{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T23:15:48Z","timestamp":1790982948141,"version":"4.1.0"},"reference-count":17,"publisher":"SAGE Publications","issue":"11","license":[{"start":{"date-parts":[[2023,11,1]],"date-time":"2023-11-01T00:00:00Z","timestamp":1698796800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Orthopaedic Journal of Sports Medicine"],"published-print":{"date-parts":[[2023,11,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Upper extremity injuries account for approximately 16.9% of football injuries in the National Collegiate Athletic Association (NCAA).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Purpose:<\/jats:title>\n                    <jats:p>To determine the epidemiology, management, and outcomes of hand\/wrist injuries in collegiate football athletes so as to identify factors associated with surgical intervention and delayed return to play (RTP).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study Design:<\/jats:title>\n                    <jats:p>Descriptive epidemiology study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>We retrospectively reviewed hand\/wrist injuries that occurred within a single NCAA Division I football team from January 1, 2003, to December 31, 2020. Data analyzed included player position, college seniority, injury characteristics, injury management, surgical procedures performed, and timing of RTP. A univariate analysis was performed to identify factors associated with increased risk for surgical intervention and delayed (&gt;21 days) RTP after hand and wrist injury in this cohort.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Overall, 124 patients with 168 hand\/wrist injuries were identified (9.9 wrist\/hand injuries per year). Sprain of the thumb metacarpophalangeal (MCP) joint ulnar collateral ligament (UCL) was the most common diagnosis (19.6%). Surgery was required in 22% of injuries, with injury of the UCL of the thumb MCP joint (8\/37) being the most common indication. Injuries occurring during competitive games (odds ratio = 4.29; 95% CI, 1.2-15.9) were associated with an increased risk for surgery. Most (70%) injuries did not lead to time missed from football, whereas the remaining 30% resulted in an average of 33 \u00b1 36 days missed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Over 17 athletic seasons, the annual incidence of hand and wrist injury in these NCAA Division I football players was 9.9 injuries per year, with 22% requiring surgical treatment. Injury to the UCL of the thumb MCP joint was the most common injury and indication for surgery, and 30% of injuries resulted in approximately 1 month lost. Injuries sustained in games were associated with operative management and delayed RTP.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/23259671231188969","type":"journal-article","created":{"date-parts":[[2023,11,10]],"date-time":"2023-11-10T06:21:36Z","timestamp":1699597296000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":5,"title":["Management of Hand and Wrist Injuries in NCAA Division I Football Players From a Single Institution: Factors Associated With Epidemiology, Surgical Intervention, and Return to Play"],"prefix":"10.1177","volume":"11","author":[{"given":"Sofia","family":"Bougioukli","sequence":"first","affiliation":[{"name":"USC Epstein Family Center for Sports Medicine at Keck Medicine of USC, Los Angeles, California, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ioanna K.","family":"Bolia","sequence":"additional","affiliation":[{"name":"USC Epstein Family Center for Sports Medicine at Keck Medicine of USC, Los Angeles, California, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cory K.","family":"Mayfield","sequence":"additional","affiliation":[{"name":"USC Epstein Family Center for Sports Medicine at Keck Medicine of USC, Los Angeles, California, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luke T.","family":"Nicholson","sequence":"additional","affiliation":[{"name":"USC Epstein Family Center for Sports Medicine at Keck Medicine of USC, Los Angeles, California, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexander E.","family":"Weber","sequence":"additional","affiliation":[{"name":"USC Epstein Family Center for Sports Medicine at Keck Medicine of USC, Los Angeles, California, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bryan S.","family":"Bashrum","sequence":"additional","affiliation":[{"name":"USC Epstein Family Center for Sports Medicine at Keck Medicine of USC, Los Angeles, California, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Russell","family":"Romano","sequence":"additional","affiliation":[{"name":"USC Epstein Family Center for Sports Medicine at Keck Medicine of USC, Los Angeles, California, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"James E.","family":"Tibone","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Cedars-Sinai, Los Angeles, California, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Steven","family":"Shin","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Cedars-Sinai, Los Angeles, California, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Seth C.","family":"Gamradt","sequence":"additional","affiliation":[{"name":"USC Epstein Family Center for Sports Medicine at Keck Medicine of USC, Los Angeles, California, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2023,11,10]]},"reference":[{"key":"bibr1-23259671231188969","doi-asserted-by":"publisher","DOI":"10.1177\/2325967119835375"},{"key":"bibr2-23259671231188969","doi-asserted-by":"publisher","DOI":"10.1177\/1558944718788644"},{"key":"bibr3-23259671231188969","doi-asserted-by":"publisher","DOI":"10.1142\/S021881040900413X"},{"key":"bibr4-23259671231188969","doi-asserted-by":"publisher","DOI":"10.1177\/0363546517749914"},{"issue":"2","key":"bibr5-23259671231188969","first-page":"49","volume":"39","author":"Carender CN","year":"2019","journal-title":"Iowa Orthop J"},{"key":"bibr6-23259671231188969","doi-asserted-by":"publisher","DOI":"10.1177\/036354657900700308"},{"key":"bibr7-23259671231188969","doi-asserted-by":"publisher","DOI":"10.1007\/s11552-015-9769-4"},{"issue":"2","key":"bibr8-23259671231188969","first-page":"207","volume":"41","author":"Knowles SB","year":"2006","journal-title":"J Athl Train"},{"key":"bibr9-23259671231188969","doi-asserted-by":"publisher","DOI":"10.1007\/s00776-014-0584-5"},{"key":"bibr10-23259671231188969","doi-asserted-by":"publisher","DOI":"10.1007\/s11420-020-09760-w"},{"key":"bibr11-23259671231188969","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2017.08.259"},{"key":"bibr12-23259671231188969","unstructured":"National Collegiate Athletic Association. NCAA sports sponsorship and participation rates report 2018-2019. Accessed October 1, 2021.\u00a0https:\/\/www.ncaa.org\/sports\/2018\/10\/10\/ncaa-sports-sponsorship-and-participation-rates-database.aspx."},{"key":"bibr13-23259671231188969","doi-asserted-by":"publisher","DOI":"10.1177\/2325967120964622"},{"key":"bibr14-23259671231188969","doi-asserted-by":"publisher","DOI":"10.1177\/1558944718760001"},{"key":"bibr15-23259671231188969","doi-asserted-by":"publisher","DOI":"10.1177\/0363546516660979"},{"key":"bibr16-23259671231188969","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2014.06.132"},{"key":"bibr17-23259671231188969","first-page":"7949754","volume":"2019","author":"Yamamoto T","year":"2019","journal-title":"Case Rep Orthop"}],"container-title":["Orthopaedic Journal of Sports Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/23259671231188969","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/23259671231188969","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/23259671231188969","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T00:13:35Z","timestamp":1777594415000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/23259671231188969"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,11,1]]},"references-count":17,"journal-issue":{"issue":"11","published-print":{"date-parts":[[2023,11]]}},"alternative-id":["10.1177\/23259671231188969"],"URL":"https:\/\/doi.org\/10.1177\/23259671231188969","relation":{},"ISSN":["2325-9671","2325-9671"],"issn-type":[{"value":"2325-9671","type":"print"},{"value":"2325-9671","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,11,1]]},"article-number":"23259671231188969"}}