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Updated: Aug 28, 2025

Modified Drop Tower Impact Tests for American Football Helmets
Published on: February 19, 2017
Shoulder, upper arm and elbow injuries in high school men's American football
Puneet Gupta1, George M Thomas1, Prudvi R Arabandi1
1Department of Orthopaedic Surgery, School of Medicine and Health Sciences, George Washington University, Washington, D.C, USA.
Abstract:
In order to reduce shoulder, upper arm and elbow injury rates in American football, identifying injury risk factors and any underlying associations is needed. No prior study has done such characterization at the high school level. A descriptive epidemiology study was performed using data from the National Athletic Treatment, Injury, and Outcomes Network Surveillance Program (NATION-SP) from the years 2011/12 to 2013/14 on high school football athletes. Four hundred and sixty total injuries were found in the dataset. Acromioclavicular (AC) sprains had the highest incidence of all injuries (0.060 injuries per 1000 exposures). Fractures lead to the greatest time lost (42.24 days). Most injuries occurred in older athletes (juniors and seniors, 30% and 32%, respectively), were related to tackling (31%), and in running back and linebacker positions (15% each). Orthopaedic surgeons and other sports medicine specialists can use these findings to educate players, coaches and families about injury risks and for improving injury prevention guidelines.
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