Int J Sports Med 2022; 43(02): 138-144
DOI: 10.1055/a-1516-4139
Training & Testing

Injury Profile among Elite Youth Male Football Players in a German Academy

Ayham Jaber
1   Department of Orthopedics, Trauma Surgery and Spinal Cord Injury, Heidelberg University Hospital, Heidelberg, Germany
,
Johannes Weishorn
1   Department of Orthopedics, Trauma Surgery and Spinal Cord Injury, Heidelberg University Hospital, Heidelberg, Germany
,
Gregor Berrsche
1   Department of Orthopedics, Trauma Surgery and Spinal Cord Injury, Heidelberg University Hospital, Heidelberg, Germany
,
Henning Ott
2   Center for Sport and Joint injuries, Sporthologicum, Frankfurt, Germany
,
Yannic Bangert
1   Department of Orthopedics, Trauma Surgery and Spinal Cord Injury, Heidelberg University Hospital, Heidelberg, Germany
› Author Affiliations
Funding: The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

Abstract

Studies that report injuries in elite youth football players are scarce. So far, no such studies have been reported in Germany. The aim of this study is to descriptively and statistically report the incidence of injuries that resulted in time-loss ≥ 4 days in the TSG Hoffenheim football academy by 138 male players aged between 12 and 19 years during one season. A total of 109 injuries were sustained by 76 players: 6.9 injuries occurred per 1000 hours of matches (95% CI, 5.0–9.6) and 0.7 injuries per 1000 hours of training (95% CI, 0.5–0.9) with a ratio of 9.8. Some 66% of all injuries occurred during matches. Injuries involved the lower limb (81%), upper limb (9%), head & neck (5%) and trunk injuries (5%). 21 (19%) of all injuries were regarded as severe and resulted in time-loss > 28 days. U16–U19 teams sustained more injuries (74, 68%) than U12–U15 (35, 32%) (P= 0.032). The most frequent diagnosis was thigh strain (22%). Time-loss ranged from 4–339 days (SD: 40, Average: 23). Many injuries were a result of strain. Available injury prevention programs should be adhered to more strictly. Dedicated epidemiological studies are needed to optimize focused injury prevention programs.



Publication History

Received: 02 February 2021

Accepted: 12 May 2021

Article published online:
09 August 2021

© 2021. Thieme. All rights reserved.

Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany

 
  • References

  • 1 Maher ME, Hutchison M, Cusimano M. et al. Concussions and heading in soccer: a review of the evidence of incidence, mechanisms, biomarkers and neurocognitive outcomes. Brain Inj 2014; 28: 271-285
  • 2 Kunz M. 265 million playing football. FIFA Magazine 2007; 7: 11-15
  • 3 Giannotti M, Al-Sahab B, McFaull S. et al. Epidemiology of acute soccer injuries in Canadian children and youth. Pediatr Emerg Care 2011; 27: 81-85
  • 4 Jansen P, Lehmann J, Fellner B. et al. Relation of injuries and psychological symptoms in amateur soccer players. BMJ Open Sport Exerc Med 2019; 5: e000522
  • 5 Ekstrand J, Roos H, Tropp H. Normal course of events amongst Swedish soccer players: An 8-year follow-up study. Br J Sports Med 1990; 24: 117-119
  • 6 Ekstrand J, Hägglund M, Waldén M. Injury incidence and injury patterns in professional football: The UEFA injury study. Br J Sports Med 2011; 45: 553-558
  • 7 Hägglund M, Waldén M, Ekstrand J. UEFA injury study: An injury audit of European Championships 2006 to 2008. Br J Sports Med 2009; 43: 483-489
  • 8 Ekstrand J, Hägglund M, Waldén M. Epidemiology of muscle injuries in professional football (soccer). Am J Sports Med 2011; 39: 1226-1232
  • 9 Read PJ, Oliver JL, De Ste Croix MBA. et al. An audit of injuries in six English professional soccer academies. J Sports Sci 2018; 36: 1542-1548
  • 10 Materne O, Chamari K, Farooq A. et al. Injury incidence and burden in a youth elite football academy: A four-season prospective study of 551 players aged from under 9 to under 19 years. Br J Sports Med 2021; 55: 493-500
  • 11 Cezarino LG, Grüninger B, Scattone Silva R. Injury profile in a Brazilian first-division youth soccer team: A prospective study. J Athl Train 2020; 55: 295-302
  • 12 Le Gall F, Carling C, Reilly T. et al. Incidence of injuries in elite French youth soccer players: A 10-season study. Am J Sports Med 2006; 34: 928-938
  • 13 Bult HJ, Barendrecht M, Tak IJR. Injury risk and injury burden are related to age group and peak height velocity among talented male youth soccer players. Orthop J Sports Med 2018; 6: 2325967118811042
  • 14 Maffulli N, Longo UG, Gougoulias N. et al. Long-term health outcomes of youth sports injuries. Br J Sports Med 2010; 44: 21-25
  • 15 van der Horst N, Hoef Svd, Otterloo Pv. et al. Effective but not adhered to: how can we improve adherence to evidence-based hamstring injury prevention in amateur football?. Clin J Sport Med 2021; 31: 42-48
  • 16 Fuller CW, Ekstrand J, Junge A. et al. Consensus statement on injury definitions and data collection procedures in studies of football (soccer) injuries. Br J Sports Med 2006; 40: 193-201
  • 17 Junge A, Dvorak J, Graf-Baumann T. 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: 80s-89s
  • 18 Rybak LD, Torriani M. Magnetic resonance imaging of sports-related muscle injuries. Top Magn Reson Imaging 2003; 14: 209-219
  • 19 Harriss DJ, MacSween A, Atkinson G. Ethical Standards In Sport And Exercise Science Research: 2020 Update. Int J Sports Med 2019; 40: 813-817
  • 20 Dvorak J, Junge A. Twenty years of the FIFA Medical Assessment and Research Centre: From 'medicine for football' to 'football for health'. Br J Sports Med 2015; 49: 561-563
  • 21 Althausen PL, Gupta MC, Benson DR. et al. The use of neostigmine to treat postoperative ileus in orthopedic spinal patients. J Spinal Disord 2001; 14: 541-545
  • 22 Junge A, Chomiak J, Dvorak J. Incidence of football injuries in youth players. Comparison of players from two European regions. Am J Sports Med 2000; 28: S47-S50
  • 23 Jones S, Almousa S, Gibb A. et al. Injury Incidence, Prevalence and severity in high-level male youth football: A systematic review. Sports Med 2019; 49: 1879-1899
  • 24 Price RJ, Hawkins RD, Hulse MA. et al. The Football Association medical research programme: An audit of injuries in academy youth football. Br J Sports Med 2004; 38: 466-471
  • 25 Renshaw A, Goodwin PC. Injury incidence in a Premier League youth soccer academy using the consensus statement: A prospective cohort study. BMJ Open Sport Exerc Med 2016; 2: e000132
  • 26 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: 410-424
  • 27 Mugele H, Plummer A, Steffen K. et al. General versus sports-specific injury prevention programs in athletes: A systematic review on the effect on injury rates. PLoS One 2018; 13: e0205635
  • 28 Olsen L, Scanlan A, MacKay M. et al. Strategies for prevention of soccer related injuries: a systematic review. Br J Sports Med 2004; 38: 89-94
  • 29 Rahlf AL, John C, Hamacher D. et al. Effects of a 10 vs. 20-min injury prevention program on neuromuscular and functional performance in adolescent football players. Front Physiol 2020; 11: 578866
  • 30 van der Horst N, Smits DW, Petersen J. et al. The preventive effect of the nordic hamstring exercise on hamstring injuries in amateur soccer players: A randomized controlled trial. Am J Sports Med 2015; 43: 1316-1323
  • 31 Bizzini M, Dvorak J. FIFA 11+: An effective programme to prevent football injuries in various player groups worldwide-A narrative review. Br J Sports Med 2015; 49: 577-579
  • 32 Sadigursky D, Braid JA, De Lira DNL. et al. The FIFA 11+ injury prevention program for soccer players: A systematic review. BMC Sports Sci Med Rehabil 2017; 9: 18
  • 33 Fuller CW, Dick RW, Corlette J. et al. Comparison of the incidence, nature and cause of injuries sustained on grass and new generation artificial turf by male and female football players. Part 1: Match injuries Br J Sports Med 2007; 41: i20-i26