Well, I'm not sure if the 'reimport injury database' button was fixed, but there was a bug with the button in OOTP-2007. This may have changed, but in v2007, when you 'reimported', the game looked at the injuries.txt file in your data folder and added any injuries with new diagnosis fields to whatever was stored in memory when you loaded your league. The game did not, however, erase whatever injuries were there when you loaded up your league. Based on the above, I'm guessing there's still a bug there. I can't test this at the moment.
Luckily, reimporting is really easy to do; you don't need to use that button at all. The point is, there is no injury 'database'. injuries.txt is the database. When you load a league, the contents of injuries.txt are loaded into memory. If you want to use a new injuries file, edit injuries.txt, save it, then reload a league (no need to quit OOTP). This should successfully update the injuries 'database'.
One thing to note: if a player is injured, when you go to his profile, you'll see his Diagnosis in the lower left ('Fractured Ankle' or whatever). The game doesn't remember the wording of the diagnosis; it remembers which line number from injuries.txt contains the diagnosis. If you change the name of 'Fractured Ankle' to 'Alien Abduction', then reload the league, you'll see his diagnosis change in his Profile (but not in the injury log or in the news story reporting the injury). You'll also see diagnoses change if you reorder the lines in injuries.txt. So my advice would be to add new entries at the end of the file if you want to preserve diagnoses for existing injuries.
Lastly, I'd recommend saving a copy of injuries.txt before editing it.
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