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Fracture epidemiology in male elite football players from 2001 to 2013: 'How long will this fracture keep me out?'

Larsson, David LU ; Ekstrand, Jan and Karlsson, Magnus K LU (2016) In British Journal of Sports Medicine 50(12). p.759-763
Abstract

BACKGROUND: Determining fracture risk and rehabilitation periods after specific fractures in professional football is essential for team planning.

AIM: To identify fracture epidemiology and absences after different types of fractures in male professional football players.

METHODS: 2439 players from 41 professional male teams in 10 countries were followed prospectively from 2001 to 2013. Team medical staff registered fractures, absences after fractures and player exposure.

RESULTS: 364 fractures were recorded, with an incidence of 0.27/1000 h of exposure (95% CI 0.25 to 0.30). The incidence of traumatic fractures was 0.25 (0.22 to 0.27) and that of stress fractures was 0.03 (0.02 to 0.04). 45% of traumatic fractures and... (More)

BACKGROUND: Determining fracture risk and rehabilitation periods after specific fractures in professional football is essential for team planning.

AIM: To identify fracture epidemiology and absences after different types of fractures in male professional football players.

METHODS: 2439 players from 41 professional male teams in 10 countries were followed prospectively from 2001 to 2013. Team medical staff registered fractures, absences after fractures and player exposure.

RESULTS: 364 fractures were recorded, with an incidence of 0.27/1000 h of exposure (95% CI 0.25 to 0.30). The incidence of traumatic fractures was 0.25 (0.22 to 0.27) and that of stress fractures was 0.03 (0.02 to 0.04). 45% of traumatic fractures and 86% of stress fractures affected the lower extremities. Absence after a fracture was 32 days (1-278) (median (range)), compared to that after a traumatic fracture of 30 days (1-278) and a stress fracture of 65 days (6-168) (p<0.001). Annual fracture incidence was stable during the study period (R(2)=0.051, b=-0.011 (95% CI -0.043 to 0.021)). Young players had a relative risk of 10.9 (3.3 to 35.6) of sustaining stress fractures compared to old players (p<0.01). The fracture incidence did not differ between individuals in different playing positions (p=0.10).

SUMMARY: A male professional football team can expect 1 to 2 fractures per season. There are more traumatic fractures than stress fractures; while most fractures affect the lower extremities, stress fractures yield longer absences than traumatic fractures and young players have more stress fractures than old players. There is no difference in risk among players at different playing positions.

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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
British Journal of Sports Medicine
volume
50
issue
12
pages
759 - 763
publisher
BMJ Publishing Group
external identifiers
  • Scopus:84962815660
  • WOS:000376762000012
ISSN
1473-0480
DOI
10.1136/bjsports-2015-095838
language
English
LU publication?
yes
id
d8731ff3-6e34-442a-a84a-0b2abe2936a7
date added to LUP
2016-04-18 14:40:26
date last changed
2017-01-10 15:08:40
@article{d8731ff3-6e34-442a-a84a-0b2abe2936a7,
  abstract     = {<p>BACKGROUND: Determining fracture risk and rehabilitation periods after specific fractures in professional football is essential for team planning.</p><p>AIM: To identify fracture epidemiology and absences after different types of fractures in male professional football players.</p><p>METHODS: 2439 players from 41 professional male teams in 10 countries were followed prospectively from 2001 to 2013. Team medical staff registered fractures, absences after fractures and player exposure.</p><p>RESULTS: 364 fractures were recorded, with an incidence of 0.27/1000 h of exposure (95% CI 0.25 to 0.30). The incidence of traumatic fractures was 0.25 (0.22 to 0.27) and that of stress fractures was 0.03 (0.02 to 0.04). 45% of traumatic fractures and 86% of stress fractures affected the lower extremities. Absence after a fracture was 32 days (1-278) (median (range)), compared to that after a traumatic fracture of 30 days (1-278) and a stress fracture of 65 days (6-168) (p&lt;0.001). Annual fracture incidence was stable during the study period (R(2)=0.051, b=-0.011 (95% CI -0.043 to 0.021)). Young players had a relative risk of 10.9 (3.3 to 35.6) of sustaining stress fractures compared to old players (p&lt;0.01). The fracture incidence did not differ between individuals in different playing positions (p=0.10).</p><p>SUMMARY: A male professional football team can expect 1 to 2 fractures per season. There are more traumatic fractures than stress fractures; while most fractures affect the lower extremities, stress fractures yield longer absences than traumatic fractures and young players have more stress fractures than old players. There is no difference in risk among players at different playing positions.</p>},
  author       = {Larsson, David and Ekstrand, Jan and Karlsson, Magnus K},
  issn         = {1473-0480},
  language     = {eng},
  number       = {12},
  pages        = {759--763},
  publisher    = {BMJ Publishing Group},
  series       = {British Journal of Sports Medicine},
  title        = {Fracture epidemiology in male elite football players from 2001 to 2013: 'How long will this fracture keep me out?'},
  url          = {http://dx.doi.org/10.1136/bjsports-2015-095838},
  volume       = {50},
  year         = {2016},
}