@article{ref1,
title="Subsequent injuries and early recurrent diagnoses in elite rugby union players",
journal="International journal of sports medicine",
year="2017",
author="Williams, Sean and Trewartha, Grant and Kemp, Simon and Cross, Matthew J. and Brooks, John H. M. and Fuller, Colin W. and Taylor, Aileen E. and Stokes, Keith A.",
volume="38",
number="10",
pages="791-798",
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 (<2 months), late (2-12 months) and delayed (>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 <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.<br><br>© Georg Thieme Verlag KG Stuttgart · New York.<p /> <p>Language: en</p>",
language="en",
issn="0172-4622",
doi="10.1055/s-0043-114862",
url="http://dx.doi.org/10.1055/s-0043-114862"
}