Weishorn Johannes, Jaber Ayham, Trefzer Raphael, Zietzschmann Severin, Kern Ralph, Spielmann Jan, Renkawitz Tobias, Bangert Yannic
Department of Orthopaedics, Heidelberg University Hospital, Schlierbacher Landstrasse 200a, 69118 Heidelberg, Germany.
Ethianum Heidelberg, Fehrentzstrasse 2, 69115 Heidelberg, Germany.
J Clin Med. 2023 Nov 5;12(21):6938. doi: 10.3390/jcm12216938.
Little is known about age-related changes in injury characteristics and burden, and existing data are inconsistent, highlighting the need for new studies on this topic. This study aimed to describe age-related injury risk, severity and burden in a German elite youth football academy.
A prospective cohort study was conducted in the 2012/2013 season, reporting 109 time-loss injuries among 138 young athletes playing at an elite football academy in Germany. For the most severe injuries, the injury burden in the different age groups was considered separately.
Athletes missed a total of 2536 days of exposure, resulting in an overall incidence of 2.6 per 1000 h (1.7-3.0; 95% CI) and a burden of 60.6 days lost per 1000 h (40.8-80.3; 95% CI). The incidence and burden of joint sprains and muscle injuries were higher in the older age groups. Physeal injuries peaked in the U14 age group during the pubertal growth spurt. Bone injuries and contusions showed no age trend.
Injury characteristics vary with age. The overall incidence, severity and burden of injuries increased with the age of the athletes. To ensure the optimal development of young athletes, it is important to be aware of the differences in injury susceptibility between age groups in order to implement tailored prevention programmes.
关于损伤特征和负担的年龄相关变化，我们知之甚少，现有数据也不一致，这凸显了对该主题进行新研究的必要性。本研究旨在描述德国一家精英青年足球学院中与年龄相关的损伤风险、严重程度和负担。
在2012/2013赛季进行了一项前瞻性队列研究，报告了在德国一家精英足球学院踢球的138名年轻运动员中的109例导致失能的损伤。对于最严重的损伤，分别考虑了不同年龄组的损伤负担。
运动员总共损失了2536个暴露日，总体发病率为每1000小时2.6例（1.7 - 3.0；95%置信区间），每1000小时的负担为损失60.6天（40.8 - 80.3；95%置信区间）。关节扭伤和肌肉损伤的发病率和负担在年龄较大的组中较高。骨骺损伤在青春期生长突增期间的U14年龄组达到峰值。骨损伤和挫伤没有年龄趋势。
损伤特征随年龄而异。损伤的总体发病率、严重程度和负担随着运动员年龄的增加而增加。为确保年轻运动员的最佳发育，了解年龄组之间损伤易感性的差异以实施针对性的预防计划非常重要。
