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Gender differences in female and male Australian Football injuries — A prospective observational study of emergency department presentations

Published:February 21, 2021DOI:https://doi.org/10.1016/j.jsams.2021.02.011

      Abstract

      Objectives

      To compare injury-profiles of females and males presenting to Emergency Departments (EDs) with an Australian Football injury.

      Design

      Prospective observational study.

      Methods

      All patients presenting to one of 10 EDs in Victoria, Australia, with an Australian Football injury were included in the study. Data were prospectively collected over a 10 month period, coinciding with a complete Australian Football season, including pre-season training and practice matches. Relevant information was extracted from patient medical records regarding injury-type, body part injured, investigations and treatments required. Female and male data were compared with chi-squared and Fisher’s exact tests.

      Results

      1635 patients were included, of whom 242 (14.8%) were female. Females had a higher proportion of hand/finger injuries (34.3% v 23.4%), neck injuries (6.6% v 2.5%) and patella dislocations (2.9% v 0.6%). Males had a higher proportion of shoulder injuries (11.5% v 5.8%), skin lacerations (8.0% v 1.7%), and thorax/abdominal/pelvic injuries (5.7% v 2.1%). Concussion rates were similar between the genders, occurring in 14.1% of all patients. Anterior cruciate ligament injuries were infrequent (1.0%) and not significantly different between genders. Females received more imaging investigations (83.1% v 74.7%) and analgesia (62.4% v 48.5%). A higher proportion of males required admission to hospital (5.0% v 2.1%), usually for surgery.

      Conclusion

      Australian Football injury profiles differed between females and males. Gender-specific injury prevention and management programs would be indicated based on the study findings.

