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Sportverletz Sportschaden 2023; 37(04): 182-186
DOI: 10.1055/a-2047-9031
Übersicht

Ausfallzeiten und Wiederverletzungsraten nach lateralen Bandverletzungen des Sprunggelenks bei männlichen Profifußballspielern: Zusammenfassung eines Systematic Reviews mit Metaanalyse

Time-loss and recurrence rates after lateral ankle ligament sprains in male elite football players: summary of a systematic review and meta-analysis
Zacharias Flore
1   School of Sport and Exercise Sciences, Canterbury, UK, University of Kent at Canterbury: University of Kent, Canterbury, UNITED KINGDOM (Ringgold ID: RIN2240)
2   UKE-Athleticum, Hamburg, DE, Universitätsklinikum Hamburg-Eppendorf: Universitatsklinikum Hamburg-Eppendorf, Hamburg, GERMANY (Ringgold ID: RIN37734)
,
Karen Hambly
1   School of Sport and Exercise Sciences, Canterbury, UK, University of Kent at Canterbury: University of Kent, Canterbury, UNITED KINGDOM (Ringgold ID: RIN2240)
,
Kyra De Coninck
1   School of Sport and Exercise Sciences, Canterbury, UK, University of Kent at Canterbury: University of Kent, Canterbury, UNITED KINGDOM (Ringgold ID: RIN2240)
,
Götz Welsch
2   UKE-Athleticum, Hamburg, DE, Universitätsklinikum Hamburg-Eppendorf: Universitatsklinikum Hamburg-Eppendorf, Hamburg, GERMANY (Ringgold ID: RIN37734)
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Zusammenfassung

Es wurde eine systematische Literatursuche in 6 elektronischen Datenbänken durchgeführt, um Ausfallzeiten und Wiederverletzungsraten nach lateralen Bandverletzungen des Sprunggelenks bei professionellen Fußballspielern systematisch zusammenzufassen und metaanalytisch aufzubereiten. Insgesamt entsprachen 13 (Rezidivrate) und 12 (Ausfallzeit) Studien den zuvor festgelegten Einschlusskriterien. Insgesamt wurden 36201 Spieler (44404 Erstverletzungen; 7944 Erstverletzungen am Bandapparat des Sprunggelenks (ankle sprains, AS) und 1193 Rezidivverletzungen des Bandapparats (AS) erfasst. 16442 Profi-Fußballspieler (mit 4893 Erstverletzungen des Bandapparats (AS) und 748 Rezidivverletzungen des Bandapparats) entsprachen den Einschlusskriterien zur Analyse der Rezidivrate und wurden anschließend metaanalytisch untersucht. Basierend auf dem random effects model wurde eine Rezidivrate von 17,11% (95%-KI 13,31–20,92%; df=12; Q=19,53; I²=38,57%) ermittelt. Von 7736 Spielern entsprachen 7337 Spieler den Einschlusskriterien zur Analyse der Ausfallzeit. 3346 Bandverletzungen gingen in die statistische Analyse ein. Aufgrund erheblicher Heterogenität der Studien wurden die Ergebnisse deskriptiv dargestellt (95%-KI 18,15–22,08; df=11; Q=158; I²=93%). Es wurde eine durchschnittliche Ausfallzeit von 15 Tagen (weighted mean: 15,92; median: 14,95; min: 9,55; max: 52,9) ermittelt. Es konnte eine Wiederverletzungsrate von 17% und eine durchschnittliche Ausfallzeit von 15 Tagen nach bandhaften lateralen Sprunggelenkverletzungen bei professionellen Fußballspielern ermittelt werden. Bandverletzungen des Sprunggelenks sind eine der häufigsten Verletzungsformen mit hohen Rezidivraten im Profifußball. Die heterogene Datenerhebung in den Studien erschwert die allgemeine Vergleichbarkeit der Resultate und untermauert somit die allgemeine Forderung, Daten in Verletzungsregistern im Fußball systematisch zu erfassen.

