scholarly journals Epidemiology of Upper Extremity Soccer Injuries Among High School– and College-Aged Players in the United States: An Analysis of the 1999-2016 NEISS Database

2018 ◽  
Vol 10 (6) ◽  
pp. 552-557 ◽  
Author(s):  
Wesley M. Durand ◽  
Avi D. Goodman ◽  
Patricia Giglio ◽  
Christine Etzel ◽  
Brett D. Owens
Keyword(s):  
High School ◽  
Upper Extremity ◽  
The United States ◽  
High Energy ◽  
Soccer Players ◽  
Level Of Evidence ◽  
Injury Surveillance System ◽  
Aged Patients ◽  
Lower Extremity Injuries ◽  
Extremity Injuries

Background: Although lower extremity injuries are more common than upper extremity injuries in high school– and college-aged soccer players, upper extremity injuries may be equally severe. The epidemiology of upper extremity injuries is poorly characterized in this population. Hypothesis: Upper extremity injuries are an important contributor to soccer-related morbidity among high school– and college-aged players. Study Design: Descriptive epidemiology study. Level of Evidence: Level 3. Methods: The National Electronic Injury Surveillance System (NEISS) is a nationally representative sample of 100 hospital emergency departments (EDs). Each record contains demographic and injury information. Records from 1999 to 2016 were analyzed, including patients between the ages of 14 and 23 years with a soccer-related injury sustained at school or during an athletic event. Results: A total of 1,299,008 high school– or college-aged patients presented to the ED for a soccer-related injury from 1999 to 2016, of which 20.4% were in the upper extremity. Patients were predominantly male (58.0%) and high school–aged (81.4%). Males constituted a greater proportion of upper extremity injuries when compared with other injury locations (63.5% male for upper extremity). Upper extremity injuries were more likely to be fractures (43.7% vs 13.9%) and dislocations (7.1% vs 3.4%) and less likely to be strains/sprains (27.8% vs 56.6%). Males suffered more shoulder dislocations (81.8% males among patients with shoulder dislocation vs 57.8% among those with other injuries), finger dislocations (72.0% vs 58.0%), upper arm fractures (74.9% vs 57.6%), and forearm fractures (68.3% vs 57.3%). Conclusion: Upper extremity injuries are frequent in high school– and college-aged soccer players presenting to the ED. Efforts to reduce soccer-related injuries should include strategies targeting the upper extremity, perhaps reducing the incidence of high-energy falls. Clinical Relevance: Efforts to reduce soccer-related injuries should include strategies targeting upper extremity injuries, particularly among males and college-aged players.

scholarly journals Epidemiology of Pediatric Baseball and Softball Player Injuries

2021 ◽  
Vol 9 (12) ◽  
pp. 232596712110525
Author(s):  
Ali S. Farooqi ◽  
Alexander Lee ◽  
Eric Abreu ◽  
Divya Talwar ◽  
Kathleen J. Maguire
Keyword(s):  
Lower Extremity ◽  
Sports Injuries ◽  
The United States ◽  
Injury Surveillance System ◽  
Baseball Players ◽  
Injury Rates ◽  
Lower Extremity Injuries ◽  
Youth Baseball ◽  
Extremity Injuries ◽  
Head Neck

