Incidence and management of shoulder injuries in premier league professional football players

Abstract

Shoulder injuries in football are less common than lower limb injuries, but are often more serious than many other injuries and result in a longer time off play. No study has looked at the types of injuries and their interventions in professional footballers thus far. The aim was to review the serious shoulder injuries sustained in professional football over a period of four competitive seasons. Anonymous data was collected on all shoulder injuries claimed for from all English Premiership Football teams over four seasons. This data only applied to injuries that were claimed on health insurance from professional football clubs in the United Kingdom. It excluded minor injuries that did not require investigations or interventional treatment. There were 40 466 injury claims of which 3.3% were shoulder injuries (1335). This was equivalent to an average of 445 serious shoulder injuries per year. The percentage of shoulder injuries (injuries per year / total shoulder injuries) increased from 35% in the 2006-2007 season to 89% in the 2009-2010 season. There was also a steady increase in the number of MRI scans and injections, but not with MR arthrograms. There was an increase in the number of surgical interventions during the same time period. The vast majority of surgical procedures were arthroscopic stabilisations (26%) and labral repairs (23%). Stabilisations increased from 15% in 07-08 to 39% in 09-10 whereas the percentage of labral repairs has remained unchanged throughout. The incidences of signifi cant shoulder injuries and surgery have increased in professional football. The majority of the surgery has been labral and stabilisation surgery. Further investigation is required to examine the causes for these trends and possible injury reduction.group.bmj.com on June 22, 2015 -Published by

Accelerated rehabilitation after arthroscopic Bankart repair in professional footballers

“…The delineation between contact and non-contact athletes is key when comparing the findings of different studies and it is of note that, in the current literature, football (or soccer) is commonly included in the contact or collision group. Clearly, this is open to debate and the relative risk of sustaining a shoulder dislocation playing football (2% to 4% 18 ) compared to a sport such as rugby (20% 19 ) is significantly less. However, although the football population is at less risk of shoulder injury, there is an equivalent impact in terms of days lost to play 18 .…”

“…Clearly, this is open to debate and the relative risk of sustaining a shoulder dislocation playing football (2% to 4% 18 ) compared to a sport such as rugby (20% 19 ) is significantly less. However, although the football population is at less risk of shoulder injury, there is an equivalent impact in terms of days lost to play 18 . Furthermore, the incidence of significant shoulder injuries requiring surgery, most commonly relating to dislocation, has increased in professional football over the last decade.…”

Return to sports, functional outcomes, and recurrences after arthroscopic Bankart repair in soccer players

“…Although it is reported that only 3% of all soccerrelated injuries involve the upper limbs, there is an evident increase in the incidence of these events over the years. [2][3][4] This increase is thought to be related to changes in soccer performance (high-speed) and physical demanding skills (pressing and marking) for soccer players, thus turning this sport nowadays into a harsher contact sport, where traumatic injuries ensue more frequently. [2][3][4] The majority of upper limb injuries related to soccer are shoulder injuries.…”

“…2–4 This increase is thought to be related to changes in soccer performance (high-speed) and physical demanding skills (pressing and marking) for soccer players, thus turning this sport nowadays into a harsher contact sport, where traumatic injuries ensue more frequently. 2–4…”

“…[2][3][4] This increase is thought to be related to changes in soccer performance (high-speed) and physical demanding skills (pressing and marking) for soccer players, thus turning this sport nowadays into a harsher contact sport, where traumatic injuries ensue more frequently. [2][3][4] The majority of upper limb injuries related to soccer are shoulder injuries. Twenty-eight percent are considered severe since they prevent soccer players from competing for 28 days or more.…”