Department of Trauma Surgery, University Medical Centre Regensburg, Franz-Josef-Strauss-Allee 11, 93053, Regensburg, Germany.
SportDocsFranken, Nuremberg, Germany.
Arch Orthop Trauma Surg. 2022 Mar;142(3):455-463. doi: 10.1007/s00402-021-03854-8. Epub 2021 Mar 29.
Many professional football players sustain at least one severe injury over the course of their career. Because detailed epidemiological data on different severe injuries in professional football have been missing so far, this study describes the frequency and return-to-competition (RTC) periods of different types of severe football injuries.
This epidemiological investigation is a prospective standardised injury analysis based on national media longitudinal registration. Injuries were classified according to the consensus statement by Fuller et al. (2006). The analysis includes injuries sustained by players of the first German football league during the seasons 2014-2015 to 2017-2018.
II.
Overall, 660 severe injuries were registered during the four seasons (mean 165 per season; 9.2 per season per team; incidence in 1000 h: 0.77). The body region most frequently affected by severe injury was the knee (30.0%; 49.5 injuries per season/SD 13.2) followed by the thigh (26.4%; 43.5 injuries/SD 4.2) and the ankle (16.7%; 27.5 injuries/SD 5.0). The distribution of injuries over the course of a season showed a trend for ACL ruptures to mainly occur at the beginning of a season (45.8%), overuse syndromes such as achillodynia (40.9%) and irritation of the knee (44.4%) during the winter months and severe muscle and ankle injuries at the end of a season. ACL ruptures showed the longest RTC durations (median 222 days).
This study presents detailed epidemiological data on severe injuries in professional football. The body region most frequently affected by severe injuries was the knee. Several types of severe injuries showed a seasonal injury pattern. The appropriate timing of RTC after an injury is one of the most important and complex decisions to be made. This study provides information on the typical time loss due to specific severe football injuries, which may serve as a guideline.
许多职业足球运动员在职业生涯中至少会遭受一次严重的伤病。由于到目前为止，还缺乏关于职业足球中不同严重损伤的详细流行病学数据，因此本研究描述了不同类型的严重足球损伤的发生频率和重返比赛（RTC）时间。
这是一项基于国家媒体纵向登记的前瞻性标准化损伤分析的流行病学调查。损伤根据富勒等人（2006 年）的共识声明进行分类。该分析包括在 2014-2015 赛季至 2017-2018 赛季期间，德国足球甲级联赛球员所遭受的损伤。
II 级。
在四个赛季中，共记录到 660 例严重损伤（平均每个赛季 165 例；每个赛季每支球队 9.2 例；每 1000 小时的发生率为 0.77）。受严重损伤影响最频繁的身体部位是膝盖（30.0%；每个赛季 49.5 例/SD 13.2），其次是大腿（26.4%；43.5 例/SD 4.2）和脚踝（16.7%；27.5 例/SD 5.0）。赛季中损伤的分布显示 ACL 撕裂主要发生在赛季开始时（45.8%），过度使用综合征如跟腱痛（40.9%）和膝部刺激（44.4%）在冬季月份，而严重的肌肉和脚踝损伤则发生在赛季末。ACL 撕裂的 RTC 持续时间最长（中位数 222 天）。
本研究提供了职业足球中严重损伤的详细流行病学数据。受严重损伤影响最频繁的身体部位是膝盖。几种严重损伤表现出季节性损伤模式。受伤后 RTC 的适当时机是最重要和最复杂的决策之一。本研究提供了特定严重足球损伤导致的典型失能时间信息，可作为指导。
