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BMJ 2006;332:1391-1392 (10 June), doi:10.1136/bmj.332.7554.1391-c
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EDITORWith reference to Bourke's personal view,1 I caution relying on personal experience rather than systematic study of the risk from contested scrums in rugby. In my six years in rehabilitation medicine, I have encountered six people with spinal cord injuries from playing rugby, one of whom was rugby league, and only one was injured in a scrum. At various times since their injury, not one regretted having played rugby and just felt they were the "unlucky" ones.
During my comparatively short career I have encountered hundreds of people with spinal injuries from road traffic crashes, many who regret the risks they took at the time. Although it is difficult to draw direct risk comparisons between the two, I will be much more concerned when my children want to start driving than when they want to play rugby, even in a scrum. If there is a risk with the
John J Macfarlane, consultant in rehabilitation medicine
Hunters Moor Regional Rehabilitation Centre, Northumberland, Tyne and Wear NHS Trust, Newcastle upon Tyne NE2 4NR jjmacf@hotmail.com