Sport-related concussion in Brazilian professional soccer: A four-year prospective epidemiological analysis

This study aimed to investigate the incidence and other significant features of craniomaxillofacial trauma (CMFT), particularly Sport-Related Concussion (SRC), among professional soccer players from two major leagues in Brazil. This is a prospective epidemiological study which assessed two divisions...

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Main Authors: Guilherme Corrêa de Araújo Moury Fernandes, Ewerton Borges de Souza Lima, Paulo Henrique Schmidt Lara, Ana Camila de Castro Gandolfi, Jorge Roberto Pagura, Gustavo Gonçalves Arliani, Moisés Cohen
Format: Article
Language:English
Published: KeAi Communications Co., Ltd. 2025-05-01
Series:Sports Medicine and Health Science
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Online Access:http://www.sciencedirect.com/science/article/pii/S2666337624000805
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author Guilherme Corrêa de Araújo Moury Fernandes
Ewerton Borges de Souza Lima
Paulo Henrique Schmidt Lara
Ana Camila de Castro Gandolfi
Jorge Roberto Pagura
Gustavo Gonçalves Arliani
Moisés Cohen
author_facet Guilherme Corrêa de Araújo Moury Fernandes
Ewerton Borges de Souza Lima
Paulo Henrique Schmidt Lara
Ana Camila de Castro Gandolfi
Jorge Roberto Pagura
Gustavo Gonçalves Arliani
Moisés Cohen
author_sort Guilherme Corrêa de Araújo Moury Fernandes
collection DOAJ
description This study aimed to investigate the incidence and other significant features of craniomaxillofacial trauma (CMFT), particularly Sport-Related Concussion (SRC), among professional soccer players from two major leagues in Brazil. This is a prospective epidemiological study which assessed two divisions of the national championship and large regional one over four seasons. Data were gathered from soccer clubs and their medical staff using two online forms. Data related to players (age and position) and injuries (diagnosis, type, body location, laterality, field location, tests performed, need for surgery, time lost in sports, and recurrence) were collected. Between 2016 and 2019, a total of 15 seasons, comprising 3 828 matches and 126 ​324 hours (h) of gameplay, were analyzed. A total of 299 CMFT cases were reported, with a median incidence of 2.37 per 1 000 ​h of play. Among them, there were 178 head and 121 face traumas, which led to 87 SRC (representing 29.10% of all CMFT), with an incidence of 0.69. Defensive midfielders (14.43%) and goalkeepers (14.00%) had the highest prevalence rates of CMFT. Only 3.68% of the injuries, mostly lacerations and fractures, required surgical treatment. This study identified that the average time lost in sports due to SRC was 5.12 days, with a recurrence rate of 12.71%. SRC are a frequent consequence of CMFT in Brazilian professional soccer. Although most cases are mild, there is a high recurrence rate, which may have long-term implications.
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spelling doaj-art-37d0d928a4ef4b43944e9a14b8c619392025-02-01T04:12:00ZengKeAi Communications Co., Ltd.Sports Medicine and Health Science2666-33762025-05-0173224229Sport-related concussion in Brazilian professional soccer: A four-year prospective epidemiological analysisGuilherme Corrêa de Araújo Moury Fernandes0Ewerton Borges de Souza Lima1Paulo Henrique Schmidt Lara2Ana Camila de Castro Gandolfi3Jorge Roberto Pagura4Gustavo Gonçalves Arliani5Moisés Cohen6Sports Traumatology Center, Discipline of Sports Medicine and Physical Activity, Department of Orthopedics and Traumatology, Federal University of São Paulo. R. Estado de Israel, 713 - Vila Clementino, São Paulo SP, 04022-002, BrazilSports Traumatology Center, Discipline of Sports Medicine and Physical Activity, Department of Orthopedics and Traumatology, Federal University of São Paulo. R. Estado de Israel, 713 - Vila Clementino, São Paulo SP, 04022-002, Brazil; Corresponding author. Sports Traumatology Center, Discipline of Sports Medicine and Physical Activity, Department of Orthopedics and Traumatology, Federal University of São Paulo. R. Estado de Israel, R. Estado de Israel, 713 - Vila Clementino, São Paulo - SP, 04022-002, Brazil.Sports Traumatology Center, Discipline of Sports Medicine and Physical Activity, Department of Orthopedics and Traumatology, Federal