Epidemiology of High School Sports-Related Injuries Resulting in Medical Disqualification: 2005-2006 Through 2013-2014 Academic Years
Background: Although rare, season- or career-ending injuries in young athletes are concerning because they can result in time lost from sport participation and school, social costs, and economic costs of medical care. Purpose: To describe rates and patterns of medically disqualifying (MDQ) injuries...
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| Veröffentlicht in: | The American journal of sports medicine 2016-11, Vol.44 (11), p.2925-2932 |
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| creator | Tirabassi, Jill Brou, Lina Khodaee, Morteza Lefort, Roxanna Fields, Sarah K. Comstock, R. Dawn |
| description | Background:
Although rare, season- or career-ending injuries in young athletes are concerning because they can result in time lost from sport participation and school, social costs, and economic costs of medical care.
Purpose:
To describe rates and patterns of medically disqualifying (MDQ) injuries among United States high school athletes overall and by sport, sex, type of athletic activity, and mechanism.
Study Design:
Descriptive epidemiological study.
Methods:
Sports-related injury data on high school athletes were collected during the 2005-2006 through 2013-2014 academic years from a large national sample of United States high schools via High School Reporting Information Online (RIO). MDQ injuries were defined as season- or career-ending injuries.
Results:
From 2005-2006 through 2013-2014, High School RIO captured 59,862 total injuries including 3599 MDQ injuries (6.0% of all injuries). Most MDQ injuries (60.4%) occurred in competition. Football had the highest injury rate (26.5 per 100,000 athlete-exposures), followed by gymnastics (18.6) and wrestling (17.9). MDQ injury rates were higher among girls in the sex-comparable sports of basketball (rate ratio [RR], 1.6; 95% CI, 1.3-2.0), cross-country (RR, 2.6; 95% CI, 1.0-7.5), soccer (RR, 1.6; 95% CI, 1.3-1.9), and track and field (RR, 2.6; 95% CI, 1.7-4.0). Player-player contact (48.2%) was the most common MDQ injury mechanism. The most commonly injured body site was the knee (33.7%). The most common MDQ injury diagnosis was sprains/strains (35.9%); the most common specific MDQ injury was knee sprains/strains (25.4%), with the anterior cruciate ligament being the most commonly injured knee structure. Among boys, fracture was the most common diagnosis in 3 sports, and sprain/strain was the most common in 6 sports. Among girls, sprain/strain was the most common diagnosis in 9 sports, and fracture was the most common only in softball.
Conclusion:
MDQ injuries vary by sport, sex, and type of athletic activity and occur most frequently as a result of player-player contact. These findings should prompt additional research into the development, implementation, and evaluation of targeted injury prevention efforts. |
| doi_str_mv | 10.1177/0363546516644604 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1837318976</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sage_id>10.1177_0363546516644604</sage_id><sourcerecordid>1826682017</sourcerecordid><originalsourceid>FETCH-LOGICAL-c281t-ad223466e6347d97a622bd2ef81e11fca9c6ae49cc54caac526e8d841c6a04643</originalsourceid><addsrcrecordid>eNqNkc1LxDAQxYMouq7ePUnAi5dqvjpNj-LXCorg6sFTiel0zZJt1qY9-N-bZVVEEDwNM_N7b0geIQecnXBeFKdMgswV5BxAKWBqg4x4notMSsg3yWi1zlb7HbIb45wxxgvQ22RHFEkhdDkiz5dLV-PCBR9m7zQ0dOJmr3RqX0PwdLoMXR-zB_Smx5retPOhcxjpA8bB966dUdfSO6ydNZ5euPg2GO-a1PUutHtkqzE-4v5nHZOnq8vH80l2e399c352m1mheZ-ZWgipABCkKuqyMCDESy2w0Rw5b6wpLRhUpbW5ssbYXADqWiuexkyBkmNyvPZdduFtwNhXCxctem9aDEOsuJaF5Los4B-oANAi_VJCj36h8zB0bXrIylBxoUSqY8LWlO1CjB021bJzC9O9V5xVq4Sq3wklyeGn8fCywPpb8BVJArI1EM0Mf1z9y_ADzHOXMg</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1834124218</pqid></control><display><type>article</type><title>Epidemiology of High School Sports-Related Injuries Resulting in Medical Disqualification: 2005-2006 Through 2013-2014 Academic Years</title><source>SAGE Publications</source><source>MEDLINE</source><source>Alma/SFX Local Collection</source><creator>Tirabassi, Jill ; Brou, Lina ; Khodaee, Morteza ; Lefort, Roxanna ; Fields, Sarah K. ; Comstock, R. Dawn</creator><creatorcontrib>Tirabassi, Jill ; Brou, Lina ; Khodaee, Morteza ; Lefort, Roxanna ; Fields, Sarah K. ; Comstock, R. Dawn</creatorcontrib><description>Background:
Although rare, season- or career-ending injuries in young athletes are concerning because they can result in time lost from sport participation and school, social costs, and economic costs of medical care.
