定了总共46,855个肩关节脱位，代表国家估计的1,915,975个位错(平均每100,000人年25.2个)。患者平均年龄为35.3岁。超过一半的脱位（52.5％）与运动有关，和篮球(16.4%)，美式足球（15.6%），骑自行车（9％）是最常见的脱位运动。大多数脱位（72.1％）发生在男性中。运动相关的脱位（男性为86.1％）比非运动相关的脱位（男性为56.7％；P<.001）的性别差异更大。与运动相关的脱位，与>39岁的人群相比，<21岁的人群比例明显更高（44.6%vs14.9%；P<.001），而非运动相关的脱位则相反（<21岁：12％vs>39岁：51.7％；P<.001）。在>61岁的人群中，肩部脱臼的女性人数超过男性。
■与运动相关的肩关节脱位在年轻和男性个体中比在老年和女性个体中更常见。与非接触式运动相比，诸如篮球和美式足球之类的接触式运动与更多的肩膀脱臼有关。
■为了确定美国肩脱位的当前发生率和模式，尤其是与体育相关的活动。
■描述性流行病学研究。
■这是美国国家电子伤害监测系统（NEISS）记录的1997年至2021年之间在美国急诊科遇到的肩关节脱臼的回顾性分析。根据患者年龄进一步分析数据，性别,体育参与。来自美国人口普查局的信息用于确定脱位的总体发生率。
■在NEISS数据库中确定了总共46,855个肩关节脱位，代表国家估计的1,915,975个位错(平均每100,000人年25.2个)。患者平均年龄为35.3岁。超过一半的脱位（52.5％）与运动有关，和篮球(16.4%)，美式足球（15.6%），骑自行车（9％）是最常见的脱位运动。大多数脱位（72.1％）发生在男性中。运动相关的脱位（男性为86.1％）比非运动相关的脱位（男性为56.7％；P<.001）的性别差异更大。与运动相关的脱位，与>39岁的人群相比，<21岁的人群比例明显更高（44.6%vs14.9%；P<.001），而非运动相关的脱位则相反（<21岁：12％vs>39岁：51.7％；P<.001）。在>61岁的人群中，肩部脱臼的女性人数超过男性。
■与运动相关的肩关节脱位在年轻和男性个体中比在老年和女性个体中更常见。与非接触式运动相比，诸如篮球和美式足球之类的接触式运动与更多的肩膀脱臼有关。
