Injury prevalence, types and anatomical localizations in elite football players

Main Article Content

Tevfik Cem Akalın
Mehmet Göktepe
Mustafa Gümüş
Kadir Gökdemir
Mustafa Ertuğrul Çıplak
Bilal Emektar

Keywords

Injury types, Injury prevalence, Football

Abstract

Study Objectives: In this study, it was aimed to evaluate the prevalence, types, and anatomical localization of elite football players’ injuries in one season. Methods: The participants of the study are 50 professional male footballers playing in Professional Leagues of Turkish Football Federation with a mean age of 20-29 (25.4±3.1) with 12.67±3.72 years of experience in football. The data collection followed the international consensus statement on procedures for epidemiologic studies of football injuries recommended by FIFA and UEFA. In this study, the contact person collected the date of injury, mechanisms of injury, body area injured, injured structure, diagnosis, severity, minute of match or training results, and time-off (days) for each player together with the sports medical history of the players. Data were collected and analyzed. Results: When the injury profile of the players was considered, it was determined that 34 (68%) players were injured once, nine players (18%) were injured for the second time, and a total of 50 players had 43 injuries in a season. The highest prevalence of injured players was observed in midfielders with 16 (37.2%) and the lowest in goalkeepers with four players (9.3%). In terms of anatomical location, more injuries were observed in the lower extremity and joint and muscle injuries. The most frequently observed types of injuries are sprain, muscle laceration, partial muscle tear, local degeneration, and crush respectively. Conclusion: This study is thought to be a potentially valuable tool for understanding the events that lead to injuries in football by examining some of the factors that affect the injury process of professional soccer players and identifying the types of injuries and their anatomical localization.

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References

1. Herrero H, Salinero JJ, Del Coso J. Injuries among Spanish male amateur soccer players: a retrospective population study. Am J Sports Med. 2014; 42(1): 78-85.
2. O Pangrazio O, Forriol F. Epidemiology of soccer players traumatic injuries during the 2015 America Cup. Muscles Ligaments Tendons J. 2016; 6(1): 124-130.
3. Sandelin J, Kiviluoto O, Santavirta S, Honkanen R. Outcome of sports injuries treated in a casualty department. Br J Sports Med. 1985; 19(2): 103-106.
4. Adamczyk G, Luboinski L. Epidemiologia of football related injuries: Part I. Acta Clinica. 2002; 2: 236-50.
5. Rice SM, Purcell R, De Silva S. et al. The mental health of elite athletes: a narrative systematic review. Sports Med. 2016; 46(9) :1333–53.
6. Manley G, Gardner AJ, Schneider KJ. et al. A systematic review of potential long-term effects of sport-related concussion. Br J Sports Med. 2017; 51(12): 969–77.
7. Gabbett TJ. Severity and cost of injuries in amateur rugby league: a case study. J Sports Sci. 2001; 19(5): 341–7.
8. Woods C, Hawkins R, Hulse M, Hodson A. The Football Association Medical Research Programme: An audit of injuries in professional football-analysis of preseason injuries. Brit J Sports Med. 2002; 36: 436-41.
9. Bahr R, Krosshaug T. Understanding injury mechanisms: a key component of preventing injuries in sport. Br J Sports Med. 2005;3 9(6): 324–9.
10. Eckard TG, Padua DA, Hearn DW. et al. The relationship between training load and injury in athletes: a systematic review. Sports Med. 2018; 48(8): 1929–61.
11. Pangrazio O, Forriol F. Epidemiology of soccer players traumatic injuries during the 2015 America Cup. Muscles, Ligaments and Tendons Journal. 2016; 6(1): 124-130.
12. Bahr R, Thorborg K, Ekstrand J. Evidence-based hamstring injury prevention is not adopted by the majority of Champions League or Norwegian Premier League football teams: the Nordic Hamstring survey. Br J Sports Med. 2015; 49: 1466–71.
13. Ekstrand J, Hägglund M, Kristenson K, et. al. Fewer ligament injuries but no preventive effect on muscle injuries and severe injuries: an 11-year follow-up of the UEFA Champions League injury study. Br J Sports Med. 2013; 47: 732–7.
14. Buchheit M, Eirale C, Simpson BM, et al. Injury rate and prevention in elite football: let us first search within our own hearts. British Journal of Sports Medicine 2019; 53: 1327-1328.
15. Schmikli SL, de Vries WR, Inklaar H, Backx FJ. Injury prevention target groups in soccer: injury characteristics and incidence rates in male junior and senior players. J Sci Med Sport 2011; 14: 199-203.
16. van Mechelen W. Sports injury surveillance systems. ‘One size fits all’? Sports Med. 1997; 24(3): 164-168
17. Timpka T, Jacobsson J, Bickenbach J. et al. What is a sports injury? Sports Med. 2014; 44: 423-428.
18. Bayraktar B, Dinc C, Yucesir I, Evin, A. Injury evaluation of the Turkish national football team over six consecutive seasons. Turkish Journal of Trauma and Emergency Surgery. 2011: 17(4); 313–317.
19. Fuller CW, Ekstrand J, Junge A, et al. Consensus statement on injury definitions and data collection procedures in studies of football (soccer) injuries. Clin J Sport Med. 2006; 16(2): 97–106.
20. Hägglund M, Waldén M, Bahr R, Ekstrand J. Methods for epidemiological study of injuries to professional football players: developing the UEFA model. Br J Sports Med. 2005; 39(6): 340–346.
21. Junge A, Dvorak J, Graf-Baumann. et al. Football injuries during FIFA tournaments and the Olympic Games, 1998-2001: development and implementation of an injury-reporting system. Am J Sports Med. 2004; 32(suppl 1): 80S–89S.
22. Dvorak J, Junge A, Grimm K, et al. Medical report from the 2006 FIFA World Cup Germany. British journal of sports medicin. 2007: 41(9); 578–581.
23. Yamaner F, İmamoğlu O, Güllü A, et al. Amatör ve profesyonel futbolcuların alt ekstremite yaralanmalarının araştırılması. Genel Tıp Derg. 2009; 19: 105-12.
24. Junge A, Dvorak J. Injury surveillance in the World Football Tournaments 1998–2012. British Journal of Sports Medicine. 2013; 47: 782-788.
25. Chahla, J, Sherman, B, Cinque, M, et al. Epidemiological findings of soccer injuries during the 2017 gold cup. Orthop J Sports Med. 2018; 6(8).
26. Ekstrand J, Spreco A, Windt J, et al. Are Elite Soccer Teams' Preseason Training Sessions Associated with Fewer In-Season Injuries? A 15-Year Analysis from the Union of European Football Associations (UEFA) Elite Club Injury Study. Am J Sports Med. 2020; 48(3): 723-729.
27. Pfirrmann D, Herbst M, Ingelfinger P, et al. Analysis of Injury Incidences in Male Professional Adult and Elite Youth Soccer Players: A Systematic Review. J Athl Train. 2016; 51(5): 410-424.
28. Buchheit M. Outside the Box. Int J Sports Physiol Perform. 2017; 12(8): 1001-02.
29. Griffin A, Kenny IC, Comyns TM. et al. The Association Between the Acute: Chronic Workload Ratio and Injury and its Application in Team Sports: A Systematic Review. Sports Med. 2020: 50; 561–580.
30. Murphy DF, Connolly DA, Beynnon BDCP. Risk factors for lower extremity injury: a review of the literature. Br J Sports Med. 2003; 37(1): 13–29.