Epidemiology of meniscal injuries in US high school athletes between 2007 and 2013

Joshua Mitchell, William Graham, Thomas Best, Christy Collins, Dustin W. Currie, R. Dawn Comstock, David C. Flanigan

Research output: Contribution to journalArticle

16 Citations (Scopus)

Abstract

Purpose: Knowledge of epidemiologic trends of meniscal injuries in young active populations is limited. Better awareness of injury patterns is a first step to lowering injury rates. Our hypothesis was that meniscal injuries in high school athletes would vary by gender, sport, and type of exposure. Methods: During the 2007/2008 and 2012/2013 academic years, a large nationally disperse sample of US high schools reported athlete exposure and injury data for 22 sports by having certified athletic trainers complete an internet-based data collection tool. Results: One thousand and eighty-two meniscal injuries were reported during 21,088,365 athlete exposures for an overall injury rate of 5.1 per 100,000 athlete exposures. The overall rate of injury was higher in competition (11.9) than practice (2.7) (RR = 4.4; 95 % CI 3.9–5.0), and 12/19 sports showed significantly higher injury rates in competition compared to practice. Of all injuries, 68.0 % occurred in boys, yet among the gender-comparable sports of soccer, basketball, track and field, lacrosse, and baseball/softball injury rates were higher for girls than boys (5.5 and 2.5, respectively, RR = 2.2; 95 % CI 1.8–2.7). Contact injury represented the most common mechanism (55.9 %). Surgery was performed for the majority of injuries (63.8 %), and 54.0 % of athletes had associated intra-articular knee pathology. Conclusions: Meniscal injury patterns among high school athletes vary by gender, sport, and type of exposure. Our study is clinically relevant because recognition of distinct differences in these injury patterns will help drive evidence-based, targeted injury prevention strategies and efforts. Level of evidence: III.

Original languageEnglish (US)
Pages (from-to)715-722
Number of pages8
JournalKnee Surgery, Sports Traumatology, Arthroscopy
Volume24
Issue number3
DOIs
StatePublished - Mar 1 2016
Externally publishedYes

Fingerprint

Athletes
Epidemiology
Wounds and Injuries
Sports
Baseball
Track and Field
Racquet Sports
Basketball
Soccer
Internet
Knee
Joints

Keywords

  • Gender
  • High school athletes
  • Mechanism of injury
  • Meniscus

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

Cite this

Epidemiology of meniscal injuries in US high school athletes between 2007 and 2013. / Mitchell, Joshua; Graham, William; Best, Thomas; Collins, Christy; Currie, Dustin W.; Comstock, R. Dawn; Flanigan, David C.

In: Knee Surgery, Sports Traumatology, Arthroscopy, Vol. 24, No. 3, 01.03.2016, p. 715-722.

Research output: Contribution to journalArticle

Mitchell, Joshua ; Graham, William ; Best, Thomas ; Collins, Christy ; Currie, Dustin W. ; Comstock, R. Dawn ; Flanigan, David C. / Epidemiology of meniscal injuries in US high school athletes between 2007 and 2013. In: Knee Surgery, Sports Traumatology, Arthroscopy. 2016 ; Vol. 24, No. 3. pp. 715-722.
@article{35de45a739b44ae1b3be92e83cc83606,
title = "Epidemiology of meniscal injuries in US high school athletes between 2007 and 2013",
abstract = "Purpose: Knowledge of epidemiologic trends of meniscal injuries in young active populations is limited. Better awareness of injury patterns is a first step to lowering injury rates. Our hypothesis was that meniscal injuries in high school athletes would vary by gender, sport, and type of exposure. Methods: During the 2007/2008 and 2012/2013 academic years, a large nationally disperse sample of US high schools reported athlete exposure and injury data for 22 sports by having certified athletic trainers complete an internet-based data collection tool. Results: One thousand and eighty-two meniscal injuries were reported during 21,088,365 athlete exposures for an overall injury rate of 5.1 per 100,000 athlete exposures. The overall rate of injury was higher in competition (11.9) than practice (2.7) (RR = 4.4; 95 {\%} CI 3.9–5.0), and 12/19 sports showed significantly higher injury rates in competition compared to practice. Of all injuries, 68.0 {\%} occurred in boys, yet among the gender-comparable sports of soccer, basketball, track and field, lacrosse, and baseball/softball injury rates were higher for girls than boys (5.5 and 2.5, respectively, RR = 2.2; 95 {\%} CI 1.8–2.7). Contact injury represented the most common mechanism (55.9 {\%}). Surgery was performed for the majority of injuries (63.8 {\%}), and 54.0 {\%} of athletes had associated intra-articular knee pathology. Conclusions: Meniscal injury patterns among high school athletes vary by gender, sport, and type of exposure. Our study is clinically relevant because recognition of distinct differences in these injury patterns will help drive evidence-based, targeted injury prevention strategies and efforts. Level of evidence: III.",
keywords = "Gender, High school athletes, Mechanism of injury, Meniscus",
author = "Joshua Mitchell and William Graham and Thomas Best and Christy Collins and Currie, {Dustin W.} and Comstock, {R. Dawn} and Flanigan, {David C.}",
year = "2016",
month = "3",
day = "1",
doi = "10.1007/s00167-015-3814-2",
language = "English (US)",
volume = "24",
pages = "715--722",
journal = "Knee Surgery, Sports Traumatology, Arthroscopy",
issn = "0942-2056",
publisher = "Springer Verlag",
number = "3",

