ArticleThe American journal of sports medicine2025
Anatomic Risk Factors for Initial and Secondary Noncontact Anterior Cruciate Ligament Injury: A Prospective Cohort Study in 880 Female Elite Handball and Soccer Players.
Article in The American journal of sports medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.
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Who cites it
6 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Neuromuscular training for preventing knee injuries in female team athletes: a meta-analysis.Annals of medicine · 2025Pooled it
- Associations of Functional Movement Screen Scores and Joint Stability Tests with Non-Contact Lower-Limb Injury Burden in Collegiate Athletes.Journal of clinical medicine · 2026Article
- Generalised joint hypermobility and excess knee hyperextension are associated with an increased risk for second ACL injury, but not primary ACL injury, in female football players: A 5-year follow-up.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2026Article
- Advances in anterior cruciate ligament reconstruction: Risk stratification, graft choices, and functional recovery in 2026.Journal of experimental orthopaedics · 2026Review
- Disparities in ACL Injury and Management: The Impact of Sex, Race, and Social Determinants of Health.Current reviews in musculoskeletal medicine · 2026Review
- Anatomic Risk Factors Predisposing Female Handball Players to Non-contact Anterior Cruciate Ligament Injury.Cureus · 2026Article
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Authors and funding
5 authors.
Funding
Abstract
backgroundAnterior cruciate ligament (ACL) injury is one of the most severe injuries for athletes. It is important to identify risk factors because a better understanding of injury causation can help inform athletes about risk and increase their understanding of and motivation for injury prevention. PURPOSE: To investigate the relationship between anatomic factors and risk for future noncontact ACL injuries. STUDY
designCohort study; Level of evidence, 2.
methodsA total of 870, excluding 9 players with a new contact ACL injury and a player with a new noncontact ACL injury just before the testing, female elite handball and soccer players-86 of whom had a history of ACL injury-underwent measurements of anthropometrics, alignment, joint laxity, and mobility, including leg length, knee alignment, knee anteroposterior laxity, generalized joint hypermobility, genu recurvatum, and hip anteversion. All ACL injuries among the tested players were recorded prospectively. Welch
resultsAn overall 64 new noncontact ACL injuries were registered. No differences were found between athletes with and without a new ACL injury among most of the measured variables. However, static knee valgus was significantly higher in the new injury group than in the no new injury group among all players (mean difference [MD], 0.9°;
conclusionThe anatomic factors that we investigated had a weak or no association with risk for an index noncontact ACL injury. Increased static knee valgus was associated with an increased risk for noncontact ACL injury, in particular for secondary injury. Furthermore, hyperextension of the knee was a risk factor for secondary ACL injury.
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