@article{ref1,
title="Incidence of pectoralis major injuries has increased 40% over the last 22 National Football League seasons",
journal="Arthroscopy, sports medicine, and rehabilitation",
year="2021",
author="Bodendorfer, Blake M. and DeFroda, Steven F. and Shu, Henry T. and Knapik, Derrick M. and Yang, Daniel S. and Verma, Nikhil N.",
volume="3",
number="4",
pages="e1113-e1118",
abstract="PURPOSE: To examine trends in the incidence of pectoralis major (PM) injuries over the last 22 National Football League (NFL) seasons and identify risk factors for injuries requiring operative management. <br><br>METHODS: Publicly available data from the 1998-1999 through 2019-2020 NFL seasons were reviewed to identify PM injuries, demographics, injury mechanisms, and management. Injury incidence was calculated using linear regression per 10,000 athlete-exposures, while risk factors for operative management were identified through multivariate logistic regression. <br><br>RESULTS: There were 258 PM injuries. Mean athlete age at the time of injury was 27.1 years (range: 21-37) with a mean body mass index of 32.6 (range: 24.8-43.1). Overall incidence was 0.603 per 10,000 athlete-exposures, which was found to significantly increase with time by 0.039 per athlete-exposures per year (R (2) =.787, P <.001). Defensive athletes accounted for 64.7% of PM injuries. Repair was performed in 48.8% of athletes, with defensive linemen (odds ratio [OR] 3.78, CI 1.42-10.60, P =.009), defensive backs (OR 12.20, CI 2.13-76.60, P =.006), linebackers (OR 8.98, CI 2.58-33.60, P <.001), more recent time of injury (OR 1.11, CI 1.05-1.17, P <.001), and shorter NFL experience (OR.77 for older athletes, CI.59-.99), P =.047) at significant risk for operative treatment. <br><br>CONCLUSION: A total of 258 PM injuries were identified over 22 NFL seasons, with an overall incidence of 0.603 per 10,000 athlete-exposures, which was found to increase by 0.039 injuries per 10,000 athlete-exposures per year. Repair was performed in 48.8% of athletes, with more recent time of injury, shorter NFL experience, defensive linemen, defensive backs and linebackers at significantly higher risk for operative treatment. STUDY DESIGN: Cohort study; Level of evidence, 3.<p /> <p>Language: en</p>",
language="en",
issn="2666-061X",
doi="10.1016/j.asmr.2021.03.019",
url="http://dx.doi.org/10.1016/j.asmr.2021.03.019"
}