In brief:This study documents wrestling injuries in four high schools during a two-year period. The 234 participants sustained 176 injuries, for a rate of 75.2 injuries per 100 participants per season. Three fourths of all injuries were sprains and strains. Twenty-nine percent involved the upper extremities, 33% the lower extremities, and 34% the spine and trunk. More than one fifth were reinjuries. One third of all injuries occurred during competitive events. Given the greater average severity and rate of wrestling injuries compared with most other sports, the authors recommend that all competitive events have medical or paramedical coverage.