Causation Events of Stud Laceration Injuries in Rugby Union

Laceration injuries in rugby union account for approximately 6% of all injuries sustained during match play. Commentators often cite the design of studded footwear as a causal factor in laceration injuries. In order to assess the laceration injury risk of different stud designs, there is a need to develop a testing protocol that is able to replicate the laceration injury event. This study used a questionnaire to identify the play scenarios that result in laceration injuries. The questionnaire was answered by 191 rugby players, of which 72% had experienced one or more stud injuries during their career which hindered them playing rugby. Half of the laceration injuries described by the respondents came from the ruck, and 27% from a tackle. When analysing free-text responses, a deliberate stamp was described in 35% of the responses and a tackle from behind was described in 14% of responses. These injury scenarios are considered to be the dominant cause of laceration injuries. In future work the identified injury scenarios will be replicated in simulated play and kinetic and kinematic measurements will be recorded. This will inform test parameters for future assessment of laceration injury risk of stud designs.