Pakarinen Oskari, Ponkilainen Ville T, Kuitunen Ilari
Department of Surgery Päijät-Häme Central Hospital Lahti Finland.
Faculty of Medicine Helsinki University Helsinki Finland.
Health Sci Rep. 2025 Jul 21;8(7):e71096. doi: 10.1002/hsr2.71096. eCollection 2025 Jul.
To analyze the impact of peak height velocity (PHV) and skeletal maturity on the injury incidence and injury burden in adolescent football (soccer) players.
PubMed, Scopus, SPORTDiscus, and Web of Science databases were searched in March 2023, for observational studies focusing on PHV or skeletal maturity status and injuries in youth football players. Risk of bias assessment was performed using the Newcastle Ottawa Scale. The evidence of certainty of outcomes was ranked according to GRADE. We did not conduct statistical meta-analysis synthesis of the results due to substantial heterogeneity in the methods and limited reporting of the original studies.
A total of 699 abstracts were screened, and 12 studies were included for review. Eight studies analyzed players regarding the PHV status, and four regarding the skeletal maturity. The certainty of evidence for both outcomes was very low. Regarding PHV, the injury incidence and injury burden were highest in the circa-PHV group in five studies, highest in post-PHV in two studies, and lowest in pre-PHV group in all but one study. Regarding skeletal maturity, in two studies, the injury incidence was highest in early mature and in one study it was highest in normal maturers, with no detectable differences between the groups. In one study, the injury burden was highest in the early maturers.
Injury incidence and injury burden may be increased during the peak high-velocity growth period in male elite-level adolescent football players. It is unclear whether the level of skeletal maturity affects the injury incidence or injury burden.
分析峰值身高速度（PHV）和骨骼成熟度对青少年足球运动员损伤发生率和损伤负担的影响。
于2023年3月检索了PubMed、Scopus、SPORTDiscus和Web of Science数据库，以查找关注青少年足球运动员的PHV或骨骼成熟度状态与损伤情况的观察性研究。使用纽卡斯尔渥太华量表进行偏倚风险评估。根据GRADE对结果确定性的证据进行分级。由于方法存在实质性异质性且原始研究报告有限，我们未对结果进行统计元分析合成。
共筛选出699篇摘要，纳入12项研究进行综述。8项研究分析了球员的PHV状态，4项研究分析了骨骼成熟度。两种结果的证据确定性都非常低。关于PHV，在5项研究中，接近PHV组的损伤发生率和损伤负担最高，在2项研究中，PHV后组最高，除1项研究外，所有研究中PHV前组最低。关于骨骼成熟度，在2项研究中，早熟者的损伤发生率最高，在1项研究中，正常成熟者的损伤发生率最高，各组之间无明显差异。在1项研究中，早熟者的损伤负担最高。
男性精英水平青少年足球运动员在高速生长高峰期的损伤发生率和损伤负担可能会增加。目前尚不清楚骨骼成熟度水平是否会影响损伤发生率或损伤负担。
