TABLE 1.
Summary of Foot and Ankle Injuries From NCAA Injury Surveillance Systema
| Injury | Incidence | Time Loss | Surgeries, n (%) | MDQs, n (%) | |||
|---|---|---|---|---|---|---|---|
| n | Per 10,000 AEs | Injuries, n | Days, Median | Days, Total | |||
| Lateral ankle ligament sprain | 1498 | 6.74 | 1422 | 6.0 | 12,726 | 6 (0.4) | 47 (3.1) |
| Partial | 1469 | 6.61 | 1404 | 6.0 | 12,471 | 4 (0.3) | 40 (2.7) |
| Complete | 29 | 0.13 | 18 | 7.0 | 255 | 2 (6.9) | 7 (24.1) |
| Syndesmotic (high ankle) sprain | 573 | 2.58 | 509 | 13.0 | 8517 | 16 (2.8) | 48 (8.4) |
| Partial | 533 | 2.40 | 485 | 12.0 | 7661 | 2 (0.4) | 34 (6.4) |
| Complete | 40 | 0.18 | 24 | 23.0 | 856 | 14 (35.0) | 14 (35.0) |
| Medial ankle ligament sprain | 261 | 1.17 | 231 | 7.0 | 2575 | 10 (3.8) | 28 (10.7) |
| Partial | 247 | 1.11 | 227 | 7.0 | 2464 | 2 (0.8) | 18 (7.3) |
| Complete | 14 | 0.06 | 4 | 31.5 | 111 | 8 (57.1) | 10 (71.4) |
| Midfoot injuries | 226 | 1.02 | 191 | 6.0 | 2476 | 12 (5.3) | 30 (13.3) |
| Sprain | 214 | 0.96 | 188 | 6.0 | 2406 | 6 (2.8) | 22 (10.3) |
| Lisfranc dislocation | 12 | 0.05 | 3 | 20.0 | 70 | 6 (50.0) | 8 (66.7) |
| First metatarsophalangeal joint | 146 | 0.66 | 136 | 5.5 | 1311 | 2 (1.4) | 8 (5.5) |
| Sprain | 141 | 0.63 | 131 | 5.0 | 1153 | 2 (1.4) | 8 (5.7) |
| Dislocation | 5 | 0.02 | 5 | 20.0 | 158 | 0 (0.0) | 0 (0.0) |
| Foot/toe contusion | 130 | 0.59 | 122 | 4.0 | 665 | 1 (0.8) | 5 (3.8) |
| Metatarsal fracture | 73 | 0.33 | 37 | 38.0 | 1235 | 26 (35.6) | 36 (49.3) |
| Metatarsal 5/Jones | 54 | 0.24 | 26 | 41.5 | 1025 | 23 (42.6) | 28 (51.9) |
| Metatarsal 2-4 | 13 | 0.06 | 7 | 25.0 | 141 | 2 (15.4) | 6 (46.2) |
| Metatarsal 1 | 6 | 0.03 | 4 | 14.0 | 69 | 1 (16.7) | 2 (33.3) |
| Ankle contusion | 57 | 0.26 | 57 | 6.0 | 484 | 1 (1.8) | 0 (0.0) |
| Malleolus fracture | 49 | 0.22 | 19 | 33.0 | 967 | 20 (40.8) | 29 (59.2) |
| Lateral malleolus | 28 | 0.13 | 9 | 37.0 | 585 | 13 (46.4) | 18 (64.3) |
| Medial malleolus | 21 | 0.09 | 10 | 26.0 | 382 | 7 (33.3) | 11 (52.4) |
| Metatarsal stress fracture | 36 | 0.16 | 26 | 15.0 | 479 | 3 (8.3) | 9 (25.0) |
| Plantar fasciitis | 30 | 0.14 | 28 | 6.5 | 286 | 0 (0.0) | 2 (6.7) |
| Forefoot extensor tear: partial | 28 | 0.13 | 27 | 5.0 | 173 | 0 (0.0) | 0 (0.0) |
| Forefoot flexor tear | 23 | 0.10 | 21 | 6.0 | 206 | 0 (0.0) | 1 (4.3) |
| Partial | 20 | 0.09 | 18 | 6.0 | 175 | 0 (0.0) | 1 (5.0) |
| Complete | 3 | 0.01 | 3 | 7.0 | 31 | 0 (0.0) | 0 (0.0) |
| Foot infection | 18 | 0.08 | 18 | 4.0 | 97 | 4 (22.2) | 0 (0.0) |
| Ankle dislocation | 18 | 0.08 | 1 | 100.0 | 100 | 15 (83.3) | 17 (94.4) |
| Phalangeal fracture | 11 | 0.05 | 11 | 4.0 | 60 | 0 (0.0) | 0 (0.0) |
| Foot/toe blisters | 10 | 0.05 | 10 | 3.0 | 47 | 0 (0.0) | 0 (0.0) |
| All other injuries | 139 | 0.63 | 108 | 6.0 | 1566 | 20 (14.4) | 24 (17.3) |
| Foot | 72 | 0.32 | 55 | 5.0 | 779 | 13 (18.1) | 14 (19.4) |
| Ankle | 67 | 0.30 | 53 | 6.0 | 787 | 7 (10.4) | 10 (14.9) |
aAE, athletic exposure; MDQ, medical disqualification; NCAA, National Collegiate Athletic Association.