Howe won the US national junior title in 1960. He then went on to win the intercollegiate title in 1962 and 1963 while at Yale University.
In 1964, Howe beat three former national champions on his way to winning the US national singles title. Howe also won the US national doubles title six times between 1965 and 1976.
In 1967, Howe won the United States Open. He defeated three-time defending-champion Mo Khan in the semi-finals, before going on to beat his older brother Sam Howe in the final, to become one of only four amateurs ever to win the most prestigious open tournament on the North American continent.
Ralph was inducted into the United States Squash Racquets Association Hall of Fame in 2002.
- "Ralph Howe". ITF. Retrieved 17 November 2015.
- "Historical Information about the US and North American Opens.". Squashtalk.com. Retrieved 2 March 2010.
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