Background: Baseball and softball are popular sports in the United States and are responsible for a large number of youth sports injuries each year. Purpose: To investigate recent differences in youth baseball and softball injuries evaluated in nationwide emergency departments. Study Design: Descriptive epidemiology study. Methods: The National Electronic Injury Surveillance System (NEISS) database was examined for softball and baseball injuries in pediatric patients (age, 7-21 years) from 2010 through 2019. Patients were classified as children (age, 7-13 years), adolescents (age, 14-18 years), or young adults (age, 19-21 years). Case narratives were used to categorize injuries as contact injuries (hit by bat or ball), field injuries (sliding into base, collision with another player, catching, or running), throwing injuries, or other. Results: An unweighted total of 24,717 baseball injuries and 13,162 softball injuries were recorded. A nationwide estimate of 861,456 baseball injuries and 511,117 softball injuries were sustained during the studied time period, with estimated respective injury rates of 86,146 and 51,112 per year. Injured softball players were most commonly adolescent (47%) and female (92%), while injured baseball players were most commonly children (54%) and male (90%). There was a greater proportion of baseball-related injuries involving the head/neck (41%) as compared with softball-related injuries (30%) ( P < .01). Conversely, a greater proportion of softball-related injuries involved the lower extremity (32%) as compared with baseball-related injuries (19%) ( P < .01). When comparing diagnosis, softball injuries were more often sprains/strains (28%) than baseball injuries (18%) ( P < .01). When comparing mechanisms of injury, baseball athletes were more likely to be evaluated with contact injuries than were softball athletes (49% vs 40%, P < .01). Conclusion: Youth baseball athletes were more likely to be injured through contact mechanisms and had a higher proportion of injuries related to the head/neck/face, whereas softball injuries more frequently involved the lower extremity and resulted in a sprain/strain. League guidelines should focus on reducing contact injuries within youth baseball, and injury-prevention programs should focus on reducing lower extremity injuries in youth softball.

scholarly journals PEAK LOWER EXTREMITY SOCCER INJURIES OCCUR IMMEDIATELY FOLLOWING GROWTH IN ADOLESCENTS: AN EPIDEMIOLOGIC REVIEW OF EMERGENCY DEPARTMENT VISITS

2020 ◽  
Vol 8 (4_suppl3) ◽  
pp. 2325967120S0021
Author(s):  
Aidan P. Wright ◽  
Aaron J. Zynda ◽  
Jane S. Chung ◽  
Philip L. Wilson ◽  
Henry B. Ellis ◽  
...  
Keyword(s):  
Emergency Department ◽  
Lower Extremity ◽  
Emergency Departments ◽  
Skeletal Maturity ◽  
Epidemiologic Study ◽  
The United States ◽  
Emergency Department Visits ◽  
Injury Surveillance System ◽  
Lower Extremity Injuries ◽  
Extremity Injuries

BACKGROUND: Soccer has become the most popular youth sport in the world. Within the last decade, there has been limited epidemiologic research on pediatric soccer-related injuries based on sex and age. PURPOSE: To examine trends associated with soccer injuries presenting to emergency departments and to describe differences in injury pattern and location based on sex and age during periods of growth. METHODS: An epidemiologic study was conducted utilizing publicly accessible data from the National Electronic Injury Surveillance System (NEISS). The NEISS compiles Emergency Department (ED) data on all injuries presenting to the approximately 100 participating network hospitals in the United States. Information on all soccer-related injuries occurring in ages 7-19 from January 2009 – December 2018 was extracted and summary statistics were calculated. RESULTS: Approximately 54,287 pediatric soccer-related injuries were identified. The average age for all injuries was 13.3 years, and males (60.50%) presented more often than females (39.50%). Concussions and head injuries (15.57%) were most commonly reported overall, with a greater percentage occurring in females than males (17.44% vs. 14.35%). The ankle (15.3%) was the second most common injury location with females also presenting more commonly than males (18.71% vs. 13.62%). Age and sex-based evaluation noted peaks in lower extremity injuries in females younger than in males. Both ankle (F=13-15 years, M=15-17 years) and knee (F=14 years, M=16 years) injuries peaked at ages coinciding with recognized sex-based lower extremity skeletal maturity (Figure 1). CONCLUSION: Peak pediatric soccer-related ankle and knee injuries presenting to emergency departments occur at different ages in females and males and appear to, on average, coincide with maturation (age 14 in females and 16 in males). Lower extremity injuries significantly increase nearing the completion of lower extremity growth, and may indicate appropriate timing for differential sex-specific injury prevention programs within soccer. [Figure: see text]

scholarly journals Common lower extremity injuries in female high school soccer players in Johannesburg east district

