scholarly journals The Fifth Metatarsal Bone Fracture In Athletes ‐ Modalities of Treatment Related to Agility In Soccer Players

2021 ◽  
Vol 79 (1) ◽  
pp. 101-110
Author(s):  
Krzysztof Ficek ◽  
Natalia Kędra ◽  
Radosław Skowronek ◽  
Kamila Kluczniok ◽  
Magdalena Strózik ◽  
...  
Keyword(s):  
Bone Fracture ◽  
Metatarsal Bone ◽  
Return To Play ◽  
Soccer Players ◽  
Professional Soccer ◽  
Fracture Stabilization ◽  
Limb Loading ◽  
Metatarsal Fracture ◽  
Foot Fracture ◽  
Percutaneous Internal Fixation

Abstract The 5th metatarsal fracture is a common foot fracture which could exclude a player from competition for several months and significantly affect his or her career. This manuscript presents the treatment and rehabilitation of professional soccer players who had acute fractures of the 5th metatarsal bone and a cannulated screw fixation. The main purpose of the analysis was to determine the minimum time necessary for a permanent return to the sport after a 5th metatarsal fracture among professional soccer players. We followed the surgical and rehabilitation path of 21 professional soccer players from the Polish League (Ist and IInd divisions) who suffered from the 5th metatarsal bone fracture. All players underwent standard percutaneous internal fixation with the use of cannulated screws. The total inability to play lasted for 9.2 (± 1.86) weeks among players treated only surgically (n = 10), 17.5 (± 2.5) weeks in the conservative and later surgery group, excluding players with nonunion (n = 6), and 24.5 (± 10.5) weeks for nonunion and switch treatment (n = 4) players. Prompt fracture stabilization surgery is recommended for athletes, enabling the implementation of an aggressive rehabilitation protocol as soon as possible. Early limb loading after surgery (from week 2) does not delay fracture healing or hinder the bone union, thus rehabilitation plays a crucial role in shortening the time of RTP (return to play) and is obligatory for each athlete who undergoes surgical treatment.

scholarly journals Ultrasound-Guided Percutaneous Needle Electrolysis and Rehab and Reconditioning Program for Rectus Femoris Muscle Injuries: A Cohort Study with Professional Soccer Players and a 20-Week Follow-Up

2020 ◽  
Vol 10 (21) ◽  
pp. 7912
Author(s):  
Fermín Valera-Garrido ◽  
Sergio Jiménez-Rubio ◽  
Francisco Minaya-Muñoz ◽  
José Luis Estévez-Rodríguez ◽  
Archit Navandar
Keyword(s):  
Ultrasound Image ◽  
Rectus Femoris ◽  
Return To Play ◽  
Soccer Players ◽  
Muscle Injuries ◽  
Professional Soccer ◽  
Before And After ◽  
Rectus Femoris Muscle ◽  
Femoris Muscle

Rectus femoris muscle strains are one of the most common injuries occurring in sports such as soccer. The purpose of this study was to describe the safety and feasibility of a combination of percutaneous needle electrolysis (PNE) and a specific rehab and reconditioning program (RRP) following an injury to the rectus femoris in professional soccer players. Thirteen professional soccer players received PNE treatment 48 h after a grade II rectus femoris muscle injury, followed by a the RRP 24 h later. Assessment of recovery from injury was done by registering the days taken to return to train (RTT), return to play (RTP), and structural and functional progress of the injured muscle was registered through ultrasound imaging and match-GPS parameters. Also, adverse events and reinjuries were recorded in the follow up period of twenty weeks. The RTT registered was 15.62 ± 1.80 days and RTP was 20.15 ± 2.79 days. After fourteen days, the ultrasound image showed optimal repair. Match-GPS parameters were similar before and after injury. There were no relapses nor were any serious adverse effects reported during the 20-week follow-up after the RTP. A combination of PNE and a specific RRP facilitated a faster RTP in previously injured professional soccer players enabling them to sustain performance and avoid reinjuries.

scholarly journals Return to Play and Player Performance After Achilles Tendon Rupture in UEFA Professional Soccer Players: A Matched-Cohort Analysis of Players From 1999 to 2018

2021 ◽  
Vol 9 (9) ◽  
pp. 232596712110241
Author(s):  
Enrico M. Forlenza ◽  
Ophelie Z. Lavoie-Gagne ◽  
Yining Lu ◽  
Connor C. Diaz ◽  
Jorge Chahla ◽  
...  
Keyword(s):  
Achilles Tendon ◽  
Tendon Rupture ◽  
Performance Metrics ◽  
Cohort Analysis ◽  
Achilles Tendon Rupture ◽  
Return To Play ◽  
Soccer Players ◽  
Professional Soccer ◽  
The Mean ◽  
Player Performance

