Australian rules football injuries

Last updated

Australian rules football is a sport known for its high level of physical body contact compared to other ball sports such as soccer and basketball, as upper body tackling is legal in a similar fashion to the rugby codes and American football. High-impact collisions can occur from any direction, although deliberate collisions sometimes occur from a front-on direction (known specifically within the code as a "shirtfront" when the contact is a body-on-body collision). In addition, players of the code typically wear no protective padding of any kind except for a mouthguard or, occasionally, a helmet (unlike the full-body gear in gridiron football codes or the shin guards in soccer). As such, injury rates tend to be high.

Contents

Muscle strains

Soft tissue injuries are the most frequent, including injuries to the thighs and calf muscles. [1] [2] Osteitis pubis is a condition which particularly affects Australian rules footballers. [3] Injuries to the knee, ankle and shoulders are also common. [4] [5] Hospital-treated injuries account for 40 percent of all injuries. [6]

Knee injuries

Knee reconstructions are among the career-threatening injuries for professional and amateur players. [7] Full-contact play with the potential to be tackled or bumped from any angle means that the risk of a knee being twisted or caught on a dangerous angle is high. Historically, players who historically had their careers ended prematurely (such as VFL/AFL legend John Coleman) can often be nursed back to full health with modern science.

Head and neck injuries

While many players choose not to wear protective padding, players do occasionally suffer head injury resulting in loss of consciousness; [8] however, spinal injury is extremely uncommon and comparatively much lower than rugby football. [9] [10]

Injury prevention

In recent years, the AFL has commissioned official studies as well as introduced new rules and precautions aimed at reducing the number and severity of injuries in the sport. [11] [12] [13] One example of a player that has suffered a large share of injuries is Essendon Hall of Famer James Hird, who has literally suffered injuries from head to foot and many between, including a hip injury that delayed his debut. [14] [15] [16]

Post-career implications

The high levels of injuries that take place during the course of many games of football are so much so that not only during a player's career are they susceptible to injuries but the effects afterwards are detrimental to their post-career health. Like the concussions in NFL, brain injuries, while relatively rare in Australian rules football, can occur, especially over time without sufficient precautions. Shane Tuck is one example. While suffering a severe case of the degenerative brain disease chronic traumatic encephalopathy, [17] Tuck decided to commit suicide at 38 years old. [18] [19] [20]

In a study conducted of 413 retired VFL/AFL footballers, [21] common problems amongst the group in old age included arthritis, hip replacements (including Kevin Sheedy, who had two operations on his hip within a short period of time), and low ability to perform sport-based activities.

With respect to longevity, studies have shown that retired AFL players generally outlive the general male population in Australia. [22] They also outlive rock musicians in Australia, [23] [24] but have higher death rates than cricketers [25] or athletes in Olympic/non-contact sports. [26]

Steven Febey spoke out in Good Weekend (the magazine of the Fairfax newspaper network) detailing that his emphasis on fitness during his career had been cancelled out after his retirement, specifically when the onset of injuries during his football career began to take their toll. [27]

The AFL Players' Association is working on initiatives to set up a player welfare fund for post-AFL retirements that are impacted by sustained post-career injury.

Serious or career-threatening injury cases in the AFL

The following is an incomplete list of incidents in AFL games which required immediate hospitalisation or threatened the career or a player.

