ObjectivesThe objectives of this study were to identify and describe significant facial trauma present in the Major League Baseball (MLB) that resulted in players missing games or in the injury reserve list. Study designThis a retrospective cohort study. The predictor variables were player's age, height, weight, and body mass index (BMI), position, team conference and if played games were playoffs. The outcome variables were injury location (upper, middle, and lower facial third) and type of injury (soft tissue, fracture). Chi square and logistic regression were computed to determine associations between predictor and outcome variables. ResultsA total of 109 players missed games due to facial injuries, and a total of 115 injuries were identified. Of the 115 injuries, none occurred in the upper facial third, 96 (83%) were in the middle third, and 19 (17%) in the lower third. Most fractures occurred in fielders (45%); and most soft tissue injuries in basemen (40%). ConclusionSignificant facial trauma in the MLB has risen in recent years. The player's height, conference and playoff games were the most associated factors. Most injuries occurred in the periorbital area, a recommendation towards the use of protection goggles can be made to prevent them.
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