title: An epidemiologic comparison of high school and college wrestling injuries.
abstract: BACKGROUND
  Wrestling holds worldwide popularity, and large numbers of United States high school and college males participate. However, the sport's arduous nature results in high injury rates.
  
  
  OBJECTIVE
  Wrestling injury rates and patterns will differ between high school and college practice and match exposures.
  
  
  METHODS
  Descriptive epidemiology study.
  
  
  METHODS
  Wrestling-related injury data were collected during the 2005-2006 academic year from 74 nationally representative high schools via High School Reporting Information Online (RIO) and from 15 Division I, II, and III colleges via the National Collegiate Athletic Association Injury Surveillance System.
  
  
  RESULTS
  Certified athletic trainers reported 387 injuries among participating high school wrestlers during 166,279 athlete-exposures, for an injury rate of 2.33 injuries per 1000 athlete-exposures. Nationally, high school wrestlers sustained an estimated 99,676 injuries and 8741 skin infections during the 2005-2006 season. In college, 258 injuries occurred among participating wrestlers during 35,599 athlete-exposures, for an injury rate of 7.25 injuries per 1000 athlete-exposures. The injury rate per 1000 athlete-exposures was higher in college than high school (rate ratio [RR] = 3.11, 95% confidence interval [CI]: 2.66-3.64) and was higher in matches than in practice in high school (RR = 2.12, 95% CI: 1.73-2.59) and college (RR = 5.07, 95% CI: 3.96-6.50). Diagnoses in greater proportions of college wrestlers included lacerations (injury proportion ratio [IPR] = 5.98, 95% CI: 2.27-15.74) and cartilage injuries (IPR = 2.69, 95% CI: 1.26-5.74). Body parts injured in greater proportions of high school wrestlers included elbow (IPR = 3.90, 95% CI: 1.66-9.14) and hand (IPR = 2.59, 95% CI: 1.21-5.54). Almost half of all injured high school (44.9%) and college (42.6%) wrestlers resumed wrestling within <1 week. Skin infections represented 8.5% and 20.9% of all reported high school and college events, respectively, and frequently affected the head/face/neck (50.0%).
  
  
  CONCLUSIONS
  Rates and patterns of wrestling injury differ between high school and college and between practice and matches.
authors.affiliation: Center for Injury Research and Policy, Columbus Children's Research Institute, Children's Hospital, Columbus, OH 43205, USA. YardE@pediatrics.ohio-state.edu
authors.forename: Ellen E
authors.initials: EE
authors.lastname: Yard
authors.forename: Christy L
authors.initials: CL
authors.lastname: Collins
authors.forename: Randall W
authors.initials: RW
authors.lastname: Dick
authors.forename: R Dawn
authors.initials: RD
authors.lastname: Comstock
mesh_terms: D000293:Adolescent; D000328:Adult; D001265:Athletic Injuries / Q000453:epidemiology; D006801:Humans; D015994:Incidence; D008297:Male; D011446:Prospective Studies; D012307:Risk Factors; D012874:Skin Diseases, Infectious / Q000453:epidemiology; D013334:Students / Q000706:statistics & numerical data*; D014481:United States / Q000453:epidemiology; D014952:Wrestling / Q000293:injuries*