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Clin J Sport Med. 2014 May;24(3):226-32. doi: 10.1097/JSM.0000000000000029.

Tennis-related injuries treated in United States emergency departments, 1990 to 2011.

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  • 1*Center for Injury Research and Policy, The Research Institute at Nationwide Children's Hospital, Columbus, Ohio; †Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania; ‡The Ohio State University, College of Medicine, Columbus, Ohio; and §Child Injury Prevention Alliance, Columbus, Ohio.

Abstract

OBJECTIVE:

To analyze the patterns and causes of tennis-related injuries using, for the first time, a nationally representative data set.

DESIGN:

A retrospective cohort analysis was performed using the National Electronic Injury Surveillance System database.

SETTING:

All tennis-related injuries treated in US emergency departments (EDs) from 1990 to 2011 were analyzed.

PATIENTS:

During the study period, an estimated 492,002 (95% confidence interval, 364,668-619,336) individuals, aged 5 to 94 years, presented to US EDs for tennis-related injuries.

ASSESSMENT OF RISK FACTORS:

Independent variables included patient age and gender, mechanism of injury, and location of injury event.

MAIN OUTCOME MEASURES:

Outcome variables included injury diagnosis, body region injured, disposition from ED, and involvement of the net.

RESULTS:

Most injuries were sustained by a nonspecific mechanism during play (37.9%) and occurred at a sport or recreation facility (83.4%). Children aged 5 to 18 years had a higher mean injury rate than adults older than 19 years. The most commonly injured body regions were the lower extremities (42.2%) and upper extremities (26.7%). Sprains or strains (44.1%) were the most common type of injury. The number of tennis-related injuries decreased by 41.4% during the years 1990 to 2011, and the tennis-related injury rates decreased by more than 45% during the study period. Among the 3.4% of patients who were admitted to the hospital, two-thirds (65.6%) involved patients 56 years of age or older.

CONCLUSIONS:

Despite the decrease in tennis-related injuries, the growing popularity of this sport warrants increased efforts to prevent injuries, especially among child and older adult participants.

PMID:
24284946
DOI:
10.1097/JSM.0000000000000029
[PubMed - indexed for MEDLINE]
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