背景:为了应对女性体育参与度的空前高涨,近年来,关于女性运动损伤的科学话语和媒体兴趣日益增加。在性别可比的运动中,女性的脚和脚踝受伤率高于男性。有内在和外在因素可以解释这种差异。
方法:根据PubMed的PRISMA指南进行了系统的文献检索,OvidEMBASE和OVIDMEDLINE。在筛选之前,使用相关的关键术语来缩小搜索范围。病例报告,评论文章,儿科患者,非脚和脚踝受伤和战斗运动被排除在外。我们使用了双重作者,两遍筛查,以达到最终纳入研究。
结果:2510篇重复排除后进行筛选。104篇文献综述。我们发现文献中缺乏性别差异的报道。我们发现女性受伤的频率和严重程度更高。我们概述了我们目前对踝关节韧带复杂损伤的理解,应力断裂,距骨软骨损伤和跟腱断裂。我们扩展了两个足球规则的证据,足球和澳大利亚规则,作为同一项运动中不同性别的伤害模式的“案例研究”。我们确定性别特异性特征,包括严重程度,损伤类型,易感风险因素,解剖学,与损伤相关的内分泌学和生物力学。最后,我们研究了竞争水平对女性伤害模式的影响。
结论:缺乏关于足踝关节损伤的性别差异的科学报告。与男性相比,女性运动员的脚和脚踝受伤率更高,严重程度更高。这是一个少报的,骨科和运动医学的重要领域,从而减轻女运动员的伤病负担。
BACKGROUND: In response to the all-time high of female sports participation, there has been increasing scientific discourse and media interest in women\'s sporting injuries in recent years. In gender comparable sports the rate of foot and ankle injury for women is higher than for men. There are intrinsic and extrinsic factors which may explain this difference.
METHODS: A systematic literature search was performed according to the PRISMA guidelines of PubMed, Ovid EMBASE and OVID MEDLINE. Relevant key terms were used to narrow the scope of the search prior to screening. Case reports, review articles, paediatric patients, non foot and ankle injuries and combat sports were excluded. We used dual author, two pass screening to arrive at final included studies.
RESULTS: 2510 articles were screened after duplicate exclusion. 104 were included in this literature review. We identified lack of reporting gender difference in the literature.We identified that females have higher frequency and severity of injury. We provide an overview of our current understanding of ankle ligament complex injuries, stress fractures, ostochondral lesions of the talus and Achilles tendon rupture. We expand on the evidence of two codes of
football, soccer and Australian rules, as a \"case study\" of how injury patterns differ between genders in the same sport. We identify gender specific characteristics including severity, types of injury, predisposing risk factors, anatomy, endocrinology and biomechanics associated with injuries. Finally, we examine the effect of level of competition on female injury patterns.
CONCLUSIONS: There is a lack of scientific reporting of gender differences of foot and ankle injuries. Female athletes suffer foot and ankle injuries at higher rates and with greater severity compared to males. This is an under-reported, yet important area of orthopaedics and sports medicine to understand, and hence reduce the injury burden for female athletes.