ArticleJournal of athletic training2024
Epidemiology of Bone-Stress Injuries and Health Care Use in Pac-12 Cross-Country Athletes.
Article in Journal of athletic training, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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Who cites it
3 citing papers in PubMed.
- Sex Differences in Foot and Ankle Sports Injury Rates in Elite Athletes: A Systematic Review and Meta-analysis of 25,687,866 Athlete Exposures.Orthopaedic journal of sports medicine · 2025Review
- High prevalence of stress fractures and long-term amenorrhoea in high endurance female athletes: The misleading lack of correlation with bone mineral density.Journal of orthopaedics · 2024Article
- Injury patterns and healthcare utilisation by runners of the New York City Marathon.BMJ open sport & exercise medicine · 2024Article
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
contextBone-stress injury (BSI) is common in collegiate athletes. Injury rates and health care use in running athletes are not well documented.
objectiveTo describe the rate and classification of injury and associated health care use in collegiate cross-country runners with BSI.
designDescriptive epidemiology study.
settingSports medicine facilities participating in the Pac-12 Health Analytics Program. PATIENTS OR OTHER
participantsPac-12 Conference collegiate cross-country athletes. MAIN OUTCOME MEASURE(S): Counts of injury and health care resources used for each injury. Injury rates were calculated based on athlete-seasons.
resultsA total of 168 BSIs were reported over 4 seasons from 80 team-seasons (34 men's and 46 women's team-seasons) and 1220 athlete-seasons, resulting in 1764 athletic training services and 117 physician encounters. Bone-stress injuries represented 20% of all injuries reported by cross-country athletes. The average BSI rate was 0.14 per athlete-season. Injury rates were higher in female (0.16) than male (0.10) athletes and higher in the 2019-2020 season (0.20) than the 2020-2021 (0.14), 2018-2019 (0.12), and 2021-2022 (0.10) seasons. Most BSIs occurred in the lower leg (23.8%) and the foot (23.8%). The majority of injuries were classified as overuse and time loss (72.6%) and accounted for most of the athletic training services (75.3%) and physician encounters (72.6%). We found a mean of 10.89 athletic training services per overuse and time-loss injury and 12.20 athletic training services per overuse and non-time-loss injury. Mean occurrence was lower for physician encounters (0.70), prescription medications (0.04), tests (0.75), procedures (0.01), and surgery (0.02) than for athletic training services (10.50).
conclusionsBone-stress injuries are common in collegiate cross-country runners and require considerable athletic training resources. Athletic trainers should be appropriately staffed for this population, and suspected BSIs should be confirmed with a medical diagnosis. Future investigators should track treatment codes associated with BSI to determine best-practice patterns.
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