{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,8]],"date-time":"2026-05-08T18:27:44Z","timestamp":1778264864168,"version":"3.51.4"},"reference-count":34,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Orthopaedic Journal of Sports Medicine"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Weightlifting improves physical fitness; however, injuries can lead to impaired functionality and long-term complications. Data on weightlifting-related injuries are limited.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Purpose:<\/jats:title>\n                    <jats:p>To evaluate the epidemiologic trends of weightlifting-associated upper extremity injuries, further stratified by age.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study Design:<\/jats:title>\n                    <jats:p>Descriptive epidemiologic study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>This analysis used the National Electronic Injury Surveillance System (NEISS) database, including all patients presenting to the emergency department (ED) with a primary upper extremity weightlifting injury between 2021 and 2024. Outcomes included patient demographic characteristics, final diagnosis, primary body region injured, and mechanism of injury (MOI). Patients were stratified into 4 age groups: pediatric (&lt;18 years), young adult (18-39 years), middle-age (40-64 years), and geriatric (\u226565 years). Chi-square tests and post hoc comparisons were used to evaluate categorical variables. Linear and logistic regression analyses were used to evaluate associations between age groups. Statistical significance was predetermined at &lt;.05.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      After application of inclusion and exclusion criteria, 3189 upper extremity weightlifting injuries (national estimate [NE] = 127,667) were analyzed. Across all ages, sprain\/strain (NE = 36,054; 26.2%), fracture\/crush\/avulsion (NE = 22,388; 15.8%), and laceration\/puncture (NE = 9020; 7.2%) were the most common diagnoses. Injuries most frequently involved the shoulder (NE = 45,825; 33.8%), finger (NE = 32,398; 28.1%), and upper arm (NE = 7827; 8.8%). The most common MOIs were drop\/crush injuries (NE = 34,757; 30.1%), pulling movements (NE = 14,232; 10.5%), and overhead movements (NE = 11,110; 8.3%). Pediatric patients were 2.5 times more likely to sustain finger injuries (odds ratio [OR], 2.536; 95% CI, 2.191-2.935;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; .001) and injuries from drop\/crush mechanisms (OR, 2.484; 95% CI, 2.166-2.849;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; .001) compared with all other age groups. The geriatric age group was 2 times more likely to sustain injuries from pushing movements (OR, 2.037; 95% CI, 1.326-3.130;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; .001) compared with all other age groups.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Sprain\/strain and fracture\/crush\/avulsion were frequent upper extremity weightlifting injuries, often secondary to drop\/crush injuries and overhead movements. Pediatric athletes were more likely to sustain finger and drop\/crush injuries, whereas shoulder injuries affected all adult age groups. The low proportion of geriatric weightlifters suggests there may be underuse of a sport effective in combating osteoporosis. These insights into overall and age-specific injury patterns can help shape evidence-based recommendations to reduce the overall injury burden and promote safe resistance training.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/23259671251387730","type":"journal-article","created":{"date-parts":[[2026,1,15]],"date-time":"2026-01-15T15:07:01Z","timestamp":1768489621000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["A National Evaluation of Upper Extremity Weightlifting Injury Surveillance: The High Risk in Youth and Adults With an Underutilization in Older Adults"],"prefix":"10.1177","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0009-0002-7820-3732","authenticated-orcid":false,"given":"Philip M.","family":"Lee","sequence":"first","affiliation":[{"name":"John A. Burns School of Medicine, Honolulu, Hawaii, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jackson","family":"Underhill","sequence":"additional","affiliation":[{"name":"John A. Burns School of Medicine, Honolulu, Hawaii, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cameron","family":"Nishida","sequence":"additional","affiliation":[{"name":"John A. Burns School of Medicine, Honolulu, Hawaii, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Keinan","family":"Agonias","sequence":"additional","affiliation":[{"name":"John A. 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