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Epidemiology of Hip and Groin Injuries in Collegiate Athletes in the United States
Journal article   Open access   Peer reviewed

Epidemiology of Hip and Groin Injuries in Collegiate Athletes in the United States

Yehuda E. Kerbel, Christopher M. Smith, John P. Prodromo, Michael Nzeogu and Mary K. Mulcahey
Orthopaedic journal of sports medicine, v 6(5), pp 2325967118771676-2325967118771676
11 May 2018
DOI: https://doi.org/10.1177/2325967118771676
PMID: 29780846
Featured in Collection :   UN Sustainable Development Goals @ Drexel
url
https://doi.org/10.1177/2325967118771676View
Published, Version of Record (VoR)CC BY-NC-ND V4.0,  Open

Abstract

Life Sciences & Biomedicine Orthopedics Science & Technology Sport Sciences
Background: Hip and groin pain is a common complaint among athletes. Few studies have examined the epidemiology of hip and groin injuries in collegiate athletes across multiple sports. Purpose: To describe the rates, mechanisms, sex-based differences, and severity of hip/groin injuries across 25 collegiate sports. Study Design: Descriptive epidemiology study. Methods: Data from the 2009-2010 through 2013-2014 academic years were obtained from the National Collegiate Athletic Association Injury Surveillance Program (NCAA ISP). The rate of hip/groin injuries, mechanism of injury, time lost from competition, and need for surgery were calculated. Differences between sex-comparable sports were quantified using rate ratios (RRs) and injury proportion ratios (IPRs). Results: In total, 1984 hip/groin injuries were reported, giving an overall injury rate of 53.06 per 100,000 athlete-exposures (AEs). An adductor/groin tear was the most common injury, comprising 24.5% of all injuries. The sports with the highest rates of injuries per 100,000 AEs were men's soccer (110.84), men's ice hockey (104.90), and women's ice hockey (76.88). In sex-comparable sports, men had a higher rate of injuries per 100,000 AEs compared with women (59.53 vs 42.27, respectively; RR, 1.41 [95% CI, 1.28-1.55]). The most common injury mechanisms were noncontact (48.4% of all injuries) and overuse/gradual (20.4%). In sex-comparable sports, men had a greater proportion of injuries due to player contact than women (17.0% vs 3.6%, respectively; IPR, 4.80 [95% CI, 3.10-7.42]), while women had a greater proportion of injuries due to overuse/gradual than men (29.1% vs 16.7%, respectively; IPR, 1.74 [95% CI, 1.46-2.06]). Overall, 39.3% of hip/groin injuries resulted in time lost from competition. Only 1.3% of injuries required surgery. Conclusion: Hip/groin injuries are most common in sports that involve kicking or skating and sudden changes in direction and speed. Most hip/groin injuries in collegiate athletes are noncontact and do not result in time lost from competition, and few require surgery. This information can help guide treatment and prevention measures to limit such injuries in male and female collegiate athletes.

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11 Record Views
70 citations in Web of Science
73 citations in Scopus

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UN Sustainable Development Goals (SDGs)

This publication has contributed to the advancement of the following goals:

#5 Gender Equality

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Collaboration types
Domestic collaboration
Web of Science research areas
Orthopedics
Sport Sciences
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