ArticleKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2022
Higher risk of ACL rupture in amateur football compared to professional football: 5-year results of the 'Anterior cruciate ligament-registry in German football'.
Article in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.
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Who cites it
20 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Return to Play and Performance After Anterior Cruciate Ligament Reconstruction in Soccer Players: A Systematic Review of Recent Evidence.Sports medicine (Auckland, N.Z.) · 2024Pooled 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
- Impact of playing position on ACL injury characteristics, risk and career outcomes in football-An analysis of 742 cases of the anterior cruciate ligament registry in German football.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2026Article
- The Prevalence and Associated Factors of Self-Reported Knee Injuries Among Amateur Players in Saudi Arabia.Healthcare (Basel, Switzerland) · 2026Article
- Injury Profile in German Amateur Women's Football Is Knee-Centred and Match-Dominated: A Prospective One-Season Cohort Study.Journal of clinical medicine · 2026Article
- Short-term - change on physical capacities of football players within few days before ACL-injury: a retrospective case-control study.BMC sports science, medicine & rehabilitation · 2026Article
- Sport-specific differences in ACL injury, treatment and return to sports: Football.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2025Review
- Young age and return to play increase the likelihood of subsequent ACL reconstruction in football players: Data from the Swedish National Knee Ligament Registry.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2025Article
- High incidence of anterior cruciate ligament injuries in professional men's handball: Analysis of the 'ACL registry in German Sports' over seven consecutive seasons.Journal of experimental orthopaedics · 2025Article
- Anterior Cruciate Ligament Reconstruction with LARS Synthetic Ligament: Outcomes and Failures.Journal of clinical medicine · 2024Article
- Article
- Anterior Cruciate Ligament Ruptures in Russian Premier League Soccer Players During the 2010 to 2021/2022 Competitive Seasons: The Epidemiology and Details of Return to Sports.Orthopaedic journal of sports medicine · 2024Article
- Four distinct patterns of anterior cruciate ligament injury in women's professional football (soccer): a systematic video analysis of 37 match injuries.British journal of sports medicine · 2024Article
- [Complex knee injuries in football : Management from injury to return to competition].Orthopadie (Heidelberg, Germany) · 2024Article
- The incidence of anterior cruciate ligament injury in youth and male soccer athletes: an evaluation of 17,108 players over two consecutive seasons with an age-based sub-analysis.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023Article
- Demographic characteristics of patients who underwent anterior cruciate ligament reconstruction at a tertiary care hospital in India.World journal of clinical cases · 2023Article
- Anterior Cruciate Ligament Reconstruction with Quadrupled Semitendinosus Graft or Synthetic Ligament: Knee Stability and Clinical Outcomes at Three Years Follow-Up.Advances in orthopedics · 2023Article
- Reduced performance after return to competition in ACL injuries: an analysis on return to competition in the 'ACL registry in German Football'.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023Article
- Measures of Knee Capability in Handball Players Differ by Age: A Cross Sectional Study.Sports medicine international open · 2022Article
- High return to sport rate and few re-ruptures at long term in professional footballers after anterior cruciate ligament reconstruction with hamstrings.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2022Article
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Authors and funding
10 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeAnterior cruciate ligament (ACL) injuries are a common severe type of football injury at all levels of play. A football-specific ACL registry providing both prospective ACL injury data according to the skill level and risk factors for ACL injury is lacking in the literature.
methodsThis study is based on the prospective 'ACL registry in German Football' implemented in the 2014-15 season. Professional (1st-3rd league), semi-professional (4th-6th league) and amateur leagues (7th league) were analysed regarding the incidence and risk factors for ACL injuries. Injuries were registered according to the direct reports of the injured players to the study office and double-checked via media analysis. After injury registration, the players received a standardised questionnaire. Data were analysed from the 2014-15 to the 2018-19 football season.
resultsOverall, 958 ACL injuries were registered during the 5-year study period. The incidence of ACL injuries was highest in amateur football (0.074/1000 h football exposure) compared to professional (0.058/1000 h; p < 0.0001) and semi-professional football (0.043/1000 h; p < 0.0001). At all skill levels, match incidence (professional: 0.343; semi-professional: 0.249; amateur: 0.319) was significantly higher than training incidence (professional: 0.015; semi-professional: 0.004; amateur: 0.005). Major risk factors were previous ACL injury (mean: 23.3%), other knee injuries (mean: 19.3%) and move to a higher league (mean: 24.2%).
conclusionThis sports-specific ACL registry provides detailed information on the incidence and risk factors for ACL injuries in football over five years. Risk factors are skill level, match exposure, move to a higher league and previous knee injury. These factors offer potential starting points for screening at-risk players and applying targeted prevention. LEVEL OF EVIDENCE: II.
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