Evidence map›Paper›PMID 38684328›Full record

ArticleBritish journal of sports medicine2024

Four distinct patterns of anterior cruciate ligament injury in women's professional football (soccer): a systematic video analysis of 37 match injuries.

Leonard Achenbach, Hendrik Bloch, Christian Klein, Theresa Damm, Matthias Obinger, Maximilian Rudert, Werner Krutsch, Dominik Szymski

Abstract read
In one paragraph

Article in British journal of sports medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

25 citing papers in PubMed, 3 syntheses or guidelines pooled it.

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  18. Sport-specific differences in ACL injury, treatment and return to sports: Football.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2025
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  19. Article
  20. High Injury Incidence Among Youth in the World's Largest Football Tournament.Scandinavian journal of medicine & science in sports · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Leonard AchenbachDepartment of Orthopedics, Julius Maximilians University Würzburg, Wurzburg, Germany leonardachenbach@gmail.com.ORCID http://orcid.org/0000-0002-9053-0624
Hendrik BlochDepartment of Sports Injury Prevention, VBG, German Statutory Accident Insurance for the Administrative Sector, Bielefeld, Germany.
Christian KleinDepartment of Sports Injury Prevention, VBG, German Statutory Accident Insurance for the Administrative Sector, Bielefeld, Germany.ORCID http://orcid.org/0000-0002-8438-5467
Theresa DammFaculty of Medicine, University Würzburg, Würzburg, Germany.
Matthias ObingerUniversity of Cooperative Education for Sports and Health, Baunatal, Germany.
Maximilian RudertDepartment of Orthopedics, Julius Maximilians University Würzburg, Wurzburg, Germany.
Werner KrutschDepartment of Traumatology, University Clinic Regensburg, Regensburg, Germany.
Dominik SzymskiDepartment of Traumatology, University Clinic Regensburg, Regensburg, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTo identify mechanisms and patterns of anterior cruciate ligament (ACL) injury in adult women's professional football by means of video match analysis.

methodsACL match injuries sustained in Germany's first women's league during the 2016-2017 to 2022-2023 seasons were prospectively analysed by three expert raters using a standardised observation form. Epidemiological and injury data, as well as the medical history of ACL tears, were obtained from media reports and the statutory accident insurance for professional athletes.

resultsThirty-seven ACL injuries sustained in official football matches were included in the video analysis, of which 24 (65%) had associated knee injuries, mainly meniscus and collateral ligament injuries. According to the categorised contact mechanisms, 17 (46%) were non-contact injuries, 14 indirect contact injuries (38%) and six direct contact injuries (16%). Of the 17 non-contact injuries, seven (41%) occurred during the first 15 min of the match. Contact mechanisms did not differ between primary and secondary ACL injuries to the same or the contralateral side. Most injuries (80%) of field players occurred during horizontal movements such as sprinting (n=9, 26%), change-of-direction manoeuvres (n=7, 19%), stopping (n=5, 14%) and lunging (n=5, 14%). Four distinct repetitive patterns of ACL match injuries were identified: (1) non-contact 'pressing ACL injury' (n=9), (2) indirect contact 'parallel sprinting and tackling ACL injury' (n=7), (3) direct contact 'knee-to-knee ACL injury' (n=6) and (4) non-contact 'landing ACL injury' (n=4).

conclusionMost of the identified patterns of ACL injuries in women's professional football have great potential for prevention.

Indexed as

Anterior Cruciate Ligament InjuriesSoccerVideo RecordingAdultAthletic InjuriesFemaleGermanyHumansProspective StudiesYoung AdultInjury prevention

Identifiers

PMID38684328
PMCPMC11228206

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LicenceCC BY-NC
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Registered trials

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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.