2009 ◽  
Vol 21 (4) ◽  
Author(s):  
P Mtshali ◽  
N Mbambo-kekana ◽  
AV Stewart ◽  
E Musenge
Keyword(s):  
Risk Factors ◽  
High School ◽  
Point Prevalence ◽  
Soccer Players ◽  
Lower Extremity Injuries ◽  
Leg Injuries ◽  
Extended Duration ◽  
Extremity Injuries ◽  
Descriptive Survey ◽  
Retrospective Questionnaire

Objectives. Soccer is one of the sports in South Africa which hasseen an increase in the participation of youth and adult female players. The aim of this study was to determine point and 1-year prevalence, profile of injuries that affect female soccer players, associations between injuries and player position, age, use of equipment, frequency of play, and training duration. Methods. A retrospective questionnaire-based descriptive survey of 103 first team high school female soccer players in the Johannesburg east district was conducted.Results. The 1-year prevalence for the participants who reportedinjuries was 46% (N=47) and the point prevalence was 33% (N=34). From these, a total of 78 and 42 injuries for the 1-year and point prevalence respectively were reported. An extended duration of skills (p=0.0001) and fitness (p=0.02) training in this population reduced the likelihood of incurring an injury. The older the participants, the more chance there was of sustaining injuries (p=0.01). The participants who wore shin guards were less prone to shin/leg injuries (p=0.01), the relative odds being 0.35. Themidfielders had more foot and toe injuries than the other players(p=0.05). Starting age (p=0.78), frequency of play (p=0.83), wearing of shoes (p=0.54) and stretching had no influence on injury. The knee and ankle were the main locations of injury, with defenders and midfielders mostly being injured. Conclusion. A decrease in the duration of training for both skills and fitness and not wearing shin guards are risk factors for injury in female soccer players in high school. The profile of injuries andthe risk factors determined from this study do not differ from the studies done in male adolescent and adult soccer players.

scholarly journals Trends and Epidemiologic Factors Contributing to Soccer-Related Fractures That Presented to Emergency Departments in the United States

2018 ◽  
Vol 11 (1) ◽  
pp. 27-31 ◽  
Author(s):  
Ashley Kuczinski ◽  
Jared M. Newman ◽  
Nicolas S. Piuzzi ◽  
Nipun Sodhi ◽  
James P. Doran ◽  
...  
Keyword(s):  
United States ◽  
Hospital Admissions ◽  
The United States ◽  
Soccer Players ◽  
Annual Number ◽  
Level Of Evidence ◽  
Injury Surveillance System ◽  
Epidemiologic Factors ◽  
Annual Trends ◽  
Weighted Values

Background: Understanding the risks and trends of soccer-related injuries may prove beneficial in creating preventative strategies against season-ending injuries. Hypothesis: Soccer-related fractures will have decreased over the past 7 years. Study Design: Descriptive epidemiology study. Level of Evidence: Level 3. Methods: The National Electronic Injury Surveillance System (NEISS) database was queried to identify soccer-related injuries from 2010 through 2016. The sum of the weighted values provided in the NEISS database was used to determine injury frequency and allowed us to estimate the incidence and annual trends of soccer-related fractures. The estimated annual number of hospital admissions resulting from each fracture location was calculated. Statistical analyses were performed, and a linear regression was used to analyze the annual injury trends, reported as the correlation coefficient. Results: Over the 6-year period, there were an estimated 1,590,365 soccer-related injuries. The estimated annual frequency of soccer-related injuries slightly increased from 225,910 in 2010 to 226,150 in 2016 ( P = 0.477). The most common injuries were sprains/strains (32.4%), followed by fractures (20.4%). Fractures at the wrist were the most common (18%), while upper leg fractures were the most common soccer-related fractures to be admitted to the hospital (51.6%). The annual trends of the most common soccer-related fractures demonstrated increases in shoulder ( r = 0.740; R2 = 0.547; P = 0.057) and wrist ( r = 0.308; R2 = 0.095; P = 0.502) fractures. There were no significant changes in the trends of soccer-related fractures of the lower arm ( r = 0.009; R2 = 7.3 × 10−5; P = 0.986), finger ( r = 0.679; R2 = 0.460; P = 0.094), lower leg ( r = 0.153; R2 = 0.024; P = 0.743), ankle ( r = 0.650; R2 = 0.422; P = 0.114), toe ( r = 0.417; R2 = 0.174; P = 0.353), or foot ( r = 0.485; R2 = 0.235; P = 0.270). Conclusion: Despite the reported growing number of soccer players in the United States, the overall number of soccer-related injuries has remained relatively stable. Overall, 60% of reported fractures occurred in the upper extremity, with the wrist being the most common site, while lower extremity fractures were the most likely to lead to hospital admission. Clinical Relevance: This study offers an overview of the most common types of fractures that affect soccer players and may prove beneficial in creating preventative strategies against season-ending injuries.

