David Mikhail, Dai Sugimoto, Cassidy Schultz, Luke Radel, David Soma, Sophia Ulman, Jacob Jones
{"title":"年轻美国女足球运动员的损伤流行病学：使用NEISS数据的10年分析。","authors":"David Mikhail, Dai Sugimoto, Cassidy Schultz, Luke Radel, David Soma, Sophia Ulman, Jacob Jones","doi":"10.1080/00913847.2025.2548761","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>American football has traditionally been male-dominated, but female participation in youth football is increasing, especially with the rise of flag football. This study aimed to (1) describe the epidemiology of injured body parts and diagnoses in female youth football athletes, and (2) compare injury patterns between pre-high school (≤14 years) and high school (≥15 years) players.</p><p><strong>Methods: </strong>American football-related injury data were obtained from the National Electronic Injury Surveillance System (NEISS) from 2012-2021, representing U.S. emergency department visits. All participants were female and ≤18 years. Injuries were classified by body part and diagnosis, then compared between pre-high school and high school groups. Descriptive statistics summarized injury characteristics. Chi-square tests assessed group differences, with odds ratios (OR), 95% confidence intervals (CI), and p-values for significance. NEISS data lack detail on injury context, which may limit interpretation.</p><p><strong>Results: </strong>A total of 3,348 injuries were identified: 2,342 in pre-high school and 1,006 in high school athletes. The most common injury sites for both groups were the upper extremity (pre-high school: 57.9%; high school: 43.1%), followed by the lower extremity (22.1% vs. 30.6%) and head/trunk (18.7% vs. 25.1%). Pre-high school athletes sustained proportionally more finger injuries (38.8% vs. 27.1%, p=0.001) and fractures (31.8% vs. 20.4%, p=0.001). High school athletes had higher proportions of head (20.5% vs. 14.1%), ankle (12.7% vs. 10.2%), and knee injuries (10.3% vs. 5.3%) (all p<0.05), as well as more sprains/strains (39.3% vs. 33.9%, p=0.003) and concussions (11.1% vs. 7.4%, p=0.001).</p><p><strong>Conclusion: </strong>Injury patterns differ by age among female youth football players. Pre-high school athletes more often sustain finger injuries and fractures, while high school athletes experience more head, ankle, and knee injuries, along with higher rates of sprains/strains and concussions. These differences may reflect variations in physiology and style of play, and findings may inform age-specific injury prevention strategies and guide future research on female football athletes.</p>","PeriodicalId":51268,"journal":{"name":"Physician and Sportsmedicine","volume":" ","pages":"1-7"},"PeriodicalIF":1.8000,"publicationDate":"2025-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Injury epidemiology in young female American football athletes: a 10-year analysis using NEISS data.\",\"authors\":\"David Mikhail, Dai Sugimoto, Cassidy Schultz, Luke Radel, David Soma, Sophia Ulman, Jacob Jones\",\"doi\":\"10.1080/00913847.2025.2548761\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>American football has traditionally been male-dominated, but female participation in youth football is increasing, especially with the rise of flag football. This study aimed to (1) describe the epidemiology of injured body parts and diagnoses in female youth football athletes, and (2) compare injury patterns between pre-high school (≤14 years) and high school (≥15 years) players.</p><p><strong>Methods: </strong>American football-related injury data were obtained from the National Electronic Injury Surveillance System (NEISS) from 2012-2021, representing U.S. emergency department visits. All participants were female and ≤18 years. Injuries were classified by body part and diagnosis, then compared between pre-high school and high school groups. Descriptive statistics summarized injury characteristics. Chi-square tests assessed group differences, with odds ratios (OR), 95% confidence intervals (CI), and p-values for significance. NEISS data lack detail on injury context, which may limit interpretation.</p><p><strong>Results: </strong>A total of 3,348 injuries were identified: 2,342 in pre-high school and 1,006 in high school athletes. The most common injury sites for both groups were the upper extremity (pre-high school: 57.9%; high school: 43.1%), followed by the lower extremity (22.1% vs. 30.6%) and head/trunk (18.7% vs. 25.1%). Pre-high school athletes sustained proportionally more finger injuries (38.8% vs. 27.1%, p=0.001) and fractures (31.8% vs. 20.4%, p=0.001). High school athletes had higher proportions of head (20.5% vs. 14.1%), ankle (12.7% vs. 10.2%), and knee injuries (10.3% vs. 5.3%) (all p<0.05), as well as more sprains/strains (39.3% vs. 33.9%, p=0.003) and concussions (11.1% vs. 7.4%, p=0.001).