Es wurden 2002 Patienten mit Laufverletzungen im Zeitraum von 1998-2000 retrospektiv analysiert. 926 (46%) waren Männer und 1076 (54%) Frauen. Die häufigsten Überlastungsschäden waren: patellofemurales Schmerzsyndrom (PFPS/331), Maissiat-Band-Reibungssyndrom (ITBFS/168), Plantarfasziitis (158), Meniskusverletzungen (100) und Patellatendinopathie (96). Die am häufigsten betroffenen Regionen waren: Knie (842), Fuß/Fußgelenk (338), Unterschenkel (257), Hüfte/Becken (218). Risikofaktor für PFPS bei beiden Geschlechtern, für ITBFS, Patellatendinopathie und tibiales Stresssyndrom bei den Männern ist ein Alter unter 34 Jahren. Ein Trainingsalter unter 8,5 Jahren stand positiv mit dem tibialen Stresssyndrom bei beiden Geschlechter in Beziehung. Frauen mit einer Knochenmineraldichte unter 21 kg/m2 wiesen ein signifikant höheres Risiko für tibiale Stressfrakturen und Wirbelsäulenverletzungen auf. Objective: To provide an extensive and up to date database for specific running related injuries, across the sexes, as seen at a primary care sports medicine facility, and to assess the relative risk for individual injuries based on investigation of selected risk factors. Methods: Patient data were recorded by doctors at the Allan McGavin Sports Medicine Centre over a two year period. They included assessment of anthropometric, training, and biomechanical information. A model was constructed (with odds ratios and their 95% confidence intervals) of possible contributing factors using a dependent variable of runners with a specific injury and comparing them with a control group of runners who experienced a different injury. Variables included in the model were: height, weight, body mass index, age, activity history, weekly activity, history of injury, and calibre of runner. Results: Most of the study group were women (54%). Some injuries occurred with a significantly higher frequency in one sex. Being less than 34 years old was reported as a risk factor across the sexes for patellofemoral pain syndrome, and in men for iliotibial band friction syndrome, patellar tendinopathy, and tibial stress syndrome. Being active for less than 8.5 years was positively associated with injury in both sexes for tibial stress syndrome; and women with a body mass index less than 21 kg/m2 were at a significantly higher risk for tibial stress fractures and spinal injuries. Patellofemoral pain syndrome was the most common injury, followed by iliotibial band friction syndrome, plantar fasciitis, meniscal injuries of the knee, and tibial stress syndrome. Conclusions: Although various risk factors were shown to be positively associated with a risk for, or protection from, specific injuries, future research should include a non-injured control group and a more precise measure of weekly running distance and running experience to validate these results.
© Copyright 2002 British Journal of Sports Medicine. BMJ Publishing Group Ltd of the BMA. Alle Rechte vorbehalten.