Girls Sports Injuries More Severe

A long, anecdote-laden New York Times Magazine feature, “The Uneven Playing Field,” examines the fact that, excluding football — which girls generally aren’t allowed to play — female athletes are getting injured far more frequently and seriously than their male counterparts.

Girls and boys diverge in their physical abilities as they enter puberty and move through adolescence. Higher levels of testosterone allow boys to add muscle and, even without much effort on their part, get stronger. In turn, they become less flexible. Girls, as their estrogen levels increase, tend to add fat rather than muscle. They must train rigorously to get significantly stronger. The influence of estrogen makes girls’ ligaments lax, and they outperform boys in tests of overall body flexibility — a performance advantage in many sports, but also an injury risk when not accompanied by sufficient muscle to keep joints in stable, safe positions. Girls tend to run differently than boys — in a less-flexed, more-upright posture — which may put them at greater risk when changing directions and landing from jumps. Because of their wider hips, they are more likely to be knock-kneed — yet another suspected risk factor.

This divergence between the sexes occurs just at the moment when we increasingly ask more of young athletes, especially if they show talent: play longer, play harder, play faster, play for higher stakes. And we ask this of boys and girls equally — unmindful of physical differences. The pressure to concentrate on a “best” sport before even entering middle school — and to play it year-round — is bad for all kids. They wear down the same muscle groups day after day. They have no time to rejuvenate, let alone get stronger. By playing constantly, they multiply their risks and simply give themselves too many opportunities to get hurt.


Comprehensive statistics on total sports injuries are in short supply. The N.C.A.A. compiles the best numbers, but even these are based on just a sampling of colleges and universities. For younger athletes, the numbers are less specific and less reliable. Some studies have measured sports injuries by emergency-room visits, which usually follow traumatic events like broken bones. A.C.L. and other soft-tissue injuries often do not lead to an E.R. visit; the initial examination typically occurs at the office of a pediatrician or an orthopedic surgeon. Studies of U.S. high-school athletics indicate that, when it comes to raw numbers, boys suffer more sports injuries. But the picture is complicated by football and the fact that boys still represent a greater percentage of high-school athletes.

Girls are more likely to suffer chronic knee pain as well as shinsplints and stress fractures. Some research indicates that they are more prone to ankle sprains, as well as hip and back pain. And for all the justifiable attention paid to concussions among football players, females appear to be more prone to them in sports that the sexes play in common. A study last year by researchers at Ohio State University and Nationwide Children’s Hospital in Columbus, Ohio, reported that high-school girls who play basketball suffer concussions at three times the rate of boys, and that the rate for high-school girls who play soccer is about 1.5 times the rate for boys. According to the N.C.A.A. statistics, women who play soccer suffer concussions at nearly identical rates as male football players. (The research indicates that it takes less force to cause a concussion in girls and young women, perhaps because they have smaller heads and weaker necks.)

But among all the sports injuries that afflict girls and young women, A.C.L. tears, for understandable reasons, get the most attention. No other common orthopedic injury is as debilitating and disruptive in the short term — or as likely to involve serious long-term consequences. And no other injury strikes women at such markedly higher rates or terrifies them as much.

Girls are different than boys. Pretending otherwise has had some negative consequences. Depending on the sport, it may be that the girls need different protective equipment, shorter schedules, less practice time, different rules, or more medical attention.

FILED UNDER: Gender Issues, Sports, , , ,
James Joyner
About James Joyner
James Joyner is Professor and Department Head of Security Studies at Marine Corps University's Command and Staff College. He's a former Army officer and Desert Storm veteran. Views expressed here are his own. Follow James on Twitter @DrJJoyner.


  1. DL says:

    Girls growing up with “jocks” (or type A CEOs)as role models raise other issues also. Hard to learn to think “nurture” when you’re being trained to beat the hell out of them. But, then a nation full of Hillarys is a desirable thing.

  2. Eneils Bailey says:

    Girls are different than boys. Pretending otherwise has had some negative consequences. Depending on the sport, it may be that the girls need different protective equipment, shorter schedules, less practice time, different rules, or more medical attention.

    Maybe they should try out for the Badminton, Croquet, or Checkers team. JUST KIDDING.. Physical sports where females try to emulate the actions and feats of college and professional athletes leads to this situation. Your suggestions are well-taken.

    I am involved with my local and county government presently looking at trying to increase the number of females on both the police force and fire departments. While we have some female members in both organizations, the most vocal group in opposition is the wives of policemen and firemen. They, as you do, believe that “girls are different than boys.” and maintaining a certain level of proficiency does involve certain physical characteristics.

    Play the games with different rules; don’t sacrifice public safety for the sake of Affirmative Action.

  3. legion says:

    Yes, God forbid maybe some men learn to be nurturing, too. They could turn into teh ghey. Only women are allowed to do that stuff.

    Perhaps also, some of the injuries might – just might – be related to the fact that girls’ sports aren’t quite so riddled with steroids, what with it being a) a little more obvious and b) less socially acceptable to be a musclebound woman than a musclebound man.

    Women trying to emulate the physical feats of men shouldn’t cause this many more serious injuries. But women emulating the feats of male pro sports figures, who are the most-talented products of systems that (at best) turn a blind eye to performance enhancement, are pretty much guaranteed crippling injuries in the same way you or I would be if we tried to walk-on to a football practice at a big-name college or pro team.

  4. William d'Inger says:

    A New York Times article you say? Umm… They never publish anything without a socio-political purpose. What do you figure? I figure it’s the opening shot of a campaign to have the Democrats massively increase subsidies for female sports medicine as a consolation prize to the feminists over Hillary’s failure to get the nomination.

  5. Legion, your comment is hilarious. Best parody I’ve read today.