ArticleKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2023
The injury mechanism correlation between MRI and video-analysis in professional football players with an acute ACL knee injury reveals consistent bone bruise patterns.
Article in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 3 of them syntheses that pooled it.
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Who cites it
15 citing papers in PubMed, 3 syntheses or guidelines pooled it, 27 citations in OpenAlex.
- Situations Leading to Anterior Cruciate Ligament Injury in Sports: A Systematic Review with Meta-analysis.Sports medicine (Auckland, N.Z.) · 2026Pooled it
- Mechanisms, Injury Patterns and Biomechanical Factors of Anterior Cruciate Ligament Injuries in Football (Soccer): A Systematic Review and Meta-Analysis of Video-Analysis Studies.Sports medicine (Auckland, N.Z.) · 2026Pooled it
- Sport-Specific Injury Mechanisms and Situational Patterns of ACL Injuries: A Comprehensive Systematic Review.Sports medicine (Auckland, N.Z.) · 2025Pooled it
- Machine learning-based prediction of meniscal tears in ACL reconstruction using BMI, time to surgery, injury mechanism, and Tegner activity score: A temporally validated decision tool.Journal of experimental orthopaedics · 2026Article
- Distribution of Bone Contusion Patterns in Knees with Acute Isolated Posterior Cruciate Ligament Tears.Orthopaedic journal of sports medicine · 2025Article
- Creation and validation of a treatment algorithm for skeletally immature patients with acute anterior cruciate ligament injury based on MRI and patient characteristics.Journal of experimental orthopaedics · 2025Article
- Bone Bruise Patterns After Noncontact Anterior Cruciate Ligament Tears Differ Between Alpine Skiers and Pivoting Sports Athletes.The American journal of sports medicine · 2025Article
- The early peak knee abduction moment waveform is a novel risk factor predicting anterior cruciate ligament injury in young athletes: A prospective study.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2025Article
- Anterior cruciate ligament injury mechanism in athletes across various sports: a scoping review.Annals of joint · 2025Review
- Enhancing research methods: The role of systematic and scoping reviews in orthopaedics, sports medicine and rehabilitation.Journal of experimental orthopaedics · 2024Article
- Systematic video analysis of shoulder dislocations in professional male football (soccer): Injury mechanisms, situational and kinematic patterns.Journal of experimental orthopaedics · 2024Article
- Bone Bruises and Concomitant Meniscus and Cartilage Damage in Anterior Cruciate Ligament Injuries: A Systematic Review and Meta-Analysis.Bioengineering (Basel, Switzerland) · 2024Review
- A Systematic Review of Bone Bruise Patterns following Acute Anterior Cruciate Ligament Tears: Insights into the Mechanism of Injury.Bioengineering (Basel, Switzerland) · 2024Review
- Comparison of Bone Bruise Pattern Epidemiology between Anterior Cruciate Ligament Rupture and Patellar Dislocation Patients-Implications of Injury Mechanism.Bioengineering (Basel, Switzerland) · 2023Article
- Bone Bruise Patterns Associated With Pediatric and Adult Anterior Cruciate Ligament Tears Are Different.Arthroscopy, sports medicine, and rehabilitation · 2023Article
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Authors and funding
9 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeTo analyze the MRI features, in particular bone bruises pattern, of Anterior Cruciate Ligament (ACL) injured footballers, and to correlate them with the characteristics of injury mechanism and situation obtained from direct video footage.
methodsNineteen professional football (soccer) players that sustained ACL injury while playing during an official match of First League Championship were included in the study. The video of injury was obtained from the Television broadcast. Knee Magnetic Resonance (MRI) was obtained within 7 days from the injury. BB and meniscal lesions were analyzed on MRI, while a video-analysis of mechanisms of ACL injury and injury dynamic were assessed from the videos.
resultsThe most commonly involved Bone Bruise areas in the knee were the Posterior Lateral Tibial Plateau (LTp) in 16 cases (84%) and the Central Lateral Femoral Condyle (LFc) in 11 cases (58%). Three patients (16%) had bone bruise in the Posterior Medial Tibial Plateau (MTp) while none (0%) had bone bruise in the Medial Femoral Condyle. Based on the bone bruise pattern, 11 (58%) had simultaneous LFc and LTp and were defined "Typical" while 8 (42%) had other locations or no bone bruise and were defined "Atypical". 9 out of 11 injuries (82%) of athletes with "Typical" pattern occurred with a "Pivoting" action", in contrast to only 1 case (12%) in those with "Atypical" bone bruise pattern (p = 0.0055). The most common situational mechanism pattern on video analysis was "pressing" (n = 7) accounting for the 47% of the "indirect" ACL injuries. In terms of movement pattern, ten injuries (52%) occurred during a "Pivoting" movement (7 pressing, 1 dribbling, 1 tackled, 1 goalkeeping), whereas the remaining were classified as "Planting" in four cases, "Direct Blow" in four cases and "Landing".
conclusionA well-defined and consistent bone bruise pattern involving the posterior tibial plateau and central femoral condyle of lateral compartment is present in footballers that sustained non-contact and indirect ACL injuries during pivoting with sudden change of direction/deceleration, while heterogeneous patterns were present in those with direct contact or injury mechanisms involving high horizontal velocity. LEVEL OF EVIDENCE: Level IV.
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