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Recurrent injury patterns in adolescent rugby.

H A P Archbold1, A T Rankin2, M Webb3

  • 1Royal Victoria Hospital, Belfast, N. Ireland, UK.

Physical Therapy in Sport : Official Journal of the Association of Chartered Physiotherapists in Sports Medicine
|June 24, 2018
PubMed
Summary
This summary is machine-generated.

Recurrent injuries in U18 rugby are less common than in professionals, but targeted prevention is needed. Focus on ankle sprains, lumbar issues, and concussions to reduce injury recurrence.

Keywords:
AdolescentRecurrent injuryRugbyYouth

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Area of Science:

  • Sports Medicine
  • Injury Epidemiology
  • Rugby Union

Background:

  • Understanding injury patterns in adolescent athletes is crucial for developing effective prevention strategies.
  • Within-season injury recurrence represents a significant burden in contact sports.
  • Previous research has primarily focused on professional athletes, leaving a gap in knowledge for U18 populations.

Purpose of the Study:

  • To identify patterns of subsequent injuries in Under-18 (U18) male rugby players.
  • To quantify the burden of within-season injury recurrence in this cohort.
  • To inform secondary prevention strategies for adolescent rugby players.

Main Methods:

  • A secondary analysis of prospective data from 28 schools in Ireland.
  • Involved 825 male rugby players aged 15-18 years.
  • Subsequent injuries were classified as new, local, or recurrent (same site and type). Injury burden was assessed by frequency, days lost, and proportion ratios.

Main Results:

  • Of 426 eligible injuries, 121 were subsequent. Only 23 cases (5% of all injuries) were within-season recurrences.
  • Most recurrences (78%) happened within two months of returning to play.
  • Ankle ligament, lumbar muscle, and concussion injuries represented the highest burden of recurrence.

Conclusions:

  • The burden of recurrent injury in U18 rugby is lower than in professional rugby.
  • Adolescent rugby players could benefit from targeted secondary prevention, particularly for ankle sprains, lumbar muscle injuries, and concussions.
  • Return-to-play protocols may require reconsideration to mitigate recurrence risk in this population.