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Published Online First: 25 February 2009. doi:10.1136/bjsm.2008.056937
British Journal of Sports Medicine 2009;43:483-489
Copyright © 2009 BMJ Publishing Group Ltd & British Association of Sport and Exercise Medicine.

Original articles

UEFA injury study—an injury audit of European Championships 2006 to 2008

M Hägglund1, M Waldén1, J Ekstrand1,2

1 Department of Medical and Health Sciences, Linköping University, Linköping, Sweden
2 UEFA Medical Committee

Mr M Hägglund, Department of Medical and Health Sciences, Linköping University, SE-581 83 Linköping, Sweden; martin.hagglund{at}liu.se

Objective: To study the incidence and nature of injuries at European Championships, to compare training and match injury characteristics and to study differences in injury incidence between tournaments.

Design: Team physicians prospectively recorded individual player exposure and time loss injuries during 12 European Championships (men’s EURO n = 1, men’s Under-21 n = 2, men’s Under-19 n = 3, men’s Under-17 n = 3, women’s Under-19 n = 3) from 2006 to 2008.

Setting: International football tournaments

Participants: 1594 men and 433 women

Main outcome measurement: Injury incidence

Results: 224 injuries (45 training, 179 match play) were registered among 208 (10%) players. No differences in training injury incidence were seen between tournaments (range 1.3–3.9 injuries/1000 hours). The men’s EURO had the highest match injury incidence (41.6 injuries/1000 hours) followed by the men’s Under-21 tournaments (33.9). The lowest match injury incidence was seen in the women’s Under-19 tournaments (20.5). Training injuries constituted 20% of all injuries and caused 26% of all match unavailability. A greater proportion of match injuries were due to trauma (83 vs 47%, p<0.001) and occurred from player contact (75 vs 48%, p = 0.018) compared to training injuries. A higher frequency of re-injury was found among training injuries than match injuries (20 vs 6%, p = 0.009).

Conclusions: Match injury incidence increased with age, indicating greater risk with higher intensity of play. Training injury incidence was relatively low, but training injuries were responsible for a quarter of all match unavailability and may thus have a profound impact on team performance and should be the object of preventive measures.


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