University of São Paulo. R. Estado de Israel, 713 - Vila Clementino, São Paulo SP, 04022-002, BrazilSports Traumatology Center, Discipline of Sports Medicine and Physical Activity, Department of Orthopedics and Traumatology, Federal University of São Paulo. R. Estado de Israel, 713 - Vila Clementino, São Paulo SP, 04022-002, Brazil; Department of Neurology and Neurosurgery, Discipline of Neurosurgery, Federal University of São Paulo. Rua Pedro de Toledo, 650 - Vila Clementino, São Paulo SP, 04039-002, BrazilBrazilian Football Confederation, Avenida Luis Carlos Prestes 130 - Barra da Tijuca - Rio de Janeiro RJ, 22775-055, BrazilSports Traumatology Center, Discipline of Sports Medicine and Physical Activity, Department of Orthopedics and Traumatology, Federal University of São Paulo. R. Estado de Israel, 713 - Vila Clementino, São Paulo SP, 04022-002, Brazil; Brazilian Football Confederation, Avenida Luis Carlos Prestes 130 - Barra da Tijuca - Rio de Janeiro RJ, 22775-055, BrazilSports Traumatology Center, Discipline of Sports Medicine and Physical Activity, Department of Orthopedics and Traumatology, Federal University of São Paulo. R. Estado de Israel, 713 - Vila Clementino, São Paulo SP, 04022-002, Brazil; Brazilian Football Confederation, Avenida Luis Carlos Prestes 130 - Barra da Tijuca - Rio de Janeiro RJ, 22775-055, BrazilThis study aimed to investigate the incidence and other significant features of craniomaxillofacial trauma (CMFT), particularly Sport-Related Concussion (SRC), among professional soccer players from two major leagues in Brazil. This is a prospective epidemiological study which assessed two divisions of the national championship and large regional one over four seasons. Data were gathered from soccer clubs and their medical staff using two online forms. Data related to players (age and position) and injuries (diagnosis, type, body location, laterality, field location, tests performed, need for surgery, time lost in sports, and recurrence) were collected. Between 2016 and 2019, a total of 15 seasons, comprising 3 828 matches and 126 ​324 hours (h) of gameplay, were analyzed. A total of 299 CMFT cases were reported, with a median incidence of 2.37 per 1 000 ​h of play. Among them, there were 178 head and 121 face traumas, which led to 87 SRC (representing 29.10% of all CMFT), with an incidence of 0.69. Defensive midfielders (14.43%) and goalkeepers (14.00%) had the highest prevalence rates of CMFT. Only 3.68% of the injuries, mostly lacerations and fractures, required surgical treatment. This study identified that the average time lost in sports due to SRC was 5.12 days, with a recurrence rate of 12.71%. SRC are a frequent consequence of CMFT in Brazilian professional soccer. Although most cases are mild, there is a high recurrence rate, which may have long-term implications.http://www.sciencedirect.com/science/article/pii/S2666337624000805ConcussionCraniomaxillofacial traumaHead traumaTraumatic brain injurySoccerSport
spellingShingle Guilherme Corrêa de Araújo Moury Fernandes
Ewerton Borges de Souza Lima
Paulo Henrique Schmidt Lara
Ana Camila de Castro Gandolfi
Jorge Roberto Pagura
Gustavo Gonçalves Arliani
Moisés Cohen
Sport-related concussion in Brazilian professional soccer: A four-year prospective epidemiological analysis
Sports Medicine and Health Science
Concussion
Craniomaxillofacial trauma
Head trauma
Traumatic brain injury
Soccer
Sport
title Sport-related concussion in Brazilian professional soccer: A four-year prospective epidemiological analysis
title_full Sport-related concussion in Brazilian professional soccer: A four-year prospective epidemiological analysis
title_fullStr Sport-related concussion in Brazilian professional soccer: A four-year prospective epidemiological analysis
title_full_unstemmed Sport-related concussion in Brazilian professional soccer: A four-year prospective epidemiological analysis
title_short Sport-related concussion in Brazilian professional soccer: A four-year prospective epidemiological analysis
title_sort sport related concussion in brazilian professional soccer a four year prospective epidemiological analysis
topic Concussion
Craniomaxillofacial trauma
Head trauma
Traumatic brain injury
Soccer
Sport
url http://www.sciencedirect.com/science/article/pii/S2666337624000805
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