Francesco Della Villa,Håkan Bengtsson,Martin Hägglund,Romain Seil,Eric Hamrin Senorski,Jan Ekstrand,Markus Waldén
{"title":"职业男子足球运动员前十字韧带重建后重返赛场的大腿肌肉损伤发生率较高：来自欧足联精英俱乐部伤病研究的110例分析。","authors":"Francesco Della Villa,Håkan Bengtsson,Martin Hägglund,Romain Seil,Eric Hamrin Senorski,Jan Ekstrand,Markus Waldén","doi":"10.1177/03635465251353213","DOIUrl":null,"url":null,"abstract":"BACKGROUND\r\nPrevious literature has suggested an important association between a history of anterior cruciate ligament (ACL) reconstruction (ACLR) and future thigh muscle injuries, but more and larger studies are needed, particularly for quadriceps muscle injuries.\r\n\r\nPURPOSE\r\nTo determine the incidence of hamstring and quadriceps muscle injuries after return to play (RTP) from ACLR using patellar tendon (PT) and hamstring tendon (HT) autografts in professional male soccer players.\r\n\r\nSTUDY DESIGN\r\nCohort study; Level of evidence, 3.\r\n\r\nMETHODS\r\nA total of 5447 players from 74 clubs were followed prospectively from July 2001 to May 2022. The injury incidence (number of injuries per 1000 hours) was compared between players with ACLR and those without ACL injuries as well as for players with ACLR between a 2-year period before the ACL injury and a 2-year period after RTP. The rate ratio (RR) was calculated with the 95% confidence interval (CI) and examined for significance with Z statistics.\r\n\r\nRESULTS\r\nThere were 110 ACLR cases (76 PT and 34 HT grafts) in 107 players included. Players with ACLR had a 60% higher thigh muscle injury incidence (RR, 1.6 [95% CI, 1.3-2.0]) within 2 years after RTP compared with players without ACL injuries. Players with ACLR had a doubled thigh muscle injury incidence (RR, 2.0 [95% CI, 1.4-2.9]) in the 2 years after RTP compared with 2 years before their ACL injury. Players with a PT autograft had a higher quadriceps muscle injury incidence (RR, 3.5 [95% CI, 1.4-8.8]) in the 2 years after RTP compared with 2 years before their ACL injury, whereas there was no difference in the hamstring muscle injury incidence in players with an HT autograft (RR, 1.7 [95% CI, 0.5-5.8]).\r\n\r\nCONCLUSION\r\nACLR in professional male soccer players was associated with an increased thigh muscle injury incidence, particularly quadriceps muscle injuries in players with a PT autograft.","PeriodicalId":517411,"journal":{"name":"The American Journal of Sports Medicine","volume":"81 1","pages":"3635465251353213"},"PeriodicalIF":0.0000,"publicationDate":"2025-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"A Higher Thigh Muscle Injury Incidence in Professional Male Soccer Players Returning to Play After Anterior Cruciate Ligament Reconstruction: Analysis of 110 Cases From the UEFA Elite Club Injury Study.\",\"authors\":\"Francesco Della Villa,Håkan Bengtsson,Martin Hägglund,Romain Seil,Eric Hamrin Senorski,Jan Ekstrand,Markus Waldén\",\"doi\":\"10.1177/03635465251353213\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"BACKGROUND\\r\\nPrevious literature has suggested an important association between a history of anterior cruciate ligament (ACL) reconstruction (ACLR) and future thigh muscle injuries, but more and larger studies are needed, particularly for quadriceps muscle injuries.\\r\\n\\r\\nPURPOSE\\r\\nTo determine the incidence of hamstring and quadriceps muscle injuries after return to play (RTP) from ACLR using patellar tendon (PT) and hamstring tendon (HT) autografts in professional male soccer players.\\r\\n\\r\\nSTUDY DESIGN\\r\\nCohort study; Level of evidence, 3.\\r\\n\\r\\nMETHODS\\r\\nA total of 5447 players from 74 clubs were followed prospectively from July 2001 to May 2022. The injury incidence (number of injuries per 1000 hours) was compared between players with ACLR and those without ACL injuries as well as for players with ACLR between a 2-year period before the ACL injury and a 2-year period after RTP. The rate ratio (RR) was calculated with the 95% confidence interval (CI) and examined for significance with Z statistics.