A Meta-analysis of the Incidence of Anterior Cruciate Ligament Tears as a Function of Gender, Sport, and a Knee Injury–Reduction Regimen

Prodromos, Chadwick C.; Han, Yung; Rogowski, Julie; Joyce, Brian T.; Shi, Kelvin

doi:10.1016/j.arthro.2007.07.003

Cited by 746 publications

(561 citation statements)

References 37 publications

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“…The female-to-male rate ratio reported in the present study corresponds very well to the ratios found in two recent reviews that identified an average risk increase among females of between two and three [36,49].…”

Section: Female-to-male Ratiosupporting

confidence: 91%

Anterior cruciate ligament injury in elite football: a prospective three-cohort study

Waldén

Hägglund

Magnusson

et al. 2010

Knee Surg Sports Traumatol Arthrosc

267

221

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Anterior cruciate ligament (ACL) injury causes long lay-off time and is often complicated with subsequent new knee injury and osteoarthritis. Female gender is associated with an increased ACL injury risk, but few studies have adjusted for gender-related differences in age although female players are often younger when sustaining their ACL injury.The objective of this three-cohort study was to describe ACL injury characteristics in teams from the Swedish men's and women's first leagues and from several European men's professional first leagues. Over a varying number of seasons from 2001 to 2009, 57 clubs (2329 players) were followed prospectively and during this period 78 ACL injuries occurred (5 partial). Mean age at ACL injury was lower in women compared to men (20.6 ± 2.2 vs. 25.2 ± 4.5 years, p=0.0002).Using a Cox regression, the female-to-male hazard ratio (HR) was 2.6 (95% CI 1.4 to 4.6) in all three cohorts studied and 2.6 (95% CI 1.3 to 5.3) in the Swedish cohorts; adjusted for age, the HR was reduced to 2.4 (95% CI 1.3 to 4.2) and 2.1 (95% CI 1.0 to 4.2), respectively. Match play was associated with a higher ACL injury risk with a match-to-training ratio of 20.8 (95% CI 12.4 to 34.8) and 45 ACL injuries (58%) occurred due to non-contact mechanisms. Hamstrings grafts were used more often in Sweden than in Europe (67% vs. 34%, p=0.028), and there were no differences in time to return to play after ACL reconstruction between the cohorts or different grafts. In conclusion, this study showed that the ACL injury incidence in female elite footballers was more than doubled compared to their male counterparts, but also that they were significantly younger at ACL injury than males. These findings suggest that future preventive research primarily should address the young female football player.

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Section: Female-to-male Ratiosupporting

confidence: 91%

Anterior cruciate ligament injury in elite football: a prospective three-cohort study

Waldén

Hägglund

Magnusson

et al. 2010

Knee Surg Sports Traumatol Arthrosc

267

221

View full text Add to dashboard Cite

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“…There are an estimated 200,000 anterior cruciate ligament (ACL) reconstructions annually in the USA [1][2][3], with recent trends showing an increase in the incidence of ACL tears and subsequent reconstructions through epidemiological data [4]. Surgical reconstruction of the ACL is designed to restore the normal anatomy and biomechanics of the knee joint to allow individuals to return to their previous sport or work activity.…”

Section: Introductionmentioning

confidence: 99%

Prevention and Management of Post-operative Complications Following ACL Reconstruction

Eckenrode

Carey

Sennett

et al. 2017

Curr Rev Musculoskelet Med

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Purpose of Review The goal of this paper is to review the current management and prevention of post-operative complications after anterior cruciate ligament (ACL) reconstruction. Trends in rehabilitation techniques will be presented, in addition to suggestions for interventions and expected milestones in ACL reconstruction recovery. Recent Findings ACL reconstruction protocols have evolved to more of a criterion-based progression rather than a tissuehealing time frame. Given the evolution of ACL surgical reconstruction techniques and rehabilitation protocols, the risk of post-operative complications can arise both early and late in the recovery process. This paper will discuss the role of preventative measures as it applies to the post-operative patient with ACL reconstruction. Summary Short-term complications following ACL reconstruction include infection and deficits to knee motion and strength, whereas long-term complications include secondary ACL injury to either the involved or contralateral knee and lack of ability to return to high-level sports following this procedure. Future research should continue to address the multifactorial causes of secondary ACL injury and limited ability of patients to return to high level activities.

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“…However, the problem that could receive this group-based intervention. Gender differences in sport injury incidence might also affect a program's effectiveness (Powell, & Barber-Foss, 2000;Prodromos et al, 2007), although the program itself is not gender specific and could be delivered to either males or females. Finally, age differences could also affect the outcome, as a result of both age and injury history, and the willingness of older people to receive an hour long intervention session.…”

Section: Discussionmentioning

confidence: 99%

Effectiveness of a stress management pilot program aimed at reducing the incidence of sports injuries in young football (soccer) players

Zafra

Rubio

Ortega

et al. 2017

Physical Therapy in Sport

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Esta es la versión de autor del artículo publicado en: This is an author produced version of a paper published in:Physical Therapy in Sport 24 (2017) Effectiveness of a stress management pilot program aimed at reducing the incidence of sports injuries in young football (soccer) players ABSTRACT Objectives: Several attempts to reduce the incidence of sport injuries using psychosocial interventions produced fruitful, although inconclusive results. This paper presents the effectiveness and implementation issues of a pilot 3-month stress-management and muscle relaxation program aimed at reducing sport injury incidence.Design: Pre-post treatment-non treatment group comparison.Program administration: The program was administered by a trained psychologist on a once-a-week, one-hour session basis.Participants: Seventy-four male soccer players from four National Youth league teams voluntarily participated. Teams were randomly assigned to either treatment/ non-treatment group.Measures: Injury protocol, Self-monitoring cards, Athletes' satisfaction and commitment survey, Coaches' interview.Results: Group main effect and Time-Group interaction effect were both statistically significant, F(1,60) = 8.30, p = .005,  2 p = .121, with the average number of injuries larger in the post-treatment phase of Non-treatment group (p = .005,  2 p = .077).There was a significant decrease in the average number of injuries for the RUNNING HEAD: A PILOT STRESS-MANAGEMENT PROGRAM TO REDUCE SPORT INJURIES 2 intervention group before and after implementing the program (p < .001,  2 p = .309).Conclusions: A controlled implementation of a psychosocial program was effective in reducing youth soccer sport injuries, with a high level of satisfaction and commitment from the athletes, as well as high acceptance from the coaches.

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A Meta-analysis of the Incidence of Anterior Cruciate Ligament Tears as a Function of Gender, Sport, and a Knee Injury–Reduction Regimen

Cited by 746 publications

References 37 publications

Anterior cruciate ligament injury in elite football: a prospective three-cohort study

Anterior cruciate ligament injury in elite football: a prospective three-cohort study

Prevention and Management of Post-operative Complications Following ACL Reconstruction

Effectiveness of a stress management pilot program aimed at reducing the incidence of sports injuries in young football (soccer) players

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