Rankings of High School Sports Injury Rates Differ Based on Time Loss Assessments

Clin J Sport Med. 2017 Nov;27(6):548-551. doi: 10.1097/JSM.0000000000000405.

Abstract

Objective: To examine how injury definition inclusiveness affects the rank order of injury rates in 27 high school (HS) sports.

Design: The National Athletic Treatment, Injury and Outcomes Network (NATION) used certified athletic trainers (ATs) to collect injury and athlete-exposure (AE) data in practices and competitions for 27 HS sports during the 2011/2012 to 2013/2014 academic years. Time loss (TL) injuries resulted in ≥24 hours of participation restriction. Nontime loss (NTL) injuries resulted in <24 hours of participation restriction.

Setting: Aggregate injury and exposure data collected from 27 HS sports.

Participants: High school student-athletes.

Interventions: Sports injury data from the National Athletic Treatment, Injury and Outcomes Network.

Main outcome measures: Time loss and TL + NTL injury rates were calculated. Sport-specific rates were placed in rank order, stratified by gender.

Results: Most of the 47 014 injuries reported were NTL (82.8%). Among boys' sports, TL injury rates were greatest in football (3.27/1000AE) and wrestling (2.43/1000AE); TL + NTL injury rates were greatest also in football (15.29/1000AE) and wrestling (11.62/1000AE). Among girls' sports, TL injury rates were greatest in soccer (1.97/1000AE) and basketball (1.76/1000AE); TL + NTL injury rates were greatest in field hockey and lacrosse (both 11.32/1000AE).

Conclusions: The rank order of injury rates and the resulting injury prevention priorities may depend on injury definition inclusiveness, particularly in female HS sports.

MeSH terms

  • Adolescent
  • Athletes
  • Athletic Injuries / epidemiology*
  • Basketball / injuries
  • Female
  • Football / injuries
  • Hockey / injuries
  • Humans
  • Male
  • Soccer / injuries
  • United States
  • Wrestling / injuries
  • Youth Sports / injuries*