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Objective:

To describe the incidence and risk factors for high ankle sprains (ie, syndesmosis injuries) among National Collegiate Athletic Association (NCAA) football players.

Design:

Descriptive epidemiologic study.

Setting:

Data were examined from the NCAA's Injury Surveillance System (ISS) for 5 football seasons (from 2004-2005 to 2008-2009).

Participants:

All NCAA men's football programs participating in the ISS.

Assessment of Risk Factors:

No additional risk factors were introduced as a result of this analysis.

Main Outcome Measures:

For partial and complete syndesmosis injuries, outcome measures included incidence, time lost from participation, and requirement for surgical repair.

Results:

The overall incidence of high ankle sprains in NCAA football players was 0.24 per 1000 athlete exposures, accounting for 24.6% of all ankle sprains. Athletes were nearly 14 times more likely to sustain the injury during games …