Trial reportKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2016
Increase in ACL and PCL injuries after implementation of a new professional football league.
Trial report in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers, 5 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
38 citing papers in PubMed, 5 syntheses or guidelines pooled it.
- Non-contact Anterior Cruciate Ligament Injury Epidemiology in Team-Ball Sports: A Systematic Review with Meta-analysis by Sex, Age, Sport, Participation Level, and Exposure Type.Sports medicine (Auckland, N.Z.) · 2022Pooled it
- 'What's my risk of sustaining an ACL injury while playing football (soccer)?' A systematic review with meta-analysis.British journal of sports medicine · 2019Pooled it
- "What's my risk of sustaining an ACL injury while playing sports?" A systematic review with meta-analysis.British journal of sports medicine · 2019Pooled it
- Anterior Cruciate Ligament Injury Risk in Sport: A Systematic Review and Meta-Analysis of Injury Incidence by Sex and Sport Classification.Journal of athletic training · 2019Pooled it
- The Relationship Between Training Load and Injury in Athletes: A Systematic Review.Sports medicine (Auckland, N.Z.) · 2018Pooled it
- Neuromuscular exercises prevent severe knee injury in adolescent team handball players.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2018Trial
- Impact of playing position on ACL injury characteristics, risk and career outcomes in football-An analysis of 742 cases of the anterior cruciate ligament registry in German football.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2026Article
- Injuries in kitesurfing: a retrospective cross-sectional survey on injury patterns based on discipline and skill level, considering time loss and performance reduction.BMC sports science, medicine & rehabilitation · 2026Article
- Sport-specific differences in ACL injury, treatment and return to sports: Football.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2025Review
- The Effect of the FIFA 11+ Warm-Up Program on Knee Instability and Motor Performance in Male Youth Soccer Players.Sensors (Basel, Switzerland) · 2025Article
- Return to Soccer After Anterior Cruciate Ligament Reconstruction: An Outcome or a Decision?Orthopaedic journal of sports medicine · 2024Article
- [Complex knee injuries in football : Management from injury to return to competition].Orthopadie (Heidelberg, Germany) · 2024Article
- The larger patellar tilt angle and lower intercondylar notch angle might increase posterior cruciate ligament injury risk: a retrospective comparative study.BMC musculoskeletal disorders · 2023Article
- Smaller intercondylar notch size and smaller ACL volume increase posterior cruciate ligament rupture risk.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023Article
- Utility of SpeedCourt System: A Novel Study of 100 Professional Footballers at FIFA Medical Centre of Excellence Dubai UAE.Open access journal of sports medicine · 2023Article
- Reduced performance after return to competition in ACL injuries: an analysis on return to competition in the 'ACL registry in German Football'.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023Article
- Video analysis of 100 matches in male semi-professional football reveals a heading rate of 5.7 headings per field player and match.BMC sports science, medicine & rehabilitation · 2022Article
- No increased injury incidence in the German Bundesliga after the SARS-CoV-2 virus lockdown.Archives of orthopaedic and trauma surgery · 2022Article
- Higher risk of ACL rupture in amateur football compared to professional football: 5-year results of the 'Anterior cruciate ligament-registry in German football'.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2022Article
- Increased occurrence of ACL injuries for football players in teams changing coach and for players going to a higher division.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2022Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeIn the season 2008-2009, a third professional football league was established in Germany. This study analysed the influence of increased training and playing intensity on severe knee injuries in football players.
methodsIn a prospective controlled one-season trial, injury incidence and injury patterns of players of the newly established professional football league were analysed, particularly with regard to ruptures of the anterior (ACL) and posterior (PCL) cruciate ligaments. Players of the highest amateur level served as a control group.
resultsFour hundred and eight players of 24 teams were allocated to two groups. The overall training exposure was significantly (p < 0.001) higher in the new professional league (335.3 h per player) than at the amateur level (286.6 h per player). Players at both levels showed similar overall injury rates and injury patterns. However, players in the professional league had a significantly higher (p = 0.04) incidence of ACL and PCL injuries, than players at the amateur level. More than 90 % of all ACL and PCL ruptures in both groups were sustained by players, who had played at least one level lower in the previous season. In addition, injuries of players who had sustained repeat injuries over the season were more severe.
conclusionThe introduction of a new professional football league increased the training and playing intensity of players as well as the number of ACL and PCL ruptures. A specific injury prevention concept, particularly for players facing rapidly increasing training and playing intensity, seems to be mandatory. LEVEL OF EVIDENCE: Prospective controlled cohort study, Level II.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.