前肩脱位对精英足球守门员的影响。

The Impact of Anterior Shoulder Dislocation in Elite Soccer Goalkeepers.

作者信息

Redler Andrea, Annibaldi Alessandro, Benelli Cristiano, Carrozzo Alessandro, Carta Benedetto, Iorio Raffaele, De Carli Angelo, Mazza Daniele, Maffulli Nicola

机构信息

II School of Medicine, Sant'Andrea Hospital, Kirk Kilgour Sports Injury Center, University of Rome "La Sapienza," Rome, Italy.

出版信息

Orthop J Sports Med. 2025 Aug 5;13(8):23259671251358403. doi: 10.1177/23259671251358403. eCollection 2025 Aug.

DOI:10.1177/23259671251358403

PMID:40771888

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12326124/

Abstract

BACKGROUND

Anterior shoulder dislocation is an injury that can impair a professional goalkeeper's career. However, few studies have examined return to play (RTP) after surgery in professional goalkeepers.

PURPOSE

To assess the RTP, pre- and postinjury performances, and market value of professional goalkeepers who suffered a shoulder dislocation.

STUDY DESIGN

Descriptive epidemiology study.

METHODS

Professional goalkeepers with a shoulder dislocation between 2011 and 2021 were included. Top European leagues were considered: Serie A (Italy), Premier League (England), Ligue 1 (France), LaLiga (Spain), and Bundesliga (Germany). Player age, height, position, injury history, RTP, and market value were retrieved from a publicly available website. The preinjury season (season -1), the injury season (season 0), and the 2 postinjury seasons (season +1 and season +2) were compared.

RESULTS

A total of 19 goalkeepers were included in the study with a mean age of 27.2 ± 5.22 years at the time of injury. All players underwent surgery. The mean RTP was 147.53 ± 64.23 days. The mean percentage minutes per season (MPS) in season -1 was 86.57% ± 13.89%, with a decrease to 37.34% ± 24.66% in the injury season and an increase to 72.72% ± 25.79% in season +1 and 62.69% ± 33.23% in season +2. Significant changes were found in MPS across the 4 analyzed seasons ( < .001). Post hoc comparisons revealed statistically significant differences between season -1 and season 0 ( < .001), season -1 and season +1 ( = .019), and season -1 and season +2 ( = .005). The difference between season +1 and season +2 was not statistically significant ( = .284). The mean market values were €7.13M ±€8.33M (season -1), €8.05M ±€8.25M (season 0), €8.71M ±€11.45M (season +1), and €11.47M ±€22.89M (season +2). Regarding market value, no significant differences were detected among the seasons ( = .285). All goalkeepers returned to play after the surgery, with 1 case (5.3%) at a lower level.

CONCLUSION

All professional goalkeepers returned to play at a competitive level with a significant reduction in the percentage of available minutes played in the 2 seasons after surgery. However, this injury does not seem to influence the market value of these players.

摘要

背景

肩关节前脱位是一种可能会影响职业守门员职业生涯的损伤。然而，很少有研究探讨职业守门员手术后的重返赛场（RTP）情况。

目的

评估肩关节脱位的职业守门员的重返赛场情况、伤前和伤后的表现以及市场价值。

研究设计

描述性流行病学研究。

方法

纳入2011年至2021年间发生肩关节脱位的职业守门员。考虑的顶级欧洲联赛包括：意甲（意大利）、英超（英格兰）、法甲（法国）、西甲（西班牙）和德甲（德国）。从一个公开网站获取球员的年龄、身高、位置、伤病史、重返赛场情况和市场价值。比较伤前赛季（第 -1赛季）、受伤赛季（第0赛季）以及伤后的两个赛季（第 +1赛季和第 +2赛季）。

结果

共有19名守门员纳入研究，受伤时的平均年龄为27.2 ± 5.22岁。所有球员均接受了手术。平均重返赛场时间为147.53 ± 64.23天。第 -1赛季的平均每赛季分钟百分比（MPS）为86.57% ± 13.89%，受伤赛季降至37.34% ± 24.66%，第 +1赛季增至72.72% ± 25.79%，第 +2赛季为62.69% ± 33.23%。在分析的4个赛季中，MPS有显著变化（P <.001）。事后比较显示，第 -1赛季与第0赛季之间（P <.001）、第 -1赛季与第 +1赛季之间（P =.019）以及第 -1赛季与第 +2赛季之间（P =.005）存在统计学显著差异。第 +1赛季与第 +2赛季之间的差异无统计学意义（P =.284）。平均市场价值分别为：第 -1赛季713万欧元 ± 833万欧元、第0赛季805万欧元 ± 825万欧元、第 +1赛季871万欧元 ± 1145万欧元、第 +2赛季1147万欧元 ± 2289万欧元。关于市场价值，各赛季之间未检测到显著差异（P =.285）。所有守门员术后均重返赛场，1例（5.3%）降至较低水平。