Injury epidemiology in men’s professional team sports: is media analysis helpful?

Szymski, Dominik; Achenbach, Leonard; Krutsch, Volker; Alt, Volker; Meffert, R.; Krutsch, Werner; Fehske, Kai

doi:10.1007/s00402-020-03743-6

Cited by 9 publications

(8 citation statements)

References 35 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…This study included complete data samples of ACL injuries based on high‐validity insurance data, which could be a reason for injury rate differences. Other study designs such as patient registries or media analyses often underestimate the actual injury prevalence [3, 20, 33, 57].…”

Section: Discussionmentioning

confidence: 99%

High revision arthroscopy rate after ACL reconstruction in men's professional team sports

Bloch

Reinsberger

Klein

et al. 2022

Knee Surg Sports Traumatol Arthrosc

Self Cite

View full text Add to dashboard Cite

PurposeThe study analysed unique data on anterior cruciate ligament (ACL) injuries among German professional male team sports over five consecutive seasons with the aim of improving medical outcomes in the future. Sport‐specific differences in injury occurrence, concomitant injuries, timing of ACL reconstruction, graft type selection and short‐term complications were examined. MethodsThis retrospective study analysed trauma insurance data on all complete ACL tears from players with at least one competitive match appearance in the two highest divisions of German male basketball, ice hockey, football and handball. Each complete ACL tear registered by clubs or physicians between the 2014/15 and 2018/19 seasons with the German statutory accidental insurance for professional athletes (VBG) as part of occupational accident reporting was included. ResultsIn total, 189 out of 7517 players (2.5%) sustained an ACL injury, mainly in handball (n = 82; 43.4%) and football (n = 72; 38.1%) followed by ice hockey (n = 20; 10.6%) and basketball (n = 15; 7.9%).Seventeen players (9.0%) also sustained a second ACL injury. Thus, 206 ACL injuries were included in the analysis. The overall match incidence of ACL injuries was 0.5 per 1000 h and was highest in handballs (1.1 injuries per 1000 h). A total of 70.4% of ACL injuries involved concomitant injury to other knee structures, and 29.6% were isolated ACL injuries. The highest rate of isolated ACL injuries was seen in ice hockey (42.9%). All ACL injuries, except for one career‐ending injury, required surgery. In the four analysed team sports, hamstring tendons (71.4%) were the most commonly used grafts for ACL reconstruction; football had the highest percentage of alternative grafts (48.7%). During rehabilitation, 22.9% of all surgically treated ACL injuries (n = 205) required at least two surgical interventions, and 15.6% required revision arthroscopy. The main cause of revision arthroscopy (n = 32; 50.0%) was range‐of‐motion deficit due to arthrofibrosis or cyclops formation. ConclusionThe present study shows an overall high rate of revision arthroscopy after ACLR (15.6%), which should encourage surgeons and therapists to evaluate their treatment and rehabilitation strategies in this specific subpopulation. Hamstring tendon grafts are most commonly used for ACL reconstruction but have the highest revision and infection rates. Handball shows the highest ACL injury risk of the four evaluated professional team sports. Concomitant injuries occur in the majority of cases, with the highest share of isolated ACL injuries occurring in ice hockey. Level of evidenceLevel III.

show abstract

Section: Discussionmentioning

confidence: 99%

High revision arthroscopy rate after ACL reconstruction in men's professional team sports

Bloch

Reinsberger

Klein

et al. 2022

Knee Surg Sports Traumatol Arthrosc

Self Cite

View full text Add to dashboard Cite

show abstract

“…There are existing studies showing that media-based injury data are valid, especially for severe injury types such as ACL injuries, with a validity of 100% [ 14 ]. Nevertheless, for all media-reported knee injuries together, the validity was only 78.2%, with a clear trend for reduced evidence of media analysis for less severe injuries [ 14 , 25 ]. However, by pooling the media-reported data together with the player-reported data, the validity of a parameter such as “days missed due to knee-related injury” is as good as it can be.…”

Section: Discussionmentioning

confidence: 99%

“…com). When a player who is under contract in one of the larger European leagues misses one or more matches due to an injury, this injury is reported by "Transfermarkt" based on different sources [14,25]. These media-reported knee injuries were matched with those recorded by player anamnesis and medical history.…”

