SynthesisSports medicine (Auckland, N.Z.)2026
Situations Leading to Anterior Cruciate Ligament Injury in Sports: A Systematic Review with Meta-analysis.
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 1 paper.
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.
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Who cites it
1 citing paper in PubMed.
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Authors and funding
12 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAnterior cruciate ligament (ACL) injuries are common in many sports and impose substantial performance and long-term health burdens. A quantitative synthesis of real-world, video-identified game situations can inform sport-specific prevention methods.
objectiveThe aim of the study was to identify game situations and movement patterns leading to ACL injury in different sports.
designSystematic review with meta-analysis. DATA SOURCES: PubMed, Google Scholar, Web of Science, and Scopus were searched for studies analyzing video recordings of ACL injuries sustained by athletes of any sex during training or competition. Random effects meta-analyses of prevalence and moderator analyses (sport as a factor) were performed.
resultsIn total, 39 articles (1551 video-verified ACL injuries) of on-average moderate quality (Quality Appraisal for Sports Injury Video Analysis Studies [QA-SIVAS]) scale mean 66%) were included. Noncontact (n = 745), indirect contact (n = 533), and direct contact (n = 273) mechanisms were reported, with notable sport-specific differences. Across all injuries, the most frequent contexts were ball action (45.7%), pressing/tackling (40.9%), and cutting (36.6%). Within noncontact cases, cutting (53.8%), pressing/tackling (50.2%), decelerating (38.9%), and landing (30.1%) were the most prevalent actions, whereas being tackled was most frequent in indirect contact cases (56.1%). For direct contact injuries, pooled action-specific estimates were available for being tackled (23.9%) and pressing/tackling (24.2%). Injuries typically occurred at high horizontal speed (53.8%; noncontact 70.7%), were more frequent during ball possession (67.5%) and offensive play (55.4%), and happened more early in time within the first 25% of the game in football (37.5%) and netball (37.8%).
conclusionsThe identified patterns support the use of mechanism-specific, sport-tailored prevention strategies (e.g., technique/strength, neurocognitive functioning for noncontact, perturbation-based drills for indirect contact, and rules/choice of equipment for knee-directed contact). Methodological improvements, such as harmonized and more detailed injury reporting, are needed to refine risk estimates.
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