Twenty year analysis of professional men's rugby union knee injuries from the English premiership shows high rates and burden.

Autor:	West SW; Centre for Health, and Injury and Illness Prevention in Sport, University of Bath, Bath, UK sw2124@bath.ac.uk.; UK Collaborating Centre on Injury and Illness Prevention in Sport, University of Bath, Bath, UK.; Sport Injury Prevention Research Centre, Faculty of Kinesiology, University of Calgary, Calgary, Alberta, Canada., Hudson SJ; Centre for Health, and Injury and Illness Prevention in Sport, University of Bath, Bath, UK.; UK Collaborating Centre on Injury and Illness Prevention in Sport, University of Bath, Bath, UK., Starling L; Centre for Health, and Injury and Illness Prevention in Sport, University of Bath, Bath, UK.; World Rugby, Dublin, Ireland., Cross M; Premiership Rugby, London, UK.; Carnegie Applied Rugby Research (CARR) Centre Carnegie Schools of Sport, Leeds Beckett University, Leeds, UK., Williams S; Centre for Health, and Injury and Illness Prevention in Sport, University of Bath, Bath, UK.; UK Collaborating Centre on Injury and Illness Prevention in Sport, University of Bath, Bath, UK., McKay CD; Centre for Health, and Injury and Illness Prevention in Sport, University of Bath, Bath, UK.; UK Collaborating Centre on Injury and Illness Prevention in Sport, University of Bath, Bath, UK., Cazzola D; Centre for Health, and Injury and Illness Prevention in Sport, University of Bath, Bath, UK.; UK Collaborating Centre on Injury and Illness Prevention in Sport, University of Bath, Bath, UK., Brooks JHM; Physiosports, Melbourne, Victoria, Australia.; St.Kilda Football Club, Melbourne, Victoria, Australia., Murray R; Bath Rugby, Bath, UK., Williams A; Fortius Clinic, London, UK., Kemp SPT; Sports Medicine, Rugby Football Union, London, UK.; London School of Hygeine and Tropical Medicine, London, UK., Stokes KA; Centre for Health, and Injury and Illness Prevention in Sport, University of Bath, Bath, UK.; UK Collaborating Centre on Injury and Illness Prevention in Sport, University of Bath, Bath, UK.; Sports Medicine, Rugby Football Union, London, UK.
Jazyk:	angličtina
Zdroj:	British journal of sports medicine [Br J Sports Med] 2024 Oct 22. Date of Electronic Publication: 2024 Oct 22.
DOI:	10.1136/bjsports-2024-108639
Abstrakt:	Objectives: To determine the rates, severity and burden of knee injuries in professional male rugby union from the English Premiership. Methods: Injury and exposure data were captured over 20 seasons using a prospective cohort design. Knee injury incidence, days' absence and burden were recorded for each injury type and by pitch surface type for match and training. Results: The rate of knee injury in matches was 9.8/1000 hours (95% CIs 9.3-10.3). Mean days lost were 50 (95% CI 46 to 53) in matches and 51 (95% CI 44 to 57) in training. In matches, medial collateral ligament injuries were the most common, while anterior cruciate ligament (ACL) injuries had the highest mean severity and burden. There was no significant change in the count of knee injuries over time; however, average severity increased significantly (annual change: 2.18 days (95% CI 1.60 to 2.77); p<0.001). The incidence of match knee injury was 44% higher on artificial pitches than grass pitches (incidence rate ratio: 1.44 (95% CI 1.21 to 1.69); p<0.01), with no significant difference in severity between surfaces. In matches, the tackle was the event most commonly associated with knee injuries for all diagnoses, except ACL injuries (running). In training, running was a more common injury event than the tackle. Conclusion: Knee injuries in matches are common and severe in English professional men's rugby union. Despite an increased focus on player conditioning and injury prevention throughout the study period, rates of knee injury remained stable, and resulting days' absence increased. New strategies for the prevention of knee injuries should be considered a priority. Competing Interests: Competing interests: SWW holds grant funding from the World Rugby; SH PhD funding from the Rugby Football Union (RFU). MC is employed by the Premier Rugby Limited. SPTK is employed by the RFU. KAS is employed by the RFU. AMW is a shareholder in the Innovate Orthopaedics and DocComs start-ups. AMW receives lecturing fees, research support and part funding of a clinical fellow from Smith and Nephew. AMW is an editorial board member of the AJSM and is a member of the board of directors of ISAKOS. SW has received funding from the World Rugby and the RFU/Premiership Rugby. (© Author(s) (or their employer(s)) 2024. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.)
Databáze:	MEDLINE
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