Section: Methodsmentioning

confidence: 99%

“…Reported knee injuries and related days missed due to injury were documented based on the medical history and on available data from “Transfermarkt” ( http://www.transfermarkt.com ). When a player who is under contract in one of the larger European leagues misses one or more matches due to an injury, this injury is reported by “Transfermarkt” based on different sources [ 14 , 25 ]. These media-reported knee injuries were matched with those recorded by player anamnesis and medical history.…”

Section: Methodsmentioning

confidence: 99%

See 1 more Smart Citation

Semi-quantitative magnetic resonance imaging scoring of the knee detects previous injuries in professional soccer players

Welsch

Behr

Frosch

et al. 2022

Knee Surg Sports Traumatol Arthrosc

View full text Add to dashboard Cite

Purpose The medical examination (“medical”) is an important procedure in professional soccer since it has high economic relevance. In addition to clinical tests, magnetic resonance imaging (MRI) is used to assess joint health. In the present study, the reliability of semiquantitative knee MRI during the “medical” in professional soccer was tested, and its relationship with clinical data and days missed due to knee injury was observed. Methods In this cross-sectional study, between 2012 and 2019, 69 newly assigned players (age 18–35 years) from a professional soccer club underwent MRI (3.0 T) of both knee joints during their “medical”. Reported knee injuries and previously missed days due to injury were obtained from player anamnesis and the “transfermarkt.com” database. Based on the established “Whole-Organ Magnetic Resonance Imaging Score” (WORMS), two independent radiologists graded the MRI results. Further evaluation was based on the mean score of both knees. Results The mean WORMS for all subjects was 13.9 (median 10.5, range 0–61). Players with previous injuries had significantly higher scores than players without reported injuries (22.1 ± 17.7 vs. 8.9 ± 4.4, p < 0.002). Three outliers (previously undetected injuries) in the group of players without reported injuries were observed (6.7%). The WORMS was significantly correlated with a prior knee injury (r: 0.424, p < 0.0001) and days missed due to injury (r: 0.489, p < 0.001). Age was correlated with the WORMS (r: 0.386, p < 0.001). In a linear regression model, prior injury was the only significant predictor of a high WORMS (p = 0.001). The WORMS was a significant predictor of days missed due to injury (p < 0.0002) and prior injury (sensitivity: 78%, specificity: 91%, p = 0.006). The intraclass correlation coefficient was excellent (0.89). Conclusion Semiquantitative knee MRI for WORMS determination during the soccer “medical” is a robust and reliable method. Prior injury, even in players without documented trauma, was detected by the WORMS, and previously missed days due to injury were correlated with the semiquantitative MR knee score. Level of evidence Level III.

show abstract

“…The International Olympic Committee (IOC) has recently defined sports injuries as new or recurring musculoskeletal complaints occurred during competition or training and requiring medical attention [10]. However, acute sport-related musculoskeletal injuries are characterized by a large heterogeneity in epidemiology and clinical presentation based on the sport performed [11,12]. Additionally, it has been reported that acute traumatic musculoskeletal injuries represent the 10-19% of all acute injuries treated in the emergency department [13,14].…”

Section: Introductionmentioning

confidence: 99%

Pharmacological Treatment for Acute Traumatic Musculoskeletal Pain in Athletes

et al. 2021

View full text Add to dashboard Cite

Pain management is a crucial issue for athletes who train and compete at the highest performance levels. There are still evidence gaps for the use of analgesics for sports injuries despite the growing interest in training and competition settings. However, high-quality research is needed to determine the most appropriate and optimal timing and formulations in non-steroidal anti-inflammatory drug and opioid management, particularly given the strictness of anti-doping regulations. Indeed, the role of pharmacological therapy in reducing acute traumatic pain in athletes should still be addressed to minimize the timing of return to sport. Therefore, the aim of this comprehensive review was to summarize the current evidence about pain management in the setting of acute injury in elite athletes, providing the most informed strategy for pain relief and performance recovery.

show abstract

Injury epidemiology in men’s professional team sports: is media analysis helpful?

Cited by 9 publications

References 35 publications

High revision arthroscopy rate after ACL reconstruction in men's professional team sports

High revision arthroscopy rate after ACL reconstruction in men's professional team sports

Semi-quantitative magnetic resonance imaging scoring of the knee detects previous injuries in professional soccer players

Pharmacological Treatment for Acute Traumatic Musculoskeletal Pain in Athletes

Contact Info

Product

Resources

About