\\r\\n\\r\\nRESULTS\\r\\nThere were 110 ACLR cases (76 PT and 34 HT grafts) in 107 players included. Players with ACLR had a 60% higher thigh muscle injury incidence (RR, 1.6 [95% CI, 1.3-2.0]) within 2 years after RTP compared with players without ACL injuries. Players with ACLR had a doubled thigh muscle injury incidence (RR, 2.0 [95% CI, 1.4-2.9]) in the 2 years after RTP compared with 2 years before their ACL injury. Players with a PT autograft had a higher quadriceps muscle injury incidence (RR, 3.5 [95% CI, 1.4-8.8]) in the 2 years after RTP compared with 2 years before their ACL injury, whereas there was no difference in the hamstring muscle injury incidence in players with an HT autograft (RR, 1.7 [95% CI, 0.5-5.8]).\\r\\n\\r\\nCONCLUSION\\r\\nACLR in professional male soccer players was associated with an increased thigh muscle injury incidence, particularly quadriceps muscle injuries in players with a PT autograft.\",\"PeriodicalId\":517411,\"journal\":{\"name\":\"The American Journal of Sports Medicine\",\"volume\":\"81 1\",\"pages\":\"3635465251353213\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2025-07-08\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"The American Journal of Sports Medicine\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1177/03635465251353213\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"The American Journal of Sports Medicine","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1177/03635465251353213","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
A Higher Thigh Muscle Injury Incidence in Professional Male Soccer Players Returning to Play After Anterior Cruciate Ligament Reconstruction: Analysis of 110 Cases From the UEFA Elite Club Injury Study.
BACKGROUND
Previous literature has suggested an important association between a history of anterior cruciate ligament (ACL) reconstruction (ACLR) and future thigh muscle injuries, but more and larger studies are needed, particularly for quadriceps muscle injuries.
PURPOSE
To determine the incidence of hamstring and quadriceps muscle injuries after return to play (RTP) from ACLR using patellar tendon (PT) and hamstring tendon (HT) autografts in professional male soccer players.
STUDY DESIGN
Cohort study; Level of evidence, 3.
METHODS
A total of 5447 players from 74 clubs were followed prospectively from July 2001 to May 2022. The injury incidence (number of injuries per 1000 hours) was compared between players with ACLR and those without ACL injuries as well as for players with ACLR between a 2-year period before the ACL injury and a 2-year period after RTP. The rate ratio (RR) was calculated with the 95% confidence interval (CI) and examined for significance with Z statistics.
RESULTS
There were 110 ACLR cases (76 PT and 34 HT grafts) in 107 players included. Players with ACLR had a 60% higher thigh muscle injury incidence (RR, 1.6 [95% CI, 1.3-2.0]) within 2 years after RTP compared with players without ACL injuries. Players with ACLR had a doubled thigh muscle injury incidence (RR, 2.0 [95% CI, 1.4-2.9]) in the 2 years after RTP compared with 2 years before their ACL injury. Players with a PT autograft had a higher quadriceps muscle injury incidence (RR, 3.5 [95% CI, 1.4-8.8]) in the 2 years after RTP compared with 2 years before their ACL injury, whereas there was no difference in the hamstring muscle injury incidence in players with an HT autograft (RR, 1.7 [95% CI, 0.5-5.8]).
CONCLUSION
ACLR in professional male soccer players was associated with an increased thigh muscle injury incidence, particularly quadriceps muscle injuries in players with a PT autograft.
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