Send to

Choose Destination
See comment in PubMed Commons below
Am J Sports Med. 2015 Jul;43(7):1790-7. doi: 10.1177/0363546515580790. Epub 2015 Apr 30.

Epidemiology of Overuse Injuries in Collegiate and High School Athletics in the United States.

Author information

  • 1University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA
  • 2University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.
  • 3Datalys Center for Sports Injury Research and Prevention, Indianapolis, Indiana, USA.
  • 4Colorado School of Public Health, Aurora, Colorado, USA.



Overuse injuries result from microtrauma due to repetitive loading combined with insufficient tissue recovery time and can result in both immediate and long-term time loss from sports.


Overuse injury rates and patterns differ across college and high school populations, sport, and sex.


Descriptive epidemiology study.


Surveillance data for 16 sports from the National Collegiate Athletic Association's Injury Surveillance System (NCAA ISS; 2004-2005 through 2008-2009) and 14 sports from High School Reporting Information Online (High School RIO; 2006-2007 through 2012-2013) were analyzed. All reported injuries had an injury mechanism of overuse/gradual onset (college) or overuse/chronic (high school). Overuse injury incidence rates were calculated, and rate ratios with 95% CIs were used to compare subgroups.


The rate of overuse injury was 3.28 times higher in college than high school sports (95% CI, 3.12-3.44). The rate of overuse injury among sex-comparable sports was higher in female than male athletes in both populations (college rate ratio, 1.25; 95% CI, 1.16-1.35; high school rate ratio, 1.55; 95% CI, 1.43-1.68). The lower extremity was the most commonly injured body site (college, 69.4%; high school, 70.4%). A larger proportion of overuse injuries among college athletes resulted in time loss of more than 21 days (college, 20.4%; high school, 7.7%) and surgery (college, 5.2%, high school, 2.5%).


Overuse injuries can impose a significant burden on college and high school athletes. Interventions addressing prevention of overuse injury are needed.


HS RIO; NCAA ISS; college; epidemiology; high school; injury; overuse; sport; surveillance

[PubMed - indexed for MEDLINE]
PubMed Commons home

PubMed Commons

How to join PubMed Commons

    Supplemental Content

    Full text links

    Icon for Atypon
    Loading ...
    Support Center