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Ankle, knee and concussion concerns: Unveiling injury patterns in highly trained South African netball players
Eirik Halvorsen Wik1, Nicola Sewry2, Wayne Derman3
1Institute of Sport and Exercise Medicine (ISEM), Department of Exercise, Sport and Lifestyle Medicine, Faculty of Medicine and Health Sciences, Stellenbosch University, P.O.Box 19063, Tygerberg, 7505, South Africa; Division of Physiotherapy, Department of Health and Rehabilitation Sciences, Faculty of Medicine and Health Sciences, Stellenbosch University, PO Box 241, Cape Town, 8000, South Africa.
Objectives:
To describe the rate and type of netball injuries sustained during women's university-level tournament matches in South Africa.
Design:
Descriptive epidemiological study.
Setting:
Three editions of the women's Varsity Netball tournament (2021-23).
Participants:
Student-athletes representing nine university women's teams.
Main Outcome Measures:
Medical attention match injuries prospectively recorded by team medical staff. Injuries were classified according to the 2020 consensus statement, with the addition of "concussion" as a separate pathology type. The main outcomes are reported as incidence (injuries per 1000h; 95% confidence intervals - CIs), burden (days lost per 1000h; 95%CIs), and frequency (% of all injuries).
Results:
Sixty-three injuries were recorded from 48 different players (58.8 per 1000h; 45.2-75.3) and the overall injury burden was 401 days per 1000h (364-440). Injury incidence by pathology type was highest for joint sprains (28.9 per 1000h), tendinopathies (7.5 per 1000h), and concussions (4.7 per 1000h). Joint sprains to the ankle accounted for 49% of the overall estimated days lost.
Conclusions:
Ankle joint sprains should be the primary target of injury risk reduction programmes in highly trained netball players. Concussions were reported and efforts should be made to increase awareness among players, coaches and medical staff.
