ArticleOrthopaedic journal of sports medicine2022
Epidemiological Comparison of ACL Injuries on Different Playing Surfaces in High School Football and Soccer.
Article in Orthopaedic journal of sports medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.
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Who cites it
10 citing papers in PubMed, 1 synthesis or guideline pooled it, 15 citations in OpenAlex.
- Extrinsic Risk Factors for Primary Noncontact Anterior Cruciate Ligament Injury in Adolescents Aged between 14 and 18 years: A Systematic Review.Sports medicine (Auckland, N.Z.) · 2024Pooled it
- Impact of the 'FUNBALL' Programme on Severe Injuries Among Young Male Football Players: A Secondary Analysis from a Cluster-Randomised Controlled Trial.Sports medicine - open · 2025Article
- Biomechanical Model of Non-Contact Anterior Cruciate Ligament Injury Concerning Shin Angle and Field Surface Traction Parameters-With a Piezo2 Interpretation.Sports (Basel, Switzerland) · 2025Article
- 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
- Imaging of soccer injuries in adolescent female athletes.Skeletal radiology · 2025Review
- Limitations of athlete-exposures as a construct for comparisons of injury rates by gender/sex: a narrative review.British journal of sports medicine · 2025Review
- Article
- Field Surface Type and Season-Ending Lower Extremity Injury in NFL Players.Translational sports medicine · 2024Article
- Telerehabilitation to Address the Rehabilitation Gap in Anterior Cruciate Ligament Care: Survey of Physical Therapists/Care Providers.Telemedicine reports · 2024Article
- Analysis of Visual Risk Factors of Anterior Cruciate Ligament Injury of Knee Joint.Journal of clinical medicine · 2022Article
Corrections and comments
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Anterior cruciate ligament (ACL) injuries are among the most common serious injuries to athletes in the United States. Among high school sports, the highest rates of ACL injury occur in soccer and football. Purpose: To compare ACL injuries on artificial turf and natural grass using a nationally representative sample of high school athletes participating in football and boys' and girls' soccer. Study Design: Descriptive epidemiology study. Methods: ACL injuries among high school athletes participating in football and soccer were obtained from the High School Reporting Information Online surveillance system during the 2007-08 through 2018-19 school years. National estimates and injury proportion ratios (IPRs) with 95% CIs were calculated for ACL injuries that occurred on artificial turf versus natural grass. Results: A total of 1039 ACL injuries were reported, which represented an estimated 389,320 (95% CI, 358,010-420,630) injuries nationally. There were 74,620 estimated football-related ACL injuries on artificial turf and 122,654 on natural grass. Likewise, 71,877 of the estimated soccer-related ACL injuries occurred on artificial turf and 104,028 on natural grass. A contact-injury mechanism accounted for 50.2% of football-related ACL injuries on artificial turf and 60.8% on natural grass. For soccer-related ACL injuries, a noncontact mechanism predominated on artificial turf (61.5%) and natural grass (66.4%). Among all injuries, ACL injuries were more likely to occur on artificial turf than natural grass in both football (IPR, 1.23 [95% CI, 1.03-1.47]) and girls' soccer (IPR, 1.53 [95% CI, 1.08-2.16]); however, no significant association was found in boys' soccer (IPR, 1.65 [95% CI, 0.99-2.75]). Among lower extremity injuries, ACL injuries were more likely to occur on artificial turf than natural grass in both boys' soccer (IPR, 1.72 [95% CI, 1.03-2.85]) and girls' soccer (IPR, 1.61 [95% CI, 1.14-2.26]); however, the association was not significant in football (IPR, 1.17 [95% CI, 0.98-1.39]). Conclusion: ACL injuries were more likely to occur (ie, had larger IPRs) on artificial turf than natural grass; however, this relationship was not statistically significant for all sports.
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