2023 Video Playbook - 9

Injury Survey Results
boys' cross country, girls' cross
country, and cheerleading)
(Figure 1).
* Patterns of injury varied by
sport (Table 1).
° The head/face was the most
commonly injured body site
in ten sports (boys' football,
wrestling, ice hockey, and
lacrosse, and girls' soccer,
wrestling, softball, field
hockey, and lacrosse as well
as cheerleading).
° In 2020-21, the most
commonly injured body site
for football was the knee, for
girls' soccer was the ankle,
and for girls' field hockey was
the knee. In 2021-22, the
most commonly injured body
site for these sports was the
head/face, which is consistent
with previous years.
* Also consistent with previous
years, strains/sprains were the
most common injury diagnosis
in all sports except boys' ice
hockey and cheerleading
(concussion) and boys' and
girls' swimming and diving
(tendonitis; note tendonitis and
strain/strain were tied for most
common injury diagnosis in girls'
swimming and diving).
* Across sports, 0.0% to 13.5% of
injuries kept the student-athlete
out of play for more than three
weeks. Across sports, 0.0%
to 8.5% of injuries resulted in
surgical repair either during or
after the season.
° A greater proportion of girls'
softball injuries resulted in
surgical repair in 2021-22
(7.7%) compared to 202021
(2.3%).
° Conversely, a smaller
proportion of injuries resulted
in surgical repair in 2021-22
compared to 2020/21 in
boys' wrestling (4.7% vs
10.6%, respectively), girls'
volleyball (1.9% vs 13.0%,
respectively), girls' field
hockey (3.7% vs 8.3%,
respectively), and girls'
lacrosse (4.2% vs 16.5%,
respectively).
TRENDS OVER TIME
Interpretation of trends over time
becomes clearer through long-term
surveillance efforts. Despite the
pandemic, in general, competition
injury rates have remained relatively
stable over time for each of the nine
sports included in the original sample.
There was an increase in the
rate of boys' wrestling competition
injuries in the 2021-22 academic
year compared to previous years.
The survey team said it monitor the
rate of competition injuries in boys'
wrestling in 2022-23 to determine
if this is random floatation or a
Table 1.
potential area of focus in terms of
injury prevention efforts. In 202021,
concussion injury rates were
lower than in previous years.
Multiple factors may have
affected concussion rates including
characteristics of schools playing
sports, athletes who were able
to/chose to compete during the
pandemic, other injuries sustained
during the sports season, ATs ability
to participate in High School RIO
given other responsibilities, changes
in practice-related activities, and the
national sample in terms of sports
cancellation/modified seasons.
Concussion injury rates increased in
2021-22 compared to 2020-21 but
continue to be generally lower than
pre-pandemic concussion rates. The
survey committee said it will continue
to monitor concussion rates in 202223
and in future academic years. n
Click to view larger
Sport
Boys' Sports
Football
Soccer
Basketball
Wrestling
Baseball
Ice Hockey
Lacrosse
Swimming & Diving
Track & Field
Cross Country
Girls' Sports
Soccer
Volleyball
Basketball
Wrestling
Softball
Field Hockey
Lacrosse
Swimming & Diving
Track & Field
Cross Country
Coed Sports
Cheerleading
Most Commonly
Injured Body Site
Head/Face
Ankle
Ankle
Head/Face
Elbow
Head/Face
Head/Face
Shoulder
Thigh/Upper Leg
Lower Leg
Head/Face
Ankle
Ankle
Head/Face
Head/Face
Head/Face
Head/Face
Shoulder
Lower Leg
Lower Leg
Head/Face
Most Commonly
Diagnosis of Injury
Strain/Sprain
Strain/Sprain
Strain/Sprain
Strain/Sprain
Strain/Sprain
Concussion
Strain/Sprain
Tendonitis
Strain/Sprain
Strain/Sprain
Strain/Sprain
Strain/Sprain
Strain/Sprain
Strain/Sprain
Strain/Sprain
Strain/Sprain
Strain/Sprain
Tendonitis & Strain/Sprain
Strain/Sprain
Strain/Sprain
Concussion
Proportion of
Injuries with >3
Weeks Time Loss
8.0%
8.0%
8.0%
8.0%
8.0%
8.0%
8.0%
8.0%
8.0%
8.0%
8.0%
8.0%
8.0%
8.0%
8.0%
8.0%
8.0%
8.0%
8.0%
8.0%
8.0%
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2023 Video Playbook

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