Association of Skeletal Maturity and Injury Risk in Elite Youth Soccer Players: A 4-Season Prospective Study With Survival Analysis

被引：27

作者：

Materne, Olivier ^{[1
,2
,3
,4
,5
]}

Chamari, Karim ^{[1
,3
]}

Farooq, Abdulaziz ^{[1
,3
]}

Weir, Adam ^{[1
,3
,6
,7
]}

Holmich, Per ^{[1
,3
,8
]}

Bahr, Roald ^{[1
,3
,9
]}

Greig, Matt ^{[1
,10
]}

McNaughton, Lars R. ^{[1
,10
,11
]}

机构：

[1] Aspire Acad, Doha, Qatar

[2] Rangers Training Ctr, Rangers Football Club, Auchenhowie Rd, Glasgow G62 6EJ, Lanark, Scotland

[3] Orthopaed & Sports Med Hosp, ASPETAR, Doha, Qatar

[4] Aspire Acad, Aspire Hlth Ctr, Doha, Qatar

[5] Rangers Football Club, Glasgow, Lanark, Scotland

[6] Clin Haarlem SBK, Sport Med & Exercise, Haarlem, Netherlands

[7] Erasmus MC, Univ Med Ctr, Dept Orthopaed, Rotterdam, Netherlands

[8] Copenhagen Univ Hosp, Copenhagen SORC C, Sports Orthopaed Res Ctr, Amager Hvidovre, Denmark

[9] Norwegian Sch Sport Sci, Oslo Sports Trauma Res Ctr, Dept Sports Med, Oslo, Norway

[10] Edge Hill Univ, Dept Sport & Phys Act, Ormskirk, England

[11] Univ Johannesburg, Fac Hlth Sci, Dept Sport & Movement Studies, Auckland Pk, Johannesburg, South Africa

来源：

ORTHOPAEDIC JOURNAL OF SPORTS MEDICINE | 2021年 / 9卷 / 03期

关键词：

football; biological age; injury prevention; growth plate injuries; apophysis; PUBIC APOPHYSITIS; FOOTBALL INJURIES; MUSCLE INJURIES; SPORTS; AGE; MATURATION; CHILDRENS; STATEMENT; HEIGHT; RATES;

D O I：

10.1177/2325967121999113

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

Background: The association between injury risk and skeletal maturity in youth soccer has received little attention. Purpose: To prospectively investigate injury patterns and incidence in relation to skeletal maturity in elite youth academy soccer players and to determine the injury risks associated with the skeletal maturity status, both overall and to the lower limb apophysis. Study Design: Descriptive epidemiology study. Methods: All injuries that required medical attention and led to time loss were recorded prospectively during 4 consecutive seasons in 283 unique soccer players from U-13 (12 years of age) to U-19 (18 years). The skeletal age (SA) was assessed in 454 player-seasons using the Fels method, and skeletal maturity status (SA minus chronological age) was classified as follows: late, SA >1 year behind chronological age; normal, SA +/- 1 year of chronological age; early, SA >1 year ahead of chronological age; and mature, SA = 18 years. An adjusted Cox regression model was used to analyze the injury risk. Results: A total of 1565 injuries were recorded; 60% were time-loss injuries, resulting in 17,772 days lost. Adjusted injury-free survival analysis showed a significantly greater hazard ratio (HR) for different status of skeletal maturity: early vs normal (HR = 1.26 [95% CI, 1.11-1.42]; P < .001) and early vs mature (HR = 1.35 [95% CI, 1.17-1.56]; P < .001). Players who were skeletally mature at the wrist had a substantially decreased risk of lower extremity apophyseal injuries (by 45%-61%) compared with late (P < .05), normal (P < .05), and early (P < .001) maturers. Conclusion: Musculoskeletal injury patterns and injury risks varied depending on the players' skeletal maturity status. Early maturers had the greatest overall adjusted injury risk. Players who were already skeletally mature at the wrist had the lowest risk of lower extremity apophyseal injuries but were still vulnerable for hip and pelvis apophyseal injuries.

引用

页数：11

共 55 条

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