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6%) upper extremity injuries, and 261 (19.1%) concussions. Hazard of subsequent concussion was increased in the index concussion group relative to the index lower extremity injury group [hazard ratio (HR) 1.60, 95% CI 1.15-2.23, p = 0.0052]. Hazard of a subsequent lower extremity injury was not significantly different for the index lower extremity injury group relative to the index concussion group [HR 1.27, 95% CI 0.98-1.65, p = 0.0728]. History of recent concussion or recent lower extremity injury are both risk factors for subsequent