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Serious Baseball Injuries Occur Rarely But Can Be Severe

It's as American as apple pie - baseball has long been considered the nation's favorite sports pasttime. About 40 million recreational athletes, 450,000 high school students, and 22,000 college students play baseball each year. Like any sports activity, there's a risk of injury if your child plays baseball, and it's not just limited to shoulder and overuse injuries. Researchers examined the incidence of catastrophic injuries that occurred in high school and college baseball players.

From 1982 to 2002, 41 catastrophic baseball injuries were reported to the National Center for Catastrophic Sports Injury Research, an organization that tracks the incidence of serious sports injuries in the United States. The types of catastrophic baseball injuries that were examined in the study included:

  • commotio cordis, which occurs when a player receives a blunt blow to the chest that causes heart rhythm irregularities which can result in sudden death
  • injuries from sliding into a base
  • ball-related head and neck injuries from being hit with a batted or thrown ball
  • collisions

Overall, there were about two catastrophic baseball injuries reported each year, which averaged out to less than one injury per 100,000 baseball players. A greater number of injuries occurred in high school players, but there was a higher rate of injuries among collegiate baseball players.

The most common types of injury occurred when fielders collided or when base runners and fielders collided. Other catastrophic injuries occurred when pitchers were hit by a batted ball and when athletes were hit by a thrown ball. Out of the 41 catastrophic injuries, 23 players had severe head injuries, eight players had injuries to the upper part of the spine, three players experienced commotio cordis, and two players had injuries that caused a collapsed trachea (windpipe) and facial injuries. One in four of the baseball players died from catastrophic injuries.

What This Means to You: According to the results of this study, catastrophic baseball injuries are rare, but may cause serious impairment or even death. Proper practice, training, and use of protective equipment may help to prevent baseball injuries. Here are some tips to help your ball player prevent injuries on the field:

  • When an outfielder and infielder are heading for the same ball, the outfielder should call off the infielder. If two infielders are vying for a ball, the pitcher should make the call as to who gets it.
  • Base runners should avoid the fielder, who has the right to the base path.
  • Make sure your child's coach uses all of the safety equipment (including helmets, face masks, and chest protectors) suggested by the school or baseball or softball league.

Source: Barry P. Boden, MD; Robin Tacchetti, MS, PT; Fred O. Mueller, PhD; American Journal of Sports Medicine, August 2004

Reviewed by: Steven Dowshen, MD
Date reviewed: September 2004