{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T20:27:27Z","timestamp":1790022447255,"version":"4.0.1"},"reference-count":43,"publisher":"American Academy of Pediatrics (AAP)","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2016,10,1]]},"abstract":"<jats:sec><jats:title>OBJECTIVE:<\/jats:title><jats:p>To investigate the epidemiology of youth soccer-related injuries treated in emergency departments in the United States.<\/jats:p><\/jats:sec><jats:sec><jats:title>METHODS:<\/jats:title><jats:p>A retrospective analysis was conducted of soccer-related injuries among children 7 through 17 years of age from 1990 through 2014 with data from the National Electronic Injury Surveillance System. Injury rates were calculated from soccer participation data.<\/jats:p><\/jats:sec><jats:sec><jats:title>RESULTS:<\/jats:title><jats:p>An estimated 2\u2009995\u2009765 (95% confidence interval [CI], 2\u2009309\u2009112\u20133\u2009682\u2009418) children 7 through 17 years old were treated in US emergency departments for soccer-related injuries during the 25-year study period, averaging 119\u2009831 (95% CI, 92\u2009364\u2013147\u2009297) annually. The annual injury rate per 10\u2009000 soccer participants increased significantly, by 111.4%, from 1990 to 2014. Patients 12 to 17 years old accounted for 72.7% of injuries, 55.5% of patients were male, and most injuries occurred in a place of sport or recreation (68.5%) or school (25.7%). Struck by (38.5%) and fell (28.7%) were the leading mechanisms of injury. Injuries most commonly were diagnosed as sprain or strain (34.6%), fracture (23.2%), and soft tissue injury (21.9%), and occurred to the upper extremity (20.7%), ankle (17.8%), and head or neck (17.7%). Concussions or other closed head injuries accounted for 7.3% of the injuries, but the annual rate of concussions\/closed head injuries per 10\u2009000 participants increased significantly, by 1595.6%, from 1990 to 2014.<\/jats:p><\/jats:sec><jats:sec><jats:title>CONCLUSIONS:<\/jats:title><jats:p>This study is the first to comprehensively investigate soccer-related injuries and calculate injury rates based on soccer participation data among children at the national level. The increasing number and rate of pediatric soccer-related injuries, especially soccer-related concussions\/closed head injuries, underscore the need for increased efforts to prevent these injuries.<\/jats:p><\/jats:sec>","DOI":"10.1542\/peds.2016-0346","type":"journal-article","created":{"date-parts":[[2016,9,12]],"date-time":"2016-09-12T09:07:26Z","timestamp":1473671246000},"source":"Crossref","is-referenced-by-count":43,"title":["Soccer-Related Injuries Treated in Emergency Departments: 1990\u20132014"],"prefix":"10.1542","volume":"138","author":[{"given":"Nicholas A.","family":"Smith","sequence":"first","affiliation":[{"name":"Center for Injury Research and Policy, The Research Institute at Nationwide Children\u2019s Hospital, Columbus, Ohio; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thiphalak","family":"Chounthirath","sequence":"additional","affiliation":[{"name":"Center for Injury Research and Policy, The Research Institute at Nationwide Children\u2019s Hospital, Columbus, Ohio; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Huiyun","family":"Xiang","sequence":"additional","affiliation":[{"name":"Center for Injury Research and Policy, The Research Institute at Nationwide Children\u2019s Hospital, Columbus, Ohio; and"},{"name":"The Ohio State University College of Medicine, Department of Pediatrics, Columbus, Ohio"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"417","published-online":{"date-parts":[[2016,10,1]]},"reference":[{"issue":"2","key":"2021120904473030800_B1","doi-asserted-by":"crossref","first-page":"410","DOI":"10.1542\/peds.2009-3009","article-title":"Injuries in youth soccer.","volume":"125","author":"Koutures","year":"2010","journal-title":"Pediatrics"},{"issue":"3 pt 1","key":"2021120904473030800_B2","doi-asserted-by":"crossref","first-page":"659","DOI":"10.1542\/peds.105.3.659","article-title":"Injuries in youth soccer: a subject review.","volume":"105","author":"American Academy of Pediatrics. 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