Higher risk of ACL rupture in amateur football compared to professional football: 5-year results of the ‘Anterior cruciate ligament-registry in German football’

Szymski, Dominik; Achenbach, Leonard; Zellner, Johannes; Weber, J. Robert; Koch, Matthias; Zeman, Florian; Huppertz, Gunnar; Pfeifer, Christian; Alt, Volker; Krutsch, Werner

doi:10.1007/s00167-021-06737-y

Cited by 18 publications

(19 citation statements)

References 41 publications

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“…Similar findings were recently reported by Szymski [51] for soccer players of different leagues, but also for handball players of different leagues [52].…”

Section: Accepted Manuscriptsupporting

confidence: 91%

Measures of Knee Capability in Handball Players Differ by Age: A Cross Sectional Study

Mayer

Rühlemann

Busch

et al. 2022

Sports Med Int Open

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The return to sport after knee injury is challenging. This is cruel for sports with a high incidence of injuries, such as team handball. Various tests guide decision making, but often, the athlete`s preinjury performance of these measures remains unknown. Moreover, objective return to sport criteria of a matching population are missing. The purpose of this study was to evaluate objective measures of knee capability in handball depending on players’ age. 261 handball players performed a functional test battery designed to evaluate knee capability after anterior cruciate ligament injury: two- and one-legged stability analysis, jumps, speed tests and agility assessments. For age-specific evaluation, athletes were divided into three age groups (16-19; 20-29; ≥ 30 years). Male players showed a differences in two and one-legged jumping height (p<0.02) as well as power per body weight (p< 0.01) between age groups. Young female players reached better results in two-and one-legged stability. Besides the quick feet test, results of females did not differ between age groups. Functional knee stability in healthy handball players is partly influenced by age, females show better results in stability and male athletes in power measurements. This aspect should be taken into account for return to sports testing and underlines the importance of performance measures in athletic testing.

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“…Similar findings were recently reported by Szymski [51] for soccer players of different leagues, but also for handball players of different leagues [52].…”

Section: Accepted Manuscriptsupporting

confidence: 91%

Measures of Knee Capability in Handball Players Differ by Age: A Cross Sectional Study

Mayer

Rühlemann

Busch

et al. 2022

Sports Med Int Open

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Section: Introductionmentioning

confidence: 99%

“…In particular, in football the incidence of ACL ruptures is increased compared to other team sports and therefore considered as “high-risk” sport [ 22 ]. Amateur players are thereby in charge of an increased risk with a significantly higher probability of occurrence [ 3 , 21 , 26 ]. Majority of all football players (est.…”

Section: Introductionmentioning

confidence: 99%

“…Majority of all football players (est. over 450 million worldwide) are accounted as recreational athletes and suffer from this increased risk of sustaining an ACL rupture [ 26 ]. With a season prevalence of 12.1 (range 6.8–15.9) ACL injuries for a recreational league and overall 2235 football leagues in Germany ( https://www.dfb.de/ ), number of around 27,000 (range 15,198–35,536) cruciate ligament ruptures due to playing and training activities in football can be expected in Germany every year [ 26 , 27 ].…”

Section: Introductionmentioning

confidence: 99%

“…over 450 million worldwide) are accounted as recreational athletes and suffer from this increased risk of sustaining an ACL rupture [ 26 ]. With a season prevalence of 12.1 (range 6.8–15.9) ACL injuries for a recreational league and overall 2235 football leagues in Germany ( https://www.dfb.de/ ), number of around 27,000 (range 15,198–35,536) cruciate ligament ruptures due to playing and training activities in football can be expected in Germany every year [ 26 , 27 ]. Particularly for amateur players, a loss of time after an anterior cruciate ligament rupture with subsequent rehabilitation and a high number of sick-leave days mean an enormous burden [ 5 ].…”

Section: Introductionmentioning

confidence: 99%

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Reduced performance after return to competition in ACL injuries: an analysis on return to competition in the ‘ACL registry in German Football’

Szymski

Achenbach

Weber

et al. 2022

Knee Surg Sports Traumatol Arthrosc

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Purpose ACL injuries are one of the most severe injuries in football, but medical consequences and performance outcomes after return to competition are only rarely investigated. Aim of this study was to analyse the time of return to competition (RTC) in German professional, semi-professional and amateur football. Also, this investigation highlights the rate of career ending and performance outcome after RTC in different playing levels by the measurement of playing level, performed matches and played minutes. Methods Database of this investigation is the ‘ACL registry in German Football’ with prospectively collected injury data. Between 2014 and 2018, four seasons in professional (1st–3rd league), semi-professional (4th–6th league) and amateur leagues (7th league) were analysed regarding the return to competition period and performance parameters. Data were collected for three subsequent seasons after injury and compared with the pre-injury and injury season. Data collection was performed using standardized methods. Results A total of 607 ACL injuries were registered during the 4-year period with a mean RTC time of 337.1 day (SD: 183). After primary ACL ruptures, the fastest RTC was found in professional football (247.3 days), while in semi-professional (333.5 d; p < 0.0001) and amateur football (376.2 d; p < 0.0001) a prolonged absence was detected. Re-ruptures occurred in 17.8% (n = 108) and showed similar trend with fastest RTC in professionals (289.9 days; p = 0.002). Within the first three seasons after injury, 92 players (36.7%) in semi-professional and 24 (20%) in professionals had to end their career. Keeping the level of play was only possible for 48 (47.5%) of professionals, while only 47 (29.6%) of semi-professionals and 43 (28.1%) of amateurs were able to. Only in professional football, no significant difference could be seen in the played minutes and games after 2 years compared to the pre-injury season. Conclusion Lower playing levels and re-ruptures are the main factors for a prolonged return to competition after ACL rupture in German football. Significant reduction in playing level and a high rate of career endings were found for all levels of play. However, only professional players were able to regain their playing minutes and games 2 years after injury, while lower classed athletes did not reach the same amount within 3 years. Level of evidence Level III.

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Complex knee injuries in football

Krutsch,

Kobes,

Huber

et al. 2024

Orthopädie

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Higher risk of ACL rupture in amateur football compared to professional football: 5-year results of the ‘Anterior cruciate ligament-registry in German football’

Cited by 18 publications

References 41 publications

Measures of Knee Capability in Handball Players Differ by Age: A Cross Sectional Study

Measures of Knee Capability in Handball Players Differ by Age: A Cross Sectional Study

Reduced performance after return to competition in ACL injuries: an analysis on return to competition in the ‘ACL registry in German Football’

Complex knee injuries in football

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