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September 5, 2026Scientific ReportsOpen Access

Associations between maturation assessment methods and growth-related injury occurrence in a German Bundesliga youth football academy

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Authors

FLFelix LaukhardtTETobias EngeroffSSSebastian Schneider

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Overview

Prospective cohort study finds ultrasound-detected peak height velocity associates with growth-related injuries in youth football players, highlighting the value of precise maturation monitoring.

Key Points

  • To investigate the association between multiple biological maturation assessment methods and the occurrence of growth-related and other injuries across peak height velocity stages in elite youth football players.
  • Prospective observational cohort of 205 male academy players (U9–U16, 619 total assessments) monitored quarterly over one year in a German Bundesliga youth academy (DRKS00036919).
  • Assessed biological maturation across pre-, during, and post-peak height velocity periods using nine methods (Mirwald, Moore, Fransen [±6/12 months], Khamis-Roche [85–96%/88–96%], and ultrasonic BAUSport).
  • Classified quarterly injury incidence as no injury, growth-related, non-contact, or contact injury, analyzed using Bayesian multinomial regression models.
  • Only the ultrasonic BAUSport-defined peak height velocity period significantly associated with growth-related injuries, showing lower odds during pre-PHV (OR = 0.33) and post-PHV (OR = 0.17) periods relative to peak growth.
  • Most maturation assessment methods demonstrated higher odds of non-contact injuries relative to no injury as players matured, whereas contact injury risk did not differ across maturation stages.

Cite This Study

Laukhardt et al. (2026) studied this question.

synapsesocial.com/papers/6a9bd4606b95aff0620ec158https://doi.org/10.1038/s41598-026-69051-y
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Associations between growth, maturation and non-contact injury risk in Scottish male academy football: a prospective multi-academy study2026
  2. 2Growing pains: Maturity associated variation in injury risk in academy football2019 · 103 citations
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  4. 4The burden of injuries according to maturity status and timing: A two‐decade study with 110 growth curves in an elite football academy2021 · 60 citations
  5. 5Injury Risk and Maturity Status in Italian Elite Young Football Player2021 · 6 citations