Abstract
More than half of all registered football players in the world are under 18 years of age. Despite this, the scientific literature on injuries in youth football is scarce compared to senior football, especially in players younger than 12 years. The literature suggests that injuries to the upper extremities are relatively more frequent in players younger than 15 years, mainly attributed to fractures. Players younger than 15 years also suffer fewer sprains and strains than their senior counterparts, whereas older adolescent players have approximately the same injury characteristics as senior players.
Injuries of particular interest in the young player include concussion and anterior cruciate ligament (ACL) injury which both can serve as models for a safe return to play (RTP) in this setting. Youth players are believed to be more prone to suffer concussion than senior players. It is advisable that the stepwise rehabilitation programme is more cautious and the time to RTP is prolonged if needed, especially in children under 12 years. Moreover, although being rare in paediatric players, an ACL injury sidelines the player for a long time and can severely compromise further football playing. Currently there is little consensus regarding rehabilitation protocols, and there are few published RTP criteria. The optimal management of both these injuries in the young player clearly needs to include both time-based and criteria-based cut-offs in the rehabilitation phases in order to make the RTP as safe as possible.
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Werner, J., Hägglund, M., Knudsen, M.G., Ekstrand, J., Waldén, M. (2018). The Young Player: Special Considerations. In: Musahl, V., Karlsson, J., Krutsch, W., Mandelbaum, B., Espregueira-Mendes, J., d'Hooghe, P. (eds) Return to Play in Football. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-55713-6_73
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