To identify the locations and types of injury that result in players not being immediately removed from the field of play when injured and to quantify the magnitude of the situation.Design:
Prospective cohort epidemiological study with definitions and procedures compliant with the international consensus statement for studies in rugby.Setting:
Sevens World Series (SWS) (2008-2016) and Rugby World Cup (RWC) (2007, 2011, 2015).Participants:
Players from 17 countries taking part in the SWS and 22 countries taking part in the RWC.Main Outcome Measures:
Location, type, and mean severity of injury, period of match when the injury occurred and whether players were removed from the field of play when injured.Results:
Injured players (51.5%) in the SWS and 33.1% of injured players in the RWC were immediately removed from the field of play at the time of injury. The percentages of players immediately removed varied from 16.7% for hand fractures (severity: 71 days) to 96.7% for shoulder dislocations/subluxations (severity: 105 days) during the SWS and from 4.5% for shoulder ligament sprains (severity: 25 days) to 65.9% for concussions (severity: 9 days) during the RWC. The percentage of players immediately removed from play when injured was not related to the severity of the injury sustained.Conclusions:
A high proportion of players continue to play (in the same game) after sustaining an injury although the likelihood of being removed from play is not dependent on injury severity.