Dataset Information

Epidemiology of Acute Extensor Mechanism Injuries in Collegiate-Level Athletes in the United States.

ABSTRACT:

Background

Extensor mechanism injuries involving the quadriceps tendon, patella, or patellar tendon can be a devastating setback for athletes. Despite the potential severity and relative frequency with which these injuries occur, large-scale epidemiological data on collegiate-level athletes are lacking.

Study design

Descriptive epidemiology study.

Level of evidence

Level 4.

Methods

Knee extensor mechanism injuries across 16 sports among National Collegiate Athletic Association (NCAA) men and women during the 2004-2005 to 2013-2014 academic years were analyzed using the NCAA Injury Surveillance Program (NCAA-ISP). Extensor mechanism injuries per 100,000 athlete-exposures (AEs), operative rate, annual injury and reinjury rates, in-season status (pre-/regular/postseason), and time lost were compiled and calculated.

Results

A total of 11,778,265 AEs were identified and included in the study. Overall, 1,748 extensor mechanism injuries were identified, with an injury rate (IR) of 14.84 (per 100,000 AEs). N = 114 (6.5%) injuries were classified as severe injuries with a relatively higher median time loss (44 days) and operative risk (18.42%). Male athletes had higher risk of season-ending injuries in both all (3.20% vs 0.89%, P < 0.01) and severe (41.54% vs 16.33%, P < 0.01) extensor mechanism injuries. Similarly, contact injuries were more frequently season-ending injuries (4.44% vs 1.69%, P = 0.01). Women's soccer (IR = 2.59), women's field hockey (IR = 2.15), and women's cross country (IR = 2.14) were the sports with the highest rate of severe extensor mechanism injuries.

Conclusion

Extensor mechanism injuries in collegiate athletes represent a significant set of injuries both in terms of volume and potentially to their athletic careers. Male athletes and contact injuries appear to have a greater risk of severe injuries. Injuries defined as severe had a higher risk of operative intervention and greater amount of missed playing time.

Clinical relevance

Knowledge of the epidemiology of extensor mechanism injuries may help clinicians guide their athlete patients in sports-related injury prevention and management.

SUBMITTER: Chen KK

PROVIDER: S-EPMC8883418 | biostudies-literature | 2022 Mar-Apr

REPOSITORIES: biostudies-literature

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Publications

Epidemiology of Acute Extensor Mechanism Injuries in Collegiate-Level Athletes in the United States.

Chen Kevin K KK Chan Jimmy J JJ Ranson William W Debellis Nicholas N Huang Hsin-Hui HH Vulcano Ettore E Colvin Alexis A

Sports health 20210508 2

<h4>Background</h4>Extensor mechanism injuries involving the quadriceps tendon, patella, or patellar tendon can be a devastating setback for athletes. Despite the potential severity and relative frequency with which these injuries occur, large-scale epidemiological data on collegiate-level athletes are lacking.<h4>Study design</h4>Descriptive epidemiology study.<h4>Level of evidence</h4>Level 4.<h4>Methods</h4>Knee extensor mechanism injuries across 16 sports among National Collegiate Athletic A ...[more]

PMID: 33966513

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Project description:BackgroundAlthough eye injuries constitute a small percentage of high school and college sports injuries, they have the potential to be permanently debilitating.HypothesisEye injury rates will vary by sport, sex, and between the high school and college age groups.Study designDescriptive epidemiology study.Level of evidenceLevel 3.MethodsData from eye injury reports in high school and college athletes were obtained from the National High School Sports-Related Injury Surveillance System, High School Reporting Information Online (HS RIO) database over a 10-year span (2005-2006 through 2014-2015 school years) and the National Collegiate Athletic Association (NCAA) Injury Surveillance Program (ISP) over an 11-year span (2004-2005 through 2014-2015 school years). Injury rates per 100,000 athlete-exposures (AEs), injury rate ratios (RRs), and 95% CIs were calculated. Distributions of eye injuries by diagnosis, mechanism, time loss, and surgery needs were also examined.ResultsA total of 237 and 273 eye injuries were reported in the HS RIO and the NCAA ISP databases, respectively. The sports with the highest eye injury rates (per 100,000 AEs) for combined high school and college athletes were women's basketball (2.36), women's field hockey (2.35), men's basketball (2.31), and men's wrestling (2.07). Overall eye injury rates at the high school and college levels were 0.68 and 1.84 per 100,000 AEs, respectively. Eye injury rates were higher in competition than practice in high school (RR, 3.47; 95% CI, 2.69-4.48) and college (RR, 3.13; 95% CI, 2.45-3.99). Most injuries were contusions (high school, 35.9%; college, 33.3%) and due to contact (high school, 89.9%; college, 86.4%). Only a small percentage of injuries resulted in time loss over 21 days (high school, 4.2%; college, 3.0%).ConclusionEye injury rates and patterns vary by sport, sex, and between the high school and college age groups. Although severe injuries do occur, most eye injuries sustained by high school and college athletes are minor, with limited time loss and full recovery.Clinical relevanceAdditional focus needs to be placed on preventing eye injuries at the collegiate level in women's and men's basketball, women's field hockey, and men's wrestling.

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Dataset Information

Epidemiology of Acute Extensor Mechanism Injuries in Collegiate-Level Athletes in the United States.

Background

Study design

Level of evidence

Methods

Results

Conclusion

Clinical relevance

Publications

Epidemiology of Acute Extensor Mechanism Injuries in Collegiate-Level Athletes in the United States.

Similar Datasets

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