Anterior cruciate ligament ruptures in German elite soccer players: Epidemiology, mechanisms, and return to play

Schiffner, Erik; Latz, David; Grassmann, Jan-Peter; Schek, A; Thelen, Simon; Windolf, Joachim; Schneppendahl, Johannes; Jungbluth, Pascal

doi:10.1016/j.knee.2018.01.010

Cited by 39 publications

(47 citation statements)

References 41 publications

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“…Football attracts detailed media attention and public websites can provide robust data 12 13. Data from the public website transfermarkt have been used to assess the return to sport and performance after anterior cruciate ligament (ACL) injuries,14 15 fractures16 and femoro-acetabular impingement17 in professional football (soccer) players. Walden and colleagues,18 in their milestone 15-year UEFA study on return to sport after ACL injury, included data from the website transfermarkt and the club's official website.…”

Section: Introductionmentioning

confidence: 99%

Eighty-two per cent of male professional football (soccer) players return to play at the previous level two seasons after Achilles tendon rupture treated with surgical repair

Grassi¹,

Rossi

D’Hooghe

et al. 2019

Br J Sports Med

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ObjectiveTo evaluate the time to return to playing following acute Achilles tendon rupture (ATR) and surgical repair in professional male football (soccer) players.MethodsProfessional male football (soccer) players who sustained an ATR and underwent surgical repair were identified through internet-based injury reports from January 2008 to August 2018. Only League 1 and 2 players with injuries who had at least 1 year of follow-up from the search date were included. Injury history and time to return to play were retrieved from the public platform transfermarkt.com. For athletes who competed for at least two seasons after returning to play, re-ruptures and number of matches played were reported.Results118 athletes (mean age 27.2±7.2 years) were included. 113 (96%) returned to unrestricted practice after a mean of 199±53 days, with faster recovery in players involved in national teams. Return to competition was after a mean of 274±114 days. In the 76 athletes with at least two seasons of follow-up, 14 (18%) did not compete at the pre-injury level during the two seasons following the index injury. Six players (8%) sustained a re-rupture within the first two seasons after return to play; four re-ruptures were in footballers who returned to play <180 days after injury. Age >30 years and re-ruptures had higher odds ratios of not returning to the same level of play.Conclusions96% of professional male football players who underwent surgery to repair an ATR returned to unrestricted practice and then competition after an average time of 7 and 9 months, respectively. However, 18% did not return to the same level of play within the two seasons following their return, with a higher risk in those experiencing a re-rupture.

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Section: Introductionmentioning

confidence: 99%

Eighty-two per cent of male professional football (soccer) players return to play at the previous level two seasons after Achilles tendon rupture treated with surgical repair

Grassi¹,

Rossi

D’Hooghe

et al. 2019

Br J Sports Med

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“…Las Lesiones musculares se presentan en un 22% donde se reporta que se presenta 1,20 lesiones por cada 1000 horas (13). Las lesiones de ligamento cruzado anterior se reportan 0,040 por cada 1000 horas de exposición (14). Las lesiones de cadera en mayor medida de los músculos aductores de 1.0 cada 1000 horas de exposición (15).…”

Section: Introductionunclassified

Perfil de la potencia muscular en la cadena anterior en futbolistas de la liga profesional colombiana medido mediante tecnología smartcoach

