ArticleJournal of athletic training2019
Anterior Cruciate Ligament Injury Risk by Season Period and Competition Segment: An Analysis of National Collegiate Athletic Association Injury Surveillance Data.
Article in Journal of athletic training, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.
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Who cites it
19 citing papers in PubMed, 1 synthesis or guideline pooled it, 30 citations in OpenAlex.
- Non-contact Anterior Cruciate Ligament Injury Epidemiology in Team-Ball Sports: A Systematic Review with Meta-analysis by Sex, Age, Sport, Participation Level, and Exposure Type.Sports medicine (Auckland, N.Z.) · 2022Pooled it
- Playing the field: A retrospective analysis of anterior cruciate ligament injuries and playing position in elite female football (soccer) players.JSAMS plus · 2026Article
- Anterior Cruciate Ligament (ACL) Injury Mechanisms in Men's Major League Soccer: A Systematic Video Analysis.Cureus · 2026Article
- Differences in Injury Rates by Competition Level Among Scholastic and Collegiate Female Lacrosse Athletes: A Systematic Review.Orthopaedic journal of sports medicine · 2026Review
- Epidemiology and Incidence of Surgically Treated ACL Injuries in Division I Collegiate Athletes.Orthopaedic journal of sports medicine · 2026Article
- Task specific effects of fatigue on lower limb muscle synergies during single and double leg drop jumps in female athletes.Frontiers in physiology · 2026Article
- Temporal and Sex-Related Differences in Knee Biomechanics Over the Course of the Varsity Athletic Season: Pre- and Postseason Knee Kinematics in Collegiate Varsity Athletes Using Kinect.Orthopaedic journal of sports medicine · 2025Article
- Sex Differences in Foot and Ankle Sports Injury Rates in Elite Athletes: A Systematic Review and Meta-analysis of 25,687,866 Athlete Exposures.Orthopaedic journal of sports medicine · 2025Review
- Sports Injuries in Basketball, Handball, and Volleyball Players: Systematic Review.Life (Basel, Switzerland) · 2025Review
- Patellar Instability Events Requiring Emergency Department Management - A 20-year Analysis.Journal of the Pediatric Orthopaedic Society of North America · 2025Article
- The Protective Role of the FIFA 11+ Training Program on the Valgus Loading of the Knee in Academy Soccer Players Across a Season.Healthcare (Basel, Switzerland) · 2025Article
- Lower limbs kinematic analysis during a jump landing task in soccer players with unilateral anterior cruciate ligament reconstruction.BMC sports science, medicine & rehabilitation · 2024Article
- Sports Injuries in Basketball Players: A Systematic Review.Life (Basel, Switzerland) · 2024Review
- Injury prevalence and associated factors among Japanese lacrosse collegiate athletes.Frontiers in sports and active living · 2024Article
- Motor Imagery and Action Observation as Appropriate Strategies for Home-Based Rehabilitation: A Mini-Review Focusing on Improving Physical Function in Orthopedic Patients.Frontiers in psychology · 2022Review
- Men's Lacrosse Injuries in the 2018 International World Championship Play.Orthopaedic journal of sports medicine · 2021Article
- COVID-19-Considerations for the Female Athlete.Frontiers in sports and active living · 2021Review
- Factors Associated With Psychological Readiness to Return to Sports With Cutting, Pivoting, and Jump-Landings After Primary ACL Reconstruction.Orthopaedic journal of sports medicine · 2020Article
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Corrections and comments
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Authors and funding
3 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
contextAlthough fatigue has been implicated in anterior cruciate ligament (ACL) injury, few researchers have examined the timing of injury across a competitive sport season or within a competitive session to gain insight into the potential effects of fatigue on the incidence of ACL injury.
objectiveTo identify the time segments across a competitive season or within an individual competition associated with the greatest ACL injury incidence.
designDescriptive epidemiology study.
methodsData from the National Collegiate Athletic Association Injury Surveillance Program for 2004-2005 through 2015-2016 for basketball, lacrosse, and soccer were analyzed. Incidence rate ratios (IRRs) compared ACL injury rates by sport, sex, season segment, and competition period. Poisson regression was used to examine the associations between each of these categories and the incidence of ACL injury as well as interaction effects.
resultsDuring the early regular season, the incidence rate was elevated relative to the preseason (IRR = 1.86; 95% confidence interval [CI] = 1.27, 2.74), middle regular season (IRR = 1.48; 95% CI = 1.01, 2.15), late regular season (IRR = 1.56; 95% CI = 1.08, 2.27), and postseason (IRR = 2.20; 95% CI = 1.06, 4.56). A sport-by-season interaction indicated this effect was largely attributable to a higher incidence in the early season among lacrosse athletes. An interaction between season segment and competition period (
conclusionsThe ACL injury incidence was higher in the early part of the regular season, particularly among lacrosse athletes. Although the injury incidences before and after halftime were similar, further analyses of player time and time of injury within each half are necessary. Coaches and practitioners should be cognizant of the elevated injury incidence during the early season among lacrosse athletes. Future authors should consider more specific analyses to further elucidate the potential role of fatigue development in exacerbating the incidence of ACL injury in collegiate athletes both within games and across the season.
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Registered trials
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