Leg Dominance Is a Risk Factor for Noncontact Anterior Cruciate Ligament Injuries in Female Recreational Skiers

Ruedl, Gerhard; Webhofer, M.; Helle, Kenneth; Štrobl, Martin; Schranz, Alois; Fink, Christian; Gatterer, Hannes; Burtscher, Martin

doi:10.1177/0363546512439027

Cited by 86 publications

(74 citation statements)

References 27 publications

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“…The authors concluded that when injuries were limited to a noncontact injury mechanism (N = 93), females were 68% more likely to injure the ACL in their supporting leg (P < 0.002), whereas males were 74.1% likely to injure their kicking leg (P < 0.002) (Brophy et al, 2010). Ruedl et al (2012) reported that 68% of females injured their non-dominant leg during recreational skiing compared with 48% of males (P = 0.006). Furthermore, Negrete, Schick, and Cooper (2007) and Beynnon et al (2006) also reported a statistically significant tendency for females to injure their non-dominant leg over the dominant leg.…”

Section: Is Limb Dominance Associated With Injury Risk?mentioning

confidence: 99%

“…Furthermore, lateral preference may also correlate with knee injury risk itself, and therefore its subsequent rehabilitation and recovery (Beynnon et al, 2006;Brophy et al, 2010;Negrete et al, 2007;Ruedl et al, 2012). Clinicians are often asked to make judgements as to when a patient has sufficiently "recovered" from an injury, typically using many common strength-based and dynamic functional outcome measures.…”

Section: Is Limb Dominance Associated With Injury Risk?mentioning

confidence: 99%

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The effect of limb dominance on lower limb functional performance – a systematic review

McGrath

Waddington

Scarvell

et al. 2015

Journal of Sports Sciences

125

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Lower limb dominance (or lateral preference) could potentially effect functional performance. Clinicians are often asked to make judgements as to when a patient has sufficiently "recovered" from an injury, typically using strength and dynamic performance outcome measures. The primary purpose of this study was to systematically review the literature in relation to limb dominance within active adult populations and discuss some limitations to current methods and relate this to current clinical practice. A search of MEDLINE and CINAHL and EMBASE databases and reference lists of those articles identified was performed. Eleven articles were selected for meta-analysis. There was no statistical effect of limb dominance for any of the functional tests: isokinetic quadriceps and hamstring tests, hamstring:quadriceps ratios, single-leg hop for distance, single-leg vertical jump and vertical ground reaction force following a single-leg vertical jump. Pooled symmetry values varied from 94.6% to 99.6% across the tests, above the clinically accepted benchmark of 90% used in clinical practice. Although the results of this study must be used with discretion, asymmetries in the tasks described in this analysis should be viewed as undesirable and remedied accordingly. Further research is needed to quantify asymmetries, particularly in relation to sport-specific contexts.

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Section: Is Limb Dominance Associated With Injury Risk?mentioning

confidence: 99%

Section: Is Limb Dominance Associated With Injury Risk?mentioning

confidence: 99%

The effect of limb dominance on lower limb functional performance – a systematic review

McGrath

Waddington

Scarvell

et al. 2015

Journal of Sports Sciences

125

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“…Only the left leg was analyzed since previous literatures found that female athletes were more likely to tear their left ACL than the right. [29][30][31] Based on these studies, left leg was analyzed to limit data from bilateral subjects with assumed normal growth and risk in both legs.…”

Section: Discussionmentioning

confidence: 99%

Effect of Injury Prevention Training on Knee Mechanics in Female Adolescents During Puberty

