BACKGROUND: Injuries are common in youth soccer, of which ankle injuries form a significant proportion. However, there is a lack of prospective data on the epidemiology and nature of these injuries. AIM: To prospectively study the incidence of ankle injuries in three Football Association (FA) academies, with particular emphasis on severe injuries and factors associated with increased injury rate. DESIGN: Descriptive epidemiology study. METHODS: All 419 players within three FA youth academies during the 2007-2008 season were included, between under 9 and under 18 age groups. Ankle injuries causing a loss of more than 48 h training were studied, along with the setting and mechanism of injury, the diagnosis, time to rehabilitate, any investigations and surgical treatment. The incidence of injury per 1000 h exposure in match, training and in total was calculated. RESULTS: A total of 56 (incidence 14%) new ankle injuries were identified during this 1-year study period. Twenty-six (46%) of these occurred in competition, 24 (43%) were by contact, and eight (14%) had a severe injury diagnosed. The incidence was higher in the competitive setting. Ten injuries (18%) missed more than 6 weeks' training. Of these, seven were diagnosed as 'sprain' or 'strain,' of whom only three had been further investigated. There was a significant relationship between injury incidence and age group for total and match exposure, but not for training exposure. CONCLUSIONS: The incidence of ankle injury in youth soccer is higher in competition, and increases with age in competition. 17.5% of ankle injuries missed more than 6 weeks' training, but the authors found a subgroup of players with delay in returning to sport in whom there was no further investigation to establish the diagnosis. This group may harbour occult injury to the chondral surfaces, and earlier investigation could minimise secondary joint damage in this 'at risk' age group.
BACKGROUND: Injuries are common in youth soccer, of which ankle injuries form a significant proportion. However, there is a lack of prospective data on the epidemiology and nature of these injuries. AIM: To prospectively study the incidence of ankle injuries in three Football Association (FA) academies, with particular emphasis on severe injuries and factors associated with increased injury rate. DESIGN: Descriptive epidemiology study. METHODS: All 419 players within three FA youth academies during the 2007-2008 season were included, between under 9 and under 18 age groups. Ankle injuries causing a loss of more than 48 h training were studied, along with the setting and mechanism of injury, the diagnosis, time to rehabilitate, any investigations and surgical treatment. The incidence of injury per 1000 h exposure in match, training and in total was calculated. RESULTS: A total of 56 (incidence 14%) new ankle injuries were identified during this 1-year study period. Twenty-six (46%) of these occurred in competition, 24 (43%) were by contact, and eight (14%) had a severe injury diagnosed. The incidence was higher in the competitive setting. Ten injuries (18%) missed more than 6 weeks' training. Of these, seven were diagnosed as 'sprain' or 'strain,' of whom only three had been further investigated. There was a significant relationship between injury incidence and age group for total and match exposure, but not for training exposure. CONCLUSIONS: The incidence of ankle injury in youth soccer is higher in competition, and increases with age in competition. 17.5% of ankle injuries missed more than 6 weeks' training, but the authors found a subgroup of players with delay in returning to sport in whom there was no further investigation to establish the diagnosis. This group may harbour occult injury to the chondral surfaces, and earlier investigation could minimise secondary joint damage in this 'at risk' age group.
Authors: Alison Suzanne Attenborough; Claire E Hiller; Richard M Smith; Max Stuelcken; Andrew Greene; Peter J Sinclair Journal: Sports Med Date: 2014-11 Impact factor: 11.136
Authors: Cailbhe Doherty; Eamonn Delahunt; Brian Caulfield; Jay Hertel; John Ryan; Chris Bleakley Journal: Sports Med Date: 2014-01 Impact factor: 11.136
Authors: Brian C Werner; Christina Mack; Kristina Franke; Ronnie P Barnes; Russell F Warren; Scott A Rodeo Journal: Orthop J Sports Med Date: 2017-09-08
Authors: Jente Wagemans; Chris Bleakley; Jan Taeymans; Alexander Philipp Schurz; Kevin Kuppens; Heiner Baur; Dirk Vissers Journal: PLoS One Date: 2022-02-08 Impact factor: 3.240