Details:

Alternative Title:
Knee Surg Sports Traumatol Arthrosc
Publisher's site:
http://dx.doi.org/10.1007/s00167-015-3814-2
Personal Author:
Mitchell, Joshua ; Graham, William ; Best, Thomas M. ; Collins, Christy ; Currie, Dustin W. ; ... More +
Mitchell, Joshua ; Graham, William ; Best, Thomas M. ; Collins, Christy ; Currie, Dustin W. ; Comstock, R. Dawn ; Flanigan, David C. Less -
Description:
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 2007–2013, 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

1,082 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. Overall rates are higher for boys, but this is driven by football; however in gender-comparable sports girls may be at higher risk for meniscal injury. 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

Level III


Subject:
[+]
Adolescent
Article
Athletic Injuries
Female
Humans
Male
Menisci, Tibial
Schools
Sex Distribution
Tibial Meniscus Injuries

Source:
Knee Surg Sports Traumatol Arthrosc. 24(3):715-722.
Pubmed ID:
26506845
Pubmed Central ID:
PMC5189670
Document Type:
Journal Article
Funding:
R49 CE000674/CE/NCIPC CDC HHS/United States ; R49/CE000674-01/CE/NCIPC CDC HHS/United States ; R49 CE001172/CE/NCIPC CDC HHS/United States ; KL2 RR025754/RR/NCRR NIH HHS/United States ; R49/CE001172-01/CE/NCIPC CDC HHS/United States
R49 CE000674/CE/NCIPC CDC HHS/United States ; R49/CE000674-01/CE/NCIPC CDC HHS/United States ; R49 CE001172/CE/NCIPC CDC HHS/United States ; KL2 RR025754/RR/NCRR NIH HHS/United States ; R49/CE001172-01/CE/NCIPC CDC HHS/United States Less -
Place as Subject:
United States
Collection(s):
CDC Public Access
Main Document Checksum:
[+]
urn:sha256:005c94b17a30921b9c725295865c2b486558fd5d818fd522e111fe3f4064554d
File Type:

Supporting Files

• 	nihms833617.nxml	bin
  	nihms833617f1.gif	gif
  	nihms833617f1.jpg	jpeg
  	nihms833617f2.gif	gif
  	nihms833617f2.jpg	jpeg

More +