Objectives: To develop a profile of direct catastrophic injuries in international styles of wrestling and to describe possible risk factors.
Design: Survey and retrospective review
Setting: Catastrophic injuries which occurred in wrestling clubs in Iran from July 1998 to June 2005 were identified by contacting several sources. The cases were retrospectively reviewed.
Results: The injuries included were 29 direct injuries (fatalities: 12, non-fatal: 11, and serious: 6).The injury rate was: 1.99 direct catastrophic injuries /100,000 wrestlers/year. The majority of direct injuries occurred during training sessions, with a trend toward more injuries in the low- and middle-weight classes and those who were competing at high performance and experience levels. The takedown position, especially for the attacking wrestler who faces a counter attack, was the most common activity at the time of injury. A list of risk factors was suggested of which ï¿½performing the wrestling maneuver incorrectlyï¿½, ï¿½inappropriate management of the injuryï¿½, ï¿½lack of the coach supervisionï¿½, ï¿½mat problemsï¿½ and ï¿½lack of restraining the wrestlers in a precarious positionï¿½ were the most common risk factors. Conclusions: Catastrophic wrestling injuries are rare and preventable. Coaches have an essential role in the prevention of these injuries.