Key result
Female athletes have a higher incidence of overuse injuries, concussions, stress fractures, and injuries requiring surgery in comparable sports compared with male athletes.
Female athletes exhibit distinct injury patterns compared to males, including higher rates of overuse injuries, concussions, and stress fractures, highlighting the need for sex-specific injury prevention and management strategies.
May support sex-specific injury surveillance in youth athletes; hypothesis-generating and requires prospective validation before guiding practice.
* Youth female athletes are more likely to sustain overuse injuries compared with traumatic injuries, and youth male patients are more likely to present following a traumatic injury compared with an overuse injury. * Among high-school athletes, although boys’ football tends to have the overall highest rate of injuries requiring a surgical procedure, among directly comparable sports (soccer, basketball, and baseball or softball), girls generally have a significantly higher rate of injury requiring a surgical procedure, with the knee being the most commonly injured anatomical location. * In sports with similar playing rules, specifically basketball and soccer, the reported incidence of concussion is higher in female athletes compared with male athletes. * The incidence of lower-extremity stress fractures is substantially higher in female athletes, female military personnel, and female runners compared with male athletes, male military personnel, and male runners. * In 2007, the description of the female athlete triad was modified by the American College of Sports Medicine to focus more on the underlying metabolic features of the syndrome, and has more recently been described as the combination of low-energy availability, with or without disordered eating; menstrual dysfunction; and low bone mineral density.
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Frank et al. (2017) conducted a review in Sports injuries. Female sex vs. Male sex was evaluated on Sports injuries (overuse, surgical, concussion, stress fractures). Female athletes have a higher incidence of overuse injuries, concussions, stress fractures, and injuries requiring surgery in comparable sports compared with male athletes.
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