2001

2002

2003

2004

2005

2006

2007

2008

2009

2010

2011

2012

See also

References

  1. Orchard, JW; Driscoll, T; Seward, H; Orchard, JJ (May 2012). "Relationship between interchange usage and risk of hamstring injuries in the Australian Football League". Journal of science and medicine in sport. 15 (3): 201–6. doi:10.1016/j.jsams.2011.11.250. PMID   22197066.
  2. Orchard, JW; Chaker Jomaa, M; Orchard, JJ; Rae, K; Hoffman, DT; Reddin, T; Driscoll, T (September 2020). "Fifteen-week window for recurrent muscle strains in football: a prospective cohort of 3600 muscle strains over 23 years in professional Australian rules football". British journal of sports medicine. 54 (18): 1103–1107. doi:10.1136/bjsports-2019-100755. PMID   32024646.
  3. Research finds cause of osteitis pubis
  4. Saw, R; Finch, CF; Samra, D; Baquie, P; Cardoso, T; Hope, D; Orchard, JW (2018). "Injuries in Australian Rules Football: An Overview of Injury Rates, Patterns, and Mechanisms Across All Levels of Play". Sports health. 10 (3): 208–216. doi:10.1177/1941738117726070. PMID   28825878.
  5. Orchard, JW; Seward, H; Orchard, JJ (April 2013). "Results of 2 decades of injury surveillance and public release of data in the Australian Football League". The American journal of sports medicine. 41 (4): 734–41. doi:10.1177/0363546513476270. PMID   23460329.
  6. "Australian rules football - preventing injury". Archived from the original on 27 October 2015. Retrieved 10 July 2008.
  7. Orchard, J; Seward, H; McGivern, J; Hood, S (March 2001). "Intrinsic and extrinsic risk factors for anterior cruciate ligament injury in Australian footballers". The American journal of sports medicine. 29 (2): 196–200. doi:10.1177/03635465010290021301. PMID   11292045.
  8. Retrospective study of concussive convulsions in elite Australian rules and rugby league footballers: phenomenology, aetiology, and outcome
  9. Spinal cord injuries in Australian footballers 1997–2002
  10. A neck breaking game
  11. "AFL releases 2021 Injury Report". afl.com.au. 27 May 2022. Retrieved 7 December 2022.
  12. Stehle, Damien Ractliffe, Craig Butt, Richard Lama, Mark. "Concussion is the most common injury in community Australian rules football and it's getting worse". theage. Retrieved 7 December 2022.{{cite web}}: CS1 maint: multiple names: authors list (link)
  13. "AFL Fact Sheet". Sports Medicine Australia. Retrieved 7 December 2022.
  14. "Courage in the face of fear: Hird on horrific hit". essendonfc.com.au. 5 November 2021. Retrieved 7 December 2022.
  15. "The injury that almost ended James Hird's career prematurely". www.sen.com.au. Retrieved 7 December 2022.
  16. "The rise and fall of James Hird - Nine Wide World of Sports". wwos.nine.com.au. Retrieved 7 December 2022.
  17. "Shane Tuck had severe CTE, brain bank reveals". The Age . Nine Entertainment Co. 23 January 2021. Retrieved 23 January 2021.
  18. "Is Australia honest about suicide?". Australian Broadcasting Corporation. 24 July 2020. 0:20. Retrieved 4 January 2021.
  19. "Vale Shane Tuck". Richmond FC. Richmond Football Club. 20 July 2020. Retrieved 20 July 2020.
  20. Goodwin, Sam (22 July 2020). "'Only way out': Father details Shane Tuck's devastating struggle". Yahoo. Retrieved 22 July 2020.
  21. King, T; Rosenberg, M; Braham, R; Ferguson, R; Dawson, B (July 2013). "Life after the game--injury profile of past elite Australian football players". Journal of science and medicine in sport. 16 (4): 302–6. doi:10.1016/j.jsams.2012.09.003. PMID   23058879.
  22. Orchard, JW; Orchard, JJ; Semsarian, C; La Gerche, A; Driscoll, T (September 2022). "Reduced death rates of elite Australian Rules footballers compared to age-matched general population". Journal of science and medicine in sport. 25 (9): 710–714. doi:10.1016/j.jsams.2022.08.003. PMID   35999145.
  23. Orchard, John W.; Driscoll, Tim; Davis, Angus; Driscoll, Elizabeth; Orchard, Jessica J. (1 December 2024). "Comparison of cancer and all-cause death rates of Australian rock and pop musicians, footballers, cricketers and the general population". JSAMS Plus. 4: 100070. doi:10.1016/j.jsampl.2024.100070. ISSN   2772-6967.{{cite journal}}: CS1 maint: article number as page number (link)
  24. Dalton, Angus (23 July 2024). "What Amy Winehouse and Shane Warne can tell us about death statistics". The Age. Retrieved 26 September 2025.
  25. Luies, N; Orchard, JJ; Driscoll, T; Sahdra, SK; Cheng, J; Davis, AJ; Orchard, JW (October 2023). "Sheffield Shield Cricketers Live Longer than the Age-Matched General Australian Male Population". Indian journal of orthopaedics. 57 (10): 1613–1618. doi:10.1007/s43465-023-00925-3. PMID   37766955.
  26. Lystad, RP; Vedantam, S (January 2025). "Survival and longevity among male Australian elite athletes: A retrospective cohort study". Journal of science and medicine in sport. 28 (1): 9–15. doi:10.1016/j.jsams.2024.09.005. PMID   39424438.
  27. Di Piertro, Kav (2 March 2016). "Beating his demons". The Age. AFL Players Association. Retrieved 26 September 2025.
  28. Fletcher loses teeth as Bombers slump again - ABC News (Australian Broadcasting Corporation)