## 1 Introduction
\begin{table}
\begin{tabular}{l c c c c c c} \hline \hline \multicolumn{1}{c}{**BFV 1**} & \multicolumn{1}{c}{**FIFA 2**} & **Italy 3** & **Austria 4** & **AHA 5** & **ESC 6** \\ \hline Medical history & + & + & + & + & + & + \\ \hline Physical & + & + & + & + & + & + \\ examination & + & + & + & + & + & + \\ \hline ECG & + & + & + & + & - & + \\ \hline Echocardiography & + & + & - & - & - & - \\ \hline Ergometer & - & + & + & - & - & - \\ \hline \multirow{3}{*}{Repetition} & profiles + risk & ECG annually, & Complete & Every two & Every & Every \\  & profile ‘SCD’, & Echo + Ergo, & screening & years at least & two years & two years & at least \\  & annual update & if required & annually & & & \\ \hline \multirow{3}{*}{Special features} & \({}^{\dagger}\)J1\({}^{\prime}\), blood pressure, & & & & & \\  & pulse oximetry, risk & & & & ECG-criteria, & ECG \\  & protocol ‘SCD’, & & & & emphasis & criteria, \\  & ECG criteria, & & & & orthopedic & blood \\  & special emphasis & & & & examination & pressure \\  & orthopedic & & & & & \\  & examination & & & & & \\ \hline \hline \end{tabular}  
* sports medicine concept of the regional football acadines of the Bavarian Football Association (BFV) [22]; \({}^{2}\) FIFA injuries 11 Steps to Prevent Sudden Cardiac Death [23]; \({}^{3}\) Italian legal decree of 1971 and 1982 [24; 25]; \({}^{4}\) Recommendations of the Austrian Society of Sports Medicine and Prevention (OGSMP) and Austrian Society of Pediatric (OGKJ) [26; 27]; \({}^{5}\) Recommendations of the American Heart Association (AHA) [28; 29; 30]; \({}^{6}\) Recommendations of the European Society of Cardiology (ESC) [19].  
\end{table} 
Table 1: Overview of different preventive sports medicine concepts. region is the lower leg with 60-90% [2]. [PERSON] et al. showed a higher incidence of overuse injuries in semi-professional junior football than in adult players of the same skill level [34]. The presented epidemiology and incidence of injuries among junior FP illustrates the risk to which this age group is exposed. Just recently, [PERSON] et al. emphasized the importance of primary and secondary prevention of SCD in the form of pre-participation screening (PPS) [35]. The effectiveness of PPS has already been confirmed by [PERSON] et al. for the example of the Italian cardiological PPS by reducing the annual incidence of SCD by 89% [24; 25; 36]. Regarding orthopedic screening, the benefits of PPS have yet to be proven. However, [PERSON] et al. could demonstrate that a short standardized clinical examination can already reveal musculoskeletal abnormalities among children [37]. There is consensus among sports physicians about the importance and the necessity of PPS programs, but dissent arises when it comes to methods and the extent of diagnostics (see Table 1). The BFV's PPS concept was developed by the FIFA Medical Centre of Excellence Regensburg (FMCE) and was implemented for the first time in 2014. In addition to the athlete's profile and taking a general and specific medical history, it includes clinical and instrumental diagnostics. The PPS program addresses the talents of the football academies of the BFV who are playing on a semi-professional level. The idea of those regional football academies is to provide talent promotion near to their homes [38]. Not playing on a professional level, the FP have not benefitted from medical screening programs so far, who are provided by the junior division of professional clubs. With this in mind, the BFV's PPS program closes a gap of additional health care, which has previously been wide open. The objective of this study was to obtain and present epidemiological data of semi-professional junior FP. These data consist of the results of undergone screening examinations and the FP's medical history like past injuries or known medical conditions. By presenting the PPS results, awareness should be risen for PPS in junior football, and not only on a professional level.