Incidence of injury among male Varsity Cup Young Guns rugby players in South Africa.

Background: The physical nature of the sport of rugby results in a high incidence of injury, even in university rugby, compared to other contact sport codes. Rugby Union lacks injury data focusing on university student-athletes, specifically in South Africa. The aim of the study was to determine the incidence of injury among male rugby players participating in the Varsity Cup Young Guns national rugby tournament.

Methods: The study used a quantitative, cross-sectional, and correlational research design. A total of 252 rugby players, males aged 18 to 20 years, who played for their university rugby team in the 2022 Varsity Cup Young Guns national tournament were conveniently recruited to determine the incidence of overall, match, and training injuries (number of injuries/1000 hours) for the 2022 tournament.

Results: The overall injury incidence for all players was 9.5 injuries/1000 player-hours. The injury incidence for all players during matches was 136.5 injuries/1000 match-hours, whereas during training it was 0.6 injuries/1000 training-hours. The injury incidence was greater for backs than forwards (150.6 injuries/1000 match-hours vs. 124.1 injuries/1000 match-hours, respectively). The lower limb was the most commonly injured anatomical site with 36.6% (95% CI: 27.7-48.3%), while the common types of injuries were the joints (41.6%, 95% CI: 29.9-49.9%) and muscles (28.7%, 95% CI: 20.8-38.0%). A statistically significant association was found between the playing position and the phase of play in which injury occurred (χ²(1)=160.2; P=0.021).

Conclusions: This study reported a high injury incidence, especially during matches, in the Varsity Cup Young Guns tournament. It is recommended that prospective, incidence-based studies be used to precisely determine the incidence, nature, severity and mechanisms of injury. An injury surveillance system should be implemented, specifically within Varsity Cup rugby to inform, support, and improve current injury prevention strategies.