Forsythe Brian, Hand Catherine, Bohn Camden, Hand Francis, Chang Joshua, Khazi-Syed Daanish, Borque Kyle, McCullough Kirk
Rush University Medical Center, Chicago, Illinois, USA.
UT Health Science Center San Antonio Long School of Medicine, San Antonio, Texas, USA.
Orthop J Sports Med. 2025 Aug 19;13(8):23259671251360436. doi: 10.1177/23259671251360436. eCollection 2025 Aug.
Adductor injuries are common in professional soccer, leading to prolonged recovery, compromised player performance, high recurrence rates, and variable outcomes despite advancements in injury prevention and management.
PURPOSE/HYPOTHESIS: This study aims to assess trends in return-to-play (RTP), reinjury rates, and performance effects in Major League Soccer (MLS) players. It was hypothesized that RTP times and performance metrics after adductor injuries vary by time period (2010-2015 vs 2016-2021) and player position, with changes in injury management influencing outcomes.
Cohort study; Level of evidence, 3.
Adductor injuries in MLS players (2010-2021) were analyzed November 8, 2024, using the MLS Injury Surveillance database. All recorded injuries were included and cross-referenced with publicly available data. Injuries were compared across 2 time periods (2010-2015 vs 2016-2021). Injured players were matched 1:2 with noninjured controls by position, age, and MLS experience. RTP duration, reinjury rates, and pre- and postinjury performance metrics were evaluated by time period and player position. Independent tests and chi-square tests were used to assess differences in RTP duration, reinjury rates, and injury rates. Multivariate regression was performed to identify predictors of RTP.
Between 2010 and 2021, a total of 1706 players with adductor injuries were identified. RTP times increased from 14.4 ± 10.1 days (2010-2015) to 19.7 ± 15.2 days (2016-2021; = .0475). Multivariate linear regression identified significant predictors of prolonged RTP, including injury type, onset, and field surface. Compared with acute contact injuries, acute noncontact injurieswere associated with a 12.5-day shorter RTP (β = -12.50; = .010) and chronic injuries with an 18.4-day shorter RTP (β = -18.44; = .001). Osteitis pubis was associated with a 37.2-day increase in RTP duration compared with nonrupture injuries(β = 37.24; = .007). Injuries occurring on grass were associated with a 9.6-day shorter RTP than those on artificial turf (β = -9.56; = .010). Reinjury rates remained stable between the 2 time periods (21.14% vs 23.18%; = .513). After injury, all player positions experienced declines in games played and minutes logged, with defenders exhibiting the most pronounced reductions.
Adductor injuries in MLS athletes were associated with increasing RTP durations over time, with notable position-specific performance effects. Acute contact injuries had the longest RTP duration. RTP durations were significantly longer in 2016-2021 compared with 2010-2015, suggesting evolving trends in injury management. These findings underscore the need for individualized rehabilitation strategies tailored to player position and injury characteristics.
内收肌损伤在职业足球运动中很常见，尽管在损伤预防和管理方面有所进步，但仍会导致恢复时间延长、球员表现受损、复发率高以及预后各异。
目的/假设：本研究旨在评估美国职业足球大联盟（MLS）球员的复出时间（RTP）趋势、再受伤率和表现影响。研究假设内收肌损伤后的RTP时间和表现指标因时间段（2010 - 2015年与2016 - 2021年）和球员位置而异，损伤管理的变化会影响预后。
队列研究；证据级别，3级。
2024年11月8日，使用MLS损伤监测数据库对MLS球员（2010 - 2021年）的内收肌损伤进行分析。纳入所有记录的损伤，并与公开数据进行交叉核对。对两个时间段（2010 - 2015年与2016 - 2021年）的损伤进行比较。根据位置、年龄和MLS经验，将受伤球员与未受伤的对照组按1:2进行匹配。通过时间段和球员位置评估RTP持续时间、再受伤率以及损伤前后的表现指标。使用独立样本t检验和卡方检验评估RTP持续时间、再受伤率和受伤率的差异。进行多变量回归以确定RTP的预测因素。
2010年至2021年期间，共识别出1706名内收肌损伤球员。RTP时间从（2010 - 2015年）的14.4 ± 10.1天增加到（2016 - 2021年）的19.7 ± 15.2天（P = 0.0475）。多变量线性回归确定了RTP延长的显著预测因素，包括损伤类型、发病情况和场地表面。与急性接触性损伤相比，急性非接触性损伤的RTP缩短12.5天（β = -12.50；P = 0.010），慢性损伤的RTP缩短18.4天（β = -18.44；P = 0.001）。与非破裂性损伤相比，耻骨炎的RTP持续时间增加37.2天（β = 37.24；P = 0.007）。在草地上发生的损伤比在人造草皮上的损伤RTP缩短9.6天（β = -9.56；P = 0.010）。两个时间段的再受伤率保持稳定（21.14%对23.18%；P = 0.513）。受伤后，所有球员位置的比赛场次和上场时间均下降，其中后卫的下降最为明显。
MLS运动员的内收肌损伤与RTP持续时间随时间增加有关，具有明显的位置特异性表现影响。急性接触性损伤的RTP持续时间最长。与2010 - 2015年相比，2016 - 2021年的RTP持续时间明显更长，表明损伤管理的趋势在演变。这些发现强调了需要根据球员位置和损伤特征制定个性化的康复策略。
