High risk of further ACL injury for players that return to football after ACL reconstruction

High risk of further ACL injury for players that return to football after ACL reconstruction

For football players sustaining an anterior cruciate ligament (ACL) rupture reconstructive surgery is often performed to restore knee stability and allow a return to football. This FastFact highlights a ten-year follow up of ACL reconstructed football players and investigates the ability to return to football and risk of further ACL injuries1. The aim of the [...]
Bio-banding competition may help develop technical skills in youth football players

Bio-banding competition may help develop technical skills in youth football players

There is a large variation in physical maturity in youth athletes undergoing puberty. Traditionally youth athletes have been divided by age and body mass in order to minimise injury risk, however this can disadvantage the less physically mature athletes. Early physically developing players can be preferentially selected, overlooking potential technical skills in other players. Bio-banding [...]
Professional athletes are at higher risk of septic arthritis after ACL reconstruction

Professional athletes are at higher risk of septic arthritis after ACL reconstruction

Septic arthritis (SA) following anterior cruciate ligament reconstruction (ACLR) is a rare (0.14% to 2.6%) but potentially devastating complication. Professional athletes have previously been reported to be at increased risk of septic arthritis after ACLR when compared to non-professionals, but the literature has been conflicting. The main reason for this lack of agreement has been [...]
More training sessions before returning to play reduces the risk of re-injury

More training sessions before returning to play reduces the risk of re-injury

Re-injuries are a frequent frustration in professional football. This study from the Football Research Group (and featuring an author from the Aspetar FMCE) has shown an association between the number of training sessions completed before returning to play and re-injury1. It appears that delaying a return to competition, to allow more training, might help reduce [...]
Plantar loading and risk of fifth metatarsal stress fractures in elite football  players

Plantar loading and risk of fifth metatarsal stress fractures in elite football players

Fifth metatarsal stress fractures are potentially career-ending injuries for professional football players and are therefore considered high-risk stress fractures. The reported incidence of this injury among football players is relatively high, while the average absence from football is between three to five months. This FastFact investigates possible risk factors for the development of this injury [...]
Do any players in your team have attention-deficit/hyperactivity disorder (ADHD)? Would you know?

Do any players in your team have attention-deficit/hyperactivity disorder (ADHD)? Would you know?

Attention-deficit/hyperactivity disorder (ADHD) is a common developmental disorder which can cause issues in multiple settings, including the football field. This FastFact highlights a narrative review, published in the BJSM, which provides an overview of the available literature relating to the diagnosis, prevalence, effect on performance and management of ADHD in elite sport and provides useful [...]
Playing football is an effective treatment for hypertension (and other non-communicable diseases)

Playing football is an effective treatment for hypertension (and other non-communicable diseases)

This systematic review and meta-analysis from the BJSM analyses the literature relating to football as a treatment for non-communicable diseases1. It has demonstrated compelling evidence relating to the treatment of hypertension – as well as evidence relating other conditions including obesity and elevated cholesterol. The systematic review identified a total of 31 papers that met [...]
Activity  and load modification is a successful treatment for patellofemoral pain in adolescents

Activity and load modification is a successful treatment for patellofemoral pain in adolescents

Patellofemoral pain (PFP) has a relatively high prevalence in adolescent footballers, and the problem can be persistent and debilitating. Repetitive loading of the knee joint through training or game play, with insufficient recovery time can occur with team players. This prospective study evaluated a 12-week intervention (which included activity modification and reduced patellofemoral joint loading)1. [...]
Should clinical practice guidelines for rehabilitation after anterior cruciate ligament injury be standardised?

Should clinical practice guidelines for rehabilitation after anterior cruciate ligament injury be standardised?

The ultimate goal of rehabilitation after a football player gets an anterior cruciate ligament (ACL) reconstruction is to manage instability and to enable a successful return to the pitch at the pre-injury level of performance. Clinicians follow specific stepwise progression rehabilitation criteria and should rely on several clinical, subjective, objective and functional criteria to base [...]
Are isometric exercises a good treatment for tendinopathy ?

Are isometric exercises a good treatment for tendinopathy ?

This edition of the FastFact highlights an editorial, rather than original research, which has prompted an interesting online argument (look for the @BJSM_BMJ Twitter account) about a common clinical problem1. The editorial highlights that while isometric exercise has become a very popular treatment for the management of acute tendinopathy, the evidence for this approach is [...]