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The Epidemiology of Shoulder Injuries in English Professional Rugby Union

Julia Headey, MA (Oxon), MCSP, SRP^*, John H. M. Brooks, PhD^, and Simon P. T. Kemp, MA, MBBS

From the ^* University of Birmingham, Birmingham, United Kingdom, and Rugby Football Union, Twickenham, United Kingdom

Address correspondence to John H. M. Brooks, PhD, Rugby Football Union, Rugby House, Rugby Road, Twickenham TW1 1DS, United Kingdom (e-mail: johnbrooks{at}rfu.com).

Background: Shoulder injuries constitute a considerable risk to professional rugby union players; however, there is a shortage of detailed epidemiologic information about injuries in this population.

Purpose: To describe the incidence, severity, and risk factors associated with shoulder injuries in professional rugby union.

Study Design: Descriptive epidemiology study.

Method: Medical personnel prospectively reported time-loss injuries in professional rugby union in England, and the shoulder injuries were evaluated.

Results: The incidence of shoulder injuries was significantly lower during training (0.10/1000 player–training hours) compared with matches (8.9/1000 player–match hours). The most common match injury was acromioclavicular joint injury (32%); the most severe was shoulder dislocation and instability (mean severity, 81 days absent), which also caused the greatest proportion of absence (42%) and had the highest rate of recurrence (62%). The majority of match shoulder injuries were sustained in the tackle (65%), and outside backs were the most likely to sustain an injury from tackling (2.4/1000 player-tackles). Injuries sustained during training were significantly more severe (61 days) than were those sustained during match play (27 days), and defensive training sessions carried the highest risk of injury (0.45/1000 player-hours; mean severity, 67 days). A mean of 241 player-days per club per season were lost to shoulder injuries.

Conclusion: Results suggest the potential to reduce this injury burden by modifying training activities and implementing "pre-habilitation" strategies in an effort to minimize the risk of shoulder dislocation/instability.

Key Words: risk factors • injury surveillance • shoulder dislocation/instability • acromioclavicular joint injuries

This article has been cited by other articles:

				H A Kerr, C Curtis, L J Micheli, M S Kocher, D Zurakowski, S P T Kemp, and J H M Brooks Collegiate rugby union injury patterns in New England: a prospective cohort study Br. J. Sports Med., July 1, 2008; 42(7): 595 - 603. [Abstract] [Full Text] [PDF]