Getting Hit by Pitch in Professional Baseball: Analysis of Injury Patterns, Risk Factors, Concussions, and Days Missed for Batters

The American Journal of Sports Medicine
Christopher L CampStan Conte

Abstract

Although batters are frequently hit by pitch (HBP) in baseball, the effect of HBP injuries remains undefined in the literature. To determine the effect of HBP injuries in terms of time out of play, injury patterns resulting in the greatest time out of play, and the value of protective gear such as helmets and elbow pads. Descriptive laboratory study. Based on the Major League Baseball (MLB) Health and Injury Tracking System, all injuries to batters HBP during the 2011-2015 MLB and Minor League Baseball (MiLB) seasons were identified and analyzed. Video analysis was performed on all HBP events from the 2015 MLB season. Multivariate stepwise regression analysis was utilized to determine the predictive capacity of multiple variables (velocity, pitch type, location, etc) on injury status and severity. A total of 2920 HBP injuries resulted in 24,624 days missed (DM) over the 5 seasons. MLB HBP injuries occurred at a rate of 1 per 2554 plate appearances (1 per 9780 pitches thrown). Mean DM per injury were 8.4 (11.7 for MLB vs 8.0 for MiLB, P < .001). Surgery was required for 3.1% of MLB injuries and 1.2% of MiLB injuries ( P = .005). The most common body regions injured were the hand/fingers (n = 638, 21.8%), head/face (n = 497, 17.0...Continue Reading

References

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Apr 10, 2018·The American Journal of Sports Medicine·Christopher L CampAndrew D Pearle

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Citations

May 28, 2019·The Physician and Sportsmedicine·Premkumar GunasekaranClare Fraser
Mar 20, 2019·Current Reviews in Musculoskeletal Medicine·James B CarrJoshua S Dines
Oct 23, 2020·HSS Journal : the Musculoskeletal Journal of Hospital for Special Surgery·Jason D LehmanBenedict U Nwachukwu
Jun 21, 2019·Clinical Journal of Sport Medicine : Official Journal of the Canadian Academy of Sport Medicine·Justin J ConwayJames J Kinderknecht
Apr 20, 2021·Sports Health·Christina D MackAllen Sills
Aug 4, 2021·Journal of the American Academy of Orthopaedic Surgeons. Global Research & Reviews·Hasani W SwindellChristopher S Ahmad

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