Tib fib fracture nfl12/7/2023 Distal tibial fractures resulted in the greatest amount of time lost (mean, 175.3 ± 88.3 days range, 60-253 days). Associated injuries were most frequently reported in athletes with lateral plateau fractures, occurring in 29% (n = 6/21) of injuries. The most commonly reported tibial fractures in the NFL EHR from 2015 to 2019 were to the lateral tibial plateau (46% n = 21/46) and the tibial shaft (31% n = 14/46) ( Table 7). All analyses were performed using SPSS V 23 (IBM).ĪBased on total number of injuries recorded during NFL regular-season games (n = 64). As such, all analyses related to management by fracture type were limited to the 2015 to 2019 seasons.ĭescriptive statistics were utilized to calculate and express variables as mean, standard deviation, range, and percentages. ![]() No injuries were reported as being treated surgically from data using the NFL ISS (2013-2014 seasons). Fractures undergoing surgical management were identified using Current Procedural Terminology codes, which were reviewed with an analytics team at IQVIA Inc to ensure accuracy, proper categorization, and levels of specificity for each injury. Injuries classified as purely ligamentous or those recorded as demonstrating evidence of bony contusion/impaction without definite fracture were not included in the analysis. Variables of interest in this study included athlete characteristics (age, position at time of injury, activity at time of injury), injury timing (date, setting, timing of game injuries by week in season and quarter of game), injury characteristics (nature of injury, mechanism of injury, fracture type, fracture characteristics ), associated injuries, fracture management (operative vs conservative) and days missed. 11 Before study initiation, institutional review board approval was obtained from our institution and the NFL through its medical research application process. Injuries from the 2015 to 2019 seasons were reported through a centrally hosted electronic health record (EHR) system that is reviewed for completeness and quality, which is reviewed and audited on a weekly basis, while medical staff are trained throughout the year on standardized reporting practices. Injuries from the 2013 to 2014 seasons were collected through the NFL Injury Surveillance System (ISS). Tibial fractures from the 2013 to 2019 NFL seasons were identified through a retrospective review of the NFL injury database. Based on prior studies, 14, 19 we hypothesized that tibial fracture occurred primarily during NFL games as a result of a direct impact to the leg, with the majority of fractures being managed nonoperatively. The purpose of this study was to describe the incidence of tibial fractures in NFL athletes over the course of the 2013 to 2019 NFL seasons. 27 While the impact of lower extremity injuries on return to play and performance has been examined in prior studies in NFL athletes, 1, 12, 26 the incidence and impact of tibial fractures in NFL athletes remains largely unknown.Īs such, gaining a better understanding of the true incidence and management of tibial fractures in NFL athletes is critical to aid in injury prevention while optimizing recovery programs after injury. ![]() 28, 29 Tibial fractures have been reported to result in extended time lost from play when analyzing multiple sports, ranging from 12 to 54 weeks for tibial fractures treated surgically compared with 28 to 182 weeks for those managed conservatively with immobilization, manipulation, and rest. While injuries to the knee and ankle represent the most common lower extremity injuries in NFL athletes, 19 tibial fractures remain one of the most severe injuries in American football athletes. In particular, lower extremity injuries comprise up to 62% of all reported injuries in NFL athletes, 19 representing a substantial source of time lost, in addition to compromising future performance and potentially shortening career length. 7 Feeley et al 14 reported an injury rate of 65 injuries per 1000 athlete-exposures during NFL preseason games from 1998 to 2007, while Lawrence et al 19 reported an all-cause injury rate of 395.8 injuries per 1000 athletes at risk over the course of the 2012 to 2014 NFL seasons. The risk of injury to National Football League (NFL) athletes is greater when compared with other popular sports due to the increasing size, speed, and strength of NFL athletes.
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