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The American Journal of Sports Medicine 15:230-237 (1987)
© 1987 SAGE Publications

The medical aspects of soccer injury epidemiology

Cary S. Keller, MD

Cincinnati Sportsmedicine Center/The Midwest Institute for Orthopaedics, Cincinnati, Ohio

Frank R. Noyes, MD

Cincinnati Sportsmedicine Center/The Midwest Institute for Orthopaedics, Cincinnati, Ohio

C. Ralph Buncher, ScD

Cincinnati Sportsmedicine Center/The Midwest Institute for Orthopaedics, Cincinnati, Ohio

In this article, the six major studies of soccer injury epidemiology are reviewed. Strengths and weaknesses of each epidemiologic design are critiqued and the crucial importance of the definition of injury is empha sized. The effect of age, sex, and intensity of play on injury rates is discussed. Our present knowledge of injury rate by anatomical site, player position, and the type of playing surface are reviewed. We examined the importance of player factors such as flexibility, joint laxity, weakness, and incomplete rehabilitation from other injuries. In addition, we reviewed the role played by inadequate equipment, field conditions, and rule violations. A successful program for soccer injury pre vention is described, and guidelines for future soccer injury epidemiology research are proposed.




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