Evidence map›Paper›PMID 41918720›Full record

ArticleOrthopaedic journal of sports medicine2026

Epidemiology and Incidence of Surgically Treated ACL Injuries in Division I Collegiate Athletes.

Thomas J Kremen, Andromahi Trivellas, Varun Sriram, Grant G Schroeder, David R McAllister

Abstract read
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

5 authors.

Thomas J KremenDepartment of Orthopaedic Surgery, David Geffen School of Medicine, University of California, Los Angeles, Los Angeles, California, USA.ORCID https://orcid.org/0000-0003-1643-4869
Andromahi TrivellasSynergy Orthopaedics, San Diego, California, USA.
Varun SriramRenaissance School of Medicine, Stony Brook University, Stony Brook, New York, USA.ORCID https://orcid.org/0009-0005-8464-0498
Grant G SchroederStanford University School of Medicine, Stanford, California, USA.
David R McAllisterDepartment of Orthopaedic Surgery, David Geffen School of Medicine, University of California, Los Angeles, Los Angeles, California, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Anterior cruciate ligament (ACL) injuries are common in collegiate athletes. This study aimed to quantify the incidence of ACL injuries among athletes across all sports in the Pacific-12 Conference (Pac-12) from 2016 to 2021. Purpose/Hypothesis: To evaluate the epidemiology of ACL injuries in a major Division I collegiate athletic conference and assess the influence of sex, sport, playing surface, and time of season on ACL injury. It was hypothesized that athletes with clinically significant ACL injuries would be treated surgically. Study Design: Case series; Level of evidence, 4. Methods: Data were analyzed from the Pac-12 Health Analytics Program sports injury registry. All athletes competing at the Division I level in the Pac-12 conference who had sustained an isolated ACL tear and undergone reconstruction between 2016 and 2021 were included in this study. Athletes with non-ACL-medial collateral ligament multiligamentous injuries, those who had a reported ACL injury but no surgery, and those with incomplete data were excluded. Variables included sex (sex assigned at birth), sport, playing surface, event occurrence, year of injury, season of injury, and mechanism of injury, and were analyzed. Incidence rates (IR) were calculated based on injuries recorded compared with the number of athletes per sport per year. The incidence rate ratio (IRR) was then computed comparing female to male incidence rates in sports for which this was applicable. Results: A total of 313 ACL injuries in 286 athletes (148 women, 165 men) met the inclusion criteria for this study. The overall mean IR of ACL injuries per athlete-year was 1.1%. The highest IR was found in female soccer players (5%). Among male athletes, the highest IR was in football at 1.9%. Statistically significant differences in IRR were identified in gymnastics (3.1), softball/baseball (6), and soccer (2.9). Most ACL injuries occurred in-season via a noncontact mechanism. Conclusion: In this cohort of athletes, most ACL injuries occurred in-season via a noncontact mechanism, and the overall mean IR of ACL injuries per athlete-year was 1.1%. Among male athletes, football had the highest incidence of ACL injury. Female athletes were at significantly higher risk of ACL injury than their male counterparts in gymnastics, softball, and soccer, with soccer having the highest incidence.

Indexed as

anterior cruciate ligamentDivision I collegiate athletesincidence rate ratiosex differencessport-related injury

Identifiers

PMID41918720
PMCPMC13033838

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.