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The Football Association Medical Research Programme: an audit of injuries in professional football—analysis of hamstring injuries

Woods, C ; Hawkins, R D ; Maltby, S ; Hulse, M ; Thomas, A ; Hodson, A

British journal of sports medicine, 2004-02, Vol.38 (1), p.36-41 [Peer Reviewed Journal]

England: BMJ Publishing Group Ltd and British Association of Sport and Exercise Medicine

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Title:
The Football Association Medical Research Programme: an audit of injuries in professional football—analysis of hamstring injuries
Author: Woods, C ; Hawkins, R D ; Maltby, S ; Hulse, M ; Thomas, A ; Hodson, A
Subjects: Adolescent ; Adult ; Age ; Age Distribution ; Analysis ; Audits ; Bursitis ; Classification ; computed tomography ; England - epidemiology ; football ; hamstring ; Humans ; Incidence ; injury ; Leg Injuries - diagnosis ; Leg Injuries - epidemiology ; Leg Injuries - etiology ; Legs ; magnetic resonance imaging ; Male ; Medical Audit ; Medical personnel ; MRI ; Original ; Prevention ; Professional soccer ; Prospective Studies ; Recurrence ; Rehabilitation ; Risk Factors ; Seasons ; Soccer ; Soccer - injuries ; Sports injuries ; Sprains and Strains - diagnosis ; Sprains and Strains - epidemiology ; Sprains and Strains - etiology ; Studies ; Tendon Injuries - diagnosis ; Tendon Injuries - epidemiology ; Tendon Injuries - etiology ; Time Factors
Is Part Of: British journal of sports medicine, 2004-02, Vol.38 (1), p.36-41
Notes: local:0380036
Correspondence to:  A Hodson  The Football Association, Medical and Exercise Department, Lilleshall National Sports Centre, Nr Newport, TF10 9AT, UK; alan.hodson@TheFA.com
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PMID:14751943
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SourceType-Scholarly Journals-1
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Description: Objective: To conduct a detailed analysis of hamstring injuries sustained in English professional football over two competitive seasons. Methods: Club medical staff at 91 professional football clubs annotated player injuries over two seasons. A specific injury audit questionnaire was used together with a weekly form that documented each clubs’ current injury status. Results: Completed injury records for the two competitive seasons were obtained from 87% and 76% of the participating clubs respectively. Hamstring strains accounted for 12% of the total injuries over the two seasons with nearly half (53%) involving the biceps femoris. An average of five hamstring strains per club per season was observed. A total of 13 116 days and 2029 matches were missed because of hamstring strains, giving an average of 90 days and 15 matches missed per club per season. In 57% of cases, the injury occurred during running. Hamstring strains were most often observed during matches (62%) with an increase at the end of each half (p<0.01). Groups of players sustaining higher than expected rates of hamstring injury were Premiership (p<0.01) and outfield players (p<0.01), players of black ethnic origin (p<0.05), and players in the older age groups (p<0.01). Only 5% of hamstring strains underwent some form of diagnostic investigation. The reinjury rate for hamstring injury was 12%. Conclusion: Hamstring strains are common in football. In trying to reduce the number of initial and recurrent hamstring strains in football, prevention of initial injury is paramount. If injury does occur, the importance of differential diagnosis followed by the management of all causes of posterior thigh pain is emphasised. Clinical reasoning with treatment based on best available evidence is recommended.
Publisher: England: BMJ Publishing Group Ltd and British Association of Sport and Exercise Medicine
Language: English

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The Football Association Medical Research Programme: an audit of injuries in professional football—analysis of hamstring injuries

Woods, C ; Hawkins, R D ; Maltby, S ; Hulse, M ; Thomas, A ; Hodson, A

England: BMJ Publishing Group Ltd and British Association of Sport and Exercise Medicine

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