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Estudio de cohortes2011Financiación no declarada

Epidemiology of patellar tendinopathy in elite male soccer players

Hägglund M, Zwerver J, Ekstrand J

The American journal of sports medicine · 82 citas

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Financiación no declarada

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Cómo se estudió

Diseño
Estudio de cohortes (indexado por PubMed)
Estudiado en
Personas
Resultado principal
Eventos clínicos como enfermedad o muerte

Quién lo pagó

Financiación
Financiación no declarada

Publicación

Publicado
2011-06-03 · Am J Sports Med · vol. 39 · número 9 · págs. 1906–1911
Editorial
SAGE Publishing
Citado
138 citas · más que el 93% de estudios similares · 3.6× el promedio de su campo
Impacto
Entre el 10 % más citado de su campo
Referencias
31 trabajos
Acceso
Acceso abierto (copia en repositorio) · OTHER-OA
Áreas de investigación
Tendon Structure and Treatment · Sports injuries and prevention · Lower Extremity Biomechanics and Pathologies
Palabras clave
Medicine, Epidemiology, Tendinopathy, Cohort, Cohort study, Logistic regression, Odds ratio, Confidence interval, Physical therapy, Incidence (geometry), Rate ratio, Athletes, Surgery, Tendon, Internal medicine
MeSH
patellar ligament, humans, knee injuries, incidence, prevalence, risk factors, cohort studies, european union, soccer, adult, male, tendinopathy, young adult

3 autores

  • Martin Hägglund🇸🇪 · autor de correspondenciaLinköping University
  • Johannes Zwerver🇳🇱University Medical Center Groningen; University of Groningen
  • Jan Ekstrand🇸🇪Linköping University

Resumen

El texto original del estudio, en el idioma en que se publicó.

Background

Patellar tendinopathy is common among athletes in jumping sports and in sports with prolonged repetitive stress of the knee extensor apparatus. The epidemiology in soccer is not well described.

Purpose

This study was undertaken to investigate and describe the epidemiology of patellar tendinopathy in elite male soccer players and evaluate potential risk factors.

Study design

Cohort study; Level of evidence, 2.

Methods

Between 2001 and 2009, the authors followed 51 European elite soccer clubs (2229 players) from 3 different cohorts: the Swedish First League cohort (SWE) and Union of European Football Associations (UEFA) Champions League cohort (UCL), both playing on natural grass; and the Artifical Turf cohort (ART), playing on third-generation artificial turf. Individual player exposure in training and matches and time-loss injuries were recorded.

Results

In total, 137 patellar tendinopathies were recorded, comprising 1.5% of all injuries and corresponding to an incidence of 0.12 injuries/1000 hours. Each season, 2.4% of players were affected, with most injuries (61%) resulting in absence up to 1 week or less. Twenty percent of tendinopathies were recurrent complaints. No significant difference in season prevalence (odds ratio [OR], 0.93; 95% confidence interval [CI], 0.60-1.44; P = .74) or incidence (rate ratio [RR] 1.20; 95% CI, 0.82-1.75; P = .36) was observed between teams playing on artificial turf and natural grass, respectively. Multivariate logistic regression showed that a high total exposure hours (OR, 1.02 per 10-hour increase; 95% CI, 1.00-1.04; P = .033) was a significant risk factor for patellar tendinopathy, and increased body mass was borderline significant (OR, 1.15 per 5-kg increase; 95% CI, 1.00-1.33; P = .055). In addition, 2 acute partial tendon ruptures were recorded, but no total rupture.

Conclusion

Although mainly mild in nature, patellar tendinopathy is a fairly common condition in elite soccer and the recurrence rate is high. Exposure to artificial turf did not increase the prevalence or incidence of injury. High total amount of exposure was identified as a risk factor for patellar tendinopathy.

Resumen vía Europe PMC. Los derechos de autor siguen siendo de los autores o la editorial.

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