Purpose:
To describe rates and patterns of medically disqualifying (MDQ) injuries among United States high school athletes overall and by sport, sex, type of athletic activity, and mechanism.
Study Design:
Descriptive epidemiological study.
Methods:
Sports-related injury data on high school athletes were collected during the 2005-2006 through 2013-2014 academic years from a large national sample of United States high schools via High School Reporting Information Online (RIO). MDQ injuries were defined as season- or career-ending injuries.
Results:
From 2005-2006 through 2013-2014, High School RIO captured 59,862 total injuries including 3599 MDQ injuries (6.0% of all injuries). Most MDQ injuries (60.4%) occurred in competition. Football had the highest injury rate (26.5 per 100,000 athlete-exposures), followed by gymnastics (18.6) and wrestling (17.9). MDQ injury rates were higher among girls in the sex-comparable sports of basketball (rate ratio [RR], 1.6; 95% CI, 1.3-2.0), cross-country (RR, 2.6; 95% CI, 1.0-7.5), soccer (RR, 1.6; 95% CI, 1.3-1.9), and track and field (RR, 2.6; 95% CI, 1.7-4.0). Player-player contact (48.2%) was the most common MDQ injury mechanism. The most commonly injured body site was the knee (33.7%). The most common MDQ injury diagnosis was sprains/strains (35.9%); the most common specific MDQ injury was knee sprains/strains (25.4%), with the anterior cruciate ligament being the most commonly injured knee structure. Among boys, fracture was the most common diagnosis in 3 sports, and sprain/strain was the most common in 6 sports. Among girls, sprain/strain was the most common diagnosis in 9 sports, and fracture was the most common only in softball.
Conclusion:
MDQ injuries vary by sport, sex, and type of athletic activity and occur most frequently as a result of player-player contact. These findings should prompt additional research into the development, implementation, and evaluation of targeted injury prevention efforts.</description><identifier>ISSN: 0363-5465</identifier><identifier>EISSN: 1552-3365</identifier><identifier>DOI: 10.1177/0363546516644604</identifier><identifier>PMID: 27166289</identifier><identifier>CODEN: AJSMDO</identifier><language>eng</language><publisher>Los Angeles, CA: SAGE Publications</publisher><subject>Adolescent ; Athletes ; Athletic Injuries - classification ; Athletic Injuries - epidemiology ; Athletic Injuries - etiology ; Epidemiology ; Female ; High school sports ; Humans ; Incidence ; Knee ; Male ; Secondary schools ; Sports injuries ; Sports medicine ; Students ; United States - epidemiology</subject><ispartof>The American journal of sports medicine, 2016-11, Vol.44 (11), p.2925-2932</ispartof><rights>2016 The Author(s)</rights><rights>2016 The Author(s).</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c281t-ad223466e6347d97a622bd2ef81e11fca9c6ae49cc54caac526e8d841c6a04643</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1177/0363546516644604$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1177/0363546516644604$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>314,776,780,21798,27901,27902,43597,43598</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27166289$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Tirabassi, Jill</creatorcontrib><creatorcontrib>Brou, Lina</creatorcontrib><creatorcontrib>Khodaee, Morteza</creatorcontrib><creatorcontrib>Lefort, Roxanna</creatorcontrib><creatorcontrib>Fields, Sarah K.</creatorcontrib><creatorcontrib>Comstock, R. Dawn</creatorcontrib><title>Epidemiology of High School Sports-Related Injuries Resulting in Medical Disqualification: 2005-2006 Through 2013-2014 Academic Years</title><title>The American journal of sports medicine</title><addtitle>Am J Sports Med</addtitle><description>Background:
Although rare, season- or career-ending injuries in young athletes are concerning because they can result in time lost from sport participation and school, social costs, and economic costs of medical care.
