Epidemiology of rugby injuries in a South African high school over a one-year period

Abstract

Adolescent rugby players have a high risk for injuries; however, injury prevention programmes have reduced the incidence of injuries amongst this group. The purpose of this retrospective analysis was to evaluate the epidemiology of rugby injuries at a South African high school over one season. There were 99 participants over a total of 98 matches and the participants were aged between 13 and 18 years. Information on the type of injuries was documented and the injury proportion (IP), injury incidence and 95% confidence intervals (CI) were calculated, with 1000 player-hours as the denominator. Ninety-nine injuries were recorded, with a total injury incidence of 34.1 injuries/1000 player-hours (95% CI 27.4–40.8). Injuries were predominantly of moderate severity (IP: 25.3%) with a time-loss period of 8 to 28 days. Injuries to the head, neck and spine were the most common (IP: 38.4%; incidence: 13.1; 95% CI 8.9–17.2). The findings on the nature of injuries were largely consistent with current local and international research on high school rugby, with the head, neck and spine remaining at a significant risk of injury. It is recommended that injury prevention programmes further enforce safety guidelines for the protection of the head, neck and spine amongst high school athletes.