{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,11]],"date-time":"2026-09-11T19:22:17Z","timestamp":1789154537258,"version":"build-2803163510"},"reference-count":29,"publisher":"MDPI AG","issue":"9","license":[{"start":{"date-parts":[[2025,9,5]],"date-time":"2025-09-05T00:00:00Z","timestamp":1757030400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>Introduction: Overuse injuries are a growing concern among adolescent soccer players, with the repetitive nature of the sport placing significant physical demands on young athletes. These injuries can have long-term implications for physical development, performance, and overall well-being. This narrative synthesis aimed to evaluate the existing literature on the epidemiology, risk factors, and management strategies for overuse injuries in adolescent soccer players. Methods: A comprehensive literature search was conducted using PubMed and Embase. A total of 123 articles were identified, 27 of which met the inclusion criteria after screening. Studies focusing on overuse injuries in adolescent soccer players aged 10\u201318 years were included, while those addressing acute injuries, non-soccer populations, or adult athletes were excluded. Relevant quantitative and qualitative data were extracted and evaluated. Due to heterogeneity in study designs and outcomes, findings were narratively synthesized rather than meta-analyzed. Results: The period around peak height velocity (PHV: 11.5 years in girls, 13.5 years in boys) was consistently identified as a high-risk window, with seven studies demonstrating a significantly increased incidence of overuse injuries. Additional risk factors included leg length asymmetry, truncal weakness, early sport specialization, high ratios of organized-to-free play, and increased body size. Injury burden was greatest for hamstring and groin injuries, often leading to prolonged time lost from play. Preventive interventions such as plyometric training, trunk stabilization, and structured load monitoring demonstrated reductions in injury incidence in several prospective studies, though protocols varied widely. Conclusion: This narrative synthesis highlights PHV as the most consistent risk factor for overuse injuries in adolescent soccer players, alongside modifiable contributors such as training load, sport specialization, and free play balance. Evidence supports neuromuscular training and structured monitoring as promising preventive strategies, but there remains a lack of standardized, evidence-based protocols. Future research should focus on optimizing and validating interventions, integrating growth and load monitoring, and leveraging emerging approaches such as machine learning-based risk prediction.<\/jats:p>","DOI":"10.3390\/ijerph22091388","type":"journal-article","created":{"date-parts":[[2025,9,5]],"date-time":"2025-09-05T14:53:01Z","timestamp":1757083981000},"page":"1388","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Adolescent Soccer Overuse Injuries: A Review of Epidemiology, Risk Factors, and Management"],"prefix":"10.3390","volume":"22","author":[{"ORCID":"https:\/\/orcid.org\/0009-0003-2611-3724","authenticated-orcid":false,"given":"Adam","family":"Ayoub","sequence":"first","affiliation":[{"name":"Homer Stryker MD School of Medicine, Western Michigan University, Kalamazoo, MI 49008, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maxwell","family":"Ranger","sequence":"additional","affiliation":[{"name":"Homer Stryker MD School of Medicine, Western Michigan University, Kalamazoo, MI 49008, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Melody","family":"Longmire","sequence":"additional","affiliation":[{"name":"Homer Stryker MD School of Medicine, Western Michigan University, Kalamazoo, MI 49008, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3635-4973","authenticated-orcid":false,"given":"Karen","family":"Bovid","sequence":"additional","affiliation":[{"name":"Homer Stryker MD School of Medicine, Western Michigan University, Kalamazoo, MI 49008, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2025,9,5]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"309","DOI":"10.1186\/s13018-018-1017-5","article-title":"Overuse injuries in sport: A comprehensive overview","volume":"13","author":"Aicale","year":"2018","journal-title":"J. Orthop. Surg. Res."