ArticleSports health2023
Intrinsic Risk Factors for First-Time Noncontact ACL Injury: A Prospective Study of College and High School Athletes.
Article in Sports health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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12 citing papers in PubMed, 21 citations in OpenAlex.
- An Evidence-Based and Mechanistic Approach to Reducing the Risk of Anterior Cruciate Ligament Injury: An Exercise and Sport Science Australia Position Statement.Sports medicine (Auckland, N.Z.) · 2026Article
- Younger age and prior graft failure are associated with increased risk of ACL reinjury: Graft survival and contralateral ACL outcomes at a median 10.6-year follow-up after primary hamstring autograft reconstruction.Journal of experimental orthopaedics · 2026Article
- The impact of on-field rehabilitation on return to play and ACL re-injury risk after ACL reconstruction in football (soccer) players: A study on 401 consecutive cases.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2026Article
- Evaluating the Benefits of Neuromuscular vs. Strength-Only Training in Athletes for ACL Re-Injury Prevention.Journal of orthopaedics and sports medicine · 2026Article
- The effect of pilates training on knee functional tests in youth female volleyball player.BMC sports science, medicine & rehabilitation · 2025Article
- Jumping Performance Development in Junior Single Figure Skating at International Championships and Competitions and Its Implications for Higher Risk of Acute and Overuse Injuries: A Retrospective Observational Study from 2005 to 2020.Journal of functional morphology and kinesiology · 2025Article
- No differences in knee anthropometric-related risk factors between unilateral and bilateral ACL reconstruction: A matched MRI-based cohort study.Journal of experimental orthopaedics · 2025Article
- ACL Injury Etiology in Its Context: A Systems Thinking, Group Model Building Approach.Journal of clinical medicine · 2024Article
- Case report: unusual posteromedial capsular lesion with posterior lateral meniscus root tear in two patients with constitutional genu recurvatum presenting after an acute ACL injury.Journal of experimental orthopaedics · 2023Article
- Digital measurement of anterolateral knee laxity using strain sensors.Archives of orthopaedic and trauma surgery · 2023Article
- Risk Factors for Concomitant Meniscal Injury With Sport-Related Anterior Cruciate Ligament Injury.Orthopaedic journal of sports medicine · 2023Article
- Key Thresholds and Relative Contributions of Knee Geometry, Anteroposterior Laxity, and Body Weight as Risk Factors for Noncontact ACL Injury.Orthopaedic journal of sports medicine · 2023Article
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Authors and funding
5 authors at 3 institutions in 1 country.
Funding
Abstract
backgroundA comprehensive understanding of the intrinsic risk factors for anterior cruciate ligament (ACL) disruption is important for identifying individuals at increased risk for suffering this trauma and developing interventions to mitigate risk. HYPOTHESIS: A variety of risk factors predispose athletes to first-time, noncontact ACL injury and some of these differ between male and female athletes. STUDY
designProspective cohort study with nested case-control sampling. LEVEL OF EVIDENCE: Level 2.
methodsSport teams at 28 high schools and 8 colleges were monitored prospectively over 4 years, and 109 of 130 athletes who suffered their first noncontact ACL injury participated in the study. At the time of injury, matched control subjects were randomly selected from among the case's teammates and a total of 227 athletes participated. Demographic characteristics, joint laxity, lower extremity alignment, strength, and personality characteristics were measured. The association of each risk factor with injury risk was assessed by conditional logistic regression.
resultsThe risk factors that were associated with ACL injury in both male and female athletes included having a parent with prior ACL injury and increases of the following variables: body weight, anterior displacement of the tibia relative to the femur, genu recurvatum, and generalized joint laxity. Risk factors that are unique to female athletes included increased body mass index, increased trunk flexion strength, and prior non-ACL knee injury. The risk factors specific to male athletes were decreased standing quadriceps angle, decreased hip adduction strength, and chronic disease.
conclusionA diverse set of risk factors predispose both male and female athletes to ACL injury, whereas others appear to be sex-specific. CLINICAL RELEVANCE: Different approaches for assessing risk and preventing ACL injury are needed for male and female athletes. In addition, personalized prevention strategies may be needed to target the specific characteristics that place an individual at increased risk of suffering this trauma.
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