{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,4]],"date-time":"2026-11-04T16:33:02Z","timestamp":1793809982863,"version":"4.6.1"},"reference-count":24,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2025,7,29]],"date-time":"2025-07-29T00:00:00Z","timestamp":1753747200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2025,7,29]],"date-time":"2025-07-29T00:00:00Z","timestamp":1753747200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"},{"start":{"date-parts":[[2025,7,29]],"date-time":"2025-07-29T00:00:00Z","timestamp":1753747200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2025,7,29]],"date-time":"2025-07-29T00:00:00Z","timestamp":1753747200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2025,7,22]],"date-time":"2025-07-22T00:00:00Z","timestamp":1753142400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["arthroscopysportsmedicineandrehabilitation.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Arthroscopy, Sports Medicine, and Rehabil."],"published-print":{"date-parts":[[2025,10]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To evaluate the epidemiology, prevalence, and mechanism of injury of pickleball\u2010related injuries in patients presenting to emergency departments in the United States.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Data between 2004 and 2023 from the National Electronic Injury Surveillance System were analyzed for racquetball\u2010related injuries. The data set was screened for pickleball\u2010related injuries using keywords. Data included body part, diagnosis, mechanism of injury, and disposition. Calculations used corresponding hospital sample weights for national estimates (NEs). Patients were divided into the following age groups: pediatric (&lt;18 years), 19 to 39 years, 40 to 59 years, and 60 years or older.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 1,714 injuries (NE, 99,816 [98.8%]) were included. The most commonly injured body locations were the upper trunk (n = 232) (NE, 14,884 [13.5%]), head (n = 226) (NE, 12,990 [13.2%]), and knee (n = 188) (NE, 10,700 [10.9%]). The most identified final diagnoses were fracture (n = 493) (NE, 27,493 [28.7%]), sprain\/strain (n = 423) (NE, 25,237 [24.7%]), internal organ damage (n = 168) (NE, 10,050 [9.8%]), and contusion (n = 163) (NE, 9,573 [9.5%]). The most identified mechanisms of injury were impact with the floor (n = 856) (NE, 50,797 [49.9%]), exertional cardiovascular event (n = 244) (NE, 15,796 [14.2%]), and non\u2010contact movement (n = 222) (NE, 12,936 [13.0%]). Pediatric patients had the highest proportion of head injuries (NE, 222 [16.9%]) and injuries from equipment (NE, 634 [32.2%]). The group aged 60 years or older had the highest proportion of wrist injuries (NE, 10,302 [13.0%]), fractures (NE, 17,802 [32.8%]), and injuries cause by impact with the floor (NE, 43,592 [56.1%]). Additionally, this group had the highest proportion of upper trunk injuries (NE, 12,947 [15.4%]) and exertional chest pain (NE, 13,789 [16.2%]).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Pickleball injuries most frequently involved the upper trunk, head, and knee, with fractures and sprains\/strains being the most common diagnoses. Nearly half of all pickleball injuries resulted from impacts with the floor. Pediatric patients had a higher proportion of head injuries and equipment\u2010related trauma, whereas older adults (\u226560 years) were more prone to wrist and upper trunk injuries, fractures, and exertional chest pain.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>Level IV, retrospective epidemiologic case series.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.asmr.2025.101228","type":"journal-article","created":{"date-parts":[[2025,7,29]],"date-time":"2025-07-29T23:52:41Z","timestamp":1753833161000},"update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":10,"title":["Pickleball\u2010Related Geriatric Fractures and Pediatric Equipment\u2010Related Injuries Are Increasing in Emergency Departments Across the United States"],"prefix":"10.1002","volume":"7","author":[{"given":"Philip M.","family":"Lee","sequence":"first","affiliation":[{"name":"John A. Burns School of Medicine University of Hawai'i at M\u0101noa Honolulu Hawaii