Purpose:
To describe rates and patterns of medically disqualifying (MDQ) injuries among United States high school athletes overall and by sport, sex, type of athletic activity, and mechanism.
Study Design:
Descriptive epidemiological study.
Methods:
Sports-related injury data on high school athletes were collected during the 2005-2006 through 2013-2014 academic years from a large national sample of United States high schools via High School Reporting Information Online (RIO). MDQ injuries were defined as season- or career-ending injuries.
Results:
From 2005-2006 through 2013-2014, High School RIO captured 59,862 total injuries including 3599 MDQ injuries (6.0% of all injuries). Most MDQ injuries (60.4%) occurred in competition. Football had the highest injury rate (26.5 per 100,000 athlete-exposures), followed by gymnastics (18.6) and wrestling (17.9). MDQ injury rates were higher among girls in the sex-comparable sports of basketball (rate ratio [RR], 1.6; 95% CI, 1.3-2.0), cross-country (RR, 2.6; 95% CI, 1.0-7.5), soccer (RR, 1.6; 95% CI, 1.3-1.9), and track and field (RR, 2.6; 95% CI, 1.7-4.0). Player-player contact (48.2%) was the most common MDQ injury mechanism. The most commonly injured body site was the knee (33.7%). The most common MDQ injury diagnosis was sprains/strains (35.9%); the most common specific MDQ injury was knee sprains/strains (25.4%), with the anterior cruciate ligament being the most commonly injured knee structure. Among boys, fracture was the most common diagnosis in 3 sports, and sprain/strain was the most common in 6 sports. Among girls, sprain/strain was the most common diagnosis in 9 sports, and fracture was the most common only in softball.
Conclusion:
MDQ injuries vary by sport, sex, and type of athletic activity and occur most frequently as a result of player-player contact. These findings should prompt additional research into the development, implementation, and evaluation of targeted injury prevention efforts.</description><subject>Adolescent</subject><subject>Athletes</subject><subject>Athletic Injuries - classification</subject><subject>Athletic Injuries - epidemiology</subject><subject>Athletic Injuries - etiology</subject><subject>Epidemiology</subject><subject>Female</subject><subject>High school sports</subject><subject>Humans</subject><subject>Incidence</subject><subject>Knee</subject><subject>Male</subject><subject>Secondary schools</subject><subject>Sports injuries</subject><subject>Sports medicine</subject><subject>Students</subject><subject>United States - epidemiology</subject><issn>0363-5465</issn><issn>1552-3365</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkc1LxDAQxYMouq7ePUnAi5dqvjpNj-LXCorg6sFTiel0zZJt1qY9-N-bZVVEEDwNM_N7b0geIQecnXBeFKdMgswV5BxAKWBqg4x4notMSsg3yWi1zlb7HbIb45wxxgvQ22RHFEkhdDkiz5dLV-PCBR9m7zQ0dOJmr3RqX0PwdLoMXR-zB_Smx5retPOhcxjpA8bB966dUdfSO6ydNZ5euPg2GO-a1PUutHtkqzE-4v5nHZOnq8vH80l2e399c352m1mheZ-ZWgipABCkKuqyMCDESy2w0Rw5b6wpLRhUpbW5ssbYXADqWiuexkyBkmNyvPZdduFtwNhXCxctem9aDEOsuJaF5Los4B-oANAi_VJCj36h8zB0bXrIylBxoUSqY8LWlO1CjB021bJzC9O9V5xVq4Sq3wklyeGn8fCywPpb8BVJArI1EM0Mf1z9y_ADzHOXMg</recordid><startdate>201611</startdate><enddate>201611</enddate><creator>Tirabassi, Jill</creator><creator>Brou, Lina</creator><creator>Khodaee, Morteza</creator><creator>Lefort, Roxanna</creator><creator>Fields, Sarah K.</creator><creator>Comstock, R. Dawn</creator><general>SAGE Publications</general><general>Sage Publications Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7TS</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>U9A</scope><scope>7X8</scope></search><sort><creationdate>201611</creationdate><title>Epidemiology of High School Sports-Related Injuries Resulting in Medical Disqualification</title><author>Tirabassi, Jill ; Brou, Lina ; Khodaee, Morteza ; Lefort, Roxanna ; Fields, Sarah K. ; Comstock, R. Dawn</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c281t-ad223466e6347d97a622bd2ef81e11fca9c6ae49cc54caac526e8d841c6a04643</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Adolescent</topic><topic>Athletes</topic><topic>Athletic Injuries - classification</topic><topic>Athletic Injuries - epidemiology</topic><topic>Athletic Injuries - etiology</topic><topic>Epidemiology</topic><topic>Female</topic><topic>High school sports</topic><topic>Humans</topic><topic>Incidence</topic><topic>Knee</topic><topic>Male</topic><topic>Secondary schools</topic><topic>Sports injuries</topic><topic>Sports medicine</topic><topic>Students</topic><topic>United States - epidemiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Tirabassi, Jill</creatorcontrib><creatorcontrib>Brou, Lina</creatorcontrib><creatorcontrib>Khodaee, Morteza</creatorcontrib><creatorcontrib>Lefort, Roxanna</creatorcontrib><creatorcontrib>Fields, Sarah K.