Abstract

A literature search was conducted to systematically review and meta-analyse time-loss and recurrence rates of lateral ankle sprains (LAS) in male professional football players. Six electronic databases were screened separately for time-loss and recurrence rates after lateral ankle sprains in elite football players. A total of 13 (recurrence) and 12 (time-loss) studies met the previously defined inclusion criteria. The total sample size of the recurrence studies was 36.201 participants (44.404 overall initial injuries, 7944 initial ankle sprain (AS) injuries, 1193 recurrent AS injuries). 16.442 professional football players (4893 initial AS injuries, 748 recurrent AS injuries) were subsequently meta-analysed. A recurrence rate of 17.11% (95% CI: 13.31–20.92%; df=12; Q=19.53; I2=38.57%) was determined based on the random-effects model. A total of 7736 participants were part of the time-loss studies (35.888 total injuries, 4848 total ankle injuries; 3370 AS injuries). Out of the 7736 participants, 7337 participants met the inclusion criteria with a total of 3346 AS injuries. The average time-loss was 15 days (weighted mean: 15.92, median: 14.95, min: 9.55; max: 52.9). A priori, we determined considerable heterogeneity (CI: 18.15–22.08; df=11; Q=158; I2=93%). There is an average time-loss of 15 days per LAS and a recurrence rate of 17%. LAS is one of the most common types of injury with high recurrence rates in professional football players. The high recurrence rates and long-term consequences show the necessity for research in the field of LAS in elite football. However, heterogeneous data lead to difficulties regarding the aspect of comparability.

Schlüsselwörter

Bandverletzungen des Sprunggelenks - Profifußball - Ausfallzeit - Rezidivrate

Keywords

lateral ankle sprains - professional football - time-loss - recurrence rate


Publication History

Received: 09 November 2022

Accepted after revision: 28 February 2023

Article published online:
19 April 2023

© 2023. Thieme. All rights reserved.

