Epidemiology of knee internal derangement injuries in United States high school girls’ lacrosse, 2008/09-2016/17 academic years

Tadlock, Bailey A; Pierpoint, Lauren A.; Covassin, Tracey; Caswell, Shane V.; Lincoln, Andrew E.; Kerr, Zachary Y.

doi:10.1080/15438627.2018.1533471

Cited by 17 publications

(15 citation statements)

References 21 publications

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“…Our dataset did not include injury data and there are conflicting data regarding changes in knee injury rates in the literature. In some patient groups, especially some young sportspersons, rates appear to be rising, but in others rates may be falling and, although limited, no overall increase has been observed in national series in the USA or Sweden 26 30–32. Male patients have previously been found to be at increased risk of ACL injury and, as in our study, also ACL surgery 33.…”

Section: Discussioncontrasting

confidence: 42%

Anterior cruciate ligament (ACL) reconstruction and meniscal repair rates have both increased in the past 20 years in England: hospital statistics from 1997 to 2017

et al. 2019

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ObjectivesWe investigated the temporal trend and the geographical variation in the rate of an anterior cruciate ligament (ACL) reconstruction and meniscal repair (MR) performed in England during a 20-year window.MethodsAll hospital episodes for patients undergoing ACL reconstruction or MR between 1 April 1997 and 31 March 2017 were extracted by procedure code from the national hospital episode statistics. Age-standardised and sex-standardised rates of surgery were calculated using Office for National Statistics population data as the denominator and analysed over time both nationally and regionally by National Health Service clinical commissioning group (CCG).ResultsBetween 1997–1998 and 2016–2017, there were 133 270 cases of ACL reconstruction (124 489 patients) and 42 651 cases of MR (41 120 patients) (isolated or simultaneous). Nationally, the rate of ACL reconstruction increased 12-fold from 2.0/100K population (95% CI 1.9 to 2.1) in 1997–1998 to 24.2/100K (95% CI 23.8 to 24.6) in 2016–2017. The rate of MR increased more than twofold from 3.0/100K (95% CI 2.8 to 3.1) in 1997–1998 to 7.3/100K (95% CI 7.1 to 7.5) in 2016–2017. Of these cases, the rate of simultaneous ACL reconstruction and MR was 2.6/100K (95% CI 2.5 to 2.8) in 2016/2017. In 2016–2017, for patients aged 20–29, the sex-standardised rate of ACL reconstruction was 76.9/100K (95% CI 74.9 to 78.9) and for MR was 19.8/100K (95% CI 18.8 to 20.9). Practice varied by region—in 2016–2017, 14.5% (30/207) of the CCGs performed more than twice the national average rate of ACL reconstruction and 15.0% (31/207) performed more than twice the national average rate of MR.ConclusionsThe rate of ACL reconstruction (12-fold) and MR (2.4-fold) has increased in England over the last two decades. There is variation in these rates across geographical regions and further work is required to deliver standardised treatment guidance for appropriate use.

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Section: Discussioncontrasting

confidence: 42%

Anterior cruciate ligament (ACL) reconstruction and meniscal repair rates have both increased in the past 20 years in England: hospital statistics from 1997 to 2017

et al. 2019

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“…23,40,42 Across 18 studies ( ACL injuries in match and practice settings were additionally calculated for both male and female athletes based on data provided in 3 studies (Table 5). 23,43,47 The risks of ACL injuries in matches and practices for girls were 0.191 (95% CI, 0.168-0.216) and 0.022 (95% CI, 0.017-0.029), respectively, corresponding to an overall RR of 8.54 (95% CI, 6. 46-11.30).…”

Section: Resultsmentioning

confidence: 99%

“…A total of 5 articles reviewed ACL injuries in adolescent lacrosse athletes. 3,25,40,42,43 23,47 The RR of ACL injuries per 1000 AEs between matches and practices was 10.00 (95% CI, 6.03-16.56) for girls and 9.22 (95% CI, 4.43-19.18) for boys.…”

Section: Lacrossementioning

confidence: 99%

“…0.81% and 0.64% for girls and boys (mean length of 12 weeks or 73 AEs), respectively, or an RR of 1.28 (95% CI, 0.92-1.76) when comparing girls with boys. One study reported lacrosse-related ACL injuries per match and per practice in girls, with a per-match rate of 0.252 (95% CI, 0.192-0.324) and a per-practice rate of 0.017 (95% CI, 0.008-0.032), for an RR of 14.85 (95% CI, 7.37-29.91) per 1000 AEs 43. a calculated RR of 3.10 (95% CI, 2.36-4.07).…”

