Abstract
Female soccer has become increasingly popular during the last two decades. According to the International Football Association (FIFA) there are approximately 40 million registered female soccer players in the world. Three studies in elite soccer have shown an injury incidence during games ranging from 12.6 to 23.3 injuries per 1,000 h. A very high incidence of ACL-injuries ranging from 0.31 to 2.2 per 1,000 game hours has also been shown. We followed the Norwegian female elite series during the 2001 season to estimate the incidence and characteristics of injuries. A total of 181 female soccer players on ten teams were followed during the 2001 elite season in Norway. We recorded baseline data, match and training exposure and injury data as type of injury, location and severity of injury. The mean age of the players was 23 years (range 17–34). A total of 189 injuries were recorded and 19 (10%) of these were overuse injuries; 89 (47%) occurred during games and 100 (53%) during training sessions. The incidence of acute injuries was 23.6 per 1,000 game hours and 3.1 per 1,000 training hours. The majority of the injuries occurred in the lower extremities (81%), but there were also a significant number of head injuries (6.3%). The most common injury type was ankle sprain (17.2%). Half of the injuries were minor, with training or game absence of less than 7 days. Midfielders sustained the most injuries (32.6%) with an incidence of 42.4 per 1,000 game hours. We recorded two ACL-injuries and two PCL-injuries during the season. They all occurred during games, and the incidence was therefore calculated to 0.6 per 1,000 game hours for both injury types. The incidences of injuries reported for female soccer varies considerably, with the highest numbers reported from Germany and the present study. These studies have also the highest incidence of minor injuries registered. The location of the injuries is quite similar compared to other reports, but the number of ankle sprains seems to be higher in our study, whereas the number of knee and thigh injuries is lower. There has been much attention to ACL injuries in team handball and hamstring injuries in soccer in Norway, and this could have influenced the team’s pre-season training, resulting in a reduction in the incidence of these injury types. The high number of ankle injuries has to be addressed to see whether this is a result of inadequate rehabilitation routines leading to re-injuries, or other factors. The high number of ACL-injuries in these reports is alarming and needs special attention in the future.
Similar content being viewed by others
References
Arendt E, Dick R (1995) Knee injury pattern among men and women in collegiate basketball and soccer. NCAA data and review of literature. Am J Sports Med 23(6):694–701
Arnason A, Sigurdsson SB, Gudmindsson A, Holme I, Engebretsen L, Bahr R (2004) Risk factors for injuries in football. Am J Sports Med 32(1 Suppl):5S–16S
Bahr R, Lian Ø, Bahr IA (1997) A twofold reduction in incidence of acute ankle sprains in volleyball after the introduction of an injury prevention program: a prospective cohort study. Scand J Med Sci Sports 7(3):172–177
Bjordal JM, Arnly F, Hannestad B, Strand T (1997) Epidemiology of anterior cruciate ligament injuries in soccer. Am J Sports Med 25:341–345
Engström B, Johansson C, Törnkvist H (1991) Soccer injuries among elite female players. Am J Sports Med 19:372–375
Faude O, Junge A, Kindermann W, Dvorak J (2005) Injuries in female soccer players. A prospective study in the German national league. Am J Sports Med 33:1–7
Fuller CW, Ekstrand J, Junge A, Andersen TE, Bahr R, Dvorak J, Hägglund M, McCrory P, Meeuwisse WH (2006) Consensus statement on injury definitions and data collection procedures in studies of football (soccer) injuries. Br J Sports Med 16(2):97–106
Giza E, Mithöfer K, Farrell L, Zarins B, Gill T (2005) Injuries in women’s professional soccer. Br J Sports Med 39:212–216
Hutchinson MR, Ireland ML (1995) Knee Injuries in female athletes. Sports Med 19(4):288–302
Inklaar H (1994) Soccer injuries I. Incidence and severity. Sports Med 18:55–73
Jacobson I, Tegner Y (2007) Injuries among Swedish female elite football players: a prospective population study. Scand J Med Sci Sports 17(1):84–91
Östenberg A, Roos H (2000) Injury risk factors in female European football. A prospective study of 123 players during one season. Scand J Med Sci Sports 10:279–285
Mjølsnes R, Arnason A, Østhagen T, Raastad T, Bahr R (2004) A 10-week randomized trial comparing eccentric vs. concentric hamstring strength training in well-trained soccer players. Scand J Med Sci Sports 14(5):311–317
Morgan BE, Oberland MA (2001) An examination of injuries in major league soccer. The inaugural season. Am J Sports Med 29(4):426–430
Myklebust G, Engebretsen L, Brækken IH, Skjølberg A, Olsen OE, Bahr R (2003) Prevention of ACL injuries in female team handball players––a prospective intervention study over three seasons. Clin J Sports Med 13:71–78
Myklebust G, Mæhlum S, Holm I, Bahr R (1998) A prospective cohort study of anterior cruciate ligament injuries in elite Norwegian team handball. Scand J Med Sci Sports 8(3):149–153
Orchard J (1993) Orchard sports injury classification system (OSICS). Sport Health 11:39–41
Söderman K, Adolphson J, Lorentzon R, Alfredson H (2001) Injuries in adolescent female players in European football: a prospective study over one outdoor soccer season. Scand J Med Sci Sports 11(5):299–304
Acknowledgments
The Oslo Sports Trauma Research Center has been established at the Norwegian School of Sport Sciences through generous grants from the Eastern Norway Regional Health Authority, the Royal Norwegian Ministry of Culture, the Norwegian Olympic Committee and Confederation of Sport, and Norsk Tipping.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Tegnander, A., Olsen, O.E., Moholdt, T.T. et al. Injuries in Norwegian female elite soccer: a prospective one-season cohort study. Knee Surg Sports Traumatol Arthr 16, 194–198 (2008). https://doi.org/10.1007/s00167-007-0403-z
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00167-007-0403-z