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. 2005 Aug;39(8):542–546. doi: 10.1136/bjsm.2004.014571

UEFA Champions League study: a prospective study of injuries in professional football during the 2001–2002 season

M Walden 1, M Hagglund 1, J Ekstrand 1
PMCID: PMC1725291  PMID: 16046340

Abstract

Background: No previous study on adult football involving several different countries has investigated the incidence and pattern of injuries at the highest club competitive level.

Objective: To investigate the risk exposure, risk of injury, and injury pattern of footballers involved in UEFA Champions League and international matches during a full football season.

Method: Eleven top clubs (266 players) in five European countries were followed prospectively throughout the season of 2001–2002. Time-lost injuries and individual exposure times were recorded during all club and national team training sessions and matches.

Results: A total of 658 injuries were recorded. The mean (SD) injury incidence was 9.4 (3.2) injuries per 1000 hours (30.5 (11.0) injuries per 1000 match hours and 5.8 (2.1) injuries per 1000 training hours). The risk of match injury was significantly higher in the English and Dutch teams than in the teams from France, Italy, and Spain (41.8 (3.3) v 24.0 (7.9) injuries per 1000 hours; p = 0.008). Major injuries (absence >4 weeks) constituted 15% of all injuries, and the risk of major injury was also significantly higher among the English and Dutch teams (p = 0.04). National team players had a higher match exposure, with a tendency towards a lower training injury incidence than the rest of the players (p = 0.051). Thigh strain was the most common injury (16%), with posterior strains being significantly more common than anterior ones (67 v 36; p<0.0001).

Conclusions: The risk of injury in European professional football is high. The most common injury is the thigh strain typically involving the hamstrings. The results suggest that regional differences may influence injury epidemiology and traumatology, but the factors involved are unclear. National team players have a higher match exposure, but no higher risk of injury than other top level players.

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Selected References

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  1. Arnason A., Gudmundsson A., Dahl H. A., Jóhannsson E. Soccer injuries in Iceland. Scand J Med Sci Sports. 1996 Feb;6(1):40–45. doi: 10.1111/j.1600-0838.1996.tb00069.x. [DOI] [PubMed] [Google Scholar]
  2. Berger-Vachon C., Gabard G., Moyen B. Soccer accidents in the French Rhône-Alpes Soccer Association. Sports Med. 1986 Jan-Feb;3(1):69–77. doi: 10.2165/00007256-198603010-00007. [DOI] [PubMed] [Google Scholar]
  3. Ekstrand J., Gillquist J., Möller M., Oberg B., Liljedahl S. O. Incidence of soccer injuries and their relation to training and team success. Am J Sports Med. 1983 Mar-Apr;11(2):63–67. doi: 10.1177/036354658301100203. [DOI] [PubMed] [Google Scholar]
  4. Ekstrand J., Gillquist J. Soccer injuries and their mechanisms: a prospective study. Med Sci Sports Exerc. 1983;15(3):267–270. doi: 10.1249/00005768-198315030-00014. [DOI] [PubMed] [Google Scholar]
  5. Ekstrand J., Nigg B. M. Surface-related injuries in soccer. Sports Med. 1989 Jul;8(1):56–62. doi: 10.2165/00007256-198908010-00006. [DOI] [PubMed] [Google Scholar]
  6. Ekstrand J., Tropp H. The incidence of ankle sprains in soccer. Foot Ankle. 1990 Aug;11(1):41–44. doi: 10.1177/107110079001100108. [DOI] [PubMed] [Google Scholar]
  7. Ekstrand J., Waldén M., Hägglund M. A congested football calendar and the wellbeing of players: correlation between match exposure of European footballers before the World Cup 2002 and their injuries and performances during that World Cup. Br J Sports Med. 2004 Aug;38(4):493–497. doi: 10.1136/bjsm.2003.009134. [DOI] [PMC free article] [PubMed] [Google Scholar]
  8. Ekstrand Jan, Waldén Markus, Hägglund Martin. Risk for injury when playing in a national football team. Scand J Med Sci Sports. 2004 Feb;14(1):34–38. doi: 10.1111/j.1600-0838.2003.00330.x. [DOI] [PubMed] [Google Scholar]
  9. Engström B., Forssblad M., Johansson C., Törnkvist H. Does a major knee injury definitely sideline an elite soccer player? Am J Sports Med. 1990 Jan-Feb;18(1):101–105. doi: 10.1177/036354659001800118. [DOI] [PubMed] [Google Scholar]
  10. Hawkins R. D., Fuller C. W. A prospective epidemiological study of injuries in four English professional football clubs. Br J Sports Med. 1999 Jun;33(3):196–203. doi: 10.1136/bjsm.33.3.196. [DOI] [PMC free article] [PubMed] [Google Scholar]
  11. Hawkins R. D., Hulse M. A., Wilkinson C., Hodson A., Gibson M. The association football medical research programme: an audit of injuries in professional football. Br J Sports Med. 2001 Feb;35(1):43–47. doi: 10.1136/bjsm.35.1.43. [DOI] [PMC free article] [PubMed] [Google Scholar]
  12. Hohmann Erik, Wörtler Klaus, Imhoff Andreas B. MR imaging of the hip and knee before and after marathon running. Am J Sports Med. 2004 Jan-Feb;32(1):55–59. doi: 10.1177/0363546503258904. [DOI] [PubMed] [Google Scholar]
  13. Hägglund Martin, Waldén Markus, Ekstrand Jan. Exposure and injury risk in Swedish elite football: a comparison between seasons 1982 and 2001. Scand J Med Sci Sports. 2003 Dec;13(6):364–370. doi: 10.1046/j.1600-0838.2003.00327.x. [DOI] [PubMed] [Google Scholar]
  14. Hägglund Martin, Waldén Markus, Ekstrand Jan. Injury incidence and distribution in elite football--a prospective study of the Danish and the Swedish top divisions. Scand J Med Sci Sports. 2005 Feb;15(1):21–28. doi: 10.1111/j.1600-0838.2004.00395.x. [DOI] [PubMed] [Google Scholar]
  15. Junge A., Chomiak J., Dvorak J. Incidence of football injuries in youth players. Comparison of players from two European regions. Am J Sports Med. 2000;28(5 Suppl):S47–S50. doi: 10.1177/28.suppl_5.s-47. [DOI] [PubMed] [Google Scholar]
  16. Nielsen A. B., Yde J. Epidemiology and traumatology of injuries in soccer. Am J Sports Med. 1989 Nov-Dec;17(6):803–807. doi: 10.1177/036354658901700614. [DOI] [PubMed] [Google Scholar]
  17. Orchard John. Is there a relationship between ground and climatic conditions and injuries in football? Sports Med. 2002;32(7):419–432. doi: 10.2165/00007256-200232070-00002. [DOI] [PubMed] [Google Scholar]
  18. Waldén Markus, Hägglund Martin, Ekstrand Jan. Injuries in Swedish elite football--a prospective study on injury definitions, risk for injury and injury pattern during 2001. Scand J Med Sci Sports. 2005 Apr;15(2):118–125. doi: 10.1111/j.1600-0838.2004.00393.x. [DOI] [PubMed] [Google Scholar]
  19. Woods C., Hawkins R., Hulse M., Hodson A. The Football Association Medical Research Programme: an audit of injuries in professional football-analysis of preseason injuries. Br J Sports Med. 2002 Dec;36(6):436–441. doi: 10.1136/bjsm.36.6.436. [DOI] [PMC free article] [PubMed] [Google Scholar]

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