ReviewOrthopaedic journal of sports medicine2022
Increased Risk of ACL Injury for Female but Not Male Soccer Players on Artificial Turf Versus Natural Grass: A Systematic Review and Meta-Analysis.
Review 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 13 papers.
What it found
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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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Who cites it
13 citing papers in PubMed, 26 citations in OpenAlex.
- Intra- and Inter-Rater Reliability of a Systematic Video Analysis of ACL Injuries in Elite Men's Football.Sports (Basel, Switzerland) · 2026Article
- Floor and ceiling effects of the international hip outcome tool-12 in patients undergoing hip preservation surgery: A national registry study.International orthopaedics · 2026Article
- Incidence of Musculoskeletal Injuries in Natural and Artificial Turfs during the 2024 First Division of Brazilian Football Championship: A Retrospective Study.Revista brasileira de ortopedia · 2026Article
- [Incidence of Musculoskeletal Injuries in Natural and Artificial Turfs during the 2024 First Division of Brazilian Football Championship: A Retrospective Study].Revista brasileira de ortopedia · 2026Article
- Menstrual Cycle Characteristics and Injury History in Adult Amateur Female Football Players: A Cross-Sectional Study Using Selected LEAF-Q Items.Healthcare (Basel, Switzerland) · 2026Article
- Finnish Youth Footballers' Perceptions on Artificial Turf: A Survey Research.Health science reports · 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
- Cleats May Be a Risk Factor for ACL Tears in Female Lacrosse and Soccer Players.Orthopaedic journal of sports medicine · 2025Article
- A Bibliometric Analysis of ACL Injuries in Female Athletes.Orthopedic reviews · 2025Article
- Article
- The Influence of Coronal Strike Stance Angle on Kicking Mechanics in Adolescent Female Soccer Players.International journal of sports physical therapy · 2025Article
- Incidence of football injuries sustained on artificial turf compared to grass and other playing surfaces: a systematic review and meta-analysis.EClinicalMedicine · 2023Article
- Two-Dimensional and Three-Dimensional Biomechanical Factors During 90° Change of Direction are Associated to Non-Contact ACL injury in Female Soccer Players.International journal of sports physical therapy · 2023Article
Corrections and comments
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Both natural grass (NG) and artificial turf (AT) are popular playing surfaces for soccer. Biomechanical studies have found increased frictional forces on AT that may lead to anterior cruciate ligament (ACL) injury. The increased risk of ACL injury during soccer in female participants may amplify this effect. Purpose: To systematically review the literature for studies comparing ACL injury risk in soccer players on AT versus NG and to specifically determine whether there were differences in injury risk in male versus female players when considering the playing surface. Study Design: Systematic review; Level of evidence, 3. Methods: A systematic review was performed using PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines. Three databases were searched for studies with evidence level 1 to 3 that compared the incidence of ACL injuries on AT versus NG in soccer players. Data recorded included study characteristics, sex, competition level, exposure setting (games or practices), turf type, and ACL injury information. Study methodological quality was analyzed using the methodological index for non-randomized studies (MINORS) score, and incidence rate ratios (IRRs) were calculated. Results: Included were 7 articles (3 studying professional soccer, 3 collegiate soccer, 1 youth-level soccer; 4 male cohorts, 2 female cohorts, and 1 male and female cohort; mean MINORS score, 20 ± 0.8). Pooled ACL injury IRRs demonstrated no significant differences in overall ACL injury risk when playing soccer on AT compared with NG (IRR = 0.57 [95% CI, 0.21-1.53]; Conclusion: Findings indicated that female soccer players had a significantly higher risk of ACL injury when playing games on AT versus NG, whereas no significant difference was seen in male players. No differences were found for the combined male/female cohort or for soccer games or training sessions played on AT compared with NG.
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Registered trials
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.