title: Increase in upper extremity fractures in young male soccer players in the Netherlands, 1998-2009.
abstract: Young male soccer players have been identified as a target group for injury prevention, but studies addressing trends and determinants of injuries within this group are scarce. The goal of this study was to analyze age-specific trends in hospital-treated upper extremity fractures (UEF) among boys playing soccer in the Netherlands and to explore associated soccer-related factors. Data were obtained from a national database for the period 1998-2009. Rates were expressed as the annual number of UEF per 1000 soccer players. Poisson's regression was used to explore the association of UEF with the number of artificial turf fields and the number of injuries by physical contact. UEF rates increased significantly by 19.4% in boys 5-10 years, 73.2% in boys 11-14 years, and 38.8% in boys 15-18 years old. The number of injuries by physical contact showed a significant univariate association with UEF in boys 15-18 years old. The number of artificial turf fields showed a significant univariate association with UEF in all age groups, and remained significant for boys aged 15-18 years in a multivariate model. This study showed an increase of UEF rates in boys playing soccer, and an independent association between artificial turf fields and UEF in the oldest boys.
authors.affiliation: Department of Plastic, Reconstructive and Hand Surgery, Erasmus MC, Rotterdam, The Netherlands.|Department of Surgery, Reinier de Graaf Group, Delft, The Netherlands.
authors.forename: C E
authors.initials: CE
authors.lastname: de Putter
authors.affiliation: Department of Public Health, Erasmus MC, Rotterdam, The Netherlands.
authors.forename: E F
authors.initials: EF
authors.lastname: van Beeck
authors.affiliation: Department of Public Health, Erasmus MC, Rotterdam, The Netherlands.
authors.forename: A
authors.initials: A
authors.lastname: Burdorf
authors.affiliation: Department of Public Health, Erasmus MC, Rotterdam, The Netherlands.
authors.forename: G J J M
authors.initials: GJ
authors.lastname: Borsboom
authors.affiliation: Consumer Safety Institute, Amsterdam, The Netherlands.
authors.forename: H
authors.initials: H
authors.lastname: Toet
authors.affiliation: Department of Plastic, Reconstructive and Hand Surgery, Erasmus MC, Rotterdam, The Netherlands.
authors.forename: S E R
authors.initials: SE
authors.lastname: Hovius
authors.affiliation: Department of Plastic, Reconstructive and Hand Surgery, Erasmus MC, Rotterdam, The Netherlands.|Department of Rehabilitation Medicine & Physical Therapy, Erasmus MC, Rotterdam, The Netherlands.
authors.forename: R W
authors.initials: RW
authors.lastname: Selles
mesh_terms: D000293:Adolescent; D000367:Age Factors; D002648:Child; D002675:Child, Preschool; D050723:Fractures, Bone / Q000453:epidemiology* / Q000209:etiology*; D050276:Hand Bones / Q000293:injuries*; D006801:Humans; D006810:Humeral Fractures / Q000453:epidemiology; D008297:Male; D009426:Netherlands / Q000453:epidemiology; D011885:Radius Fractures / Q000453:epidemiology; D012784:Shoulder Fractures / Q000453:epidemiology; D012916:Soccer / Q000293:injuries* / Q000639:trends*; D013499:Surface Properties; D014458:Ulna Fractures / Q000453:epidemiology; D014954:Wrist Injuries / Q000453:epidemiology; D000092464:Elbow Injuries
keywords: Childhood; fractures; soccer; trend; upper extremity