Subsequent Injuries and Early Recurrent Diagnoses in elite Rugby Union Players

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 1 556 players and 9 597 injuries (8 180 subsequent) were included in the analysis. Injuries subsequent to an index injury were cla...

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Veröffentlicht in:International journal of sports medicine 2017-09, Vol.38 (10), p.791-798
Hauptverfasser: Williams, Sean, Trewartha, Grant, Kemp, Simon, Cross, Matthew J., Brooks, John H. M., Fuller, Colin W., Taylor, Aileen E., Stokes, Keith A.
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container_end_page 798
container_issue 10
container_start_page 791
container_title International journal of sports medicine
container_volume 38
creator Williams, Sean
Trewartha, Grant
Kemp, Simon
Cross, Matthew J.
Brooks, John H. M.
Fuller, Colin W.
Taylor, Aileen E.
Stokes, Keith A.
description 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 1 556 players and 9 597 injuries (8 180 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 (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
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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 &lt;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.</description><identifier>ISSN: 0172-4622</identifier><identifier>EISSN: 1439-3964</identifier><identifier>DOI: 10.1055/s-0043-114862</identifier><identifier>PMID: 28759901</identifier><language>eng</language><publisher>Stuttgart · New York: Georg Thieme Verlag KG</publisher><subject>Athletes ; Athletic Injuries ; Football ; Humans ; Injuries ; Male ; Medical diagnosis ; Orthopedics &amp; Biomechanics ; Prospective Studies ; Recurrence ; Return to Sport</subject><ispartof>International journal of sports medicine, 2017-09, Vol.38 (10), p.791-798</ispartof><rights>Georg Thieme Verlag KG Stuttgart · New York.</rights><rights>Copyright Georg Thieme Verlag Stuttgart Sep 2017</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c358t-20394d9192c33bce5097c6dd15e78ab8575a4baa8aa58de57a24ce4857c10cc53</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.thieme-connect.de/products/ejournals/pdf/10.1055/s-0043-114862.pdf$$EPDF$$P50$$Gthieme$$H</linktopdf><linktohtml>$$Uhttps://www.thieme-connect.de/products/ejournals/html/10.1055/s-0043-114862$$EHTML$$P50$$Gthieme$$H</linktohtml><link.rule.ids>314,776,780,3004,3005,27901,27902,54534,54535</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28759901$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Williams, Sean</creatorcontrib><creatorcontrib>Trewartha, Grant</creatorcontrib><creatorcontrib>Kemp, Simon</creatorcontrib><creatorcontrib>Cross, Matthew J.</creatorcontrib><creatorcontrib>Brooks, John H. M.</creatorcontrib><creatorcontrib>Fuller, Colin W.</creatorcontrib><creatorcontrib>Taylor, Aileen E.</creatorcontrib><creatorcontrib>Stokes, Keith A.</creatorcontrib><title>Subsequent Injuries and Early Recurrent Diagnoses in elite Rugby Union Players</title><title>International journal of sports medicine</title><addtitle>Int J Sports Med</addtitle><description>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 1 556 players and 9 597 injuries (8 180 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 (&lt;2 months), late (2–12 months) and delayed (&gt;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 &lt;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.</description><subject>Athletes</subject><subject>Athletic Injuries</subject><subject>Football</subject><subject>Humans</subject><subject>Injuries</subject><subject>Male</subject><subject>Medical diagnosis</subject><subject>Orthopedics &amp; Biomechanics</subject><subject>Prospective Studies</subject><subject>Recurrence</subject><subject>Return to Sport</subject><issn>0172-4622</issn><issn>1439-3964</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNptkE1Lw0AQhhdRbK0evUrAiwej-9lkj1KrFopKtedls5nWlHRTd5ND_r0bUhXE08C8D-8MD0LnBN8QLMStjzHmLCaEp2N6gIaEMxkzOeaHaIhJQmM-pnSATrzfYEy4JOwYDWiaCCkxGaLntybz8NmAraOZ3TSuAB9pm0dT7co2WoBpnOvC-0KvbeVDWtgIyqKGaNGsszZa2qKy0WupW3D-FB2tdOnhbD9HaPkwfZ88xfOXx9nkbh4bJtI6pphJnksiqWEsMyCwTMw4z4mAJNVZKhKheaZ1qrVIcxCJptwAD3tDsDGCjdBV37tzVXje12pbeANlqS1UjVehWdAkFbxDL_-gm6pxNnynaDASHDKZBCruKeMq7x2s1M4VW-1aRbDqIOVVJ1r1ogN_sW9tsi3kP_S32QBc90D9UcAWfo_-3_cFlyKFNA</recordid><startdate>201709</startdate><enddate>201709</enddate><creator>Williams, Sean</creator><creator>Trewartha, Grant</creator><creator>Kemp, Simon</creator><creator>Cross, Matthew J.</creator><creator>Brooks, John H. 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M.</au><au>Fuller, Colin W.</au><au>Taylor, Aileen E.</au><au>Stokes, Keith A.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Subsequent Injuries and Early Recurrent Diagnoses in elite Rugby Union Players</atitle><jtitle>International journal of sports medicine</jtitle><addtitle>Int J Sports Med</addtitle><date>2017-09</date><risdate>2017</risdate><volume>38</volume><issue>10</issue><spage>791</spage><epage>798</epage><pages>791-798</pages><issn>0172-4622</issn><eissn>1439-3964</eissn><abstract>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 1 556 players and 9 597 injuries (8 180 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 (&lt;2 months), late (2–12 months) and delayed (&gt;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 &lt;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. 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source MEDLINE; Thieme Connect Journals
subjects Athletes
Athletic Injuries
Football
Humans
Injuries
Male
Medical diagnosis
Orthopedics & Biomechanics
Prospective Studies
Recurrence
Return to Sport
title Subsequent Injuries and Early Recurrent Diagnoses in elite Rugby Union Players
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