Evidence map›Paper›PMID 41674919›Full record

ArticleOrthopaedic journal of sports medicine2026

Risk of Anterior Cruciate Ligament Injury in Female Soccer Players With Increased Lateral Plantar Loading and Reduced Medial Metatarsal Loading During Running: A Prospective Study.

Seira Takei, Shuji Taketomi, Kohei Kawaguchi, Yuri Mizutani, Ryota Yamagami, Kenichi Kono, Tomofumi Kage, Takahiro Arakawa, Yuri Furukawa, Ryo Murakami and 5 more

Abstract read
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In one paragraph

Article in Orthopaedic journal of sports medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

15 authors.

Seira TakeiU Tokyo Sports Science Initiative (UTSSI), University of Tokyo, Tokyo, Japan.ORCID https://orcid.org/0000-0001-5547-771X
Shuji TaketomiU Tokyo Sports Science Initiative (UTSSI), University of Tokyo, Tokyo, Japan.ORCID https://orcid.org/0000-0002-4994-2504
Kohei KawaguchiU Tokyo Sports Science Initiative (UTSSI), University of Tokyo, Tokyo, Japan.
Yuri MizutaniU Tokyo Sports Science Initiative (UTSSI), University of Tokyo, Tokyo, Japan.
Ryota YamagamiDepartment of Orthopaedic Surgery, Faculty of Medicine, University of Tokyo, Tokyo, Japan.
Kenichi KonoDepartment of Orthopaedic Surgery, Faculty of Medicine, University of Tokyo, Tokyo, Japan.
Tomofumi KageDepartment of Orthopaedic Surgery, Faculty of Medicine, University of Tokyo, Tokyo, Japan.
Takahiro ArakawaDepartment of Orthopaedic Surgery, Faculty of Medicine, University of Tokyo, Tokyo, Japan.ORCID https://orcid.org/0000-0002-2031-1813
Yuri FurukawaDepartment of Orthopaedic Surgery, Faculty of Medicine, University of Tokyo, Tokyo, Japan.ORCID https://orcid.org/0000-0002-9756-2434
Ryo MurakamiDepartment of Orthopaedic Surgery, Faculty of Medicine, University of Tokyo, Tokyo, Japan.
Tomoki MurakamiDepartment of Orthopaedic Surgery, Faculty of Medicine, University of Tokyo, Tokyo, Japan.
Takashi KobayashiDepartment of Orthopaedic Surgery, Faculty of Medicine, University of Tokyo, Tokyo, Japan.
Sayaka FujiwaraU Tokyo Sports Science Initiative (UTSSI), University of Tokyo, Tokyo, Japan.
Sakae TanakaDepartment of Orthopaedic Surgery, Faculty of Medicine, University of Tokyo, Tokyo, Japan.
Toru OgataU Tokyo Sports Science Initiative (UTSSI), University of Tokyo, Tokyo, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Anterior cruciate ligament (ACL) injuries are common among female soccer players and often result in long-term absence from sport. Despite extensive studies on ACL injury mechanisms, no prospective studies have investigated the distribution of dynamic plantar loading during running in players who later sustain ACL injuries. Purpose: To prospectively investigate the characteristics of plantar pressure during running in female soccer players who sustained ACL injuries. Study Design: Case-control study; Level of evidence: 3. Methods: A total of 121 female high school and collegiate soccer players with no history of ACL injury were enrolled. Dynamic plantar loading distribution during running was measured at baseline. Participants were monitored for 1 year and classified into an ACL injury group (ACL group) or a control group (CON group) with no injuries. Plantar pressure was analyzed across 6 regions of the foot: medial and lateral regions of the forefoot, midfoot (metatarsal), and hindfoot. Cumulative load, peak force, and the medial-to-lateral force ratio were compared between the groups. Results: The ACL group (11 players, 13 limbs) demonstrated significantly lower cumulative loading at the first and second medial metatarsal regions compared to the CON group (100 players, 200 limbs). The median cumulative load (N/kg) adjusted for body weight at the first metatarsal was 158.46 in the ACL group and 208.97 in the CON group ( Conclusion: Female soccer players who sustained ACL injuries exhibited reduced medial metatarsal loading and a lower medial-to-lateral plantar force ratio during running. These findings suggest that altered plantar loading patterns may contribute to ACL injury risk.

Indexed as

anterior cruciate ligament injuryfemale athletesplantar pressuresoccer

Identifiers

PMID41674919
PMCPMC12886738

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LicenceCC BY-NC-ND
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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.