OSHA Workplace Injury Research

Severe Sprains and Tears at Work

OSHA recorded 809 severe cases of sprains, strains, and tears, with knee injuries accounting for 22% of all incidents.

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How often these injuries happen

OSHA recorded 809 severe cases of sprains, strains, and tears over the last decade. These injuries most frequently impact your knees and back, often resulting in immediate loss of mobility and the inability to perform your essential job functions.

These injuries are particularly consequential because they often lead to chronic pain and long-term functional limitations. Even after initial treatment, you may face reduced earning capacity and a prolonged recovery period that can permanently alter your professional life.

Reported Projected
02040608010020152026
Data: Federal OSHA Severe Injury Reports (29 states). 2025 and 2026 data forecasted by ClaimsBoost research team.

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What causes Sprains, Strains, and Tears

Falls on the same level account for 20% of these severe injuries, often occurring when you encounter slick surfaces or uneven flooring. Many incidents also stem from overexertion while materials moving by hand, where improper lifting techniques or excessive weight loads push your muscles and tendons beyond their physical limits.

1 Fall on same level
Incidents
157
Share
20% of reported incidents
2 Other fall to lower level
Incidents
155
Share
20% of reported incidents
3 Overexertion while materials moving by hand
Incidents
130
Share
17% of reported incidents
4 Twisting, reaching, bending
Incidents
46
Share
6% of reported incidents
5 Slip, trip, stumble on same level— without fall
Incidents
36
Share
5% of reported incidents
6 Struck by falling object
Incidents
32
Share
4% of reported incidents
7 Caught, entangled in running powered equipment— normal operation
Incidents
30
Share
4% of reported incidents
8 Overexertion while moving or manipulating external object(s)— unspecified
Incidents
27
Share
3% of reported incidents
Cause Incidents Share
1Fall on same level 15720% of reported incidents
2Other fall to lower level 15520% of reported incidents
3Overexertion while materials moving by hand 13017% of reported incidents
4Twisting, reaching, bending 466% of reported incidents
5Slip, trip, stumble on same level— without fall 365% of reported incidents
6Struck by falling object 324% of reported incidents
7Caught, entangled in running powered equipment— normal operation 304% of reported incidents
8Overexertion while moving or manipulating external object(s)— unspecified 273% of reported incidents

Where injuries happen most

Manufacturing accounts for 19% of these severe cases, as the fast-paced environment and constant material handling create high-risk conditions for soft tissue damage. You may face repetitive strain and sudden overexertion risks due to the heavy machinery and manual labor required to maintain production quotas.

Manufacturing 19%
Transportation & Warehousing 16%
Health Care 16%
Construction 12%
Retail Trade 9%
Other 28%

Real cases like yours

Common patterns in these reports involve you suffering sudden tears while navigating uneven surfaces or attempting to stabilize heavy loads that shift unexpectedly. If these scenarios mirror your own experience, an attorney can help you review the specific circumstances to determine if your employer failed to provide a safe working environment.

Year State Industry Incident summary

Source: OSHA Severe Injury Reports. Narratives are verbatim from filings; identifying details may have been redacted by OSHA.

Frequently asked questions