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Epidemiology of Meniscal Injuries in U.S. High School Athletes from 2007/08 – 2012/13
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Details:
  • Pubmed ID:
    26506845
  • Pubmed Central ID:
    PMC5189670
  • 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

  • Document Type:
  • Collection(s):
  • 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
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