Aim To estimate the incidence of injury in adult elite women’s football and to characterise the nature and anatomical location of injuries. Design Systematic review and meta-analysis. Data sources Combinations of the key terms were entered into the following electronic databases (PubMed, SPORTDiscus, Science Direct and Discover) from inception to May 2021. Eligibility criteria for selecting studies (1) Used a prospective cohort design; (2) captured data on elite adult women players; (3) reported injury incidence by anatomical site; (4) captured data of at least one season or national team tournament; (5) included a definition of injury; and (6) written in English. Results The search identified 1378 records. Twelve studies published between 1991 and 2018 were included in our review and sampled 129 teams. In domestic club football, injury incidence rate was estimated to be 5.7/1000 hours (total), 19.5/1000 hours (match) and 3.1/1000 hours (training). In tournament, football match incidence was estimated to be 55.7/1000 hours. The knee (22.8%; 368/1822) was the most common site of injury in domestic club football. The ankle (23.7%, 105/443) was the most common site of injury in tournament football. Ligament sprains were the most common type of injury (27.8%), followed by muscle strains (19.1%). Severn studies (58%) had a high risk of bias associated with exposure definition and measurement and considerable heterogeneity exists between the included studies (I2=49.7%–95%). Summary/conclusion Ligament sprains occur more frequently in adult elite women football players. We advise caution in interpretating point estimates of the incidence of injury due to high statistical heterogeneity. Standardising injury reporting and the accurate recording of match and training exposure will overcome such limitations. PROSPERO registration number CRD42019130407.su

中文翻译：

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成年精英女子足球受伤的发生率：系统评价和荟萃分析

目的 估计成年精英女子足球受伤的发生率，并描述受伤的性质和解剖位置。设计系统回顾和荟萃分析。数据来源 自成立至 2021 年 5 月，将关键术语的组合输入以下电子数据库（PubMed、SPORTDiscus、Science Direct 和 Discover）。选择研究的资格标准 (1) 使用前瞻性队列设计；(2) 收集到关于精英成年女性球员的数据；(3) 按解剖部位报告的损伤发生率；（四）采集至少一个赛季或国家队比赛的数据；(5) 包括伤害的定义；(6) 用英文书写。结果 搜索确定了 1378 条记录。我们审查了 1991 年至 2018 年间发表的 12 项研究，并对 129 个团队进行了抽样调查。在国内俱乐部足球中，受伤发生率估计为 5.7/1000 小时（总）、19.5/1000 小时（比赛）和 3.1/1000 小时（训练）。在锦标赛中，足球比赛的发生率估计为 55.7/1000 小时。膝盖（22.8%；368/1822）是国内俱乐部足球中最常见的受伤部位。脚踝（23.7%，105/443）是锦标赛足球中最常见的受伤部位。韧带扭伤是最常见的损伤类型（27.8%），其次是肌肉拉伤（19.1%）。Severn 研究 (58%) 存在与暴露定义和测量相关的高偏倚风险，并且纳入的研究之间存在相当大的异质性 (I2=49.7%–95%)。总结/结论 成年精英女子足球运动员更频繁地发生韧带扭伤。由于高度统计异质性，我们建议谨慎解释伤害发生率的点估计。标准化伤病报告以及准确记录比赛和训练情况将克服这些限制。PROSPERO 注册号 CRD42019130407.su