</p><p><strong>Conclusion: </strong>Injury patterns differ by age among female youth football players. Pre-high school athletes more often sustain finger injuries and fractures, while high school athletes experience more head, ankle, and knee injuries, along with higher rates of sprains/strains and concussions. These differences may reflect variations in physiology and style of play, and findings may inform age-specific injury prevention strategies and guide future research on female football athletes.</p>\",\"PeriodicalId\":51268,\"journal\":{\"name\":\"Physician and Sportsmedicine\",\"volume\":\" \",\"pages\":\"1-7\"},\"PeriodicalIF\":1.8000,\"publicationDate\":\"2025-08-19\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Physician and Sportsmedicine\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1080/00913847.2025.2548761\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"ORTHOPEDICS\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Physician and Sportsmedicine","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1080/00913847.2025.2548761","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"ORTHOPEDICS","Score":null,"Total":0}
Injury epidemiology in young female American football athletes: a 10-year analysis using NEISS data.
Background: American football has traditionally been male-dominated, but female participation in youth football is increasing, especially with the rise of flag football. This study aimed to (1) describe the epidemiology of injured body parts and diagnoses in female youth football athletes, and (2) compare injury patterns between pre-high school (≤14 years) and high school (≥15 years) players.
Methods: American football-related injury data were obtained from the National Electronic Injury Surveillance System (NEISS) from 2012-2021, representing U.S. emergency department visits. All participants were female and ≤18 years. Injuries were classified by body part and diagnosis, then compared between pre-high school and high school groups. Descriptive statistics summarized injury characteristics. Chi-square tests assessed group differences, with odds ratios (OR), 95% confidence intervals (CI), and p-values for significance. NEISS data lack detail on injury context, which may limit interpretation.
Results: A total of 3,348 injuries were identified: 2,342 in pre-high school and 1,006 in high school athletes. The most common injury sites for both groups were the upper extremity (pre-high school: 57.9%; high school: 43.1%), followed by the lower extremity (22.1% vs. 30.6%) and head/trunk (18.7% vs. 25.1%). Pre-high school athletes sustained proportionally more finger injuries (38.8% vs. 27.1%, p=0.001) and fractures (31.8% vs. 20.4%, p=0.001). High school athletes had higher proportions of head (20.5% vs. 14.1%), ankle (12.7% vs. 10.2%), and knee injuries (10.3% vs. 5.3%) (all p<0.05), as well as more sprains/strains (39.3% vs. 33.9%, p=0.003) and concussions (11.1% vs. 7.4%, p=0.001).
Conclusion: Injury patterns differ by age among female youth football players. Pre-high school athletes more often sustain finger injuries and fractures, while high school athletes experience more head, ankle, and knee injuries, along with higher rates of sprains/strains and concussions. These differences may reflect variations in physiology and style of play, and findings may inform age-specific injury prevention strategies and guide future research on female football athletes.
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The Physician and Sportsmedicine is a peer-reviewed, clinically oriented publication for primary care physicians. We examine the latest drug discoveries to advance treatment and recovery, and take into account the medical aspects of exercise therapy for a given condition. We cover the latest primary care-focused treatments serving the needs of our active patient population, and assess the limits these treatments govern in stabilization and recovery.
The Physician and Sportsmedicine is a peer-to-peer method of communicating the latest research to aid primary care physicians’ advancement in methods of care and treatment. We routinely cover such topics as: managing chronic disease, surgical techniques in preventing and managing injuries, the latest advancements in treatments for helping patients lose weight, and related exercise and nutrition topics that can impact the patient during recovery and modification.
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