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Radiological Correlates of Head Injuries in School-Level Rugby Union: A 10-Year Retrospective Cross-Sectional

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Computed tomography (CT) has limited use for diagnosing sport-related concussions (SRC) in young rugby players, often missing injuries. Clinical assessment remains crucial, and low-dose CT protocols are recommended to minimize radiation exposure.

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Area of Science:

  • Sports Medicine
  • Radiology
  • Pediatric Traumatology

Background:

  • Sport-related concussion (SRC) is prevalent in youth rugby, posing a significant injury burden.
  • Computed tomography (CT) is frequently used for head injuries in young athletes, exposing them to ionizing radiation.
  • Concerns exist regarding the long-term neurological effects of SRC and repetitive head impacts.

Purpose of the Study:

  • To review and correlate imaging findings of head injuries in school-level rugby players.
  • To compare imaging data from public and private healthcare services.

Main Methods:

  • A descriptive, retrospective cross-sectional correlational study was conducted from 2014-2023.
  • Anonymized data from radiological information systems were analyzed, including participant demographics, imaging modality, findings, and SRC status.
  • Descriptive and comparative statistics were used to analyze public and private datasets.

Main Results:

  • 369 cases were identified; 78% of participants (mean age 15) were clinically diagnosed with SRC.
  • CT was performed in 94% of cases, revealing abnormal findings in only 14% of SRC diagnoses.
  • Craniofacial fractures (28) and intracranial injuries (19) were the most common CT findings; CT sensitivity for SRC was 14%.

Conclusions:

  • CT has limited utility for SRC diagnosis, primarily detecting craniofacial fractures or surgical emergencies.
  • Clinical assessment is the cornerstone for diagnosing SRC in young rugby players.
  • Optimizing CT protocols to low-dose guidelines is essential for mitigating radiation risks in pediatric patients.