Tottenham carried out an internal review into why the season was heavily disrupted by fitness issues, with particular focus on an unusual number of anterior cruciate ligament injuries. The club avoided relegation on the final day with a 1-0 win over Everton, but the campaign was marked by frequent injuries to key players. Player availability averaged about 77%, with squad members absent for more than 2,000 combined days. Tottenham wants to raise availability toward 90% and reduce total absence days below 1,000, though this may be difficult before next season. Long-term ACL injuries affected James Maddison, Wilson Odobert, and Xavi Simons, while Dejan Kulusevski missed the entire campaign after knee surgery. Medical staff believe Tottenham have suffered more ACL injuries than expected, and the audit considers multiple factors, including pitch “bounce” at home and at the Enfield training centre, with testing ongoing. The club also considers whether some injuries are unavoidable and whether on-field treatment contributed to further damage.
"Tottenham have launched an extensive review into why their season was heavily affected by fitness issues, with a key focus on the "unusual" spate of anterior cruciate ligament injuries. Spurs avoided relegation on the final day of the season thanks to a 1-0 win over Everton but their difficult campaign was beset by a constant flow of injuries to key players. The club are now carrying out an internal audit - led by performance director Dan Lewindon - to work out why their season was so badly disrupted."
"It is understood the average availability of Spurs players last season was about 77%, and squad members were absent for a combined period of more than 2,000 days. Tottenham would prefer to take those numbers closer to 90% availability and fewer than 1,000 days, though there is an acknowledgement that may be difficult to achieve in the months leading up to next season. James Maddison, Wilson Odobert and Xavi Simons all sustained long-term ACL injuries, while Dejan Kulusevski missed the entire campaign after requiring surgery on a serious knee injury from the end of 2024-25 season."
"There has been an acknowledgement among medical staff at Tottenham that the club have sustained more ACL injuries than they should. As part of the audit, they are considering numerous factors to work out why it has become such a problem. For example, Spurs are analysing the "bounce" on the club's home pitch in comparison to that at rival grounds and their Enfield training centre. At present, the club have found there is no major difference between the conditions of other pitches in comparison to their home ground, but testing is ongoing."
"There is a view that certain knee injuries are unavoidable - Odobert for instance damaged his ACL following an awkward landing. It is also understood Spurs are confident the on-field treatment of Simons' injury did not result in additional damage."
Read at www.bbc.com
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