I found that the joysticktype=4axis_2 setting gives a slight bit of control that allows you to start a game. It's not playable, but just to see how it runs. The procedure is a bit tricky: you press a button to select the English language, and then on the main menu pressing right causes the pointer to drift to the upper right, and down causes it to drift to the lower right, so you can maneuver over one of the game options and press the button, and when the pointer finally settles in the lower right just keep pressing the button to proceed into the game.
There seems to be a graphics issue in the main gameplay regarding horizontal scrolling and the bottom status line. The machine=vgaonly setting eliminates the messed up referee graphics and the junk beneath the status line, but the status line still slides jumpingly left and right when it should stay still, and the player and ball sprites show some "ghosting" when the screen scrolls that looks like it's related to page flipping.