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Sports-Related Orthopaedic Injuries in the Older Athlete: A 10-Year NEISS Database Analysis
Andrew Qi1, Rachit Saggar1, Brianna Fee1
1University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
Orthopaedic Journal of Sports Medicine
|October 22, 2025
Summary
Older adults participating in sports like pickleball and tennis face higher fracture risks and hospitalization rates. Women and older age groups experience increased fracture likelihood, highlighting the need for targeted injury prevention strategies.
Area of Science:
- Orthopaedic epidemiology
- Geriatric sports medicine
- Public health
Background:
- Increasing sport participation among older adults necessitates understanding their unique injury profiles.
- Limited research currently exists on the specific orthopaedic injuries sustained by this demographic.
- This study addresses the knowledge gap by analyzing injury data from popular sports among older adults.
Purpose of the Study:
- To quantify and characterize orthopaedic injuries in adults aged 55 and older.
- To examine injury patterns across various noncontact and limited-contact sports popular among older adults.
- To identify risk factors and trends associated with sports-related orthopaedic injuries in this population.
Main Methods:
- Utilized the National Electronic Injury Surveillance System (NEISS) database from 2014-2023.
- Analyzed demographic data, injury characteristics, and hospital dispositions for 5561 cases (estimated 287,255 nationally).
- Employed multivariable logistic regression to determine odds ratios for hospitalization and specific injury types, adjusting for relevant factors.
Main Results:
- Golf, pickleball, tennis, and weightlifting were associated with the highest number of injuries.
- Fractures were predominant in pickleball, tennis, baseball, and soccer, with risk increasing significantly with age.
- Pickleball injuries saw a dramatic 925% increase, leading in incidence rates in recent years; women had higher fracture odds.
- Basketball, tennis, and pickleball showed the highest odds of hospitalization.
Conclusions:
- Noncontact and limited-contact sports pose significant risks for fractures and hospitalizations in older adults.
- Age and sex are critical factors influencing injury patterns, with older individuals and women facing higher fracture risks.
- Findings underscore the urgent need for specialized orthopaedic care and tailored prevention strategies for the growing population of older athletes.
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