Trial reportKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2016
Risk factors for acute knee injury in female youth football.
Trial report in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers, 1 of them a synthesis that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
42 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Return to Sports: A Risky Business? A Systematic Review with Meta-Analysis of Risk Factors for Graft Rupture Following ACL Reconstruction.Sports medicine (Auckland, N.Z.) · 2023Pooled it
- Higher age and present injury at the start of the season are risk factors for in-season injury in amateur male and female football players-a prospective cohort study.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023Trial
- Neuromuscular exercises prevent severe knee injury in adolescent team handball players.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2018Trial
- An Evidence-Based and Mechanistic Approach to Reducing the Risk of Anterior Cruciate Ligament Injury: An Exercise and Sport Science Australia Position Statement.Sports medicine (Auckland, N.Z.) · 2026Article
- The Association of Growth and Maturation with Injury in Academy Soccer Players: A Narrative Review.Sports medicine (Auckland, N.Z.) · 2026Review
- No difference in sudden-onset injury risk between artificial turf and natural grass for Finnish female elite-level footballers: A five-season study.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2025Article
- Poor knee strength is associated with higher incidence of knee injury in adolescent female football players: The Karolinska football injury cohort.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2025Article
- Age-Dependent Meniscal and Chondral Damage in Eastern European Women Undergoing First-Time Knee Arthroscopy.Healthcare (Basel, Switzerland) · 2025Article
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- Article
- The Football Association Injury and Illness Surveillance Study: The Incidence, Burden and Severity of Injuries and Illness in Men's and Women's International Football.Sports medicine (Auckland, N.Z.) · 2024Article
- Key Thresholds and Relative Contributions of Knee Geometry, Anteroposterior Laxity, and Body Weight as Risk Factors for Noncontact ACL Injury.Orthopaedic journal of sports medicine · 2023Article
- Injury incidence and risk factors in youth soccer players: a systematic literature review. Part I: epidemiological analysis.Biology of sport · 2023Review
- Micro-doppler radar to evaluate risk for musculoskeletal injury: Protocol for a case-control study with gold standard comparison.PloS one · 2023Article
- Effects of a proprioceptive focal stimulation (Equistasi®) on reducing the biomechanical risk factors associated with ACL injury in female footballers.Frontiers in sports and active living · 2023Article
- Injury incidence and risk factors in youth soccer players: a systematic literature review. Part II: Intrinsic and extrinsic risk factors.Biology of sport · 2023Review
- Lifestyle characteristics in adolescent female football players: data from the Karolinska football Injury Cohort.BMC sports science, medicine & rehabilitation · 2022Article
- Increased Risk of ACL Injury for Female but Not Male Soccer Players on Artificial Turf Versus Natural Grass: A Systematic Review and Meta-Analysis.Orthopaedic journal of sports medicine · 2022Review
- Anatomical and Neuromuscular Factors Associated to Non-Contact Anterior Cruciate Ligament Injury.Journal of clinical medicine · 2022Article
- Screening Tests for Assessing Athletes at Risk of ACL Injury or Reinjury-A Scoping Review.International journal of environmental research and public health · 2022Article
Corrections and comments
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Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeTo prospectively evaluate risk factors for acute time-loss knee injury, in particular ACL injury, in female youth football players.
methodsRisk factors were studied in 4556 players aged 12-17 years from a randomised controlled trial during the 2009 season. Covariates were both intrinsic (body mass index, age, relative age effect, onset of menarche, previous acute knee injury or ACL injury, current knee complaints, and familial disposition of ACL injury) and extrinsic (no. of training sessions/week, no. of matches/week, match exposure ratio, match play with other teams, and artificial turf exposure). Hazard ratios (HRs) and 95% confidence intervals (CIs) were calculated from individual variable and multiple Cox regression analyses.
resultsNinety-six acute knee injuries were recorded, 21 of them ACL injuries. Multiple Cox regression showed a fourfold higher ACL injury rate for players with familial disposition of ACL injury (HR 3.57; 95% CI 1.48-8.62). Significant predictor variables for acute knee injury were age >14 years (HR 1.97; 95% CI 1.30-2.97), knee complaints at the start of the season (HR 1.98; 95% CI 1.30-3.02), and familial disposition of ACL injury (HR 1.96; 95% CI 1.22-3.16). No differences in injury rates were seen when playing on artificial turf compared with natural grass.
conclusionFemale youth football players with a familial disposition of ACL injury had an increased risk of ACL injury and acute knee injury. Older players and those with knee complaints at pre-season were more at risk of acute knee injury. Although the predictive values were low, these factors could be used in athlete screening to target preventive interventions. LEVEL OF EVIDENCE: II.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.