Vanlommel Luc, Vanlommel Jan, Bollars Peter, Quisquater Laurent, Van Crombrugge Kris, Corten Kristoff, Bellemans Johan
Department of Orthopedic Surgery of University Hospitals, Leuven, Belgium.
Injury. 2013 Dec;44(12):1847-50. doi: 10.1016/j.injury.2013.07.002. Epub 2013 Aug 2.
Soccer is the world's most popular sport and one that is physically demanding and highly competitive. Consequently, the rate of injuries resulting from this sport is only increasing. It is estimated that 2-20% of all such injuries are fractures, one-third of which are located in the lower extremities. The aim of this epidemiological study was to investigate the incidence of lower-leg fractures (LLFs) in Belgian soccer players and determine the possible risk factors that lead to them.
All injuries of players associated with the Royal Belgium Football Association (RBFA) were reported and collected in a nationwide registry. We retrospectively compared the incidence rate of and risk factors for LLFs in Belgian soccer players during two seasons, 1999-2000 and 2009-2010.
In total, 1600 fractures (3%) were located in the lower leg. After a decade, the number of LLFs remained unchanged. Ankle fractures were the most common (37%), followed by foot and tibia fractures (33% and 22%, respectively). The least common were fibula fractures, which accounted for just 9%. A higher incidence of every type of LLF was observed in older and amateur-level soccer players, when compared with their younger and professional counterparts. Male players experienced more tibia and foot fractures, whereas the incidences of ankle and fibula fractures were comparable with those in female soccer players. The vast majority of fractures occurred during soccer games.
Ankle fractures and foot fractures represented two-thirds of all fractures noted in this analysis. Male gender, recreational level and adult age were important risk factors for LLFs. After 10 years, the incidence of LLFs did not decrease. Given the socioeconomic impact of these injuries, improved prevention techniques are required to reduce their incidence, particularly with regard to the frequently occurring ankle and foot fractures in this population.
足球是世界上最受欢迎的运动，对体能要求很高且竞争激烈。因此，这项运动导致的受伤率一直在上升。据估计，所有此类损伤中有2% - 20%是骨折，其中三分之一位于下肢。这项流行病学研究的目的是调查比利时足球运动员小腿骨折（LLF）的发生率，并确定导致这些骨折的可能风险因素。
与比利时皇家足球协会（RBFA）相关的球员所有损伤都在全国范围内的登记处进行报告和收集。我们回顾性比较了1999 - 2000赛季和2009 - 2010赛季比利时足球运动员LLF的发生率和风险因素。
总共1600例骨折（占3%）位于小腿。十年后，LLF的数量保持不变。踝关节骨折最为常见（占37%），其次是足部和胫骨骨折（分别占33%和22%）。最不常见的是腓骨骨折，仅占9%。与年轻和职业球员相比，年龄较大和业余水平的足球运动员中各类LLF的发生率更高。男性球员胫骨和足部骨折更多，而踝关节和腓骨骨折的发生率与女性足球运动员相当。绝大多数骨折发生在足球比赛期间。
踝关节骨折和足部骨折占本分析中所有骨折的三分之二。男性、娱乐水平和成年年龄是LLF的重要风险因素。十年后，LLF的发生率没有下降。鉴于这些损伤对社会经济的影响，需要改进预防技术以降低其发生率，特别是针对该人群中频繁发生的踝关节和足部骨折。