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"1059","DOI":"10.1007\/s40279-016-0479-z","article-title":"Neuromuscular risk factors for knee and ankle ligament injuries in male youth soccer players","volume":"46","author":"Read","year":"2016","journal-title":"Sports Med."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"743","DOI":"10.1007\/s00256-024-04629-z","article-title":"Imaging of soccer injuries in adolescent female athletes","volume":"54","author":"Babler","year":"2025","journal-title":"Skelet. Radiol."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"544","DOI":"10.1080\/17461391.2019.1633416","article-title":"Growing pains: Maturity associated variation in injury risk in academy football","volume":"20","author":"Johnson","year":"2020","journal-title":"Eur. J. Sport. Sci."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"2351","DOI":"10.1519\/JSC.0000000000000877","article-title":"Plyometric Training Effects on Athletic Performance in Youth Soccer Athletes: A Systematic Review","volume":"29","author":"Bedoya","year":"2015","journal-title":"J. Strength Cond. Res."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"246","DOI":"10.1016\/j.jsams.2019.10.001","article-title":"Risk of acute and overuse injuries in youth elite soccer players: Body size and growth matter","volume":"23","author":"Rommers","year":"2020","journal-title":"J. Sci. Med. Sport."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"1330","DOI":"10.1249\/MSS.0000000000002243","article-title":"Groin Injuries in Soccer: Investigating the Effect of Age on Adductor Muscle Forces","volume":"52","author":"Lysdal","year":"2020","journal-title":"Med. Sci. Sports Exerc."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"368","DOI":"10.1097\/JSM.0000000000000643","article-title":"Sports Specialization Is Not Associated With Greater Odds of Previous Injury in Elite Male Youth Soccer Players","volume":"29","author":"Frome","year":"2019","journal-title":"Clin. J. Sport Med."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"165","DOI":"10.1136\/bjsports-2018-099218","article-title":"Overuse injuries are prevalent in children\u2019s competitive football: A prospective study using the OSTRC Overuse Injury Questionnaire","volume":"53","author":"Pasanen","year":"2019","journal-title":"Br. J. Sports Med."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"1625","DOI":"10.1111\/sms.14199","article-title":"Players with high physical fitness are at greater risk of injury in youth football","volume":"32","author":"Uotila","year":"2022","journal-title":"Scand. J. Med. Sci. Sports"},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"27","DOI":"10.5114\/biolsport.2023.109962","article-title":"Injury incidence and risk factors in youth soccer players: A systematic literature review. Part II: Intrinsic and extrinsic risk factors","volume":"40","author":"Mandorino","year":"2023","journal-title":"Biol. Sport"},{"key":"ref_12","first-page":"1","article-title":"Risk Factors for Lower Extremity Overuse Injuries in Female Youth Soccer Players","volume":"5","author":"Neradilek","year":"2017","journal-title":"Orthop. J. Sports Med."},{"key":"ref_13","first-page":"6360","article-title":"Influence of a Training Session on Postural Stability and Foot Loading Patterns in Soccer Players","volume":"8","author":"Petry","year":"2016","journal-title":"Orthop. Rev."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"2295","DOI":"10.1080\/02640414.2016.1173221","article-title":"The scientific foundations and associated injury risks of early soccer specialisation","volume":"34","author":"Read","year":"2016","journal-title":"J. Sports Sci."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"1542","DOI":"10.1080\/02640414.2017.1402535","article-title":"An audit of injuries in six english professional soccer academies","volume":"36","author":"Read","year":"2018","journal-title":"J. Sports Sci."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"48","DOI":"10.1016\/j.ptsp.2022.06.005","article-title":"Incidence, burden, and pattern of injuries in Spanish male youth soccer players: A prospective cohort study","volume":"56","author":"Cejudo","year":"2022","journal-title":"Phys. Ther. Sport"},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"327","DOI":"10.1055\/s-0034-1385879","article-title":"Importance of peak height velocity timing in terms of injuries in talented soccer players","volume":"36","author":"Brink","year":"2015","journal-title":"Int. J. Sports Med."