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This study established the cumulative incidence per season of ball carrier spearing and concurrent defensive spearing by tacklers on a New Jersey high school football team. Spearing, which involves flexing the neck and initiating contact with the top of the helmet, is a significant cause of injury to the head and neck of a football player. To reduce the risk of head and neck injuries in football, all avenues of spearing must be explored. Nine game films from the 1989 football season were reviewed to determine the incidence of ball carrier spearing and concurrent defensive spearing. There were 167 incidents of ball carrier spearing (1 per 5.1 plays) and 72 incidents of concurrent defensive spearing (1 per 2.3 ball carrier spears), although no spearing penalties were called. This study detected a surprisingly high cumulative incidence of ball carrier spearing and concurrent defensive spearing, along with poor enforcement of the rule banning spearing.