Schiffner Erik, Latz David, Grassmann Jan P, Schek Alberto, Thelen Simon, Windolf Joachim, Schneppendahl Johannes, Jungbluth Pascal
Department of Trauma and Hand Surgery, Heinrich Heine University Hospital Duesseldorf, Moorenstr. 5, 40225 Duesseldorf, Germany.
Department of Trauma and Hand Surgery, Heinrich Heine University Hospital Duesseldorf, Moorenstr. 5, 40225 Duesseldorf, Germany.
Knee. 2018 Mar;25(2):219-225. doi: 10.1016/j.knee.2018.01.010. Epub 2018 Feb 22.
Anterior cruciate ligament ruptures (ACLRs) are severe sports-related injuries with significant consequences for affected players and teams. This study aims to identify the epidemiology and injury-related lay-off after ACLR in professional male soccer players from the first-division German Bundesliga.
Exposure times and incidence of anterior cruciate ligament ruptures were collected during 7.5 consecutive seasons using two media-based registers.
A total of 72 total ACLRs were registered in 66 different players with an incidence of 0.040 per 1000h of exposure (95% CI 0.009-0.12). On average there were 9.6 ACLRs per season and 0.53 per team and season. The mean age of players affected was 24 (standard deviation±3.6) years. The number of ACLRs recorded per season fluctuated during the period observed. Goalkeepers are significantly (P<0.05) less prone to suffer an ACLR compared to outfield players.
Understanding ACLR loading mechanisms, knowing risk factors for the injury and mean off time after ACLR are essential information for the coach, the medical staff, the elite soccer players, the insurance and team managers. Our results are in accordance with reports based on information from medical team staff. Therefore, our analysis of ACLR based on media sources may serve as an alternative for injury reports in elite soccer. The information of this study may be helpful for the medical staff taking care of professional soccer players and for orthopedic surgeons performing ACL reconstructions in this patient population.
前交叉韧带断裂（ACLR）是与运动相关的严重损伤，对受影响的运动员和球队会产生重大影响。本研究旨在确定德国足球甲级联赛职业男性足球运动员ACLR后的流行病学情况和与损伤相关的停赛情况。
使用两个基于媒体的登记系统，在连续7.5个赛季中收集前交叉韧带断裂的暴露时间和发生率。
共记录到66名不同球员发生72次ACLR，暴露每1000小时的发生率为0.040（95%可信区间0.009 - 0.12）。平均每个赛季有9.6次ACLR，每个球队每个赛季有0.53次。受影响球员的平均年龄为24岁（标准差±3.6）。在所观察的期间内，每个赛季记录的ACLR数量有所波动。与非守门员球员相比，守门员发生ACLR的可能性显著更低（P<0.05）。
了解ACLR的负荷机制、知晓损伤的危险因素以及ACLR后的平均停赛时间，对于教练、医务人员、精英足球运动员、保险公司和球队经理来说都是至关重要的信息。我们的结果与基于医疗队工作人员信息的报告一致。因此，我们基于媒体来源对ACLR的分析可作为精英足球损伤报告的一种替代方式。本研究的信息可能有助于照顾职业足球运动员的医务人员以及为该患者群体进行ACL重建的骨科医生。
