ArticleBritish journal of sports medicine2025
Nationwide incidence of anterior cruciate ligament reconstruction in higher-level athletes in Sweden: a cohort study from the Swedish National Knee Ligament Registry linked to six sports organisations.
Article in British 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 10 papers.
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Who cites it
10 citing papers in PubMed.
- Effects of foot core training combined with hip and knee strengthening on patients with patellofemoral pain: a randomized controlled trial.BMC musculoskeletal disorders · 2026Trial
- Outcomes of a randomized controlled trial of neuromuscular training with real-time biofeedback in young female athletes.BMC musculoskeletal disorders · 2025Trial
- Significant variability in limb symmetry across four different knee flexion strength tests after anterior cruciate ligament reconstruction.Journal of experimental orthopaedics · 2026Article
- Core Strength and Side-Hop Interlimb Asymmetries Are Associated with Subsequent Traumatic Knee Injury in Female Football Players.Sports (Basel, Switzerland) · 2026Article
- Effects of different foot orthoses on muscular frequency spectrum during the swing phase of gait following ACL reconstruction: a cross-sectional, mixed-model within-subject study.BMC sports science, medicine & rehabilitation · 2026Article
- Anatomic Risk Factors Predisposing Female Handball Players to Non-contact Anterior Cruciate Ligament Injury.Cureus · 2026Article
- Competitive floorball over the last decade: a scoping review.Frontiers in sports and active living · 2026Review
- Semitendinosus vs quadriceps tendon autograft in anterior cruciate ligament reconstruction (SEQUAR): protocol for a prospective randomized controlled trial.BMC musculoskeletal disorders · 2025Article
- Only 1 in 10 patients achieve their rehabilitation goals at 1 year and 1 in 4 at 2 years following ACL reconstruction: An analysis of 907 patients.Journal of experimental orthopaedics · 2025Article
- Anterior cruciate ligament injury mechanism in athletes across various sports: a scoping review.Annals of joint · 2025Review
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo determine and compare the incidence rate (IR) of anterior cruciate ligament reconstruction (ACL-R) among higher-level athletes across six sports in the Swedish National Knee Ligament Registry (SNKLR).
methodsPatient data from the SNKLR, between 2005 and 2020, was linked to team and event data of six sports (football, handball, basketball, ice hockey, floorball and alpine sports) to identify higher-level athletes aged 15-40 with ACL-R. Unadjusted and adjusted IR ratios (IRRs) with 99% CIs were calculated between sports, sex, age and divisions.
resultsFemale athletes had a 3.3 times higher ACL-R IR compared with males (1.08 vs 0.32, IRR=3.33, 99% CI: 2.65 to 4.19) per 1000 athlete exposures (AE). Basketball had the largest difference in ACL-R IR per 1000 AE between females and males (1.26 vs 0.22, IRR=5.69, 99% CI: 2.79 to 11.60). Female second-division athletes had higher ACL-R IR per 1000 AE compared with female highest-division athletes (1.27 vs 0.76, IRR=1.67, 99% CI: 1.30 to 2.15). No significant association between age and IR was observed. Compared with football, lower ACL-R IR was observed in floorball and ice hockey in females, as well as in floorball, basketball and ice hockey in males.
conclusionFemale athletes had higher ACL-R IRs than males and second-division female athletes had higher ACL-R IRs than highest-division female athletes. Lower ACL-R IRs were observed in floorball and ice hockey compared with football for both sexes. The remaining sports had ACL-R IRs similar to football, except basketball where rates were lower for male athletes.
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