@article{ref1,
title="Comparison of in-season and off-season wrestling injuries presenting to United States emergency departments: 2000-2018",
journal="Physician and sportsmedicine",
year="2020",
author="Pirruccio, Kevin and Hoge, Connor and Kelly Iv, John D.",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="OBJECTIVES: Wrestling is a physically demanding sport with an inherently high risk of injury relative to other sports. Injury risk factors may change dramatically for athletes participating in off-season wrestling, given exposure to new opponents, training methods, and wrestling styles compared with in-season month; however, this has never been elucidated in the literature. This study seeks to characterize the injuries sustained while participating in off-season wrestling and compare them to injuries sustained during the in-season months for middle and high school age athletes.   METHODS: The National Electronic Injury Surveillance System (NEISS) database was queried (2000-2018) to directly compare national estimates and injury characteristics of middle and high school age patients (11-18 years of age) presenting to US emergency departments (EDs) with wrestling-associated injuries, stratified by in-season and off-season months.   RESULTS: The average annual number of patients 11 to 18 years of age presenting to US EDs with wrestling-associated injuries was 20,157 (C.I. 16,622 - 23,691) during in-season months and 5,321 (C.I. 3,954 - 6,688) during off-season months between 2000 and 2018. Those sustaining in-season injuries were significantly (p < 0.001) more and less likely to injure their upper trunk (8.0%; C.I. 7.1% - 8.8%) and wrists (3.7%; C.I. 3.2% - 4.2%), respectively, than those presenting with off-season injuries (upper trunk: 5.3%; C.I. 4.2% - 6.5%; wrists: 6.6%; C.I. 5.1% - 8.1%). There were no significant differences with respect to the overall prevalence of injury diagnoses between in-season and off-season patient cohorts, including for fractures and dislocations (p > 0.05).   CONCLUSION: These findings may alleviate concerns that off-season wrestling is inherently more dangerous than in-season wrestling due to changes in wrestling styles or opponent skill levels as the prevalence of specific injury diagnoses between the two seasons is similar.<p /> <p>Language: en</p>",
language="en",
issn="0091-3847",
doi="10.1080/00913847.2020.1865780",
url="http://dx.doi.org/10.1080/00913847.2020.1865780"
}