Epidemiology of Non-Contact Muscle Injuries in the Italian Male Elite Under-19 Football (Soccer) Championship.

Autor: Magistrali M; J|medical, Torino, Italy. massimo.magistrali@gmail.com., Stefanini L; J|medical, Torino, Italy.; Juventus FC, Torino, Italy., Abate M; IRCCS San Raffaele Hospital, Milano, Italy., Biancalana G; Bologna, Bologna, 1909, Italy., Stegagno A; Bologna, Bologna, 1909, Italy., Cugia P; Cagliari Calcio, Cagliari, Italy., Candoli P; FC Cesena, Cesena, Italy., Anania G; FC Empoli, Empoli, Italy., Lucchese PL; Frosinone Calcio, Frosinone, Italy., Gaddi D; FC Internazionale Milano SpA, Milano, Italy.; Department of Orthopedics and Traumatology, Policlinico San Pietro, Ponte San Pietro, Bergamo, Italy.; Transalpine Center of Pediatric Sports Medicine and Surgery, University of Milano-Bicocca, Monza, Monza-Brianza, Italy., Volpi P; Istituto Clinico Humanitas IRCCS Rozzano, Milano, Italy.; FC Internazionale Milano SpA, Milano, Italy., Mariani F; Juventus FC, Torino, Italy., Boldrini L; MilanLab Research Department, AC Milan, Milano, Italy., Filippi N; AC Milan, Milano, Italy., Cerrone A; SSC Napoli, Napoli, Italy., Sirtori C; UC Sampdoria, Genova, Italy., Battaglino P; FC Torino, Torino, Italy., Bravin G; SOC Ortopedia e Traumatologia ASUFC, Udine, Italy.; Udinese Calcio, Udine, Italy., Del Fabro E; Udinese Calcio, Udine, Italy., Berti M; Department of Knee Surgery, Policlinico Abano Terme, Abano Terme, Italy.; Hellas Verona Calcio, Verona, Italy., Vecchini E; Hellas Verona Calcio, Verona, Italy.; Clinica Ortopedica, University of Verona, Verona, Italy., Minetto MA; Division of Physical Medicine and Rehabilitation, Department of Surgical Sciences, University of Turin, Torino, Italy.
Jazyk: angličtina
Zdroj: Sports medicine - open [Sports Med Open] 2024 Jun 21; Vol. 10 (1), pp. 75. Date of Electronic Publication: 2024 Jun 21.
DOI: 10.1186/s40798-024-00738-0
Abstrakt: Background: While extensive research exists on muscle injuries among adult football players, a notable gap persists in studies concerning younger footballers. The aim of the current study is to provide epidemiological data on the characteristics of time-loss muscle injuries in young football players participating in the Italian Under-19 male elite Championship ("Primavera 1").
Results: Conducted as a multicentre, prospective, observational cohort study, this research gathered injury data from the 2022-23 season across 14 of the 18 Clubs in the first Italian Under-19 championship. The cohort comprised 391 players with a mean age (± standard deviation) of 18.0 ± 0.4 years. A total of 479 injuries were reported, resulting in 14,231 days of activity lost. Of these, muscle injuries were 209 (44%), accounting for 4,519 (32%) days lost. Overall muscle injuries incidence was 1.82/1000 hours, with a mean injury burden of 39.4 days lost/1000 hours. Almost all muscle injuries (206 out of 209: 98.5%) occurred in hamstrings, quadriceps, adductors, calf and iliopsoas. Hamstrings injuries were the most burdensome (18.8 days lost/1000 hours) accounting for nearly half of all days lost due to muscle injuries. Incidence and burden of adductors injuries (0.25 injuries and 4.1 days lost/1000 hours, respectively) were found to be comparable to calf injuries (0.24 injuries and 4.7 days lost/1000 hours, respectively). Iliopsoas injuries accounted for a noteworthy portion of the total, with an injury incidence of 0.16/1000 hours and a burden of 3.3 days lost/1000 hours. Injuries with myo-tendinous or myo-aponeurotic involvement demonstrated delayed return-to-football compared to those without such involvement (35.6 vs. 18.5 days, p < 0.0001).
Conclusions: The study highlighted a peculiar distribution of non-contact muscle injuries among elite young football players. While hamstring injuries were confirmed as the most burdensome, incidence and burden of adductors and calf injuries were found to be similar. A significant incidence and burden of iliopsoas injuries were observed. These findings suggest potential implementations for targeted injury prevention strategies in the Italian male elite Under-19 football Championship.
(© 2024. The Author(s).)
Databáze: MEDLINE
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