Schiffner Erik, Latz David, Grassmann Jan P, Schek Alberto, Scholz Armin, Windolf Joachim, Jungbluth Pascal, Schneppendahl Johannes
Department of Trauma and Hand Surgery, Heinrich Heine University Hospital Duesseldorf, Duesseldorf, Germany.
Department of Trauma and Hand Surgery, Heinrich Heine University Hospital Duesseldorf, Duesseldorf, Germany -
J Sports Med Phys Fitness. 2019 Jan;59(1):110-115. doi: 10.23736/S0022-4707.17.07901-4. Epub 2017 Oct 27.
Aim of this retrospective cohort study was to identify fracture epidemiology and off times after different types of fractures in German male elite soccer players from the first division Bundesliga based on information from the public media.
Exposure and fracture data over 7.5 consecutive seasons (2009/10 until the first half of 2016/17) were collected from two media-based register (transfermarkt.de® and kicker.de®).
Overall, 357 fractures from 290 different players were recorded with an incidence of 0.19/1000 hours of exposure (95% CI: 0.14-0.24). Most fractures in German elite soccer players involved the lower extremities (35.3%), the head/face (30.3%) and the upper extremities (24.9%). The median off time after a fracture in German elite male professional soccer in 7.5 Season was 51.1 days (range 0-144). The number of fractures per 100 players per season decreased between 2009 and 2016. There was no significant difference in overall fracture incidence when comparing players at different position (P=0.11). Goalkeepers have a significantly (P<0.02) higher likelihood of suffering hand and finger fractures and they are significantly (P<0.03) less prone of suffering foot fractures, cranial and maxillofacial fractures (P<0.04). compared to outfield players.
This study can confirm that male professional soccer teams experience 1-2 fractures per season in German elite soccer. The incidence of fractures in elite German soccer players decreased between 2009 and 2016. The most fractures occur in the lower extremities and there is no difference in overall fracture risk for players at different playing positions. The information from our study might be of a great importance to medical practitioners, soccer coaches and soccer manager.
这项回顾性队列研究的目的是根据来自公共媒体的信息，确定德国甲级联赛中男性精英足球运动员不同类型骨折后的骨折流行病学和缺阵时间。
从两个基于媒体的注册平台（transfermarkt.de® 和kicker.de®）收集了连续7.5个赛季（2009/10至2016/17上半年）的暴露和骨折数据。
总体而言，记录了来自290名不同球员的357处骨折，暴露发病率为0.19/1000小时（95%置信区间：0.14 - 0.24）。德国精英足球运动员中大多数骨折涉及下肢（35.3%）、头部/面部（30.3%）和上肢（24.9%）。在7.5个赛季中，德国精英男性职业足球运动员骨折后的中位缺阵时间为51.1天（范围0 - 144天）。2009年至2016年期间，每100名球员每个赛季的骨折数量有所下降。比较不同位置的球员时，总体骨折发病率无显著差异（P = ）。守门员手部和手指骨折的可能性显著更高（P < 0.02），而足部骨折、颅骨和颌面骨折的可能性显著更低（P < 0.03，P < 0.04），与非守门员球员相比。
本研究可以证实，德国精英足球中男性职业足球队每个赛季经历1 - 2次骨折。2009年至2016年期间，德国精英足球运动员的骨折发病率有所下降。大多数骨折发生在下肢，不同比赛位置的球员总体骨折风险没有差异。我们研究中的信息可能对医生、足球教练和足球经理非常重要。 （原文中“P = 0.1; P < 0.02; P < 0.03; P < 0.04”处表述不完整，翻译时保留原文格式）
