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Objective: The purpose of this chapter is to review critically the existing studies on theepidemiology of pediatric wrestling injuries and to discuss suggestions for injury preventionand further research. Data sources: Data were obtained from the sports medicine and scienceliterature since 1951. Literature searches were performed using the National Library ofMedicine, Pubmed, Medline, Grateful Med, Sports Sciences, SportsDiscus. Keywords usedincluded ‘Wrestling, Wrestle, Wrestling Injuries, Fractures, and Dermatologic’. Main results:Only eight prospective or retrospective studies were found dealing with pediatric wrestlinginjuries and that provided sufficient information to allow the estimation of injury rates.Exposure-based injury rates were between 6.0 and 7.6 injuries per 1,000 athletic-exposures.Injury rates increased with age, experience, and level of participation. The head/spine/trunkwas the body region that incurred the greatest frequency of injuries, followed by the upper andlower extremities. Conclusions: There are several potential areas for decreasing injury risk inwrestlers, including equipment, coaching, officiating and training. However, informed decisionswith regard to preventing injuries are dependent upon the quality of the basic epidemiologicaldata available, and at this time, analyses of risk factors and potential preventivemeasures are lacking.

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