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confidence: 99%

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Anterior Cruciate Ligament Injury Incidence in Adolescent Athletes: A Systematic Review and Meta-analysis

et al. 2020

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Background: The incidence of anterior cruciate ligament (ACL) injuries among adolescent athletes is steadily increasing. Identification of the highest risk sports for ACL injuries by sex and competitive setting (ie, practice vs match) is important for targeting injury prevention programs. Purpose: To identify the risk of ACL injuries in adolescent athletes by sport, sex, and setting across a variety of common US and international sports. Study Design: Meta-analysis. Methods: Essentially, 3 online databases (PubMed, Embase, and Cochrane Library) were searched for all studies of ACL injuries per athlete-exposure (AE) or hours of exposure in adolescent athletes. Injuries were then pooled and incidence rates (IRs) reported per 1000 AEs or hours of exposure, with the relative risk (RR) of injuries calculated for sex-comparable sports. IRs per competitive setting (match vs practice) were also calculated. Results: A total of 1235 ACL injuries over 17,824,251 AEs were identified (IR, 0.069 [95% CI, 0.065-0.074]), with 586 of these injuries in girls across 6,986,683 AEs (IR, 0.084 [95% CI, 0.077-0.091]) versus 649 injuries in boys over 10,837,568 AEs (IR, 0.060 [95% CI, 0.055-0.065]). Girls had a higher overall rate of ACL injuries (RR, 1.40 [95% CI, 1.25-1.57]), with the most disproportionate risk observed in basketball (RR, 4.14 [95% CI, 2.98-5.76]). The risk of ACL injuries by sex was highest in girls’ soccer (IR, 0.166 [95% CI, 0.146-0.189]) and boys’ football (IR, 0.101 [95% CI, 0.092-0.111]). ACL injuries were over 8 (RR, 8.54 [95% CI, 6.46-11.30]) and 6 (RR, 6.85 [95% CI, 5.52-8.49]) times more likely to occur in a match versus a practice setting for female and male athletes, respectively. Conclusion: The risk of ACL injuries overall approached nearly 1 per 10,000 AEs for female athletes, who were almost 1.5 times as likely as male athletes to suffer an ACL injury across all adolescent sports. A multisport female athlete was estimated to have a nearly 10% risk of ACL injuries over her entire high school or secondary school career. Specifically, male and female adolescents playing soccer, basketball, lacrosse, and football appeared at particular risk of injuries, a finding that can be used to target an injury intervention.

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“…Unfortunately, there are no other epidemiological data available from youth futsal. From other high-speed pivoting sports, handball,29 floorball30 and lacrosse,31 the literature consistently presents females being at higher knee injury risk. Preventive strategies highly recommend the application of neuromuscular injury prevention training 32–35…”

Section: Discussionmentioning

confidence: 99%

How do the new Olympic sports compare with the traditional Olympic sports? Injury and illness at the 2018 Youth Olympic Summer Games in Buenos Aires, Argentina

et al. 2019

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ObjectiveTo describe injuries and illnesses across traditional and new sports among the participating athletes of the Buenos Aires 2018 Youth Olympic Summer Games (BA YOG) (6–18 October 2018).MethodsWe recorded the daily number of athlete injuries and illnesses (1) through the reporting of all National Olympic Committee (NOC) medical teams and (2) in the polyclinic and medical venues manned by the BA YOG 2018 medical staff.ResultsIn total, 3.984 athletes from 206 NOCs were observed. NOCs and BA YOG 2018 medical staff reported 619 injuries and 334 illnesses, equalling 15.5 injuries and 8.4 illnesses per 100 athletes over the 13-day period. The eight new sports on the Youth Olympic programme (futsal, beach handball, karate, roller speed skating, kitesurfing, BMX freestyle, climbing and break dancing) fell in between the other sports with respect to injury and illness risk. Injury incidence was highest in rugby (43% of all rugby players), followed by boxing (33%) and badminton (24%), and lowest in swimming, archery, roller speed skating, equestrian, climbing and rowing (<5%). The highest incidences of illness were recorded in golf (20%), followed by triathlon (16%), beach volleyball and diving (both 14%). Of the illnesses, 50% affected the respiratory system and 15% the gastrointestinal system. Injury and illness incidences varied between continents with athletes representing Europe having significantly fewer injuries and illnesses compared with other continents, apart from a similar illness incidence to Asian athletes.ConclusionThe overall injury incidence of 15.5 injuries per 100 athletes was higher, while the overall illness incidence of 8.4 illnesses per 100 athletes was similar to previous youth and Olympic Games. The new sports did not differ significantly compared with the other sports with respect to injury and illness risk.

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Epidemiology of knee internal derangement injuries in United States high school girls’ lacrosse, 2008/09-2016/17 academic years

Cited by 17 publications

References 21 publications

Anterior cruciate ligament (ACL) reconstruction and meniscal repair rates have both increased in the past 20 years in England: hospital statistics from 1997 to 2017

Anterior cruciate ligament (ACL) reconstruction and meniscal repair rates have both increased in the past 20 years in England: hospital statistics from 1997 to 2017

Anterior Cruciate Ligament Injury Incidence in Adolescent Athletes: A Systematic Review and Meta-analysis

How do the new Olympic sports compare with the traditional Olympic sports? Injury and illness at the 2018 Youth Olympic Summer Games in Buenos Aires, Argentina

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