Aspetar Orthopaedic and Sports Medicine Hospital, Sports City Street, Inside Aspire Zone, Al Buwairda St., PO Box 29222, Doha, Qatar.
Football Research Group, Linköping, Sweden.
Knee Surg Sports Traumatol Arthrosc. 2022 Dec;30(12):4262-4269. doi: 10.1007/s00167-022-07004-4. Epub 2022 Jun 10.
To study the epidemiology and return to play characteristics of anterior and posterior ankle impingement syndromes (AAIS and PAIS) over 18 consecutive seasons in male professional soccer players.
Between the 2001-2002 and 2018-2019 seasons, 120 European soccer teams were followed prospectively for various seasons. Time loss injuries and player exposures were recorded individually in 6754 unique players. Injury incidence and burden were reported as the number of injuries and days absence per 1000 h with 95% confidence intervals (CIs). Injury severity was reported as median absence in days with the interquartile range (IQR).
Out of 25,462 reported injuries, 93 (0.4%) were diagnosed as AAIS (38%) or PAIS (62%) in 77 players. AAIS and PAIS were similar regarding injury characteristics except for a greater proportion of AAIS having a gradual onset (69% vs.47%; P = 0.03) and being re-injuries (31% vs. 9%; P = 0.01). Impingement syndromes resulted in an overall incidence of 0.03 injuries (95% CI 0.02-0.03) per 1000 h and an injury burden of 0.4 absence days per 1000 h. PAIS incidence was significantly higher than that for AAIS [0.02 (95% CI 0.002-0.03) vs. 0.01 (95% CI 0.005-0.01) injuries per 1000 h (RR = 1.7). The absence was significantly longer in AAIS than in PAIS [10 (22) vs. 6 (11) days; P = 0.023]. Impingement syndromes that presented with a gradual onset had longer absences in comparison to impingement with an acute onset [8 (22) vs. 5 (11) days; P = 0.014]. Match play was associated with a higher incidence and greater injury burden than training: 0.08 vs. 0.02 injuries per 1000 h (RR 4.7), respectively, and 0.9 vs. 0.3 days absence per 1000 h (RR 2.5).
Ankle injuries are frequent in men's professional soccer and ankle impingement is increasingly recognized as a common source of pain, limited range of motion, and potential time loss. In our study, ankle impingement was the cause of time loss in less than 0.5% of all injuries. PAIS was more frequently reported than AAIS, but AAIS was associated with more absence days and a higher re-injury rate than PAIS. The findings in this study can assist the physician in best practice management on ankle impingment syndromes in professional football.
II.
研究 18 个连续赛季中男性职业足球运动员前踝和后踝撞击综合征（AAIS 和 PAIS）的流行病学和重返赛场特征。
在 2001-2002 赛季至 2018-2019 赛季期间，对 120 支欧洲足球队进行了前瞻性随访。6754 名独特的球员分别记录了伤病损失和球员暴露情况。以每 1000 小时的伤病数和缺勤天数（95%置信区间[CI]）报告伤病发生率和负担。以中位数缺勤天数（四分位距[IQR]）报告伤病严重程度。
在 25462 例报告的伤病中，77 名球员中有 93 例（0.4%）被诊断为 AAIS（38%）或 PAIS（62%）。AAIS 和 PAIS 的伤病特征相似，但 AAIS 逐渐发病的比例更高（69%比 47%；P=0.03），再伤的比例更高（31%比 9%；P=0.01）。撞击综合征导致总发病率为 0.03 例（95%CI 0.02-0.03）/1000 小时，伤病负担为 0.4 缺勤天/1000 小时。PAIS 的发病率明显高于 AAIS[0.02（95%CI 0.002-0.03）比 0.01（95%CI 0.005-0.01）/1000 小时（RR=1.7）]。AAIS 的缺勤时间明显长于 PAIS[10（22）比 6（11）天；P=0.023]。与急性发病相比，逐渐发病的撞击综合征缺勤时间更长[8（22）比 5（11）天；P=0.014]。比赛比训练更容易导致更高的发病率和更大的伤病负担：0.08 比 0.02 例（95%CI）/1000 小时（RR 4.7），0.9 比 0.3 天缺勤（95%CI）/1000 小时（RR 2.5）。
踝关节损伤在男性职业足球中很常见，踝关节撞击越来越被认为是疼痛、活动范围受限和潜在伤病损失的常见原因。在我们的研究中，踝关节撞击导致的伤病损失不到所有伤病的 0.5%。PAIS 的报告频率高于 AAIS，但 AAIS 的缺勤天数和再伤率均高于 PAIS。本研究结果可为医生在职业足球中管理踝关节撞击综合征提供最佳实践指导。
II。
