Epidemiology of Sports Injuries Among High School Athletes in the United States: Data From 2015 to 2019

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Surveillance study reveals higher sports injury rates in competition than practice among high school athletes, highlighting sport-specific risks.

High school athletes sustained the highest injury rates in football, girls' soccer, and wrestling, with concussions and sprains representing the most common diagnoses.
During 6,778,209 athlete exposures, athletic trainers documented an overall rate of 2.29 injuries per 1000 exposures, with competition yielding a 3.39 rate ratio over practice.
Injury surveillance across 100 representative secondary schools showed 6.3% of injuries required surgery, highlighting actionable targets for preventive intervention.

Pizzarro et al. (2024) studied this question.

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Surveillance study reveals higher sports injury rates in competition than practice among high school athletes, highlighting sport-specific risks.