• Questionnaires designed to assess attitudes and use of headgear were completed by 537 Division I collegiate wrestlers. Only 35.2% of the wrestlers wore headgear all of the time during practice as opposed to 92.4% during competition, which was a statistically significant difference. The most common reason for not wearing headgear was discomfort (35%). There were 482 participating in nonschool team events, and 203 (42%) described headgear use as "seldom or never." However, there was a statistically significant difference of developing auricular hematoma while wearing headgear (26%) vs not wearing headgear (52%). There were 208 (39%) who reported a permanent auricular deformity resulting from an injury that occurred with (10.6%) or without (26.6%) headgear. These results suggest that headgear provides only partial protection and that nonuse is widespread, causing a surprisingly high frequency of permanent auricular deformities.
(Arch Otolaryngol Head Neck Surg. 1989;115:714-717)
Schuller DE, Dankle SK, Martin M, Strauss RH. Auricular Injury and the Use of Headgear in Wrestlers. Arch Otolaryngol Head Neck Surg. 1989;115(6):714–717. doi:10.1001/archotol.1989.01860300068019
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