Epidemiology of rare injuries and conditions among United States high school athletes during the 2005-2006 and 2006-2007 school years.
BACKGROUND
Although more than 7 million athletes participate in high school sports in the United States, to date no nationally representative studies of rare injuries and conditions (RICs) exist. Rare injuries and conditions include eye injuries, dental injuries, neck and cervical injuries, and dehydration and heat illnesses.


OBJECTIVE
To describe the epidemiology of RICs sustained by high school athletes during the 2005-2006 and 2006-2007 school years.


METHODS
Prospective cohort study.


METHODS
A nationally representative sample of 100 US high schools using an injury surveillance system, High School Reporting Information Online.


METHODS
Athletes participating in football, boys' soccer, girls' soccer, volleyball, boys' basketball, girls' basketball, wrestling, baseball, or softball at one of the 100 participating high schools.


METHODS
We reviewed all RICs to calculate injury rates and to identify potential risk factors and preventive measures.


RESULTS
A total of 321 RICs were sustained during 3 550 141 athlete-exposures (AEs), for an injury rate of 9.04 RICs per 100 000 AEs. This represents an estimated 84 223 RICs sustained nationally. The RICs accounted for 3.5% of all high school athletes' injuries. The most common diagnoses were neck and cervical injuries (62.0%, n = 199) and dehydration and heat illnesses (18.7%, n = 60). Football had the highest RIC rate per 100 000 AEs (21.2), followed by wrestling (15.2) and baseball (7.60). The RICs occurred at a higher rate in boys (12.4) than in girls (2.51) (rate ratio = 4.93; 95% confidence interval = 3.39, 7.18). The majority of RICs (67.3%, n = 216) permitted athletes to return to play within 1 week of diagnosis.


CONCLUSIONS
The RIC injury rates varied by sport and sex and represented almost 100 000 potentially preventable injuries to high school athletes. Because of the potentially serious consequences, future researchers must develop and implement more effective preventive measures to aid certified athletic trainers in decreasing the RIC incidence among high school athletes.
Huffman
Elizabeth A
EA
Ohio State University, Columbus, Ohio, USA.
Yard
Ellen E
EE
Fields
Sarah K
SK
Collins
Christy L
CL
Comstock
R Dawn
RD
D000293:Adolescent; D001265:Athletic Injuries / Q000453:epidemiology* / Q000209:etiology; D015331:Cohort Studies; D003681:Dehydration / Q000453:epidemiology; D005260:Female; D018882:Heat Stress Disorders / Q000453:epidemiology*; D006801:Humans; D015994:Incidence; D008297:Male; D019838:Neck Injuries / Q000453:epidemiology* / Q000209:etiology; D011159:Population Surveillance; D011446:Prospective Studies; D012307:Risk Factors; D012574:Schools; D009057:Stomatognathic Diseases / Q000453:epidemiology* / Q000209:etiology; D013334:Students / Q000706:statistics & numerical data*; D018677:Tooth Injuries / Q000453:epidemiology* / Q000209:etiology; D014481:United States / Q000453:epidemiology