ArticleInjury epidemiology2021
An epidemiologic comparison of acute and overuse injuries in high school sports.
Article in Injury epidemiology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 3 of them syntheses that pooled it.
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Who cites it
14 citing papers in PubMed, 3 syntheses or guidelines pooled it, 36 citations in OpenAlex.
- Prevention strategies and modifiable risk factors for upper extremity injury: a systematic review and meta-analysis for the Female, woman and/or girl Athlete Injury pRevention (FAIR) consensus.British journal of sports medicine · 2025Pooled it
- Injury Incidence Rate According to Mechanism, Body Location, and Type in Basketball Players: A Systematic Review and Meta-Analysis.Sports medicine (Auckland, N.Z.) · 2025Pooled it
- Epidemiology of injuries in young volleyball athletes: a systematic review.Journal of orthopaedic surgery and research · 2023Pooled it
- Epidemiology of Softball Injuries Comparison of Softball-Related Injuries at US Emergency Departments Between High School and Collegiate Athletes: A 10-Year NEISS Analysis, 2015-2024.Orthopaedic journal of sports medicine · 2026Article
- Ankle Bracing as a Public Health Game Changer: A Narrative Review on the Prevention of Ankle Injuries in Basketball Players.Medicina (Kaunas, Lithuania) · 2026Review
- Nonlinear association between physical fitness and sports injury risk among Chinese high school students: a cross-sectional study.BMC public health · 2025Article
- Rethinking Acute Sports Injuries: Evidence for an Overuse Mechanism in Hamstring and ACL Injuries.Scandinavian journal of medicine & science in sports · 2025Review
- Effects of multicomponent exercise injury prevention programs on adolescent team athletes (10-19 years old): a systematic review and meta-analysis.Frontiers in pediatrics · 2025Review
- Article
- Primary Care Considerations for the Adolescent Wrestler.Current reviews in musculoskeletal medicine · 2024Review
- Differences in Overuse Injuries in Gender-Comparable Sports: A Nationally Representative Sample of High School Athletes.Journal of athletic training · 2024Article
- Imaging of acute lower limb muscle injury and potential gender differences.Irish journal of medical science · 2024Article
- Injury and Treatment Characteristics of Middle School-Aged Patients Under the Care of Athletic Trainers From 2010 to 2022: A Report From the Athletic Training Practice-Based Research Network.Journal of athletic training · 2024Article
- Advancements for the Future: A National Survey of Fastpitch Softball Coaches' Perspectives on Injury Prevention Programming.International journal of sports physical therapy · 2023Article
Corrections and comments
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Authors and funding
5 authors at 4 institutions in 1 country.
Funding
Abstract
backgroundAcute and overuse injuries affect millions of high school athletes annually and a better understanding of differences between these injuries is needed to help guide prevention, treatment, and rehabilitation strategies. This study compares acute and overuse injuries using a nationally representative sample of high school athletes.
methodsInjuries among United States high school athletes participating in 5 boys' sports (football, soccer, basketball, wrestling, baseball) and 4 girls' sports (soccer, volleyball, basketball, softball) reported in the High School RIO™ surveillance system during the 2006-07 through 2018-19 school years were classified as acute or overuse. National estimates and injury rates were calculated.
resultsOf 17 434 646 estimated injuries, 92.0 % were acute and 8.0 % were overuse. The acute injury rate was higher than the overuse injury rate among both male (Rate Ratio [RR] 16.38, 95 % CI: 15.70-17.10) and female (RR 8.14, 95 % CI: 7.71-8.60) athletes. The overuse injury rate per 10,000 athlete exposures among female athletes (1.8) was slightly higher than among males (1.4). The rate of acute injury compared with the rate of overuse injury was higher during competition (RR 32.00, 95 % CI: 29.93-34.22) than practice (RR 7.19, 95 % CI: 6.91-7.47). Boys' football contributed the most acute (42.1 %) and overuse (23.7 %) injuries among the 9 sports. Among female sports, girls' soccer contributed the most acute (15.6 % of all acute injuries) and overuse (19.4 % of all overuse injuries) injuries. The lower extremity was most commonly injured in acute (48.9 %) and overuse (65.9 %) injuries. Ligament sprain (31.7 %) and concussion (21.0 %) were the most common acute injury diagnoses, while muscle strain (23.3 %) and tendonitis (23.2 %) were the most common overuse injury diagnoses. Compared with acute injuries, overuse injuries were more likely to result in time loss from sports participation of < 1 week among both boys and girls and across most sports. Acute injuries were more likely than overuse injuries to cause a time loss of 1-3 weeks or medical disqualification from sports participation.
conclusionsAcute and overuse injuries display many differences that provide opportunities for data-informed athlete preparation, treatment, and rehabilitation, which may reduce injuries and improve injury outcomes in high school athletics.
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