Quiceno

Mantilla

Samudio

et al. 2020

RICCAFD

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Introducción El fútbol ha evolucionado debido a que han aumentado las demandas a nivel técnico, físico, fisiológico, táctico y mental que obligan al jugador a tener un mejor rendimiento. Para ejemplificar, los jugadores de alto rendimiento pueden recorrer hasta 10 kilómetros en acciones de juego como correr, saltar, patear, girar, acelerar, desacelerar, contextualizadas dentro de acciones tácticas que implican movimientos a nivel ofensivo y defensivo en un sistema de juego especifico implementado por los jefes técnicos lo cual implica que deben estar preparados para afrontar entrenamientos y partidos al máximo nivel de exigencia física. La fuerza es el pilar de desarrollo de las demás cualidades físicas debido a que combina diferentes factores morfológicos y neurales como la sección trasversal muscular, arquitectura muscular, reclutamiento de unidades motoras con su sincronización e inhibición neuromuscular. El entrenamiento de la fuerza excéntrica es el punto de partida para desarrollar habilidades de rendimiento especificas debido a que tiene efectos significativos en la reducción de lesiones y aumento de habilidades físicas.Metodología Se realizó un estudio cuasi experimental no aleatorizado que tenía como fin evaluar el efecto de un entrenamiento preventivo basado en ejercicios de sobrecarga excéntrica y determinar valores de referencia para jugadores de fútbol de la liga profesional colombiana en la cadena muscular anterior. Se definió como variables de medición la potencia media excéntrica medida mediante el sistema SmartCoach a través del dispositivo kBox Exxentric. Resultados Se realizó la prueba en t para medias emparejadas en el software excel donde la media para la 1 evaluación fue de 271,4 Watts y la 2 evaluación de 534,2 watts, se obtuvo un valor de P=0,000000014 lo cual indica que hubo una diferencia significativa. Para los arqueros el valor promedio fue de 352watts, defensas laterales 374 watts, defensas centrales 475 watts, volantes 385 watts, extremos 401 watts y delanteros 418 watts. Conclusión el entrenamiento preventivo de fuerza y sobrecarga excéntrica enfocado en la cadena muscular anterior tiene efectos significativos en la fuerza muscular en jugadores de futbol profesional.

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“…The knee stability depends on the passive and active stability of the joint which involve the geometry of the articular surfaces, ligaments, meniscus and fibrous capsule and active stability is exerted by the muscles surrounding the knee during contraction: quadriceps, hamstrings, sartorius, gracilis and gastrocnemius (Dvorak et al 2009). Understanding ACLR loading mechanisms and knowing risk factors for the injury and mean off time after ACLR are essential information for the coach, the medical staff, the elite soccer players, the insurance and team managers (Schiffner et al,2018). Wilk (2015) recommends streamlining rehabilitation programs for individuals which can return them to their preinjury activity levels, including implementation of thorough functional testing to determine whether a patient is ready to return to sports or strenuous post-ACLR activities.…”

Section: Introductionmentioning

confidence: 99%

“…, soccer players returned to sports between 6 and10.2 months postoperatively;Howard et al (2016);Zaffagnini et al (2014). An analysis of Union of European Football Associations (UEFA) elite male soccer players showed a mean injury lay-off until return to unrestricted soccer practice of 202 ± 69 days for 43 European players and 203 ± 70 days for 20 Swedish players(Waldén et al, 2011) Schiffner et al (2018). found a mean injury lay-off of 244 (range 118-604) days (8.1 months) until return to unrestricted soccer practice after total ACLR.VanGrinsven et al (2010) in a systematic review recommended the following criteria for return-tosports in 6 months: full ROM, 85% or greater on strength (quadriceps and hamstrings) and single-leg hop tests compared with the opposite leg, less than 15% deficit on hamstring-quadriceps strength ratio, no pain or swelling with sport-specific activities, and a stable knee in active situations.…”

mentioning

confidence: 99%

Accelerated Rehabilitation For Football Players Following Acl Reconstruction

Mirela¹

2018

The European Proceedings of Social and Behavioural Sciences

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Anterior cruciate ligament ruptures in German elite soccer players: Epidemiology, mechanisms, and return to play

Cited by 39 publications

References 41 publications

Eighty-two per cent of male professional football (soccer) players return to play at the previous level two seasons after Achilles tendon rupture treated with surgical repair

Eighty-two per cent of male professional football (soccer) players return to play at the previous level two seasons after Achilles tendon rupture treated with surgical repair

Perfil de la potencia muscular en la cadena anterior en futbolistas de la liga profesional colombiana medido mediante tecnología smartcoach

Accelerated Rehabilitation For Football Players Following Acl Reconstruction

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