Background: Achilles tendon rupture (ATR) is a potentially career-ending injury in professional athletes. Limited information exists regarding return to play (RTP) in professional soccer players after this injury. Purpose: To determine the RTP rate and time in professional soccer players after ATR and to evaluate player performance relative to matched controls. Study Design: Cohort study; Level of evidence, 3. Methods: We evaluated 132 professional soccer players who suffered an ATR between 1999 and 2018. These athletes were matched 2:1 to uninjured controls by position, age, season of injury, seasons played, and height. We collected information on the date of injury, the date of RTP, and player performance metrics (minutes played, games played, goals scored, assists made, and points per game) from official team websites, public injury reports, and press releases. Changes in performance metrics for the 4 years after the season of injury were compared with metrics 1 season before injury. Univariate comparisons were performed using independent-sample, 2-group t tests and Wilcoxon rank-sum tests when normality of distributions was violated. Results: The mean age at ATR was 27.49 ± 4.06 years, and the mean time to RTP was 5.07 ± 2.61 months (18.19 ± 10.96 games). The RTP rate was 71% for the season after injury and 78% for return at any timepoint. Overall, 9% of the injured players experienced a rerupture during the study period. Compared with controls, the injured players played significantly less (-6.77 vs -1.81 games [ P < .001] and -560.17 vs -171.17 minutes [ P < .05]) and recorded fewer goals (-1.06 vs -0.29 [ P < .05]) and assists (-0.76 vs -0.02 [ P < .05]) during the season of their Achilles rupture. With the exception of midfielders, there were no significant differences in play time or performance metrics between injured and uninjured players at any postinjury timepoint. Conclusion: Soccer players who suffered an ATR had a 78% RTP rate, with a mean RTP time of 5 months. Injured players played less and demonstrated inferior performance during the season of injury. With the exception of midfielders, players displayed no significant differences in play time or performance during any of the 4 postinjury seasons.

scholarly journals Performance of Professional Soccer Players before and after COVID-19 Infection; Observational Study with an Emphasis on Graduated Return to Play

2021 ◽  
Vol 18 (21) ◽  
pp. 11688
Author(s):  
Anamarija Jurcev Savicevic ◽  
Jasna Nincevic ◽  
Sime Versic ◽  
Sarah Cuschieri ◽  
Ante Bandalovic ◽  
...  
Keyword(s):  
High Intensity ◽  
Total Sample ◽  
Return To Play ◽  
Soccer Players ◽  
Test Results ◽  
Professional Soccer ◽  
Before And After ◽  
Moderate Effect Size ◽  
The Impact ◽  
Pcr Test

The impact of the COVID-19 pandemic in sport has been the subject of numerous studies over the past two years. However, knowledge about the direct impact of COVID-19 infection on the performance of athletes is limited, and the importance of studies on this topic is crucial during the current pandemic era. This study aimed to evaluate the changes in the match running performance (MRP) of professional soccer players that occurred as a result of COVID-19 infection after fulfilling all of the prerequisites for a safe return to play (RTP). The participants were 47 professional soccer players from a team which competed in first Croatian division (21.6 years old on average) during the 2020/21 season. The total sample was divided into two subgroups based on the results of a PCR test for COVID-19, where 31 players tested positive (infected) and 16 tested negative. We observed the PCR test results (positive vs. negative PCR), the number of days needed to return to the team, number of days needed to RTP after quarantine and isolation, and MRP (10 variables measured by a global positioning system). The number of days where the infected players were not included in the team ranged from 7 to 51 (Median: 12). Significant pre- to post-COVID differences in MRP for infected players were only found for high-intensity accelerations and high-intensity decelerations (t-test = 2.11 and 2.13, respectively; p < 0.05, moderate effect size differences), with poorer performance in the post-COVID period. Since a decrease of the MRP as a result of COVID-19 infection was only noted in two variables, we can highlight appropriateness of the applied RTP. However, further adaptations and improvements of the RTP are needed with regard to high-intensity activities.

