Youth Soccer Lower Extremity Injuries Presenting to US Emergency Departments Are Decreasing: A 10-Year Analysis of National Injury Data

Purpose: To examine lower extremity youth soccer injuries presenting to US emergency departments. Methods: Data from the National Electronic Injury Surveillance System were analyzed for soccer players ≤18 years old sustaining lower extremity injuries from January 2013 to December 2022. Patient data...

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Main Authors: Alex G. Chun, B.S., Eli M. Snyder, B.S., Kyle K. Obana, M.D., Beth G. Ashinsky, M.D., Ph.D., Robert L. Parisien, M.D., Thomas S. Bottiglieri, D.O., Christopher S. Ahmad, M.D., David P. Trofa, M.D.
Format: Article
Language:English
Published: Elsevier 2025-06-01
Series:Arthroscopy, Sports Medicine, and Rehabilitation
Online Access:http://www.sciencedirect.com/science/article/pii/S2666061X25000665
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author Alex G. Chun, B.S.
Eli M. Snyder, B.S.
Kyle K. Obana, M.D.
Beth G. Ashinsky, M.D., Ph.D.
Robert L. Parisien, M.D.
Thomas S. Bottiglieri, D.O.
Christopher S. Ahmad, M.D.
David P. Trofa, M.D.
author_facet Alex G. Chun, B.S.
Eli M. Snyder, B.S.
Kyle K. Obana, M.D.
Beth G. Ashinsky, M.D., Ph.D.
Robert L. Parisien, M.D.
Thomas S. Bottiglieri, D.O.
Christopher S. Ahmad, M.D.
David P. Trofa, M.D.
author_sort Alex G. Chun, B.S.
collection DOAJ
description Purpose: To examine lower extremity youth soccer injuries presenting to US emergency departments. Methods: Data from the National Electronic Injury Surveillance System were analyzed for soccer players ≤18 years old sustaining lower extremity injuries from January 2013 to December 2022. Patient data collected included age, sex, mechanism of injury, setting (practice vs game), diagnosis, lower extremity injury, and disposition. Raw data were used to calculate national estimates (NEs) based on the assigned statistical sample weight of each hospital. Results: A total of 503,169 lower extremity injuries were diagnosed in US emergency departments (57.2% male; 42.8% female). On average, there was a decrease in 3,124 injuries per year from 2013 to 2022 (95% confidence interval, –5,324 to –925; P = .01) and 2,384 per year from 2013 to 2022 excluding 2020 (95% confidence interval, –3,452 to –1,315; P < .01). The ankle (NE = 196,592; 39.1%), knee (NE = 147,364; 29.3%), and foot (NE = 58,999; 11.7%) were the most commonly injured. The most common mechanisms of injury were not specified (NE = 188,653; 37.5%), ankle roll (NE = 71,992; 14.3%), and player-to-ground (NE = 581,90; 11.6%). The three most common diagnoses were strain/sprain (NE = 247,274; 49.1%), other/not stated (NE = 91,355; 18.2%), and contusion/abrasion (NE = 74,552; 14.8%). Conclusions: Youth lower extremity soccer injuries presenting to US emergency departments decreased from 2013 to 2022. Sex-specific analyses showed that there were significant differences in proportions of injuries between male and female participants for mechanism, diagnoses, and body parts injured. Clinical Relevance: This study provides insight into the epidemiology of lower extremity youth soccer injuries presenting to US emergency departments over a 10-year period.
