Burak DEMİRAĞ, Tevfik ÖNCAN, Kemal DURAK

Uludağ Kayak Merkezi'nde kayakçılarda görülen diz bağ yaralanmalarının değerlendirilmesi

Amaç: Uludağ'da bir kış sezonunda kayak sırasında meydana gelen diz bağ yaralanmalarının sıklığı, anatomik tipleri ve yaralanma riski oluşturan etkenler değerlendirildi. Çalışma planı: Çalışmaya 2003-2004 kayak sezonunda Uludağ Üniversitesi-Sabancı Sağlık Merkezi'ne kayak sırasında meydana gelen diz bağ yaralanması nedeniyle başvuran 215 hasta (240 diz) alındı. Hasta grubunda ortalama yaş 31 (dağılım 9-55) idi. Bağ yaralanmaları AOSSM (American Orthopaedic Society for Sports Me¬dicine) ölçütlerine göre derecelendirildi. Kümülatif veriler hasta kayıtlarından ve kontrol grubunda yer alan sağlıklı 100 kayakçıya sorulan sorularla toplandı. Sonuçlar: Genel diz yaralanma oranı her bin kayakçı gününde 1.14 idi. Diz yaralanmalarının arasındaki süre ortalama 875 kayakçı günüydü. En sık yaralanan bağların iç yan bağ (%35.4) ve ön çapraz bağ (%27.1) olduğu saptandı. Malzeme açısından, diz bağ yaralanmalarının kayakta "snowboard"a göre daha fazla meydana geldiği görüldü (odds ratio 6.83, p

Anahtar Kelimeler:

Kayak, Diz yaralanmaları, Ligamentler, eklem, Spor yaralanmaları, Ön çapraz bağ

An evaluation of knee ligament injuries encountered in skiers at the Uludağ Ski Center

Objectives: We evaluated the frequency, anatomic types, and predisposing factors of knee ligament injuries that occur in skiers during a winter season at the Uludağ Ski Center, Bursa, Turkey. Methods: A total of 215 patients (240 knees) presented to the Uludağ University-Sabancı Health Center after sustaining a skier knee injury during the 2003-2004 winter season. The mean patient age was 31 years (range 9 to 55 years). Knee ligament injuries were assessed according to the AOSSM (American Orthopaedic Society for Sports Medicine) criteria. Cumulative data were collected from patient records and from a questionnaire administered to 100 healthy skiers. Results: The mean knee injury rate was 1.14 injuries per 1000 skier-days. The mean length of time between the occurrence of knee injuries was 875 skier-days. The most frequently injured ligament was the interior cruciate ligament (35.4%) followed by the anterior cruciate ligament (27.1%). Knee ligament injuries were significantly more common in skiers than in snowboarders (odds ratio 6.83, p<0.001). Hard and steep pists were associated with a two-fold risk for knee ligament injuries (odds ratio 2.28, p<0.001). For the occurrence of knee injuries, no significant differences were found with respect to sex and age. Conclusion: The interior and the anterior cruciate ligaments are the most commonly injured ligaments in skiers. Two risk factors concerning the equipment (ski) and the environment (hard pists) play a significant role in the occurrence of knee injuries.

Keywords:

Skiing, Knee Injuries, Ligaments, Articular, Athletic Injuries, Anterior Cruciate Ligament,

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