Non-contact ACL injuries in female athletes: an International Olympic Committee current concepts statement
By P. Renström, A. Ljungqvist, E. Arendt, B. Beynnon, T. Fukubayashi, W. Garrett, T. Georgoulis, Timothy E. Hewett, R. Johnson, Tron Krosshaug and 10 more. British Journal of Sports Medicine, 2008
861 citations recorded by the source corpus.
The incidence of anterior cruciate ligament (ACL) injury remains high in young athletes. Because female athletes have a much higher incidence of ACL injuries in sports such as basketball and team handball than male athletes, the IOC Medical Commission invited a multidisciplinary group of ACL expert clinicians and scientists to (1) review current evidence including data from the new Scandinavian ACL registries; (2) critically evaluate high-quality studies of injury mechanics; (3) consider the key elements of successful prevention programmes; (4) summarise clinical management including surgery and conservative management; and (5) identify areas for further research. Risk factors for female athletes suffering ACL injury include: (1) being in the preovulatory phase of the menstrual cycle compared with the postovulatory phase; (2) having decreased intercondylar notch width on plain radiography; and (3) developing increased knee abduction moment (a valgus intersegmental torque) during impact on landing. Well-designed injury prevention programmes reduce the risk of ACL for athletes, particularly women. These programmes attempt to alter dynamic loading of the tibiofemoral joint through neuromuscular and proprioceptive training. They emphasise proper landing and cutting techniques. This includes landing softly on the forefoot and rolling back to the rearfoot, engaging knee and hip flexion and, where possible, landing on two feet. Players are trained to avoid excessive dynamic valgus of the knee and to focus on the “knee over toe position” when cutting.
Subfields: Orthopedics and Sports Medicine, Surgery
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Citations in the corpus
- The Landing Error Scoring System (LESS) Is a Valid and Reliable Clinical Assessment Tool of Jump-Landing Biomechanics (2009, methodology): “A recent International Olympic Committee current concepts statement on noncontact ACL injuries in female athletes recommended that a drop vertical jump type of task should be used to identify athletes at risk of severe knee injuries.(38) The jump-landing task used in this study was very similar to t”
- Prevention of non-contact anterior cruciate ligament injuries in soccer players. Part 1: Mechanisms of injury and underlying risk factors (2009, background): “The study of mechanisms of non-contact ACL injuries in soccer players is based on several methodological approaches: interviews with injured players, video analysis, clinical studies (where the clinical joint damage is studied to understand the mechanism of the injury), in vivo studies (measuring li”