Archbold H A P, Rankin A T, Webb M, Nicholas R, Eames N W A, Wilson R K, Henderson L A, Heyes G J, Davies R, Bleakley C M
Royal Victoria Hospital, Belfast, N. Ireland, UK.
Sport Northern Ireland, Sports Institute, Co Antrim, N. Ireland, UK.
Phys Ther Sport. 2018 Sep;33:12-17. doi: 10.1016/j.ptsp.2018.06.005. Epub 2018 Jun 18.
To establish patterns of subsequent injury in U18 rugby, to quantify the burden of within season injury recurrence.
Secondary analysis of prospective data.
28 Schools in Ireland.
825 male rugby players (aged 15-18 years).
Subsequent injuries were classified as: new, local or recurrent (same site and type as index injury). All recurrent injuries were sub-grouped by body part and diagnosis. Burden was based on frequency, days lost and injury proportion ratios.
A total of 426 injuries were eligible for analysis, of which, 121 were subsequent injuries. The majority of subsequent injuries involved a different body part than their index injury. There were n = 23 cases of within season recurrence. 78% of recurrences occurred within 2 months of return to play. Recurrent injuries comprised 5% of all injuries and their cumulative time loss was 1073 days. Recurrent injury to the ankle ligaments, lumbar muscles and concussions carried the greatest burden.
The burden of recurrent injury in U18 rugby is lower than in the professional game. However, this population could benefit from targeted secondary prevention efforts including reconsideration of return-to-play protocols for ankle sprain, lumbar muscles and potentially concussion.
确定18岁以下橄榄球运动员后续损伤的模式，量化赛季内损伤复发的负担。
前瞻性数据的二次分析。
爱尔兰的28所学校。
825名男性橄榄球运动员（年龄在15 - 18岁之间）。
后续损伤分为：新伤、局部伤或复发性损伤（与初次损伤部位和类型相同）。所有复发性损伤按身体部位和诊断进行亚组分类。负担基于频率、损失天数和损伤比例。
共有426例损伤符合分析条件，其中121例为后续损伤。大多数后续损伤涉及的身体部位与其初次损伤不同。有n = 23例赛季内复发。78%的复发发生在重返赛场后的2个月内。复发性损伤占所有损伤的5%，其累计误工天数为1073天。踝关节韧带、腰部肌肉和脑震荡的复发性损伤负担最重。
18岁以下橄榄球运动员复发性损伤的负担低于职业比赛。然而，这一人群可能会从有针对性的二级预防措施中受益，包括重新考虑踝关节扭伤、腰部肌肉损伤以及可能的脑震荡的重返赛场方案。
