Evidence map›Paper›PMID 41049600›Full record

ArticleOrthopaedic journal of sports medicine2025

Cleats May Be a Risk Factor for ACL Tears in Female Lacrosse and Soccer Players.

Zoe Cass, Spencer Williams, Caitlin Slaminko, Karina Sethi, Alexa Donahoe, Paul M Sethi

Erratum issuedAbstract read
In one paragraph

Article in Orthopaedic journal of sports medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors.

Zoe CassONS Foundation for Clinical Research & Education Inc, Greenwich, Connecticut, USA.ORCID https://orcid.org/0009-0002-6165-4326
Spencer WilliamsONS Foundation for Clinical Research & Education Inc, Greenwich, Connecticut, USA.ORCID https://orcid.org/0009-0005-8168-1913
Caitlin SlaminkoONS Foundation for Clinical Research & Education Inc, Greenwich, Connecticut, USA.ORCID https://orcid.org/0009-0004-5036-9698
Karina SethiONS Foundation for Clinical Research & Education Inc, Greenwich, Connecticut, USA.ORCID https://orcid.org/0009-0004-5874-2872
Alexa DonahoeONS Foundation for Clinical Research & Education Inc, Greenwich, Connecticut, USA.
Paul M SethiONS Foundation for Clinical Research & Education Inc, Greenwich, Connecticut, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Anterior cruciate ligament (ACL) tears are common in female athletes, with most injuries caused by noncontact mechanisms. Beyond the sex factor, it is important to identify modifiable risk factors for an ACL tear, such as the type of shoe and playing surface. Purpose: To evaluate the association between shoe type and the risk of ACL injury. Study Design: Case-control study; Level of evidence, 3. Methods: A retrospective review of 256 female athletes was conducted: 128 female soccer and lacrosse athletes who had torn their ACLs and 128 age- and sport-matched athletes who had never torn their ACL. Sports, level of competition, mechanism of injury, type of shoe, type of stud in the shoe, and playing surface were identified. Results: In this study, 75% of participants who tore their ACLs were wearing cleats. In contrast, only 55.5% of the age-matched group with normal ACLs wore cleats. A significant association was found between ACL tear and the type of shoe they were wearing ( Conclusion: Female athletes who wore cleats were more likely to tear their ACL when compared with sport- and age-matched athletes who wore turf shoes. Wearing turf shoes as opposed to cleats appears to be associated with a reduced risk of ACL tears in high-level female athletes. Cleats with long, conical studs, especially around the perimeter of the cleat, were associated with increased odds for ACL tear and were more common in the 128 athletes in this study who tore their ACLs. Based on this information, we recommend further exploration for a shoe that prevents shoe wear from being an additional risk factor for ACL injuries in female athletes.

Indexed as

anterior cruciate ligamentfemale athleteinjury preventionlacrossesoccer

Identifiers

PMID41049600
PMCPMC12495173

What OpenQuestion holds

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Registered trials

None linked

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.