scholarly journals Retrospective analysis of injury trends in recreational skiers and snowboarders in Erciyes Ski Centre

2018 ◽  
Vol 22 (6) ◽  
pp. 313-319
Author(s):  
G. Özen ◽  
E. Yilmaz ◽  
H. Koç ◽  
C. Akalan
Keyword(s):  
Lower Extremity ◽  
Upper Extremity ◽  
Injury Surveillance System ◽  
Lower Extremity Injuries ◽  
System A ◽  
Significant Difference ◽  
Body Location ◽  
Spss Software ◽  
Alpine Skiers ◽  
Extremity Injuries

Purpose: The purpose of this study is to investigate the important differences in overall rates and frequency of injury cases and injury characteristics between the recreational alpine skiers and snowboarders in Erciyes Ski Centre. Methods: The data for this research was obtained from the Erciyes Ski Centre Injury Surveillance System. A total of 834 injury cases that ski patrols registered injury cases caused by recreational alpine skiing and snowboarding during the 2002 to 2017 winter seasons were respectively examined. The injury cases were grouped according to the skiing disciplines. All data were analysed using SPSS software. Results: Injury cases were 690 skiers (82.7%) and 144 snowboarders (17.3%). 397 (57.5%) male and 293 (42.5%) female were skiers and 91 (63.2%) male and 53 (36.8%) female were snowboarders. There was no statistically significant difference between the gender ratios in skiers and snowboarders (p > .05). Data analysis indicated that there were statistically significant differences in the ratios of lower and upper extremity injuries between skiers and snowboarders ( p < .05 ). Skiers suffered more lower extremity injuries while snowboarders suffered more upper extremity injuries ( p < .05 ). Contusion was the most common injuries type in both skiers and snowboarders ( p < .05) . Conclusions: The lower extremity injuries in skiers and the upper extremity injuries in snowboarders were more common with respect to body location of injuries. For both the recreational activities, contusion was the most common injury type.

Lumbopelvic Control and the Development of Upper Extremity Injury in Professional Baseball Pitchers

2021 ◽  
pp. 036354652098812
Author(s):  
Kevin Laudner ◽  
Regan Wong ◽  
Daniel Evans ◽  
Keith Meister
Keyword(s):  
Upper Extremity ◽  
Lower Limbs ◽  
Group Differences ◽  
Professional Baseball ◽  
Extremity Injury ◽  
Level Of Evidence ◽  
Balance Task ◽  
Upper Extremity Injury ◽  
Baseball Pitchers ◽  
Extremity Injuries

