Anterior cruciate ligament injury risk factors in football

Bisciotti, Gian Nicola; Chamari, Karim; Cena, Emanuele; Bisciotti, Andrea; Corsini, Alessandro; Volpi, Piero

doi:10.23736/s0022-4707.19.09563-x

Cited by 49 publications

(30 citation statements)

References 183 publications

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“…ACL injury classically occurs when the foot locks to the ground with concurrent low knee flexion angle, knee joint rotation, and excessive valgus stress (18). In this biomechanical situation, the femoral shear forces above the tibia increase, resulting in an anterior tibial translation which, in turn, causes ACL elongation (19). During non-contact ACL injuries, this situation typically occurs when changing direction or during sidestep cutting maneuvers (18,20,21).…”

Section: Previous Hi and Acl Injuriesmentioning

confidence: 99%

Most Impacting Injuries in Football: a Possible Association?

Glaied

Bisciotti

Bisciotti³

et al. 2021

Muscle Ligaments and Tendons J

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Objective. Epidemiological studies on soccer injuries show that anterior cruciate ligament, groin, and hamstring injuries are heavily impacting availability, therefore medical research has focused on them. A certain number of studies have focused on the possible association between these three injuries. The aim of this study is to describe the possible association between these three injuries and to discuss their possible logical association. Methods. This study is based on the injury records of four international Qatar league players who suffered all these three injuries during their career. Our hypothesis is that these three injuries are related to each other through a cause-effect mechanism. Results. Based on the observational data of this study, the hypothesis that the anterior cruciate ligament, groin and hamstring injuries may be associated with each other can be advanced. This hypothesis is based on both anatomical and functional justifications. Conclusions. Being our knowledge of the pathophysiology and factors predisposing athletes to muscle, tendon and articular injury is still limited, the consequences of another type of injury on the athlete's overall injury risk profile have probably been underestimated or not correctly understood. Further studies are necessary to clarify this cause-effect relation and this study also represents a call for action for future researches in this area.

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Section: Previous Hi and Acl Injuriesmentioning

confidence: 99%

Most Impacting Injuries in Football: a Possible Association?

Glaied

Bisciotti

Bisciotti³

et al. 2021

Muscle Ligaments and Tendons J

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“…This period varies on factors such as the type of injury and the overall amount of time out of full training. During the reintegration period, the player may be subjected to constraints concerning both the intensity and amount of training load performed 24 25…”

Section: Section 1: Rtp Decision General Principlesmentioning

confidence: 99%

“…QNE25 57–59 requires the analysis of speed (divided into six progressively increasing speed categories) recorded in the last period of preinjury training versus the same parameters recorded in the postinjury period to make an RTP judgement.…”

Section: Section 1: Rtp Decision General Principlesmentioning

confidence: 99%

“…The tests were recommended based on expert opinions (GRADE evidence level V). Furthermore, the Illinois Agility Test is an asymmetric test24 25 114–116; thus, we recommend execution in its modified format formulated by Rouissi et al 119…”

Section: Section 2: Rtt and Rtp Decision-making Following Lower Limb mentioning

confidence: 99%

“…In soccer, the majority (~88%) of quadriceps femoris injuries involve the rectus femoris 6 7. The risk of suffering from this type of injury is higher during competition than training (1.1 vs 0.3 per 1000 hours of exposure)6–120; 62% of rectus femoris lesions are recorded during the first half of the match, and the peak risk is observed between the 16th and 45th minutes of play 6 120. The most common mechanism of injury is during the kicking motion (~28% of injuries).…”

Section: Section 2: Rtt and Rtp Decision-making Following Lower Limb mentioning

confidence: 99%

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Italian consensus statement (2020) on return to play after lower limb muscle injury in football (soccer)

Bisciotti

Volpi

Alberti

et al. 2019

BMJ Open Sport Exerc Med

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Return to play (RTP) decisions in football are currently based on expert opinion. No consensus guideline has been published to demonstrate an evidence-based decision-making process in football (soccer). Our aim was to provide a framework for evidence-based decision-making in RTP following lower limb muscle injuries sustained in football. A 1-day consensus meeting was held in Milan, on 31 August 2018, involving 66 national and international experts from various academic backgrounds. A narrative review of the current evidence for RTP decision-making in football was provided to delegates. Assembled experts came to a consensus on the best practice for managing RTP following lower limb muscle injuries via the Delphi process. Consensus was reached on (1) the definitions of ‘return to training’ and ‘return to play’ in football. We agreed on ‘return to training’ and RTP in football, the appropriate use of clinical and imaging assessments, and laboratory and field tests for return to training following lower limb muscle injury, and identified objective criteria for RTP based on global positioning system technology. Level of evidence IV, grade of recommendation D.

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Females show worse functional outcome and quality of life compared to males 2 years after meniscus surgery: Data analysis from the German Arthroscopy Registry

Mai,

Hinz

et al. 2024

Knee surg. sports traumatol. arthrosc.

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PurposeThe purpose of this study was to investigate the impact of sex on knee function, activity and quality of life following meniscus surgery using data from the German Arthroscopy Registry.MethodsThis is a retrospective cohort study with data collected between 2017 and 2022. Patient‐reported outcome measures (PROMs), namely Knee Injury and Osteoarthritis Outcome Score (KOOS), EuroQol Visual Analogue Scale (EQ Scale), and Marx Activity Rating Scale (MARS), were collected preoperatively and at 6, 12 and 24 months postoperatively. Data were analysed to examine differences between male and female patients regarding PROMs, pre‐existing conditions, meniscus lesion types and surgical treatments.ResultsA total of 1106 female (36.6%) and 1945 male patients (63.7%) were included. Males were significantly younger than females and had a higher body mass index. Overall, there were four times more medial meniscus lesions (MMLs) (77.5%) than lateral meniscus lesions (LMLs) (27.9%). Degenerative LMLs were more frequent in females, while traumatic LMLs were more common in males. Frequencies of traumatic and degenerative MMLs were similar among males and females. Males had higher absolute KOOS irrespective of treatment or meniscus lesion type. Meniscus repair resulted in similar improvements in ΔKOOS for both sexes, while meniscus resection exhibited higher absolute KOOS for males at each time point. Males generally had higher EQ Scale and MARS than females.ConclusionGreater improvements in knee function, activity and quality of life were observed in males. While MMLs appear to be comparable among sexes, the nature of LML differed significantly. These results may help surgeons to refine patient selection for specific treatments to improve overall clinical outcomes.Level of EvidenceLevel III.

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Anterior cruciate ligament injury risk factors in football

Cited by 49 publications

References 183 publications

Most Impacting Injuries in Football: a Possible Association?

Most Impacting Injuries in Football: a Possible Association?

Italian consensus statement (2020) on return to play after lower limb muscle injury in football (soccer)

Females show worse functional outcome and quality of life compared to males 2 years after meniscus surgery: Data analysis from the German Arthroscopy Registry

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