Subsequent injuries and early recurrent diagnoses in elite Rugby Union players

Sean Williams, Grant Trewartha, Simon P T Kemp, Matthew Cross, John H M Brooks, Colin W Fuller, Aileen E Taylor, Keith Stokes

Research output: Contribution to journalArticle

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Abstract

An eight season (2005/06-2012/13) prospective cohort design was used to record time-loss injuries in 15 English Premiership teams. Data pertaining to a total of 1556 players and 9597 injuries (8180 subsequent) were included in the analysis. Injuries subsequent to an index injury were classified as (1) New: different site; (2) Local: same site (and different type); or (3) Recurrent: same site and type. The severity of subsequent injuries (days missed) was compared with their related index injury. The proportions of early (< 2 months), late (2-12 months) and delayed (>12 months) subsequent injuries were compared across injury classifications and diagnosis groupings. The majority of subsequent injuries (70%) were classified as new injuries, with 14% local and 16% recurrent. A large proportion of recurrent subsequent injuries (42%) occurred within two months of return-to-play. Subsequent injuries were not more severe than their corresponding index injury (effect sizes < 0.20). Specific local and recurrent subsequent injury diagnoses with the highest risk of occurring within two months of return-to-play were: ‘neck muscle strain’, ‘ankle joint capsule sprain', and ‘cervical nerve root’ injuries. These findings may be used to drive targeted secondary prevention efforts, such as reconsideration of return-to-play protocols for neck muscle strain injuries.
LanguageEnglish
Pages791-798
JournalInternational Journal of Sports Medicine
Volume38
Issue number10
DOIs
StatusPublished - Sep 2017

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Football
Early Diagnosis
Wounds and Injuries
Neck Muscles
Sprains and Strains
Joint Capsule
Ankle Joint
Secondary Prevention

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Williams, S., Trewartha, G., Kemp, S. P. T., Cross, M., Brooks, J. H. M., Fuller, C. W., ... Stokes, K. (2017). Subsequent injuries and early recurrent diagnoses in elite Rugby Union players. DOI: 10.1055/s-0043-114862

Subsequent injuries and early recurrent diagnoses in elite Rugby Union players. / Williams, Sean; Trewartha, Grant; Kemp, Simon P T; Cross, Matthew; Brooks, John H M; Fuller, Colin W; Taylor, Aileen E; Stokes, Keith.

In: International Journal of Sports Medicine, Vol. 38, No. 10, 09.2017, p. 791-798.

Research output: Contribution to journalArticle

Williams, S, Trewartha, G, Kemp, SPT, Cross, M, Brooks, JHM, Fuller, CW, Taylor, AE & Stokes, K 2017, 'Subsequent injuries and early recurrent diagnoses in elite Rugby Union players' International Journal of Sports Medicine, vol. 38, no. 10, pp. 791-798. DOI: 10.1055/s-0043-114862
Williams S, Trewartha G, Kemp SPT, Cross M, Brooks JHM, Fuller CW et al. Subsequent injuries and early recurrent diagnoses in elite Rugby Union players. International Journal of Sports Medicine. 2017 Sep;38(10):791-798. Available from, DOI: 10.1055/s-0043-114862
Williams, Sean ; Trewartha, Grant ; Kemp, Simon P T ; Cross, Matthew ; Brooks, John H M ; Fuller, Colin W ; Taylor, Aileen E ; Stokes, Keith. / Subsequent injuries and early recurrent diagnoses in elite Rugby Union players. In: International Journal of Sports Medicine. 2017 ; Vol. 38, No. 10. pp. 791-798
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