A Retrospective Self-Reported Audit of Injuries Amongst Grappling Athletes Competing in the United Kingdom

Purpose: This study aimed to estimate the incidence, prevalence, type, and mechanism of injuries among grappling athletes in the United Kingdom (UK) across the following disciplines: Brazilian Jiu-Jitsu (BJJ), Judo, Catch Wrestling, Sambo, and Mixed Martial Arts (MMA). Methods: A retrospective, self-reported survey, delivered via JISC online survey software, was used to record the following information for all injuries sustained over the previous 12-month period: mechanism of injury, environment, severity, recurrence and body region. Additionally, injury diagnosis was reported where possible. Injury incidence for training exposure was calculated based on hours trained per week, while competition exposure was based on the number of bouts participated in during the year. One variable chi-square tests (X2) were used to calculate if observed values were significantly different from expected values. Results: A total of 341 grappling athletes, 243 males and 97 females, with one participant preferring not to state gender (32 ± 9.3 years), completed the study over a 3-month period. The competition incident rates (IR) (24.16/1000 AE) were significantly higher than training (2.97/1000 AE). The knee was the most frequently injured site (24.5%). Ligament sprains were the most commonly diagnosed injury (24.3%). Most injuries occurred during practice sparring (65.8%), with the leading mechanisms being submission attempts and takedowns. Major injuries (>28 days recovery) accounted for 49.5% of all cases. BJJ exhibited the highest injury rate (3.49/1000 AE); patterns varied by discipline and gender. Conclusion: Grappling sports pose a substantial risk of injury, particularly to the knee. Structured training, medical support, and tailored injury risk reduction programs should now be explored to enhance athlete safety.