TY - JOUR
T1 - Incidence of Pectoralis Major Injuries Has Increased 40% Over the Last 22 National Football League Seasons
AU - Bodendorfer, Blake M.
AU - DeFroda, Steven F.
AU - Shu, Henry T.
AU - Knapik, Derrick M.
AU - Yang, Daniel S.
AU - Verma, Nikhil N.
N1 - Funding Information:
The authors report the following potential conflicts of interest or sources of funding: N.N.V. is a board member at the American Orthopaedic Society for Sports Medicine, the American Shoulder and Elbow Surgeons, and the Arthroscopy Association of North America. N.N.V. is a member of the editorial board of Knee and SLACK, Inc. N.N.V. has received research support from Arthrex, Inc., Breg, Ossur, Smith & Nephew, Wright Medical Technology, Inc., and Vindico Medical-Orthopedics Hyperguide. N.N.V. has received stock options from Cymedica, Omeros, and Minivasive. N.N.V. is a paid consultant for Minivasive and Orthospace. N.N.V. has received royalties from Arthroscopy, Smith & Nephew, and Vindico Medical-Orthopedics Hyperguide. Full ICMJE author disclosure forms are available for this article online, as supplementary material. None of the other authors have any other relevant financial disclosures.
Publisher Copyright:
© 2021 Arthroscopy Association of North America. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
PY - 2021/8
Y1 - 2021/8
N2 - Purpose: To examine trends in the incidence of pectoralis major (PM) injuries over the last 22 National Football League (NFL) seasons and identify risk factors for injuries requiring operative management. Methods: Publicly available data from the 1998-1999 through 2019-2020 NFL seasons were reviewed to identify PM injuries, demographics, injury mechanisms, and management. Injury incidence was calculated using linear regression per 10,000 athlete-exposures, while risk factors for operative management were identified through multivariate logistic regression. Results: There were 258 PM injuries. Mean athlete age at the time of injury was 27.1 years (range: 21-37) with a mean body mass index of 32.6 (range: 24.8-43.1). Overall incidence was 0.603 per 10,000 athlete-exposures, which was found to significantly increase with time by 0.039 per athlete-exposures per year (R2 = .787, P < .001). Defensive athletes accounted for 64.7% of PM injuries. Repair was performed in 48.8% of athletes, with defensive linemen (odds ratio [OR] 3.78, CI 1.42-10.60, P = .009), defensive backs (OR 12.20, CI 2.13-76.60, P = .006), linebackers (OR 8.98, CI 2.58-33.60, P < .001), more recent time of injury (OR 1.11, CI 1.05-1.17, P < .001), and shorter NFL experience (OR .77 for older athletes, CI .59-.99), P = .047) at significant risk for operative treatment. Conclusion: A total of 258 PM injuries were identified over 22 NFL seasons, with an overall incidence of 0.603 per 10,000 athlete-exposures, which was found to increase by 0.039 injuries per 10,000 athlete-exposures per year. Repair was performed in 48.8% of athletes, with more recent time of injury, shorter NFL experience, defensive linemen, defensive backs and linebackers at significantly higher risk for operative treatment.
AB - Purpose: To examine trends in the incidence of pectoralis major (PM) injuries over the last 22 National Football League (NFL) seasons and identify risk factors for injuries requiring operative management. Methods: Publicly available data from the 1998-1999 through 2019-2020 NFL seasons were reviewed to identify PM injuries, demographics, injury mechanisms, and management. Injury incidence was calculated using linear regression per 10,000 athlete-exposures, while risk factors for operative management were identified through multivariate logistic regression. Results: There were 258 PM injuries. Mean athlete age at the time of injury was 27.1 years (range: 21-37) with a mean body mass index of 32.6 (range: 24.8-43.1). Overall incidence was 0.603 per 10,000 athlete-exposures, which was found to significantly increase with time by 0.039 per athlete-exposures per year (R2 = .787, P < .001). Defensive athletes accounted for 64.7% of PM injuries. Repair was performed in 48.8% of athletes, with defensive linemen (odds ratio [OR] 3.78, CI 1.42-10.60, P = .009), defensive backs (OR 12.20, CI 2.13-76.60, P = .006), linebackers (OR 8.98, CI 2.58-33.60, P < .001), more recent time of injury (OR 1.11, CI 1.05-1.17, P < .001), and shorter NFL experience (OR .77 for older athletes, CI .59-.99), P = .047) at significant risk for operative treatment. Conclusion: A total of 258 PM injuries were identified over 22 NFL seasons, with an overall incidence of 0.603 per 10,000 athlete-exposures, which was found to increase by 0.039 injuries per 10,000 athlete-exposures per year. Repair was performed in 48.8% of athletes, with more recent time of injury, shorter NFL experience, defensive linemen, defensive backs and linebackers at significantly higher risk for operative treatment.
UR - http://www.scopus.com/inward/record.url?scp=85113915521&partnerID=8YFLogxK
U2 - 10.1016/j.asmr.2021.03.019
DO - 10.1016/j.asmr.2021.03.019
M3 - Article
C2 - 34430891
AN - SCOPUS:85113915521
SN - 2666-061X
VL - 3
SP - e1113-e1118
JO - Arthroscopy, Sports Medicine, and Rehabilitation
JF - Arthroscopy, Sports Medicine, and Rehabilitation
IS - 4
ER -