      Keywords

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      References

        • Gray A.J.
        • Jenkins D.G.
        Match analysis and the physiological demands of Australian football.
        Sports Med. 2010; 40: 347-360
        • McNeel C.
        • Clark G.M.
        • Davies C.B.
        • et al.
        Concussion incidence and time-loss in Australian football: a systematic review.
        J Sci Med Sport. 2020; 23: 125-133
        • Australian Football League
        Annual Report.
        2019
        • Australian Football League
        AFLW Injury Report.
        2019
        • Fortington L.V.
        • Donaldson A.
        • Finch C.F.
        Self-reported worst injuries in women’s Australian football identify lower limb injuries as a prevention priority.
        BMJ Open Sport Exerc Med. 2016; 2e000112
        • Prien A.
        • Grafe A.
        • Rossler R.
        • et al.
        Epidemiology of head injuries focusing on concussions in team contact sports: a systematic review.
        Sports Med. 2018; 48: 953-969
        • Montalvo A.M.
        • Schneider D.K.
        • Webster K.E.
        • et al.
        Anterior cruciate ligament injury risk in sport: a systematic review and meta-analysis of injury incidence by sex and sport classification.
        J Athl Train. 2019; 54: 472-482
        • Ekegren C.L.
        • Gabbe B.J.
        • Finch C.F.
        Medical-attention injuries in community Australian football: a review of 30 years of surveillance data from treatment sources.
        Clin J Sport Med. 2015; 25: 162-172
        • Fortington L.V.
        • Finch C.F.
        Priorities for injury prevention in women’s Australian football: a compilation of national data from different sources.
        BMJ Open Sport Exerc Med. 2016; 2e000101
        • Fernando D.T.
        • Berecki-Gisolf J.
        • Finch C.F.
        Sports injuries in Victoria, 2012-13 to 2014-15: evidence from emergency department records.
        Med J Aust. 2018; 208: 255-260
        • Harris P.A.
        • Taylor R.
        • Thielke R.
        • et al.
        Research electronic data capture (REDCap)--a metadata-driven methodology and workflow process for providing translational research informatics support.
        J Biomed Inform. 2009; 42: 377-381
        • Lang A.
        • Boyce G.
        • Anderson H.
        • et al.
        Hand, finger and wrist injuries may be creating post retirement headaches in Australian Football League players.
        J Sports Med Doping Stud. 2019; 9
        • Reyes J.
        • Mitra B.
        • McIntosh A.
        • et al.
        An investigation of factors associated with head impact exposure in professional male and female Australian Football players.
        Am J Sports Med. 2020; 48: 1485-1495
        • Fortington L.V.
        • Twomey D.M.
        • Finch C.F.
        Concussion in community Australian Football – epidemiological monitoring of the causes and immediate impact on play.
        Inj Epidemiol. 2015; 2: 20
        • Ekegren C.L.
        • Gabbe B.J.
        • Donaldson A.
        • et al.
        Injuries in community-level Australian Football: Results from a club-based injury surveillance system.
        J Sci Med Sport. 2015; 18: 651-655
        • Mollayeva T.
        • Mollayeva S.
        • Colantonio A.
        Traumatic brain injury: sex, gender and intersecting vulnerabilities.
        Nat Rev Neurol. 2018; 14: 711-722
        • Tierney R.T.
        • Sitler M.R.
        • Swanik C.B.
        • et al.
        Gender differences in head-neck segment dynamic stabilization during head acceleration.
        Med Sci Sports Exerc. 2005; 37: 272-279
        • La Fountaine M.F.
        • Hill-Lombardi V.
        • Hohn A.N.
        • et al.
        Preliminary evidence for a window of increased vulnerability to sustain a concussion in females: a brief report.
        Front Neurol. 2019; 10: 691
        • Collins C.L.
        • Micheli L.J.
        • Yard E.E.
        • et al.
        Injuries sustained by high school rugby players in the United States, 2005-2006.
        Arch Pediatr Adolesc Med. 2008; 162: 49-54
        • Kerr H.A.
        • Curtis C.
        • Micheli L.J.
        • et al.
        Collegiate rugby union injury patterns in New England: a prospective cohort study.
        Br J Sports Med. 2008; 42: 595-603
        • Crossley K.M.
        • Patterson B.E.
        • Culvenor A.G.
        • et al.
        Making football safer for women: a systematic review and meta-analysis of injury prevention programmes in 11 773 female football (soccer) players.
        Br J Sports Med. 2020; 54: 1089-1098
        • Lewallen L.
        • McIntosh A.
        • Dahm D.
        First-time patellofemoral dislocation: risk factors for recurrent instability.
        J Knee Surg. 2015; 28: 303-309
        • Waterman B.R.
        • Belmont Jr., P.J.
        • Owens B.D.
        Patellar dislocation in the United States: role of sex, age, race, and athletic participation.
        J Knee Surg. 2012; 25: 51-57
        • Huntington L.S.
        • Webster K.E.
        • Devitt B.M.
        • et al.
        Factors associated with an increased risk of recurrence after a first-time patellar dislocation: a systematic review and meta-analysis.
        Am J Sports Med. 2020; 48: 2552-2562
        • Smith T.O.
        • Donell S.
        • Song F.
        • et al.
        Surgical versus non-surgical interventions for treating patellar dislocation.
        Cochrane Database Syst Rev. 2015; CD008106
        • Xing X.
        • Shi H.
        • Feng S.
        Does surgical treatment produce better outcomes than conservative treatment for acute primary patellar dislocations? A meta-analysis of 10 randomized controlled trials.
        J Orthop Surg Res. 2020; 15: 118
        • Silvers-Granelli H.J.
        • Bizzini M.
        • Arundale A.
        • et al.
        Does the FIFA 11+ injury prevention program reduce the incidence of ACL injury in male soccer players?.
        Clin Orthop Relat Res. 2017; 475: 2447-2455
        • Lathlean T.J.H.
        • Gastin P.B.
        • Newstead S.V.
        • et al.
        The incidence, prevalence, severity, mechanism and body region of injury in elite junior Australian Football players: A prospective cohort study over one season.
        J Sci Med Sport. 2018; 21: 1013-1018
        • Bonacci J.
        • Manson B.
        • Bowe S.J.
        • et al.
        Operative shoulder instability injury management in Australian Football League players: a case series.
        J Sci Med Sport. 2017;
        • Kavaja L.
        • Lahdeoja T.
        • Malmivaara A.
        • et al.
        Treatment after traumatic shoulder dislocation: a systematic review with a network meta-analysis.
        Br J Sports Med. 2018; 52: 1498-1506
        • Peck K.Y.
        • Johnston D.A.
        • Owens B.D.
        • et al.
        The incidence of injury among male and female intercollegiate rugby players.
        Sports Health. 2013; 5: 327-333
        • Sabesan V.
        • Steffes Z.
        • Lombardo D.J.
        • et al.
        Epidemiology and location of rugby injuries treated in US emergency departments from 2004 to 2013.
        Open Access J Sports Med. 2016; 7: 135-142
        • McIntosh A.S.
        • McCrory P.
        • Finch C.F.
        • et al.
        Does padded headgear prevent head injury in rugby union football?.
        Med Sci Sports Exerc. 2009; 41: 306-313
        • Hay K.
        • McDougal L.
        • Percival V.
        • et al.
        Disrupting gender norms in health systems: making the case for change.
        The Lancet. 2019; 393: 2535-2549
        • Chen E.H.
        • Shofer F.S.
        • Dean A.J.
        • et al.
        Gender disparity in analgesic treatment of emergency department patients with acute abdominal pain.
        Acad Emerg Med. 2008; 15: 414-418
        • Uri O.
        • Elias S.
        • Behrbalk E.
        • et al.
        No gender-related bias in acute musculoskeletal pain management in the emergency department.
        Emerg Med J. 2015; 32: 149-152
        • Raftery K.A.
        • Smith-Coggins R.
        • Chen A.H.
        Gender-associated differences in emergency department pain management.
        Ann Emerg Med. 1995; 26: 414-421
        • Brisbine B.R.
        • Steele J.R.
        • Phillips E.
        • et al.
        Breast injuries reported by female contact football players based on football code, player position and competition level.
        Sci Med Football. 2019; 4: 148-155
      1. Australian Football League. Prep-to-play. https://coach.afl/female-football. Accessed 11 May 2020.