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Descriptive epidemiology of pediatric tennis injuries: insights from a decade of national data

Francesca Docters1, Auston R Locke1, Matthew D Ramey2

  • 1Department of Orthopaedic Surgery, Icahn School of Medicine at Mount Sinai, New York, NY, USA.

The Physician and Sportsmedicine
|April 18, 2026
PubMed

Insights

Pediatric tennis injuries are common, with sprains and strains affecting ankles most frequently. Facial injuries are more prevalent in younger children, while adolescents experience more ankle injuries, indicating age-specific prevention needs.

Area of Science:

  • Sports Medicine
  • Pediatric Traumatology
  • Epidemiology

Background:

  • Tennis involves extensive upper and lower extremity use, leading to various injuries.
  • Limited data exists on pediatric tennis injury patterns in emergency departments (EDs).

Purpose of the Study:

  • To analyze the epidemiology of pediatric tennis injuries in US EDs over a decade.
  • To conduct age- and sex-specific analyses of injury patterns.

Main Methods:

  • Utilized the National Electronic Injury Surveillance System (NEISS) for pediatric (2-18 years) tennis injuries from 2014-2023.
  • Recorded demographics, injury site, diagnosis, and disposition; calculated national estimates.
  • Analyzed injury distributions by age and sex using adjusted chi-square tests.

Main Results:

  • An estimated 48,378 pediatric tennis injuries occurred, with sprains/strains being most common, particularly affecting ankles.
  • Facial and eyeball contusions/abrasions were frequent in younger children, while adolescents sustained more ankle sprains/strains.
  • Injury types and locations differed significantly between sexes and age groups (p < 0.01); <1% required hospitalization.

Conclusions:

  • Sprains/strains are the primary pediatric tennis injuries, with distinct age-related patterns (facial in children, ankle in adolescents).
  • The overall injury profile suggests tennis is relatively safe, with minor injuries predominating.
  • Findings support targeted injury prevention, including protective eyewear and neuromuscular training.
Abstract

Keywords:
Pediatricsankle sprainsemergency departmentepidemiologyfacial injuriesracquet sportstennis injuries

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