ArticleOrthopaedic journal of sports medicine2021
Association of Skeletal Maturity and Injury Risk in Elite Youth Soccer Players: A 4-Season Prospective Study With Survival Analysis.
Article in Orthopaedic journal of sports medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.
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Who cites it
21 citing papers in PubMed, 44 citations in OpenAlex.
- Countermovement jump force-time waveforms in male adolescent footballers with growth-related musculoskeletal pathology.Frontiers in sports and active living · 2026Article
- Biologically informed dual deep learning for skeletal maturity prediction in pediatrics.Frontiers in radiology · 2026Article
- The Association of Growth and Maturation with Injury in Academy Soccer Players: A Narrative Review.Sports medicine (Auckland, N.Z.) · 2026Review
- Injuries according to sexual maturity status: a three-season observational study with male academy players of a professional Spanish football club.Biology of sport · 2026Article
- Evaluation of youth male soccer players' injuries in the context of body posture.Journal of experimental orthopaedics · 2025Article
- Association of Peak Height Velocity and Skeletal Maturity to Injury Incidence in Male Elite Adolescent Football (Soccer) Players-A Systematic Review.Health science reports · 2025Review
- Physiological, technical, and time-motion responses according to small-sided game formats and pitch size variations in adolescent male soccer players: effects of biological maturity status.Biology of sport · 2025Article
- Skeletal age prediction models by maturity status in male soccer players.Scientific reports · 2025Article
- Apophyseal injuries in soccer players.Skeletal radiology · 2025Review
- The relationship between attentional control and injury-related biomechanics in young female volleyball players.Frontiers in physiology · 2025Article
- Association Between Maturity Status, Landing Force, and Jump Performance in Adolescent Male Soccer Players.International journal of sports physical therapy · 2025Article
- Associations between growth, maturation and injury in youth athletes engaged in elite pathways: a scoping review.British journal of sports medicine · 2024Article
- The Impact of Injury on Career Progression in Elite Youth Football-Findings at 10 Years.Journal of clinical medicine · 2024Article
- Exploring Growth, Maturity, and Age as Injury Risk Factors in High-Level Youth Football.Sports medicine international open · 2024Article
- Return to Play Assessment After Lateral Ankle Sprains - German Male Elite Youth Football (Soccer) Academy Baseline Data.International journal of sports physical therapy · 2024Article
- How Does Age Affect Injury Characteristics in Young Elite Footballers?-A Prospective Cohort Study of a German Youth Academy.Journal of clinical medicine · 2023Article
- Age and Sex Comparisons in Pediatric Track and Field Hurdle Injuries Seen in Emergency Departments of the US.Sports (Basel, Switzerland) · 2023Article
- Injury incidence and risk factors in youth soccer players: a systematic literature review. Part II: Intrinsic and extrinsic risk factors.Biology of sport · 2023Review
- Injury incidence and risk factors in youth soccer players: a systematic literature review. Part I: epidemiological analysis.Biology of sport · 2023Review
- Growth, maturation and injuries in high-level youth football (soccer): A mini review.Frontiers in sports and active living · 2022Review
Corrections and comments
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Authors and funding
8 authors at 6 institutions in 5 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe association between injury risk and skeletal maturity in youth soccer has received little attention. PURPOSE: To prospectively investigate injury patterns and incidence in relation to skeletal maturity in elite youth academy soccer players and to determine the injury risks associated with the skeletal maturity status, both overall and to the lower limb apophysis. STUDY
designDescriptive epidemiology study.
methodsAll injuries that required medical attention and led to time loss were recorded prospectively during 4 consecutive seasons in 283 unique soccer players from U-13 (12 years of age) to U-19 (18 years). The skeletal age (SA) was assessed in 454 player-seasons using the Fels method, and skeletal maturity status (SA minus chronological age) was classified as follows: late, SA >1 year behind chronological age; normal, SA ±1 year of chronological age; early, SA >1 year ahead of chronological age; and mature, SA = 18 years. An adjusted Cox regression model was used to analyze the injury risk.
resultsA total of 1565 injuries were recorded; 60% were time-loss injuries, resulting in 17,772 days lost. Adjusted injury-free survival analysis showed a significantly greater hazard ratio (HR) for different status of skeletal maturity: early vs normal (HR = 1.26 [95% CI, 1.11-1.42];
conclusionMusculoskeletal injury patterns and injury risks varied depending on the players' skeletal maturity status. Early maturers had the greatest overall adjusted injury risk. Players who were already skeletally mature at the wrist had the lowest risk of lower extremity apophyseal injuries but were still vulnerable for hip and pelvis apophyseal injuries.
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