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MRI findings and return to play in football: a prospective analysis of 255 hamstring injuries in the UEFA Elite Club Injury Study
Linköping University, Department of Medical and Health Sciences, Division of Community Medicine. Linköping University, Faculty of Medicine and Health Sciences. (Football Research Group)
University of London Imperial Coll Science Technology and Med, England.
University of London Imperial Coll Science Technology and Med, England.
2016 (English)In: British Journal of Sports Medicine, ISSN 0306-3674, E-ISSN 1473-0480, Vol. 50, no 12, 738-743 p.Article in journal (Refereed) PublishedText
Abstract [en]

Aim The present study evaluated whether the MRI parameters of hamstring injuries in male professional football players correlate with time to return to play (RTP). Methods 46 elite European football teams were followed prospectively for hamstring injuries between 2007 and 2014. Club medical staff recorded individual player exposure and time-loss after hamstring injury. MRI parameters were evaluated by two independent radiologists and correlated with the RTP data. Results A total of 255 grade 1 and 2 injuries were evaluated in this study. RTP was longer for grade 2 than grade 1 injuries (24 +/- 13, 95% CI 21 to 26 days vs 18 +/- 15, 95% CI 16 to 20 days; mean difference: 6, 95% CI 2 to 9 days, p=0.004, d=0.39). 84% of injuries affected the biceps femoris (BF) muscle, whereas 12% and 4% affected the semimembranosus (SM) and semitendinosus (ST), respectively. No difference in lay-off time was found for injuries to the three different muscles (BF 20 +/- 15 days, SM 18 +/- 11 days, ST 23 +/- 14 days; p=0.83). The recurrence rate was higher for BF injuries than for SM and ST injuries combined (18% vs 2%, p=0.009). The size of the oedema weakly correlated with time to RTP (r(2)=6-12%). No correlation was found between location of injury and time to RTP. The majority of the intramuscular injuries affected the MT junction (56% in grade 1 and 2 injuries), but no difference in lay-off time was found between the different types of injuries. Conclusions The radiological grade and size of the oedema correlate with time to RTP for both, grade 1 and 2 injuries. No correlations were found between time to RTP and the location and type of injury.

Place, publisher, year, edition, pages
BMJ PUBLISHING GROUP , 2016. Vol. 50, no 12, 738-743 p.
National Category
Sport and Fitness Sciences
URN: urn:nbn:se:liu:diva-129481DOI: 10.1136/bjsports-2016-095974ISI: 000376762000009PubMedID: 27084882OAI: diva2:940591

Funding Agencies|Union of European Football Associations; Swedish Football Association; Football Association Premier League Limited; Swedish National Centre for Research in Sports

Available from: 2016-06-21 Created: 2016-06-20 Last updated: 2016-07-01

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Ekstrand, Jan
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