Clinic of Paediatric Surgery, Clinic St. Hedwig Regensburg, Regensburg, Germany.
Institute of Sport Science, University of Regensburg, Regensburg, Germany.
Knee Surg Sports Traumatol Arthrosc. 2019 Mar;27(3):978-984. doi: 10.1007/s00167-018-5119-8. Epub 2018 Aug 25.
Injuries are a common occurrence in football. Sufficient epidemiological data are available in professional football but not in salaried semi-professional football. This study investigates the injury incidence at different levels of semi-professional football with focus on junior football.
The data were based on injury reports provided by players and medical staff over the 2015-2016 season, which corresponded to the consensus statement for data samples in football. This study investigated the injury incidence and prevalence of five skill levels of semi-professional football (the fourth to the seventh league and elite junior football).
1130 players had sustained 2630 injuries over the 2015-2016 season. The overall injury incidence was 9.7 per 1000 h football exposure; prevalence with at least one injury was 79%. The highest overall injury incidence in elite junior football was 10.4 in 1000 h football exposure. The fifth league had the lowest incidence with 9.0 in 1000 h football (p < 0.05). Traumatic injuries most often occurred in the fourth league (3.9 in 1000 h football). The body areas most affected by traumatic injury were knees, ankles and thighs. Elite junior players had a significantly higher incidence of overuse complaints (7.4 in 1000 h football) than the fourth league (5.4, p = 0.005). The body areas most affected by overuse complaints were the lower back, thigh and groin. No differences were found between the different positions on field.
Salaried semi-professional football involves a high overall injury incidence. The highest incidence, particularly of overuse injuries, was seen in elite junior football. These findings should be incorporated in specific injury prevention training or screenings beginning in junior football. Level of evidence II.
足球运动中经常发生损伤。在职业足球中有足够的流行病学数据，但在有薪酬的半职业足球中则没有。本研究调查了不同级别半职业足球的损伤发生率，重点是青少年足球。
数据基于 2015-2016 赛季球员和医务人员提供的损伤报告，这些报告符合足球数据样本的共识声明。本研究调查了半职业足球（第四到第七联赛和精英青少年足球）五个技术水平的损伤发生率和流行率。
在 2015-2016 赛季，1130 名球员遭受了 2630 次损伤。总损伤发生率为每 1000 小时足球暴露 9.7 次；至少有一次损伤的患病率为 79%。精英青少年足球的总损伤发生率最高，为每 1000 小时足球暴露 10.4 次。第五联赛的发病率最低，为每 1000 小时足球 9.0 次（p<0.05）。创伤性损伤最常发生在第四联赛（每 1000 小时足球 3.9 次）。创伤性损伤最常影响的身体部位是膝盖、脚踝和大腿。精英青少年球员的过度使用投诉发生率明显高于第四联赛（每 1000 小时足球 7.4 次）（p=0.005）。过度使用投诉最常影响的身体部位是下背部、大腿和腹股沟。在场上的不同位置之间没有发现差异。
有薪酬的半职业足球总体损伤发生率较高。特别是在精英青少年足球中，过度使用损伤的发生率最高。这些发现应纳入青少年足球开始的特定损伤预防培训或筛查中。证据等级 II。