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  • Literatur

  • 1 Lüthje P, Nurmi I, Kataja M. et al. Epidemiology and traumatology of injuries in elite soccer: a prospective study in Finland. Scand J Med Sci Sports 1996; 6 (03) 180-185
    CrossrefPubMedSearch in Google Scholar
  • 2 Luig P, Bloch H, Burkhardt K. et al. VBG-Sportreport 2018 – Analyse des Unfallgeschehens in den zwei höchsten Ligen der Männer: Basketball, Eishockey, Fußball und Handball. Hamburg: VBG; 2018
    Search in Google Scholar
  • 3 Waldén M, Hägglund M, Ekstrand J. UEFA Champions League study: a prospective study of injuries in professional football during the 2001–2002 season. Br J Sports Med 2005; 39 (08) 542-546
    CrossrefPubMedSearch in Google Scholar
  • 4 Hägglund M, Waldén M, Ekstrand J. Injuries among male and female elite football players. Scand J Med Sci Sports 2009; 19 (06) 819-827
    CrossrefPubMedSearch in Google Scholar
  • 5 Waldén M, Hägglund M, Ekstrand J. Time-trends and circumstances surrounding ankle injuries in men’s professional football: an 11-year follow-up of the UEFA Champions League injury study. Br J Sports Med 2013; 47 (12) 748-753
    CrossrefPubMedSearch in Google Scholar
  • 6 Woods C, Hawkins R, Hulse M. et al. The Football Association Medical Research Programme: an audit of injuries in professional football: an analysis of ankle sprains. Br J Sports Med 2003; 37 (03) 233-238
    CrossrefPubMedSearch in Google Scholar
  • 7 Gulbrandsen M, Hartigan DE, Patel KA. et al. Ten-Year Epidemiology of Ankle Injuries in Men’s and Women’s Collegiate Soccer Players. J Athl Train 2019; 54 (08) 881-888
    CrossrefPubMedSearch in Google Scholar
  • 8 Lubberts B, D’Hooghe P, Bengtsson H. et al. Epidemiology and return to play following isolated syndesmotic injuries of the ankle: a prospective cohort study of 3677 male professional footballers in the UEFA Elite Club Injury Study. Br J Sports Med 2019; 53 (15) 959-964
    CrossrefPubMedSearch in Google Scholar
  • 9 Steib S, Pfeifer K. Beeinträchtigungen der sensomotorischen Kontrolle bei funktioneller Sprunggelenkinstabilität [Sensorimotor Deficits in Functional Ankle Instability]. Z Orthop Unfall 2015; 153 (03) 253-258
    Thieme ConnectPubMedSearch in Google Scholar
  • 10 McKay GD, Goldie PA, Payne WR. et al. Ankle injuries in basketball: injury rate and risk factors. Br J Sports Med 2001; 35 (02) 103-108
    CrossrefPubMedSearch in Google Scholar
  • 11 Delahunt E, Remus A. Risk Factors for Lateral Ankle Sprains and Chronic Ankle Instability. J Athl Train 2019; 54 (06) 611-616
    CrossrefPubMedSearch in Google Scholar
  • 12 VBG Testmanual VKB.
    PubMed
  • 13 VBG Testmanual OSG.
    PubMed
  • 14 Page MJ, McKenzie JE, Bossuyt PM. et al. The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. BMJ 2021; 372: n71
    CrossrefPubMedSearch in Google Scholar
  • 15 Neyeloff J, Fuchs S, Moreira L. Meta-analyses and Forest plots using a microsoft excel spreadsheet: step-by-step guide focusing on descriptive data analysis. BMC Res Notes 2012; 5: 52
    CrossrefPubMedSearch in Google Scholar
  • 16 von Elm E, Altman DG, Egger M. et al. The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement: guidelines for reporting observational studies. J Clin Epidemiol 2008; 61 (04) 344-349
    CrossrefPubMedSearch in Google Scholar
  • 17 Della Villa F, Hägglund M, Della Villa S. et al. High rate of second ACL injury following ACL reconstruction in male professional footballers: an updated longitudinal analysis from 118 players in the UEFA Elite Club Injury Study. Br J Sports Med 2021; 55 (23) 1350-1356
    CrossrefPubMedSearch in Google Scholar
  • 18 Forsythe B, Lavoie-Gagne OZ, Forlenza EM. et al. Return-to-Play Times and Player Performance After ACL Reconstruction in Elite UEFA Professional Soccer Players: A Matched-Cohort Analysis From 1999 to 2019. Orthop J Sports Med 2021; 9 (05) 2325
    CrossrefPubMedSearch in Google Scholar
  • 19 Grooms DR, Page SJ, Nichols-Larsen DS. et al. Neuroplasticity Associated With Anterior Cruciate Ligament Reconstruction. J Orthop Sports Phys Ther 2017; 47 (03) 180-189
    CrossrefPubMedSearch in Google Scholar
  • 20 Needle AR, Lepley AS, Grooms DR. Central Nervous System Adaptation After Ligamentous Injury: a Summary of Theories, Evidence, and Clinical Interpretation. Sports Med 2017; 47 (07) 1271-1288
    CrossrefPubMedSearch in Google Scholar
  • 21 Malliaropoulos N, Ntessalen M, Papacostas E. et al. Reinjury after acute lateral ankle sprains in elite track and field athletes. Am J Sports Med 2009; 37 (09) 1755-1761
    CrossrefPubMedSearch in Google Scholar
  • 22 Hägglund M, Waldén M, Magnusson H. et al. Injuries affect team performance negatively in professional football: an 11-year follow-up of the UEFA Champions League injury study. Br J Sports Med 2013; 47 (12) 738-742
    CrossrefPubMedSearch in Google Scholar
  • 23 Bahr R, Clarsen B. International Olympic Committee Injury and Illness Epidemiology Consensus Group. et al. International Olympic Committee Consensus Statement: Methods for Recording and Reporting of Epidemiological Data on Injury and Illness in Sports 2020 (Including the STROBE Extension for Sports Injury and Illness Surveillance (STROBE-SIIS)). Orthop J Sports Med 2020; 8 (02) 2325967120902908
    Search in Google Scholar