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Fractures and refractures in intercollegiate athletes

An eleven-year experience

Department of Intercollegiate Athletics, College of Health, Physical Education, and Recreation, Pennsylvania State University, University Park, Pennsylvania

Samuel B. Fleagle, MD

Department of Intercollegiate Athletics, College of Health, Physical Education, and Recreation, Pennsylvania State University, University Park, Pennsylvania

Alexander Kalenak, MD

Department of Intercollegiate Athletics, College of Health, Physical Education, and Recreation, Pennsylvania State University, University Park, Pennsylvania

This report on fractures and refractures in intercolle giate athletes covers an 11-year period from the early Fall of 1968 through the Spring of 1979. Two hundred thirty-one fractures occurred in 219 athletes. Of these athletes, 185 were male and 34 were female.

Fractures occurred in 18 sports. Of these 18, foot ball, basketball, wrestling, and soccer led in number for Men's (M) teams, and gymnastics, lacrosse, and volleyball led for Ladies' (L) teams. (Because of this institution's early involvement with Title IX, and the strong position taken by our administration, our teams are designated Gentlemen (Men for short), which con stitute the LIONS, and Ladies, which make up the LADY LIONS.) No fractures were noted in the other 11 intercollegiate teams of cheerleading (M and L), bowling (M and L), golf (M and L), fencing (L), rifle (coed), tennis (M and L), and volleyball (M). Boxing, ice hockey, rugby, soccer, and synchronized swim ming are club sports at the Pennsylvania State Uni versity and are not included in this study.

The most common of the 17 fracture sites were the finger, hand, face, foot, nose, and leg, regardless of sport or gender. Fourteen of fifteen refractures oc curred in collision /contact sports, and essentially the same mechanical forces caused both fractures.

In football most fractures occurred during highly successful seasons.

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