Fractures in German elite male soccer players

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

doi:10.23736/s0022-4707.17.07901-4

Cited by 16 publications

(27 citation statements)

References 35 publications

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“… 4 , 35 , 39 Interestingly, this RTP is significantly shorter than the 9 to 12 months currently recommended by evidence-based practice guidelines. 34 Of note, the mean RTP in professional European soccer appears to be significantly shorter than the National Hockey League (258 days), National Football League (370 days), Major League Baseball (418 days), and National Basketball Association (424 days). 24 …”

Section: Discussionmentioning

confidence: 93%

“…ACL reconstruction (ACLR) in the professional soccer athlete has been the subject of many recent investigations aimed at elucidating the time to return to play (RTP), rates of return to competitive play, factors associated with injury, and optimal surgical and rehabilitation protocols. 3 , 5 , 7 , 34 , 37 , 39 , 40 Several recent studies have emphasized time to RTP as well as RTP rates and have found time to RTP to be between 186 and 310 days, with excellent RTP rates in the range of 77% to 95%. 4 , 13 , 37 , 39 Furthermore, in a matched-cohort analysis of American soccer players, Erickson et al 13 found no difference in performance and survival in Major League Soccer (MLS) athletes after ACLR compared with controls.…”

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confidence: 99%

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Return-to-Play Times and Player Performance After ACL Reconstruction in Elite UEFA Professional Soccer Players: A Matched-Cohort Analysis From 1999 to 2019

Forsythe

Lavoie-Gagne

Forlenza

et al. 2021

Orthopaedic Journal of Sports Medicine

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Background: Anterior cruciate ligament (ACL) rupture is one of the most common injuries afflicting soccer players and requires a lengthy recovery processes after reconstructive surgery. The impact of ACL reconstruction (ACLR) on return to play (RTP) time and player performance in professional soccer players remains poorly studied. Purpose/Hypothesis: To determine player performance and RTP rate and time after ACLR in elite professional soccer players with a retrospective matched-cohort analysis. We expected that the RTP time and rate will be similar to those of other professional-level athletes. Study Design: Cohort study; Level of evidence, 3. Methods: Included were 51 players from 1 of the 5 elite Union of European Football Associations (UEFA) soccer leagues who suffered a complete ACL rupture between 1999 and 2019. These athletes were matched by position, age, season of injury, seasons played, and height and compared to uninjured control players. Change in performance metrics for the 4 years after the season of injury were compared with metrics 1 season before injury. Univariate 2-group comparisons were performed using independent 2-group t tests; Wilcoxon rank-sum tests were used when normality of distributions was violated. Results: Overall, 41 players (80%) returned to play after ACL rupture, with 6 (12%) experiencing a subsequent ipsilateral or contralateral ACL tear. The mean (±SD) RTP time for soccer players after ACLR was 216 ± 109 days (26 ± 18 games). Injured athletes played significantly fewer games and minutes per season and recorded inferior performances for 2 seasons after their injury ( P < .001). However, the game performance of injured players equaled or exceeded that of their matched controls by season 3 after injury, with the exception of attackers, who demonstrated a continued decline in performance ( P < .001). Conclusion: Results indicated that the mean RTP time for soccer players after ACLR is short in comparison with other major sports leagues (216 days). However, RTP rates were high, and rerupture rates were comparable with those of other sports. With the exception of attackers, player performance largely equaled or exceeded that of matched controls by the third postinjury season.

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Section: Discussionmentioning

confidence: 93%

mentioning

confidence: 99%

Return-to-Play Times and Player Performance After ACL Reconstruction in Elite UEFA Professional Soccer Players: A Matched-Cohort Analysis From 1999 to 2019

Forsythe

Lavoie-Gagne

Forlenza

et al. 2021

Orthopaedic Journal of Sports Medicine

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“…The latter vascular dysfunction is particularly pertinent to an acute traumatic occurrence as in the tibial fracture. In fact, these limb fractures are quite frequent, i.e., about 1% of all fractures (Elsoe et al, 2015;Tan et al, 2018) and, especially in sports that mainly utilized legs such as soccer, it has been found that tibial fractures could reach 3.6% of all those occurring while playing (Schiffner et al, 2019). Restricting the observation field to lower limb bones fracture, tibial ones are among those that can give rise to serious problems in the blood flow of their veins, hence the remarkable risk of intra-vascular thrombus formation.…”

Section: Discussionmentioning

confidence: 99%

Possible Assessment of Calf Venous Pump Efficiency by Computational Fluid Dynamics Approach

et al. 2020

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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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Fractures in German elite male soccer players

Cited by 16 publications

References 35 publications

Return-to-Play Times and Player Performance After ACL Reconstruction in Elite UEFA Professional Soccer Players: A Matched-Cohort Analysis From 1999 to 2019

Return-to-Play Times and Player Performance After ACL Reconstruction in Elite UEFA Professional Soccer Players: A Matched-Cohort Analysis From 1999 to 2019

Possible Assessment of Calf Venous Pump Efficiency by Computational Fluid Dynamics Approach

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

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