U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ryan","family":"Nishi","sequence":"additional","affiliation":[{"name":"John A. Burns School of Medicine University of Hawai'i at M\u0101noa Honolulu Hawaii U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kyle K.","family":"Obana","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery Columbia University Irving Medical Center\/NewYork\u2010Presbyterian Hospital New York New York U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sean M.","family":"Chan","sequence":"additional","affiliation":[{"name":"Division of Orthopedic Surgery University of Hawaii Honolulu Hawaii U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jae K.","family":"You","sequence":"additional","affiliation":[{"name":"Division of Orthopedic Surgery University of Hawaii Honolulu Hawaii U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer M.","family":"Weiss","sequence":"additional","affiliation":[{"name":"Division of Orthopedic Surgery Shriners Children Medical Center Honolulu Hawaii U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"William N.","family":"Levine","sequence":"additional","affiliation":[{"name":"Division of Orthopedic Surgery University of Hawaii Honolulu Hawaii U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David P.","family":"Trofa","sequence":"additional","affiliation":[{"name":"Division of Orthopedic Surgery University of Hawaii Honolulu Hawaii U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,7,29]]},"reference":[{"key":"e_1_2_3_2_2","unstructured":"Association of Pickleball Players.New APP research reveals nearly 50 million adult Americans have played pickleball in the last 12 months; average age drops to 35.https:\/\/www.theapp.global\/news\/nearly\u201050\u2010million\u2010adult\u2010americans\u2010have\u2010played\u2010pickleball. Accessed December 4 2024."},{"key":"e_1_2_3_3_2","unstructured":"Sports & Fitness Industry Association.2025 Pickleball Participation Report published by SFIA.https:\/\/sfia.users.membersuite.com\/shop\/store\/f147b189\u201000ce\u2010c473\u2010ec33\u20100b43d03a1678\/detail. Accessed December 4 2024."},{"key":"e_1_2_3_4_2","doi-asserted-by":"publisher","DOI":"10.1177\/23259671241255674"},{"key":"e_1_2_3_5_2","unstructured":"GuettlerJ VasileffC.Avoid a \u201cpickle\u201d: Know this booming sport\u2019s perks and pitfalls.https:\/\/www.sportsmed.org\/membership\/sports\u2010medicine\u2010update\/fall\u20102023\/avoid\u2010a\u2010pickle\u2010know\u2010this\u2010booming\u2010sports\u2010perks\u2010and\u2010pitfalls. 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Emergency department visits for injuries sustained during sports and recreational activities by patients aged 5\u201024 years 2010\u20102016.Natl Health Stat Report2019;1\u201315."},{"key":"e_1_2_3_17_2","doi-asserted-by":"publisher","DOI":"10.5435\/JAAOS-D-24-00151"},{"key":"e_1_2_3_18_2","doi-asserted-by":"publisher","DOI":"10.1097\/JSM.0000000000000029"},{"key":"e_1_2_3_19_2","first-page":"101","article-title":"Aging and injury: Alterations in cellular energetics and organ function","volume":"5","author":"Poulose N","year":"2014","journal-title":"Aging Dis"},{"key":"e_1_2_3_20_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.lanhl.2025.100707"},{"key":"e_1_2_3_21_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjsurg.2025.116385"},{"key":"e_1_2_3_22_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00198-010-1419-7"},{"key":"e_1_2_3_23_2","unstructured":"National Institute on Aging.Falls and fractures in older adults: Causes and prevention.https:\/\/www.nia.nih.gov\/health\/falls\u2010and\u2010falls\u2010prevention\/falls\u2010and\u2010fractures\u2010older\u2010adults\u2010causes\u2010and\u2010prevention. Accessed December 21 2024."},{"key":"e_1_2_3_24_2","unstructured":"HalnonE.Some action on a pickleball court can be fun and safe even with a heart condition.https:\/\/www.heart.org\/en\/news\/2024\/04\/29\/some\u2010action\u2010on\u2010a\u2010pickleball\u2010court\u2010can\u2010be\u2010fun\u2010and\u2010safe\u2010even\u2010with\u2010a\u2010heart\u2010condition. 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Published by Elsevier Inc. on behalf of the Arthroscopy Association of North America\u00e9","name":"copyright","label":"Copyright"}],"article-number":"101228"}}