Incidence of calcaneal apophysitis (Sever's disease) and return-to-play in adolescent athletes of a German youth soccer academy: a retrospective study of 10 years.
Incidence of calcaneal apophysitis (Sever's disease) and return-to-play in adolescent athletes of a German youth soccer academy: a retrospective study of 10 years.
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DOI：
10.1186/s13018-022-02979-9
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发表时间：
2022-02-09
影响因子：
2.6
通讯作者：
Mattyasovszky SG
中科院分区：
文献类型：
--
作者：
Belikan P;Färber LC;Abel F;Nowak TE;Drees P;Mattyasovszky SG
跟骨关节突炎，或Sever‘s病，是儿童和青春期脚跟疼痛的最常见原因。它被认为是一种过度使用综合症。在目前的文献中，缺乏关于年轻运动员跟骨顶炎的发生率及其相关的重返赛场时间的研究。我们目前的研究目的是确定职业青年足球中跟骨突起的发生率、相关的重返赛场时间、易感因素及其对重返赛场时间的影响。对从德国一所青少年足球学院收集的2009-2018年间的伤害数据进行了回顾评估。总共有612名球员的4326例受伤案例被纳入研究。诊断和随访是在青年学院每周一小时的会诊时间进行的。在10年的观察期内，共检出跟骨尖周炎22例。每年每百名运动员中跟骨隆起炎的发病率为0.36。确诊时受影响运动员的平均年龄为11.8 ± 2.1岁(MW ± SD)。其中20起投诉为单边投诉，2起投诉为双边投诉。22例跟骨顶炎中有3例(13.6%)为复发性损伤。受影响的运动员平均重返赛场的时间为60.7MW± 64.9d(MW ± SD)。与初诊疾病的运动员相比，反复主诉的运动员表现出更长的康复时间和重返赛场的时间。我们的结果可以表明，无论是年龄还是诊断时的体重指数都不会对重返赛场的时间产生影响。这是第一次研究青年精英足球中跟骨隆起炎的发生率和相关的重返比赛的时间。跟骨隆起炎会导致运动员大量的时间损失。需要进行进一步的前瞻性临床研究，以充分了解跟骨顶炎的病因和危险因素，从而制定预防策略。
Calcaneal apophysitis, or Sever's disease, is the most common cause of heel pain in childhood and adolescence. It is regarded as an overuse syndrome. Studies on the incidence of calcaneal apophysitis in young athletes and their associated return-to-play time are lacking in the current literature. The aim of our current study was to identify the incidence of calcaneal apophysitis in professional youth soccer, the associated time to return-to-play, predisposing factors and their impact on time to return-to-play. Retrospective evaluation of injury data gathered from a German youth soccer academy in the years 2009–2018. In total, 4326 injury cases in 612 players were included in the study. The diagnosis and the follow-up visits were carried out in a weekly consultation hour at the youth academy. During the observation period of 10 years, 22 cases of calcaneal apophysitis were detected. The incidence of calcaneal apophysitis per 100 athletes per year was found to be 0.36. The mean age of the affected athletes at the time of diagnosis was 11.8 ± 2.1 years (MW ± SD). The complaints were unilateral in 20 and bilateral in two cases. Three of the 22 detected cases of calcaneal apophysitis (13.6%) were recurrent injuries. The mean time to return-to-play of the affected athletes was 60.7 ± 64.9 days (MW ± SD). Athletes with recurrent complaints showed longer recovery time and time to return-to-play when compared to players with primary diagnosed disease. Our results could show that neither age nor body mass index at the time of diagnosis had an impact on time to return-to-play. This is the first study investigating the incidence of calcaneal apophysitis and the associated time to return-to-play in youth elite soccer. Calcaneal apophysitis results in substantial time loss for the athletes. Further prospective clinical studies are required to fully understand the etiology and risk factors for calcaneal apophysitis and therefore develop preventive strategies.
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