2014

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Purpose/Background: Female adolescents change their landing mechanics during puberty. It is unknown whether implementation of anterior cruciate ligament (ACL) injury prevention training reduces the loss of knee control in female athletes during puberty. The purpose of this study was to evaluate the effect of injury prevention training on dynamic knee alignment in female basketball players specifically when the knee mechanics were changing during puberty.Methods: Sixty female junior high school basketball players participated and were divided into two groups: a training group (n = 32) and a control group (n = 28). The training group underwent an injury prevention program for 6 months, whereas the control group maintained a regular training routine. The knee valgus motion and knee flexion range of motion during a drop vertical jump were measured before and after the training period. The probability of a high knee abduction moment (pKAM) was also evaluated using an ACL injury prediction algorithm. Results:The knee valgus motion was significantly increased in the control group (p < 0.001), whereas it did not change in the training group (p = 0.64). Similarly, the knee flexion range of motion was significantly decreased in the control group (p < 0.001), whereas it was not changed in the training group (p = 0.55). The pKAM was significantly increased in the control group (p < 0.001), but not in the training group (p = 0.06).Conclusions: Implementation of injury prevention training was effective in limiting the loss of knee control in female athletes during puberty. Lowering the risk of ACL injury might be possible in this population. Level of Evidence: 2b

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“…Studies of anterior cruciate ligament injuries have shown that limb dominance is predictive for the injured side. 29,30 There is currently little information about the use of intracapsular osteotomy in unstable SCFE. Comparison of existing series of intracapsular osteotomy and pinning in situ is fraught with error, as a result of differing methodologies and heterogeneous groups.…”

Section: Timing Of Procedures Following Onset Of Instability Rate Of Amentioning

confidence: 99%

The treatment of an unstable slipped capital femoral epiphysis by either intracapsular cuneiform osteotomy or pinningin situ

Walton

Martín

Wright

et al. 2015

The Bone & Joint Journal

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We undertook a retrospective comparative study of all patients with an unstable slipped capital femoral epiphysis presenting to a single centre between 1998 and 2011. There were 45 patients (46 hips; mean age 12.6 years; 9 to 14); 16 hips underwent intracapsular cuneiform osteotomy and 30 underwent pinning in situ, with varying degrees of serendipitous reduction. No patient in the osteotomy group was lost to follow-up, which was undertaken at a mean of 28 months (11 to 48); four patients in the pinning in situ group were lost to follow-up, which occurred at a mean of 30 months (10 to 50). Avascular necrosis (AVN) occurred in four hips (25%) following osteotomy and in 11 (42%) following pinning in situ. AVN was not seen in five hips for which osteotomy was undertaken > 13 days after presentation. AVN occurred in four of ten (40%) hips undergoing emergency pinning in situ, compared with four of 15 (47%) undergoing non-emergency pinning. The rate of AVN was 67% (four of six) in those undergoing pinning on the second or third day after presentation. Pinning in situ following complete reduction led to AVN in four out of five cases (80%). In comparison, pinning in situ following incomplete reduction led to AVN in 7 of 21 cases (33%). The rate of development of AVN was significantly higher following pinning in situ with complete reduction than following intracapsular osteotomy (p = 0.048). Complete reduction was more frequent in those treated by emergency pinning and was strongly associated with AVN (p = 0.005). Non-emergency intracapsular osteotomy may have a protective effect on the epiphyseal vasculature and should be undertaken with a delay of at least two weeks. The place of emergency pinning in situ in these patients needs to be re-evaluated, possibly in favour of an emergency open procedure or delayed intracapsular osteotomy. Non-emergency pinning in situ should be undertaken after a delay of at least five days, with the greatest risk at two and three days after presentation. Intracapsular osteotomy should be undertaken after a delay of at least 14 days. In our experience, closed epiphyseal reduction is harmful. Cite this article: Bone Joint J 2015;97-B:412-19.

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Leg Dominance Is a Risk Factor for Noncontact Anterior Cruciate Ligament Injuries in Female Recreational Skiers

Abstract: Female skiers showed a 2-fold higher risk of suffering from an ACL rupture on their nondominant leg. Therefore, leg dominance seems to be a risk factor for noncontact ACL injuries in female recreational skiers.

Cited by 86 publications

References 27 publications

The effect of limb dominance on lower limb functional performance – a systematic review

The effect of limb dominance on lower limb functional performance – a systematic review

Effect of Injury Prevention Training on Knee Mechanics in Female Adolescents During Puberty

The treatment of an unstable slipped capital femoral epiphysis by either intracapsular cuneiform osteotomy or pinningin situ

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