We found a match
Your institution may have rights to this item. Sign in to continue.
- Title
A Multisport Epidemiologic Comparison of Anterior Cruciate Ligament Injuries in High School Athletics.
- Authors
Joseph, Allan M.; Collins, Christy L.; Henke, Natalie M.; Yard, Ellen E.; Fields, Sarah K.; Comstock, R. Dawn
- Abstract
Background: The knee joint is the second most commonly injured body site after the ankle and the leading cause of sport-related surgeries. Knee injuries, especially of the anterior cruciate ligament (ACL), are among the most economically costly sport injuries, frequently requiring expensive surgery and rehabilitation. Objective: To investigate the epidemiology of ACL injuries among high school athletes by sport and sex. Design: Descriptive epidemiology study. Main Outcome Measure(s): Using an Internet-based data-collection tool, Reporting Information Online (RIO), certified athletic trainers from 100 nationally representative US high schools reported athlete-exposure and injury data for athletes from 9 sports during the 2007/08-2011/12 academic years. The outcome of interest in this study was ACL injuries. Results: During the study period, 617 ACL injuries were reported during 9452180 athlete exposures (AEs), for an injury rate of 6.5 per 100000 AEs. Nationally, in the 9 sports studied, an estimated 215628 ACL injuries occurred during the study period. The injury rate was higher in competition (17.6) than practice (2.4; rate ratio [RR] = 7.3, 95% confidence interval [CI] = 6.08, 8.68). Girls' soccer had the highest injury rate (12.2) followed by boys' football (11.1), with boys' basketball (2.3) and boys' baseball (0.7) having the lowest rates. In sex-comparable sports, girls had a higher rate (8.9) than boys (2.6; RR = 3.4, 95% CI = 2.64, 4.47). Overall, 76.6% of ACL injuries resulted in surgery. The most common mechanisms of injury were player-to-player contact (42.8%) and no contact (37.9%). Conclusions: Anterior cruciate ligament injury rates vary by sport, sex, and type of exposure. Recognizing such differences is important when evaluating the effectiveness of evidence-based, targeted prevention efforts.
- Subjects
UNITED States; PUBLIC health surveillance; ANTERIOR cruciate ligament surgery; ANTERIOR cruciate ligament injuries; ATHLETIC trainers; CONFIDENCE intervals; EPIDEMIOLOGY; EPIDEMIOLOGICAL research; FOOTBALL injuries; HIGH school athletes; INTERNET; MATHEMATICS; RESEARCH methodology; SEX distribution; SOCCER injuries; SPORTS; SPORTS injuries; ADOLESCENT health; DATA analysis; SPORTS events; PHYSICAL training &; conditioning; CONTINUING education units; NATIONAL Athletic Trainers Association; DATA analysis software; DESCRIPTIVE statistics; ADOLESCENCE
- Publication
Journal of Athletic Training (Allen Press), 2013, Vol 48, Issue 6, p810
- ISSN
1062-6050
- Publication type
Article
- DOI
10.4085/1062-6050-48.6.03