Background: The baseball-throwing motion requires a sequential order of motions and forces initiating in the lower limbs and transferring through the trunk and ultimately to the upper extremity. Any disruption in this sequence can increase the forces placed on subsequent segments. No research has examined if baseball pitchers with less lumbopelvic control are more likely to develop upper extremity injury than pitchers with more control. Purpose: To determine if baseball pitchers who sustain a chronic upper extremity injury have less lumbopelvic control before their injury compared with a group of pitchers who do not sustain an injury. Study Design: Cohort study; Level of evidence, 2. Methods: A total of 49 asymptomatic, professional baseball pitchers from a single Major League Baseball organization participated. Lumbopelvic control was measured using an iPod-based digital level secured to a Velcro belt around each player’s waist to measure anteroposterior (AP) and mediolateral (ML) deviations (degrees) during single-leg balance with movement and static bridge maneuvers. During a competitive season, 22 of these pitchers developed upper extremity injuries, while the remaining 27 sustained no injuries. Separate 2-tailed t-tests were run to determine if there were significant differences in lumbopelvic control between groups ( P < .05). Results: There were no significant between-group differences for the stride leg (nondominant) during the bridge test in either the AP ( P = .79) or the ML ( P = .42) directions, or either direction during the drive leg bridge test ( P > .68). However, the injured group had significantly less lumbopelvic control than the noninjured group during stride leg balance in both the AP ( P = .03) and the ML ( P = .001) directions and for drive leg balance in both the AP ( P = .01) and the ML ( P = .04) directions. Conclusion: These results demonstrate that baseball pitchers with diminished lumbopelvic control, particularly during stride leg and drive leg single-leg balance with movement, had more upper extremity injuries than those with more control. Clinicians should consider evaluating lumbopelvic control in injury prevention protocols and provide appropriate exercises for restoring lumbopelvic control before returning athletes to competition after injury. Specific attention should be given to testing and exercises that mimic a single-limb balance task.

Association Between Ball-Handling Versus Defending Actions and Acute Noncontact Lower Extremity Injuries in High School Basketball and Soccer

2015 ◽  
Vol 43 (4) ◽  
pp. 802-807 ◽  
Author(s):  
Scott M. Monfort ◽  
R. Dawn Comstock ◽  
Christy L. Collins ◽  
James A. Onate ◽  
Thomas M. Best ◽  
...  
Keyword(s):  
High School ◽  
Lower Extremity ◽  
Lower Extremity Injuries ◽  
Extremity Injuries

scholarly journals ORTHOPEDIC INJURIES IN ADOLESCENT GYMNASTS: A SYSTEMATIC REVIEW

2021 ◽  
Vol 9 (7_suppl3) ◽  
pp. 2325967121S0011
Author(s):  
Katie Kim ◽  
Michael Saper
Keyword(s):  
Lower Extremity ◽  
Upper Extremity ◽  
Weight Bearing ◽  
The Body ◽  
Adolescent And Young Adult ◽  
Body Region ◽  
Lower Extremity Injuries ◽  
Common Location ◽  
Orthopedic Injuries ◽  
Extremity Injuries

Background: Gymnastics exposes the body to many different types of stressors ranging from repetitive motion, high impact loading, extreme weight bearing, and hyperextension. These stressors predispose the spine and upper and lower extremities to injury. In fact, among female sports, gymnastics has the highest rate of injury each year. Purpose: The purpose of this study was to systematically review the literature on location and types of orthopedic injuries in adolescent (≤20 years) gymnasts. Methods: The Pubmed, Medline, EMBASE, EBSCO (CINAHL) and Web of Science databases were systematically searched according to the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) guidelines to identify all studies reporting orthopedic injuries in adolescent and young adult gymnasts. All aspects of injuries were extracted and analyzed including location, type and rates of orthopedic injuries. Results: Screening yielded 22 eligible studies with a total of 427,225 patients. Twenty of 22 studies reported upper extremity injuries of which four specifically focused on wrist injuries. Eight studies reported lower extremity injuries. Nine studies reported back/spinal injuries. Seven studies investigated each body location of injury; one study reported the upper extremity as the most common location for injury and six studies reported the lower extremity as the most common location for injury. Of those seven studies, five (23%) reported sprains and strains as the most common injury. One study reported fractures as the most common injury. Conclusion: There is considerable variation in reported injury location. Some studies focused specifically on the spine/back or wrist. The type of gymnastics each patient participated in was also different, contributing to which area of the body was more heavily stressed, or lacking. Current literature lacks data to fully provide evidence regarding which body region is more frequently injured and the type of injury sustained.

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