SynthesisSports medicine (Auckland, N.Z.)2026
Mechanisms, Injury Patterns and Biomechanical Factors of Anterior Cruciate Ligament Injuries in Football (Soccer): A Systematic Review and Meta-Analysis of Video-Analysis Studies.
Synthesis in Sports medicine (Auckland, N.Z.), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
What it found
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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.
The trial behind it
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Who cites it
2 citing papers in PubMed.
- A Return to Performance Continuum for Football (Soccer) Players After ACL Reconstruction: Bridging Rehabilitation, Return to Play and Sustained Performance.Sports medicine (Auckland, N.Z.) · 2026Review
- Two-thirds return but performance suffers: ACL reconstruction outcomes across elite European women's soccer leagues.Journal of experimental orthopaedics · 2026Article
Corrections and comments
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Authors and funding
9 authors.
Funding
Abstract
backgroundTo date, several studies have characterised the mechanisms, injury patterns and biomechanical factors leading to anterior cruciate ligament (ACL) injuries in football (soccer). However, varying methodologies have resulted in differing findings and outcomes.
objectiveWe aimed to provide a clearer understanding of the mechanisms, injury patterns and biomechanical factors that may pose a higher risk of ACL injury in football players, we conducted a meta-analysis of studies that used video analysis as their primary research tool.
methodsFive databases (PubMed, Web of Science, Embase, Scopus and SPORTDiscus) were searched from inception to September 2024 according to the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines. The population, exposure and outcome framework were used to formulate eligibility criteria. Cohort studies of male and female football players reporting mechanisms, injury patterns and/or biomechanical factors of ACL injury examined by video analysis were included. A subsequent meta-analysis was performed to calculate odds ratios (ORs) and frequencies for the different patterns leading to ACL injury.
resultsThirteen studies published between 2015 and 2024 were included with a total of 709 participants. Ten studies focused on male players, two on female players and one study included both. Regarding mechanisms, non-contact ACL injuries were more likely than direct contact (OR = 5.75, 95% confidence interval [CI] 2.28-14.53, p < 0.001, I
conclusionsA comprehensive review of video-analysis studies on ACL injuries in football reveals that the most common injury pattern involves a defending action performed on single-leg support, without ball possession, and occurring through a non-contact mechanism. Still, the review reflects that the mechanism of ACL injury in football is complex and should be interpreted holistically rather than in isolation. CLINICAL
trial registrationThe protocol for this systematic review was registered a priori in the INPLASY database (registration number INPLASY202420026).
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Registered trials
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.