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Research article
First published online November 23, 2016

Withdrawals and Retirements in Professional Tennis Players: An Analysis of 2013 United States Tennis Association Pro Circuit Tournaments

Abstract

Background:

Injuries and illnesses for professional tennis athletes disrupt training, competition, and progression in the sport and represent a major reason for athlete withdrawal or retirement from a tournament. Few descriptive epidemiological studies have focused on these trends in elite tennis athletes.

Purpose:

To examine the causes of professional tennis player withdrawal or retirement from United States Tennis Association (USTA) Pro Circuit tournaments during 2013.

Study Design:

Descriptive epidemiology study.

Level of Evidence:

Level 4.

Methods:

Tournament records from the 2013 USTA Pro Circuit season were retrospectively reviewed for incidences of injury and illness that resulted in athlete withdrawal from the tournament. Data were reported as incidence rates per 1000 match exposures and rate ratios.

Results:

There were 70 medical conditions over the course of 27 competitions (20,988 match exposures), for an overall incidence rate of 3.34 per 1000 match exposures. Women were more likely to injure themselves on clay courts compared with hard courts (rate ratio, 4.67; 95% confidence interval [CI], 1.41-19.85) and in the first half of the season compared with the second half (rate ratio, 3.95; 95% CI, 1.13-21.17). Men had a higher injury rate than women (rate ratio, 1.88; 95% CI, 1.17-3.63), and muscle-/tendon-related injuries were 6 times more likely than all other injuries (95% CI, 2.81-14.69).

Conclusion:

Women were more likely to experience an injury when playing on clay court surfaces, and they also experienced more injuries during the first half of the season. Injury rates for men often peaked during the months that players could qualify for Grand Slam competitions. There was a predominance of injuries in men compared with women.

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References

1. 2013 Men’s Pro Circuit Tournament Information. https://www.usta.com/Pro-Tennis/Pro-Circuit/2013_mens_pro_circuit_tournaments__january/. Accessed September 7, 2015.
2. 2013 Official Grand Slam Rule Book. London, England: Grand Slam Committee; 2013.
3. 2013 Women’s Pro Circuit Tournament Information. United States Tennis Association. https://www.usta.com/Pro-Tennis/Pro-Circuit/2013_womens_pro_circuit_tournaments__january/. Accessed September 7, 2015.
4. Abrams GD, Renstrom PA, Safran MR. Epidemiology of musculoskeletal injury in the tennis player. Br J Sports Med. 2012;46:492-498.
5. Breznik K, Batagelj V. Retired matches among male professional tennis players. J Sports Sci Med. 2012;11:270-278.
6. Bylak J, Hutchinson MR. Common sports injuries in young tennis players. Sports Med. 1998;26:119-132.
7. Damm L, Low D, Richardson A, Clarke J, Carre M, Dixon S. The effects of surface traction characteristics on frictional demand and kinematics in tennis. Sports Biomech. 2013;12:389-402.
8. Jayanthi NA, O’Boyle J, Durazo-Arvizu RA. Risk factors for medical withdrawals in United States Tennis Association junior national tennis tournaments: a descriptive epidemiologic study. Sports Health. 2009;1:231-235.
9. Knowles SB, Marshall SW, Guskiewicz KM. Issues in estimating risks and rates in sports injury research. J Athl Train. 2006;41:207-215.
10. Koutedakis Y, Sharp NC. Seasonal variations of injury and overtraining in elite athletes. Clin J Sport Med. 1998;8:18-21.
11. Kovacs M, Ellenbecker B, Kibler W, Roetert E, Lubbers P. Injury trends in American competitive junior tennis players. J Med Sci Tennis. 2014;19:19-23.
12. Maquirriain J, Baglione R. Epidemiology of tennis injuries: an eight-year review of Davis Cup retirements. Eur J Sport Sci. 2015;16:266-270.
13. Martin C, Thevenet D, Zouhal H, et al. Effects of playing surface (hard and clay courts) on heart rate and blood lactate during tennis matches played by high-level players. J Strength Cond Res. 2011;25:163-170.
14. Murias JM, Lanatta D, Arcuri CR, Laiño FA. Metabolic and functional responses playing tennis on different surfaces. J Strength Cond Res. 2007;21:112-117.
15. Nigg BM, Segesser B. The influence of playing surfaces on the load on the locomotor system and on football and tennis injuries. Sports Med. 1988;5:375-385.
16. Nigg BM, Yeadon MR. Biomechanical aspects of playing surfaces. J Sports Sci. 1987;5:117-145.
17. O’Donoghue P, Ingram B. A notational analysis of elite tennis strategy. J Sports Sci. 2001;19:107-115.
18. Okholm Kryger K, Dor F, Guillaume M, et al. Medical reasons behind player departures from male and female professional tennis competitions. Am J Sports Med. 2015;43:34-40.
19. Pluim BM, Fuller CW, Batt ME, et al. Consensus statement on epidemiological studies of medical conditions in tennis, April 2009. Br J Sports Med. 2009;43:893-897.
20. Pluim BM, Staal JB, Windler GE, Jayanthi N. Tennis injuries: occurrence, aetiology, and prevention. Br J Sports Med. 2006;40:415-423.
21. Reid M, Schneiker K. Strength and conditioning in tennis: current research and practice. J Sci Med Sport. 2008;11:248-256.
22. Reid MM, Duffield R, Minett GM, Sibte N, Murphy AP, Baker J. Physiological, perceptual, and technical responses to on-court tennis training on hard and clay courts. J Strength Cond Res. 2013;27:1487-1495.
23. Sahai H, Khurshid A. Statistics in Epidemiology: Methods, Techniques, and Applications. 1st ed. Boca Raton, FL: CRC Press; 1996.
24. Sell K, Hainline B, Yorio M, Kovacs M. Illness data from the US Open tennis championships from 1994 to 2009. Clin J Sport Med. 2013;23:25-32.
25. Sell K, Hainline B, Yorio M, Kovacs M. Injury trend analysis from the US Open tennis championships between 1994 and 2009. Br J Sports Med. 2014;48:546-551.
27. Winge S, Jorgensen U, Nielsen AL. Epidemiology of injuries in Danish championship tennis. Int J Sports Med. 1989;10:368-371.
28. Young JA, Pain MD, Pearce AJ. Experiences of Australian professional female tennis players returning to competition from injury. Br J Sports Med. 2007;41:806-811.

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Information

Published In

Pages: 154 - 161
Article first published online: November 23, 2016
Issue published: March/April 2017

Keywords

  1. tennis
  2. sports injuries
  3. professional athletes
  4. epidemiology

Rights and permissions

© 2016 The Author(s).
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PubMed: 27879298

Authors

Affiliations

Matthew J. Hartwell, BA
Department of Orthopaedic Surgery, Icahn School of Medicine at Mount Sinai, New York, New York
Sandra M. Fong, BA
Department of Orthopaedic Surgery, Icahn School of Medicine at Mount Sinai, New York, New York
Alexis C. Colvin, MD*
Department of Orthopaedic Surgery, Icahn School of Medicine at Mount Sinai, New York, New York

Notes

*
Alexis C. Colvin, MD, Department of Orthopaedic Surgery, Icahn School of Medicine at Mount Sinai, 5 East 98th Street, 9th Floor, New York, NY 10029 (email: [email protected]).

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