Context In the past 10 years, participation in boys' youth and high school lacrosse has increased by 33%. Among many club teams and tournaments, athletes may not have access to medical coverage. Additionally, these athletes face a higher volume of play than in traditional scholastic sport settings. Objective To describe the injury characteristics of boys' nonscholastic youth and high school club lacrosse athletes over the course of a summer season. Design Descriptive epidemiology study. Patients or Other Participants Boys' nonscholastic youth and high school lacrosse athletes, aged 8 to 18 years, who competed in tournaments. Main Outcome Measure(s) Athletic trainers at tournaments were given standardized injury report forms to document patient encounters. These reports were then entered into the Datalys Injury Surveillance Tool. Results Over the summer tournament season, 233 injuries were reported in 109,342 athlete- exposures (AEs) for an injury rate of 2.13 per 1000 AEs (95% confidence interval = 1.87, 2.42). The most frequently injured body parts were the head and/or face (n = 51, 22%), arm and/or elbow (n = 34, 15%), and hand and/or wrist (n = 29, 12%). The most common diagnoses were contusions (n = 63, 27%), concussions, (n = 44, 19%), fractures (n = 39, 17%), and sprains (n = 35, 15%). The most often injured position was midfielder (n = 65, 41%), followed by defense (n = 48, 30%), attack (n = 36, 23%), and goalkeeper (n = 9, 6%). The concussion rate was 0.4 per 1000 AEs (95% confidence interval = 0.28, 0.52). Conclusions The injury rate experienced by boys' nonscholastic club lacrosse athletes was similar to their high school counterparts as well as to school-sponsored football and wrestling athletes. Because of the risk of injury, athletic training services should be available for youth and high school club lacrosse tournaments.
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