Professional soccer players; Return to play and performance after Achilles tendon ruptures

2017 ◽  
Vol 23 ◽  
pp. 121
Author(s):  
D. Trofa ◽  
P. Noback ◽  
C. Ahmad ◽  
J. Greisberg ◽  
J. Turner Vosseller
Keyword(s):  
Achilles Tendon ◽  
Return To Play ◽  
Soccer Players ◽  
Professional Soccer ◽  
Tendon Ruptures ◽  
And Performance

scholarly journals The Incidence and Severity of COVID-19 in Adult Professional Soccer Players

2020 ◽  
Author(s):  
Eduard Bezuglov ◽  
Artemii Lazarev ◽  
Evgeniy Achkasov ◽  
Vladimir Khaitin ◽  
Larisa Romanova ◽  
...  
Keyword(s):  
Clinical Symptoms ◽  
Clinical Course ◽  
Practical Interest ◽  
Return To Play ◽  
Soccer Players ◽  
Duration Of Treatment ◽  
Professional Soccer ◽  
Premier League ◽  
Soccer Teams ◽  
Great Practical Interest

AbstractIntroductionAt present, there are no data regarding the incidence and clinical course of COVID-19 among professional soccer players, and the studies examining putative complications of COVID-19 infections are probabilistic. Thus, examining the incidence of COVID-19 and various aspects of its clinical course in a group of adult professional soccer players would be of great practical interest.MethodsThe incidence, clinical course, and severity of COVID-19 infection, as well as the duration of treatment and return to play were studied by the questioning of the team physicians and medical records assessment in the group of adult professional soccer players representing the clubs of the Russian Premier-League (RPL) during the period of championship resumption from 01.04.2020 until 20.09.2020.ResultsCOVID-19 infection was detected in 103 soccer players in the course of COVID-19 screening. This number comprises 14.5% of all soccer players which were on the rosters of RPL soccer teams and which were subject to regular COVID-19 testing.The asymptomatic course was observed in 43.7% of cases (n=45). These players were isolated and their clinical condition was monitored closely. Clinical symptoms were observed in 56.3% of cases (n=58), the most common symptoms being fatigue, headache, fever, and anosmia.ConclusionsCOVID-19 infection was commonly diagnosed among adult professional soccer players continuously residing in Russia. However, the majority of infections had a mild course and did not impair return to regular exercise.

Return to Play After Hip Arthroscopic Surgery for Femoroacetabular Impingement in Professional Soccer Players

2017 ◽  
Vol 46 (2) ◽  
pp. 273-279 ◽  
Author(s):  
Renato Locks ◽  
Hajime Utsunomiya ◽  
Karen K. Briggs ◽  
Shannen McNamara ◽  
Jorge Chahla ◽  
...  
Keyword(s):  
Femoroacetabular Impingement ◽  
Arthroscopic Surgery ◽  
Case Series ◽  
Return To Play ◽  
Soccer Players ◽  
Professional Career ◽  
National Team ◽  
Professional Soccer ◽  
Chondral Damage ◽  
The Mean

Background: Arthroscopic hip surgery has been shown to be effective in returning professional athletes back to play at a high level of performance in different sports. Limited information exists regarding professional soccer players and their return to play. Purpose: To determine the rate and time to return to sport for professional soccer players after hip arthroscopic surgery for the treatment of femoroacetabular impingement (FAI) and to identify possible risk factors associated with a delay in returning to play. Study Design: Case series; Level of evidence, 4. Methods: Professional soccer players who underwent hip arthroscopic surgery for FAI by a single surgeon between 2005 and 2015 were evaluated. Data retrieved from www.mlssoccer.com , www.fifa.com , www.transfermarkt.co.uk , and www.wikipedia.org included information on each player’s professional career, participation on the national team, length of professional career before surgery, number of appearances (games) before surgery, time between surgery and first appearance in a professional game, and number of appearances after surgery. Other data were obtained from the patient’s medical records. Results: Twenty-four professional soccer players (26 hips) were included. The mean age at surgery was 25.0 ± 4.0 years (range, 19-32 years). A total of 96% of patients were able to return to play at the professional level. The mean time between surgery and the first professional game played was 9.2 months (range, 1.9-24.0 months). On average, players played in 70 games after surgery (range, 0-224). National team players were able to return to play significantly earlier than the rest of the players (median, 5.7 months vs 11.6 months, respectively; P = .018). Severe chondral damage and microfracture did not interfere with return to play. Conclusion: The arthroscopic management of FAI in symptomatic professional soccer players allowed 96% of them to return to play. Players with national team experience were able to return to play earlier than those without it. Severe chondral damage and microfracture did not interfere with return to play.

scholarly journals Return-to-Play Times and Player Performance After ACL Reconstruction in Elite UEFA Professional Soccer Players: A Matched-Cohort Analysis From 1999 to 2019