}

TY - JOUR

T1 - Epidemiology of meniscal injuries in US high school athletes between 2007 and 2013

AU - Mitchell, Joshua

AU - Graham, William

AU - Best, Thomas

AU - Collins, Christy

AU - Currie, Dustin W.

AU - Comstock, R. Dawn

AU - Flanigan, David C.

PY - 2016/3/1

Y1 - 2016/3/1

N2 - Purpose: Knowledge of epidemiologic trends of meniscal injuries in young active populations is limited. Better awareness of injury patterns is a first step to lowering injury rates. Our hypothesis was that meniscal injuries in high school athletes would vary by gender, sport, and type of exposure. Methods: During the 2007/2008 and 2012/2013 academic years, a large nationally disperse sample of US high schools reported athlete exposure and injury data for 22 sports by having certified athletic trainers complete an internet-based data collection tool. Results: One thousand and eighty-two meniscal injuries were reported during 21,088,365 athlete exposures for an overall injury rate of 5.1 per 100,000 athlete exposures. The overall rate of injury was higher in competition (11.9) than practice (2.7) (RR = 4.4; 95 % CI 3.9–5.0), and 12/19 sports showed significantly higher injury rates in competition compared to practice. Of all injuries, 68.0 % occurred in boys, yet among the gender-comparable sports of soccer, basketball, track and field, lacrosse, and baseball/softball injury rates were higher for girls than boys (5.5 and 2.5, respectively, RR = 2.2; 95 % CI 1.8–2.7). Contact injury represented the most common mechanism (55.9 %). Surgery was performed for the majority of injuries (63.8 %), and 54.0 % of athletes had associated intra-articular knee pathology. Conclusions: Meniscal injury patterns among high school athletes vary by gender, sport, and type of exposure. Our study is clinically relevant because recognition of distinct differences in these injury patterns will help drive evidence-based, targeted injury prevention strategies and efforts. Level of evidence: III.

AB - Purpose: Knowledge of epidemiologic trends of meniscal injuries in young active populations is limited. Better awareness of injury patterns is a first step to lowering injury rates. Our hypothesis was that meniscal injuries in high school athletes would vary by gender, sport, and type of exposure. Methods: During the 2007/2008 and 2012/2013 academic years, a large nationally disperse sample of US high schools reported athlete exposure and injury data for 22 sports by having certified athletic trainers complete an internet-based data collection tool. Results: One thousand and eighty-two meniscal injuries were reported during 21,088,365 athlete exposures for an overall injury rate of 5.1 per 100,000 athlete exposures. The overall rate of injury was higher in competition (11.9) than practice (2.7) (RR = 4.4; 95 % CI 3.9–5.0), and 12/19 sports showed significantly higher injury rates in competition compared to practice. Of all injuries, 68.0 % occurred in boys, yet among the gender-comparable sports of soccer, basketball, track and field, lacrosse, and baseball/softball injury rates were higher for girls than boys (5.5 and 2.5, respectively, RR = 2.2; 95 % CI 1.8–2.7). Contact injury represented the most common mechanism (55.9 %). Surgery was performed for the majority of injuries (63.8 %), and 54.0 % of athletes had associated intra-articular knee pathology. Conclusions: Meniscal injury patterns among high school athletes vary by gender, sport, and type of exposure. Our study is clinically relevant because recognition of distinct differences in these injury patterns will help drive evidence-based, targeted injury prevention strategies and efforts. Level of evidence: III.

KW - Gender

KW - High school athletes

KW - Mechanism of injury

KW - Meniscus

UR - http://www.scopus.com/inward/record.url?scp=84959238726&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84959238726&partnerID=8YFLogxK

U2 - 10.1007/s00167-015-3814-2

DO - 10.1007/s00167-015-3814-2

M3 - Article

C2 - 26506845

AN - SCOPUS:84959238726

VL - 24

SP - 715

EP - 722

JO - Knee Surgery, Sports Traumatology, Arthroscopy

JF - Knee Surgery, Sports Traumatology, Arthroscopy

SN - 0942-2056

IS - 3

ER -