},{"key":"ref_18","first-page":"351","article-title":"Sport injuries aligned to peak height velocity in talented pubertal soccer players","volume":"35","author":"Nijboer","year":"2014","journal-title":"Int. J. Sports Med."},{"key":"ref_19","doi-asserted-by":"crossref","unstructured":"Wada, N., Abe, Y., Nakazawa, R., Sakamoto, M., and Tajika, T. (2024). Relationship between coordination variability and Osgood-Schlatter disease in male junior youth soccer players-cross-sectional study using an inertial measurement unit. Clin. Biomech., 112.","DOI":"10.1016\/j.clinbiomech.2024.106182"},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"160","DOI":"10.1016\/j.ptsp.2022.10.013","article-title":"Prevalence of sport specialisation and association with injury history in youth football","volume":"58","author":"Zoellner","year":"2022","journal-title":"Phys. Ther. Sport."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"476","DOI":"10.1123\/jsr.2018-0350","article-title":"Are Hip Physical Examination Findings Predictive of Future Lower-Body Injury Rates in Elite Adolescent Female Soccer Athletes at Minimum 5-Year Follow-Up?","volume":"29","author":"Cheng","year":"2019","journal-title":"J. Sport Rehabil."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"270","DOI":"10.1055\/s-0044-100923","article-title":"A Trunk Stabilization Exercise Warm-up May Reduce Ankle Injuries in Junior Soccer Players","volume":"39","author":"Imai","year":"2018","journal-title":"Int. J. Sports Med."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"1745","DOI":"10.1249\/MSS.0000000000002305","article-title":"A Machine Learning Approach to Assess Injury Risk in Elite Youth Football Players","volume":"52","author":"Rommers","year":"2020","journal-title":"Med. Sci. Sports Exerc."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"395","DOI":"10.1123\/ijspp.2019-0624","article-title":"Monitoring Practices of Training Load and Biological Maturity in UK Soccer Academies","volume":"16","author":"Salter","year":"2021","journal-title":"Int. J. Sports Physiol. Perform."},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"2181","DOI":"10.1080\/02640414.2018.1443746","article-title":"The elite player performance plan: The impact of a new national youth development strategy on injury characteristics in a premier league football academy","volume":"36","author":"Tears","year":"2018","journal-title":"J. Sports Sci."},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"1167","DOI":"10.1080\/02640414.2017.1363452","article-title":"The effects of football match congestion in an international tournament on hip adductor squeeze strength and pain in elite youth players","volume":"36","author":"Wollin","year":"2018","journal-title":"J. Sports Sci."},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"83","DOI":"10.1186\/s13018-022-02979-9","article-title":"Incidence of calcaneal apophysitis (Sever\u2019s disease) and return-to-play in adolescent athletes of a German youth soccer academy: A retrospective study of 10 years","volume":"17","author":"Belikan","year":"2022","journal-title":"J. Orthop. Surg. Res."},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"369","DOI":"10.2152\/jmi.61.369","article-title":"Prevalence of childhood and adolescent soccer-related overuse injuries","volume":"61","author":"Suzue","year":"2014","journal-title":"J. Med. Investig."},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"507","DOI":"10.1542\/peds.102.S3.507","article-title":"Growth and normal puberty","volume":"102","author":"Abbassi","year":"1998","journal-title":"Pediatrics"}],"container-title":["International Journal of Environmental Research and Public Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/1660-4601\/22\/9\/1388\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,9]],"date-time":"2025-10-09T18:40:19Z","timestamp":1760035219000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1660-4601\/22\/9\/1388"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,9,5]]},"references-count":29,"journal-issue":{"issue":"9","published-online":{"date-parts":[[2025,9]]}},"alternative-id":["ijerph22091388"],"URL":"https:\/\/doi.org\/10.3390\/ijerph22091388","relation":{},"ISSN":["1660-4601"],"issn-type":[{"value":"1660-4601","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,9,5]]}}}