The purpose of this article is to report a qualitative and quantitative analysis of sports trauma activity in emergency units in France. A prospective survey was conducted in four emergency units and included 598 cases of sports trauma, which accounted for 17%of the trauma activity. Emergency room physicians thus play an essential role in care for sports trauma victims in France. Diagnosis of the severity of the injury is essential in sports trauma, particularly when the knee is involved. A prospective analysis of two prospective series showed that triage in the emergency room could be perfected. This leads to discuss the importance of training emergency physicians in sports trauma.