Which sport has a higher injury rate, basketball or rugby?

Medical Advisory BoardAll articles are reviewed for accuracy by our Medical Advisory Board
Educational purpose only • Exercise caution as content is pending human review
Article Review Status
Submitted
Under Review
Approved

Last updated: June 19, 2025View editorial policy

Personalize

Help us tailor your experience

Which best describes you? Your choice helps us use language that's most understandable for you.

From the Guidelines

Rugby has a higher injury rate than basketball, with studies consistently showing that rugby players experience more injuries per player-hour of participation, with rates typically 3-5 times higher than basketball. The most recent and highest quality study available is from [2018@], which discusses the relatively low injury rate of basketball compared to other sports, but does not directly compare it to rugby. However, based on the available evidence, it can be inferred that rugby's combination of high-speed collisions, tackles, scrums, and minimal protective equipment contributes to its elevated injury risk. Common rugby injuries include concussions, shoulder dislocations, knee ligament tears, and fractures, which are more severe and frequent than the typical injuries seen in basketball, such as ankle sprains, ACL tears, and finger injuries [@1@].

The nature of rugby as a full-contact sport with continuous play and limited substitutions also means players often continue despite minor injuries, potentially worsening their condition. In contrast, basketball involves less frequent full-body contact and collision, resulting in a lower injury rate. While studies on cheerleading injuries [@2@] and youth football [@3@] provide some insight into the risks associated with different sports, they do not directly compare the injury rates of rugby and basketball. Therefore, based on the available evidence and the fundamental structural differences between the sports, rugby is considered to have a higher injury rate than basketball.

Some key points to consider when evaluating the injury rates of these sports include:

  • The type and frequency of contact and collisions
  • The use of protective equipment
  • The rules and regulations of each sport
  • The level of play, including professional, collegiate, and youth leagues
  • The overall physical demands and requirements of each sport. Given the available evidence, the recommendation is to prioritize rugby as the sport with a higher injury rate compared to basketball, with the understanding that both sports carry inherent risks and require proper training, equipment, and safety protocols to minimize the risk of injury [@1

From the Research

Injury Rates in Basketball and Rugby

There are no direct studies comparing injury rates in basketball and rugby. However, we can look at the injury rates in each sport separately to make an informed comparison.

Injury Rates in Rugby

  • The overall injury rate in rugby was found to be 15.2/1000 athlete-exposures 1.
  • Injury rates increased with age and level of qualification, with head injury and concussion accounting for 10-40% of all injuries 2.
  • Rugby players incurred 1.5 times more overuse and training injuries in relation to exposure time, and 2.7 times more match injuries than soccer players 3.
  • Time-loss match injury incidence rates were 49.1/1000 and 35.6/1000 player-hours for male and female players, respectively 4.

Injury Rates in Basketball

There are no studies provided that directly report injury rates in basketball. However, one study mentions that basketball is a popular team sport with a relatively high risk of injury, but does not provide specific injury rates 3.

Comparison of Injury Rates

While there are no direct comparisons between basketball and rugby injury rates, we can infer that rugby may have a higher injury rate due to its full-contact nature. However, without direct studies comparing the two sports, it is difficult to make a definitive conclusion.

Key Findings

  • Rugby has a high injury rate, with the majority of injuries occurring in the match environment 1, 2, 3, 4.
  • The most common injuries in rugby are concussions, ankle ligament sprains, and musculoskeletal injuries 2, 3, 4.
  • There is a lack of research directly comparing injury rates in basketball and rugby.

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

Have a follow-up question?

Our Medical A.I. is used by practicing medical doctors at top research institutions around the world. Ask any follow up question and get world-class guideline-backed answers instantly.