</creatorcontrib><creatorcontrib>Comstock, R. Dawn</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Physical Education Index</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>The American journal of sports medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Tirabassi, Jill</au><au>Brou, Lina</au><au>Khodaee, Morteza</au><au>Lefort, Roxanna</au><au>Fields, Sarah K.</au><au>Comstock, R. Dawn</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Epidemiology of High School Sports-Related Injuries Resulting in Medical Disqualification: 2005-2006 Through 2013-2014 Academic Years</atitle><jtitle>The American journal of sports medicine</jtitle><addtitle>Am J Sports Med</addtitle><date>2016-11</date><risdate>2016</risdate><volume>44</volume><issue>11</issue><spage>2925</spage><epage>2932</epage><pages>2925-2932</pages><issn>0363-5465</issn><eissn>1552-3365</eissn><coden>AJSMDO</coden><abstract>Background:
Although rare, season- or career-ending injuries in young athletes are concerning because they can result in time lost from sport participation and school, social costs, and economic costs of medical care.
Purpose:
To describe rates and patterns of medically disqualifying (MDQ) injuries among United States high school athletes overall and by sport, sex, type of athletic activity, and mechanism.
Study Design:
Descriptive epidemiological study.
Methods:
Sports-related injury data on high school athletes were collected during the 2005-2006 through 2013-2014 academic years from a large national sample of United States high schools via High School Reporting Information Online (RIO). MDQ injuries were defined as season- or career-ending injuries.
Results:
From 2005-2006 through 2013-2014, High School RIO captured 59,862 total injuries including 3599 MDQ injuries (6.0% of all injuries). Most MDQ injuries (60.4%) occurred in competition. Football had the highest injury rate (26.5 per 100,000 athlete-exposures), followed by gymnastics (18.6) and wrestling (17.9). MDQ injury rates were higher among girls in the sex-comparable sports of basketball (rate ratio [RR], 1.6; 95% CI, 1.3-2.0), cross-country (RR, 2.6; 95% CI, 1.0-7.5), soccer (RR, 1.6; 95% CI, 1.3-1.9), and track and field (RR, 2.6; 95% CI, 1.7-4.0). Player-player contact (48.2%) was the most common MDQ injury mechanism. The most commonly injured body site was the knee (33.7%). The most common MDQ injury diagnosis was sprains/strains (35.9%); the most common specific MDQ injury was knee sprains/strains (25.4%), with the anterior cruciate ligament being the most commonly injured knee structure. Among boys, fracture was the most common diagnosis in 3 sports, and sprain/strain was the most common in 6 sports. Among girls, sprain/strain was the most common diagnosis in 9 sports, and fracture was the most common only in softball.
Conclusion:
MDQ injuries vary by sport, sex, and type of athletic activity and occur most frequently as a result of player-player contact. These findings should prompt additional research into the development, implementation, and evaluation of targeted injury prevention efforts.</abstract><cop>Los Angeles, CA</cop><pub>SAGE Publications</pub><pmid>27166289</pmid><doi>10.1177/0363546516644604</doi><tpages>8</tpages></addata></record> |
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| ispartof | The American journal of sports medicine, 2016-11, Vol.44 (11), p.2925-2932 |
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| source | SAGE Publications; MEDLINE; Alma/SFX Local Collection |
| subjects | Adolescent Athletes Athletic Injuries - classification Athletic Injuries - epidemiology Athletic Injuries - etiology Epidemiology Female High school sports Humans Incidence Knee Male Secondary schools Sports injuries Sports medicine Students United States - epidemiology |
| title | Epidemiology of High School Sports-Related Injuries Resulting in Medical Disqualification: 2005-2006 Through 2013-2014 Academic Years |
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