2021 ◽  
Vol 9 (5) ◽  
pp. 232596712110088
Author(s):  
Brian Forsythe ◽  
Ophelie Z. Lavoie-Gagne ◽  
Enrico M. Forlenza ◽  
Connor C. Diaz ◽  
Randy Mascarenhas
Keyword(s):  
Acl Reconstruction ◽  
Cohort Analysis ◽  
Acl Rupture ◽  
Return To Play ◽  
Soccer Players ◽  
Matched Cohort ◽  
Professional Soccer ◽  
The Mean ◽  
Player Performance ◽  
The Impact

Background: Anterior cruciate ligament (ACL) rupture is one of the most common injuries afflicting soccer players and requires a lengthy recovery processes after reconstructive surgery. The impact of ACL reconstruction (ACLR) on return to play (RTP) time and player performance in professional soccer players remains poorly studied. Purpose/Hypothesis: To determine player performance and RTP rate and time after ACLR in elite professional soccer players with a retrospective matched-cohort analysis. We expected that the RTP time and rate will be similar to those of other professional-level athletes. Study Design: Cohort study; Level of evidence, 3. Methods: Included were 51 players from 1 of the 5 elite Union of European Football Associations (UEFA) soccer leagues who suffered a complete ACL rupture between 1999 and 2019. These athletes were matched by position, age, season of injury, seasons played, and height and compared to uninjured control players. Change in performance metrics for the 4 years after the season of injury were compared with metrics 1 season before injury. Univariate 2-group comparisons were performed using independent 2-group t tests; Wilcoxon rank-sum tests were used when normality of distributions was violated. Results: Overall, 41 players (80%) returned to play after ACL rupture, with 6 (12%) experiencing a subsequent ipsilateral or contralateral ACL tear. The mean (±SD) RTP time for soccer players after ACLR was 216 ± 109 days (26 ± 18 games). Injured athletes played significantly fewer games and minutes per season and recorded inferior performances for 2 seasons after their injury ( P < .001). However, the game performance of injured players equaled or exceeded that of their matched controls by season 3 after injury, with the exception of attackers, who demonstrated a continued decline in performance ( P < .001). Conclusion: Results indicated that the mean RTP time for soccer players after ACLR is short in comparison with other major sports leagues (216 days). However, RTP rates were high, and rerupture rates were comparable with those of other sports. With the exception of attackers, player performance largely equaled or exceeded that of matched controls by the third postinjury season.

scholarly journals Hamstring Injuries in Professional Soccer Players: Extent of MRI-Detected Edema and the Time to Return to Play

2017 ◽  
Vol 10 (1) ◽  
pp. 75-79 ◽  
Author(s):  
Michel D. Crema ◽  
Ivan R. B. Godoy ◽  
Rene J. Abdalla ◽  
Jose Sanchez de Aquino ◽  
Sheila J. McNeill Ingham ◽  
...  
Keyword(s):  
Prognostic Value ◽  
Negative Binomial ◽  
Cross Sectional Area ◽  
Return To Play ◽  
Soccer Players ◽  
Sectional Area ◽  
Cross Sectional ◽  
Professional Soccer ◽  
Hamstring Injuries ◽  
The Mean

Background: Discrepancies exist in the literature regarding the association of the extent of injuries assessed on magnetic resonance imaging (MRI) with recovery times. Hypothesis: MRI-detected edema in grade 1 hamstring injuries does not affect the return to play (RTP). Study Design: Retrospective cohort study. Level of Evidence: Level 4. Methods: Grade 1 hamstring injuries from 22 professional soccer players were retrospectively reviewed. The extent of edema-like changes on fluid-sensitive sequences from 1.5-T MRI were evaluated using craniocaudal length, percentage of cross-sectional area, and volume. The time needed to RTP was the outcome. Negative binomial regression analysis tested the measurements of MRI-detected edema-like changes as prognostic factors. Results: The mean craniocaudal length was 7.6 cm (SD, 4.9 cm; range, 0.9-19.1 cm), the mean percentage of cross-sectional area was 23.6% (SD, 20%; range, 4.4%-89.6%), and the mean volume was 33.1 cm3 (SD, 42.6 cm3; range, 1.1-161.3 cm3). The mean time needed to RTP was 13.6 days (SD, 8.9 days; range, 3-32 days). None of the parameters of extent was associated with RTP. Conclusion: The extent of MRI edema in hamstring injuries does not have prognostic value. Clinical Relevance: Measuring the extent of edema in hamstring injuries using MRI does not add prognostic value in clinical practice.

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