Objective: To study the incidence and nature of injuries at European Championships, to compare training and match injury characteristics and to study differences in injury incidence between tournaments. Design: Team physicians prospectively recorded individual player exposure and time loss injuries during 12 European Championships (men's EURO n=1, men's Under-21 n=2, men's Under-19 n=3, men's Under-17 n=3, women's Under-19 n=3) from 2006 to 2008. Setting: International football tournaments Participants: 1594 men and 433 women Main outcome measurement: Injury incidence Results: 224 injuries (45 training, 179 match play) were registered among 208 (10%) players. No differences in training injury incidence were seen between tournaments (range 1.3-3.9 injuries/1000 hours). The men's EURO had the highest match injury incidence (41.6 injuries/ 1000 hours) followed by the men's Under-21 tournaments (33.9). The lowest match injury incidence was seen in the women's Under-19 tournaments (20.5). Training injuries constituted 20% of all injuries and caused 26% of all match unavailability. A greater proportion of match injuries were due to trauma (83 vs 47%, p,0.001) and occurred from player contact (75 vs 48%, p=0.018) compared to training injuries. A higher frequency of reinjury was found among training injuries than match injuries (20 vs 6%, p=0.009). Conclusions: Match injury incidence increased with age, indicating greater risk with higher intensity of play. Training injury incidence was relatively low, but training injuries were responsible for a quarter of all match unavailability and may thus have a profound impact on team performance and should be the object of preventive measures.
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