The epidemiology of ankle injuries occurring in English Football Association academies

Objective: To ascertain the epidemiology of ankle injuries in elite youth football. Design: Retrospective analysis of prospectively collected injury data from English Football Association (FA) academies. Setting: Forty-one FA football academies, between 1998 and 2006. Participants: For the complete seasons studied, a total of 14 776 players was registered from U9 to the U16 age category, a mean of 2463 players per year. All ankle injuries of sufficient severity to miss 48 h or more of training were studied, 2563 injuries in total. Main Outcome Measure: The incidence and burden of ankle injuries in this population and factors associated with injury. Results: There was a mean incidence of one ankle injury per player per year, and a mean of 20 training days and two matches were missed per ankle injury. Increased injury rates were seen in older players, in competition and later in each half of match time. Peaks in injury were observed early in the season and after the winter break. In competition, more injuries were associated with a contact situation than in training. Eighty-eight injuries (3.4%) required a lay-off of 3 months or more and in 18 (0.7%) cases the player failed to return to training. In total, 52 290 training days and 5182 match appearances were lost through ankle injury. The majority of injuries were sprains, but more severe injuries occurred accounted for 3.9% of the total. Conclusions: Ankle injuries are common in young football players and are often severe, with prolonged loss of training time. This has potential far-reaching implications, both on and off the field.

[1]  R. Bahr,et al.  Self-Reported Injury History and Lower Limb Function as Risk Factors for Injuries in Female Youth Soccer , 2008, The American journal of sports medicine.

[2]  Eleftherios Kellis,et al.  Ankle Sprain Injuries and Risk Factors in Amateur Soccer Players during a 2-Year Period , 2007, The American journal of sports medicine.

[3]  C. Carling,et al.  Biological maturity and injury in elite youth football , 2006, Scandinavian journal of medicine & science in sports.

[4]  C. Carling,et al.  Incidence of Injuries in Elite French Youth Soccer Players , 2006, The American journal of sports medicine.

[5]  Willem H. Meeuwisse,et al.  Risk Factors for Injury in Adolescent Soccer: Implementation And Validation of An Injury Surveillance System , 2005 .

[6]  W E Garrett,et al.  Injury history as a risk factor for incident injury in youth soccer , 2005, British Journal of Sports Medicine.

[7]  R. Bahr,et al.  Methods for epidemiological study of injuries to professional football players: developing the UEFA model , 2005, British Journal of Sports Medicine.

[8]  Martin Hägglund,et al.  Injuries in Swedish elite football—a prospective study on injury definitions, risk for injury and injury pattern during 2001 , 2005, Scandinavian journal of medicine & science in sports.

[9]  A. Anandacoomarasamy,et al.  Long term outcomes of inversion ankle injuries , 2005, British Journal of Sports Medicine.

[10]  M. Hulse,et al.  The Football Association medical research programme: an audit of injuries in academy youth football , 2004, British Journal of Sports Medicine.

[11]  J. Lord,et al.  Overuse injuries in pediatric athletes , 2004, Current opinion in pediatrics.

[12]  A Hodson,et al.  The Football Association Medical Research Programme: an audit of injuries in professional football: an analysis of ankle sprains , 2003, British journal of sports medicine.

[13]  P. Volpi,et al.  The major traumas in youth football , 2003, Knee Surgery, Sports Traumatology, Arthroscopy.

[14]  A. Junge,et al.  Prevention of Soccer Injuries: A Prospective Intervention Study in Youth Amateur Players , 2002, The American journal of sports medicine.

[15]  A. Junge,et al.  Influence of Definition and Data Collection on the Incidence of Injuries in Football , 2000, The American journal of sports medicine.

[16]  J Dvorak,et al.  Incidence of Football Injuries and Complaints in Different Age Groups and Skill-Level Groups , 2000, The American journal of sports medicine.

[17]  W. Grana,et al.  Natural History of a Hamstring Tendon Autograft Used for Anterior Cruciate Ligament Reconstruction in a Sheep Model , 2000, The American journal of sports medicine.

[18]  E. Larsen,et al.  Long‐term outcome of knee and ankle injuries in elite football , 1999, Scandinavian journal of medicine & science in sports.

[19]  C W Fuller,et al.  A prospective epidemiological study of injuries in four English professional football clubs. , 1999, British journal of sports medicine.

[20]  W. Mechelen,et al.  Incidence, Severity, Aetiology and Prevention of Sports Injuries , 1992 .

[21]  U. Jørgensen,et al.  Injuries among young soccer players , 1991, The American journal of sports medicine.

[22]  N. Gould,et al.  Osteochondritis Dissecans of the Talus (Transchondral Fractures of the Talus): Review of the Literature and New Surgical Approach for Medial Dome Lesions , 1985, Foot & ankle.

[23]  W. Grana,et al.  Evaluation of injuries in youth soccer , 1980, The American journal of sports medicine.

[24]  A. Roaas,et al.  Soccer injuries in adolescents , 1978, The American journal of sports medicine.

[25]  Thomas Reilly,et al.  This material is the copyright of the original publisher. Unauthorised copying and distribution is prohibited. The Role of Motion Analysis in Elite Soccer Contemporary Performance Measurement Techniques and Work Rate Data , 2008 .

[26]  Thomas Reilly,et al.  The Role of Motion Analysis in Elite Soccer , 2008, Sports medicine.

[27]  A. McCaskie,et al.  Adolescent musculoskeletal injuries in a football academy. , 2007, The Journal of bone and joint surgery. British volume.

[28]  N. Maffulli,et al.  Injuries in young athletes , 2000, European Journal of Pediatrics.

[29]  J. Davis,et al.  Possible mechanisms of central nervous system fatigue during exercise. , 1997, Medicine and science in sports and exercise.

[30]  H. Hlobil,et al.  Incidence, severity, aetiology and prevention of sports injuries. A review of concepts. , 1992, Sports medicine.