Background: Orthopedic injuries of National Hockey League (NHL) players are common and may significantly affect players’ health and careers. Evidence-based injury management is important in guiding players’ timely return to sport and their ability to play at their pre-injury levels of competition.
Purpose: To summarize all data published between January 1980 and March 2020 on orthopedic injuries experienced by professional ice hockey players competing in the NHL.
Study Design: Systematic review.
Methods: A literature review of studies examining orthopedic injuries in the NHL was performed using the Embase, PubMed, and CINAHL databases. The review included studies focusing on NHL players and players attending the NHL Combine and preseason NHL team camps. Studies pertaining to non-orthopedic injuries and case reports were excluded.
Results: A total of 39 articles met the inclusion criteria and were analyzed. The articles were divided by anatomic site of injury for further analysis: hip and pelvis (24%), general/other (14%), ankle (10%), knee (10%), foot (7%), shoulder (7%), thigh (7%), trunk (7%), spine (6%), elbow (4%), and hand and wrist (4%). The majority of articles were Level IV Evidence (51.3%), followed by Level III Evidence (38.5%). Most studies obtained data from publicly available internet resources (24.7%), player medical records (19.5%) or surveys of team physicians and athletic trainers (15.5%). A much smaller number of studies utilized the NHL Injury Surveillance System (NHLISS) (6.5%) or the Athlete Health Management System (AHMS) (2.6%).
Conclusion: This systematic review provides NHL team physicians with a single source of the current literature regarding orthopedic injuries in NHL players. Most research was published on hip and pelvis (24%) injuries, did not utilize the NHLISS and consisted of Level IV Evidence.



中文翻译：

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涉及全国冰球联盟球员的骨科文献的系统评价

背景：国家冰球联盟 (NHL) 球员的骨伤很常见，可能会严重影响球员的健康和职业生涯。基于证据的伤病管理对于指导球员及时重返运动场以及他们在受伤前的比赛水平上发挥的能力非常重要。
目的：总结 1980 年 1 月至 2020 年 3 月期间发布的关于在 NHL 比赛中职业冰球运动员所经历的骨科损伤的所有数据。
研究设计：系统评价。
方法：使用 Embase、PubMed 和 CINAHL 数据库对检查 NHL 骨科损伤的研究进行了文献回顾。审查包括针对 NHL 球员和参加 NHL 联合训练营和季前 NHL 球队训练营的球员的研究。与非骨科损伤和病例报告有关的研究被排除在外。
结果：共有39篇文章符合纳入标准并进行了分析。文章按解剖损伤部位进行进一步分析：臀部和骨盆（24%）、一般/其他（14%）、脚踝（10%）、膝盖（10%）、足部（7%）、肩部（7 %)、大腿 (7%)、躯干 (7%)、脊柱 (6%)、肘部 (4%) 以及手和手腕 (4%)。大多数文章是IV级证据（51.3%），其次是III级证据（38.5%）。大多数研究从公开可用的互联网资源 (24.7%)、球员医疗记录 (19.5%) 或对队医和运动教练员的调查 (15.5%) 中获取数据。使用 NHL 损伤监测系统 (NHLISS) (6.5%) 或运动员健康管理系统 (AHMS) (2.6%) 的研究数量要少得多。
结论：该系统评价为 NHL 团队的医生提供了有关 NHL 球员骨科损伤的当前文献的单一来源。大多数研究发表在髋关节和骨盆损伤（24%）上，没有使用 NHLISS 并且由 IV 级证据组成。