Department of Orthopaedic Surgery, Western Michigan University, Homer Stryker MD School of Medicine, Kalamazoo, MI, USA.
Harvard Combined Orthopaedic Surgery Program, Harvard Medical School, Boston, MA, USA.
Phys Sportsmed. 2023 Jun;51(3):275-284. doi: 10.1080/00913847.2022.2077087. Epub 2022 May 20.
There is a paucity of literature investigating the relationship between patellar fracture and player performance of professional soccer players following return to play (RTP). Our goal is to determine the rate of RTP, time to RTP, and effect on player performance following patellar fracture.
Twenty-one elite-level European professional soccer players who sustained a patellar fracture between 1999 and 2018 were identified via a publicly accessible database. Athletes with patellar fracture were matched to controls by age, height, years played in the league, season of injury, and position. Change in performance metrics between one season prior to injury and the following four seasons after injury were compared.
Players with patellar fracture were absent for a mean 207.95 ± 135.55 days and 16.81 ± 31.79 games. Fifteen (71%) players returned to play after injury with 67% returning within 1 season after injury. Injured players did not demonstrate significant change in performance metrics at any of the follow-up timepoints compared to control. Subgroup analysis showed that attackers recorded approximately 1200 fewer minutes played per season than pre-injury levels 2 seasons following injury, significantly fewer (p < 0.05) than the control cohort recording similar minutes per season throughout the study period. Midfielders and defenders demonstrated similar fluctuations in performance to the control cohort for both field time and performance metrics (p > 0.05).
Seventy-one percent of players RTP after patellar fracture with an associated absence of 7 months and 17 missed games. Overall, injured players did not demonstrate a significant decline in performance as demonstrated by games played, total minutes played per season, minutes per game, assists, and goals 1 season after injury. Attackers played fewer minutes during the season of and 2 seasons after the initial injury.
有关职业足球运动员重返赛场(RTP)后髌骨折与运动员表现之间关系的文献相对较少。我们的目标是确定 RTP 的比率、RTP 的时间以及髌骨折后的运动员表现的影响。
通过公开可访问的数据库确定了 1999 年至 2018 年期间发生髌骨折的 21 名欧洲精英级职业足球运动员。将髌骨折运动员与年龄、身高、联赛年限、受伤赛季和位置匹配的对照组进行匹配。比较受伤前一个赛季和受伤后四个赛季的表现指标变化。
髌骨折运动员缺席平均 207.95±135.55 天和 16.81±31.79 场比赛。15 名(71%)运动员在受伤后重返赛场,67%的运动员在受伤后 1 个赛季内重返赛场。与对照组相比,受伤运动员在任何随访时间点的表现指标均无显著变化。亚组分析显示,受伤后 2 个赛季,攻击手的赛季出场时间比受伤前减少了约 1200 分钟,明显少于(p<0.05)整个研究期间记录的相似赛季出场时间的对照组。中场球员和后卫球员的表现与对照组相似,在场上时间和表现指标方面(p>0.05)。
71%的运动员在髌骨折后 RTP,平均缺席 7 个月和 17 场比赛。总体而言,受伤运动员的表现并未明显下降,如比赛场次、赛季总出场时间、场均出场时间、助攻和进球数在受伤后 1 个赛季。攻击手在最初受伤赛季和 2 个赛季的赛季出场时间较少。