Injury Patterns and Incidence in an Elite Youth Football Academy—A Prospective Cohort Study of 138 Male Athletes

Background: There is a lack of evidence regarding injury incidence in German elite youth football academies, and the risk of re-injury is unknown. Therefore, the objectives of this study were (1) to determine injury patterns and incidence in an elite youth football academy in Germany, (2) to monitor...

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Main Authors: Johannes Weishorn, Ayham Jaber, Severin Zietzschmann, Jan Spielmann, Tobias Renkawitz, Yannic Bangert
Format: Article
Language:English
Published: MDPI AG 2023-09-01
Series:Journal of Clinical Medicine
Subjects:
Online Access:https://www.mdpi.com/2077-0383/12/19/6138
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author Johannes Weishorn
Ayham Jaber
Severin Zietzschmann
Jan Spielmann
Tobias Renkawitz
Yannic Bangert
author_facet Johannes Weishorn
Ayham Jaber
Severin Zietzschmann
Jan Spielmann
Tobias Renkawitz
Yannic Bangert
author_sort Johannes Weishorn
collection DOAJ
description Background: There is a lack of evidence regarding injury incidence in German elite youth football academies, and the risk of re-injury is unknown. Therefore, the objectives of this study were (1) to determine injury patterns and incidence in an elite youth football academy in Germany, (2) to monitor overuse-/trauma-related injuries over the course of the season, and (3) determine the risk of re-injury. Methods: A prospective cohort study was conducted in the 2012/2013 season among 138 male players from an elite youth football academy in Germany. Injuries were recorded according to the consensus statement on injury definitions and data collection in studies of football injuries. Injury incidence was reported as the number of injuries per 1000 h of exposure and the number of injuries per squad season. Results: A total of 109 injuries were reported, resulting in a cumulative time-loss of 2536 days. A squad of 25 players sustained 19.7 injuries per season, with an average of 23.3 days (15.7–30.9; 95% CI lower-upper) of absence per injury. Ligament sprains (28%), muscle strains (19%) and physeal injuries (12%) were the most common causes of time-loss. Physeal injuries were the most common severe type of injury (29%), with a mean time-loss of 29.7 days (18.2–41.2; 95% CI lower-upper). Re-injuries accounted for 3% of all injuries and resulted in significantly more time-loss than non-re-injuries (60 vs. 23 days; <i>p</i> = 0.01). Conclusion: In the youth academies studied, a team of 25 players sustained an average of 19.7 injuries per season, resulting in a cumulative time-loss of 459 days. Physeal injuries are a major contributor to severe injuries and therefore require special attention.
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spelling doaj.art-6b75a89178e44bb6b7c0f4ae25c717392023-11-19T14:34:37ZengMDPI AGJournal of Clinical Medicine2077-03832023-09-011219613810.3390/jcm12196138Injury Patterns and Incidence in an Elite Youth Football Academy—A Prospective Cohort Study of 138 Male AthletesJohannes Weishorn0Ayham Jaber1Severin Zietzschmann2Jan Spielmann3Tobias Renkawitz4Yannic Bangert5Department of Orthopaedics, Heidelberg University Hospital, Schlierbacher Landstrasse 200a, 69118 Heidelberg, GermanyDepartment of Orthopaedics, Heidelberg University Hospital, Schlierbacher Landstrasse 200a, 69118 Heidelberg, GermanyDepartment of Orthopaedics, Heidelberg University Hospital, Schlierbacher Landstrasse 200a, 69118 Heidelberg, GermanyTSG ResearchLab gGmbH, Horrenberger Straße 58, 74939 Zuzenhausen, GermanyDepartment of Orthopaedics, Heidelberg University Hospital, Schlierbacher Landstrasse 200a, 69118 Heidelberg, GermanyDepartment of Orthopaedics, Heidelberg University Hospital, Schlierbacher Landstrasse 200a, 69118 Heidelberg, GermanyBackground: There is a lack of evidence regarding injury incidence in German elite youth football academies, and the risk of re-injury is unknown. Therefore, the objectives of this study were (1) to determine injury patterns and incidence in an elite youth football academy in Germany, (2) to monitor overuse-/trauma-related injuries over the course of the season, and (3) determine the risk of re-injury. Methods: A prospective cohort study was conducted in the 2012/2013 season among 138 male players from an elite youth football academy in Germany. Injuries were recorded according to the consensus statement on injury definitions and data collection in studies of football injuries. Injury incidence was reported as the number of injuries per 1000 h of exposure and the number of injuries per squad season. Results: A total of 109 injuries were reported, resulting in a cumulative time-loss of 2536 days. A squad of 25 players sustained 19.7 injuries per season, with an average of 23.3 days (15.7–30.9; 95% CI lower-upper) of absence per injury. Ligament sprains (28%), muscle strains (19%) and physeal injuries (12%) were the most common causes of time-loss. Physeal injuries were the most common severe type of injury (29%), with a mean time-loss of 29.7 days (18.2–41.2; 95% CI lower-upper). Re-injuries accounted for 3% of all injuries and resulted in significantly more time-loss than non-re-injuries (60 vs. 23 days; <i>p</i> = 0.01). Conclusion: In the youth academies studied, a team of 25 players sustained an average of 19.7 injuries per season, resulting in a cumulative time-loss of 459 days. Physeal injuries are a major contributor to severe injuries and therefore require special attention.https://www.mdpi.com/2077-0383/12/19/6138injury patternsfootballyouth academysoccersports injurieselite football
spellingShingle Johannes Weishorn
Ayham Jaber
Severin Zietzschmann
Jan Spielmann
Tobias Renkawitz
Yannic Bangert
Injury Patterns and Incidence in an Elite Youth Football Academy—A Prospective Cohort Study of 138 Male Athletes
Journal of Clinical Medicine
injury patterns
football
youth academy
soccer
sports injuries
elite football
title Injury Patterns and Incidence in an Elite Youth Football Academy—A Prospective Cohort Study of 138 Male Athletes
title_full Injury Patterns and Incidence in an Elite Youth Football Academy—A Prospective Cohort Study of 138 Male Athletes
title_fullStr Injury Patterns and Incidence in an Elite Youth Football Academy—A Prospective Cohort Study of 138 Male Athletes
title_full_unstemmed Injury Patterns and Incidence in an Elite Youth Football Academy—A Prospective Cohort Study of 138 Male Athletes
title_short Injury Patterns and Incidence in an Elite Youth Football Academy—A Prospective Cohort Study of 138 Male Athletes
title_sort injury patterns and incidence in an elite youth football academy a prospective cohort study of 138 male athletes
topic injury patterns
football
youth academy
soccer
sports injuries
elite football
url https://www.mdpi.com/2077-0383/12/19/6138
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AT ayhamjaber injurypatternsandincidenceinaneliteyouthfootballacademyaprospectivecohortstudyof138maleathletes
AT severinzietzschmann injurypatternsandincidenceinaneliteyouthfootballacademyaprospectivecohortstudyof138maleathletes
AT janspielmann injurypatternsandincidenceinaneliteyouthfootballacademyaprospectivecohortstudyof138maleathletes
AT tobiasrenkawitz injurypatternsandincidenceinaneliteyouthfootballacademyaprospectivecohortstudyof138maleathletes
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