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spelling doaj-art-a75f1b1adf06425fb8ea7499090eb10a2025-08-20T02:35:04ZengElsevierArthroscopy, Sports Medicine, and Rehabilitation2666-061X2025-06-017310114010.1016/j.asmr.2025.101140Youth Soccer Lower Extremity Injuries Presenting to US Emergency Departments Are Decreasing: A 10-Year Analysis of National Injury DataAlex G. Chun, B.S.0Eli M. Snyder, B.S.1Kyle K. Obana, M.D.2Beth G. Ashinsky, M.D., Ph.D.3Robert L. Parisien, M.D.4Thomas S. Bottiglieri, D.O.5Christopher S. Ahmad, M.D.6David P. Trofa, M.D.7John A. Burns School of Medicine, University of Hawaii, Honolulu, Hawaii, U.S.A.; Address correspondence to Alex G. Chun, B.S., University of Hawaii, John A. Burns School of Medicine, 651 Ilalo St, Honolulu, HI 96813, U.S.A.John A. Burns School of Medicine, University of Hawaii, Honolulu, Hawaii, U.S.A.Department of Orthopaedics, New York Presbyterian, Columbia University Irving Medical Center, New York, New York, U.S.A.Department of Orthopaedics, New York Presbyterian, Columbia University Irving Medical Center, New York, New York, U.S.A.Department of Orthopaedics, Mount Sinai Health System, New York, New York, U.S.A.Department of Orthopaedics, New York Presbyterian, Columbia University Irving Medical Center, New York, New York, U.S.A.Department of Orthopaedics, New York Presbyterian, Columbia University Irving Medical Center, New York, New York, U.S.A.Department of Orthopaedics, New York Presbyterian, Columbia University Irving Medical Center, New York, New York, U.S.A.Purpose: To examine lower extremity youth soccer injuries presenting to US emergency departments. Methods: Data from the National Electronic Injury Surveillance System were analyzed for soccer players ≤18 years old sustaining lower extremity injuries from January 2013 to December 2022. Patient data collected included age, sex, mechanism of injury, setting (practice vs game), diagnosis, lower extremity injury, and disposition. Raw data were used to calculate national estimates (NEs) based on the assigned statistical sample weight of each hospital. Results: A total of 503,169 lower extremity injuries were diagnosed in US emergency departments (57.2% male; 42.8% female). On average, there was a decrease in 3,124 injuries per year from 2013 to 2022 (95% confidence interval, –5,324 to –925; P = .01) and 2,384 per year from 2013 to 2022 excluding 2020 (95% confidence interval, –3,452 to –1,315; P < .01). The ankle (NE = 196,592; 39.1%), knee (NE = 147,364; 29.3%), and foot (NE = 58,999; 11.7%) were the most commonly injured. The most common mechanisms of injury were not specified (NE = 188,653; 37.5%), ankle roll (NE = 71,992; 14.3%), and player-to-ground (NE = 581,90; 11.6%). The three most common diagnoses were strain/sprain (NE = 247,274; 49.1%), other/not stated (NE = 91,355; 18.2%), and contusion/abrasion (NE = 74,552; 14.8%). Conclusions: Youth lower extremity soccer injuries presenting to US emergency departments decreased from 2013 to 2022. Sex-specific analyses showed that there were significant differences in proportions of injuries between male and female participants for mechanism, diagnoses, and body parts injured. Clinical Relevance: This study provides insight into the epidemiology of lower extremity youth soccer injuries presenting to US emergency departments over a 10-year period.http://www.sciencedirect.com/science/article/pii/S2666061X25000665
spellingShingle Alex G. Chun, B.S.
Eli M. Snyder, B.S.
Kyle K. Obana, M.D.
Beth G. Ashinsky, M.D., Ph.D.
Robert L. Parisien, M.D.
Thomas S. Bottiglieri, D.O.
Christopher S. Ahmad, M.D.
David P. Trofa, M.D.
Youth Soccer Lower Extremity Injuries Presenting to US Emergency Departments Are Decreasing: A 10-Year Analysis of National Injury Data
Arthroscopy, Sports Medicine, and Rehabilitation
title Youth Soccer Lower Extremity Injuries Presenting to US Emergency Departments Are Decreasing: A 10-Year Analysis of National Injury Data
title_full Youth Soccer Lower Extremity Injuries Presenting to US Emergency Departments Are Decreasing: A 10-Year Analysis of National Injury Data
title_fullStr Youth Soccer Lower Extremity Injuries Presenting to US Emergency Departments Are Decreasing: A 10-Year Analysis of National Injury Data
title_full_unstemmed Youth Soccer Lower Extremity Injuries Presenting to US Emergency Departments Are Decreasing: A 10-Year Analysis of National Injury Data
title_short Youth Soccer Lower Extremity Injuries Presenting to US Emergency Departments Are Decreasing: A 10-Year Analysis of National Injury Data
title_sort youth soccer lower extremity injuries presenting to us emergency departments are decreasing a 10 year analysis of national injury data
url http://www.sciencedirect.com/science/article/pii/S2666061X25000665
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