Anterior Cruciate Ligament Injury in Pediatric and Adolescent Soccer Players: An Analysis of Insurance Data

Shea, Kevin G.; Pfeiffer, Ronald P.; Wang, Jo Han; Curtin, Mike; Apel, Peter J.

doi:10.1097/00004694-200411000-00005

Cited by 134 publications

(128 citation statements)

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“…Previous studies reported that there is no tendency for the age of ACL injury occurrence. [19,20,21,22] The results of this study demonstrated that man's had a 5.3-fold greater incidence rate of ACL injuries than did females. Previous studies have also reported gender differences in the incidence risk of ACL injury.…”

mentioning

confidence: 70%

A Survey of Injuries to the Anterior Cruciate Ligament Among Makkah Population, Saudi Arabia: Prevalence and Observations on Injury Mechanism.

Alrubayyi¹,

Alzahrani²,

Alotaibi³

et al. 2018

IJAR

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mentioning

confidence: 70%

A Survey of Injuries to the Anterior Cruciate Ligament Among Makkah Population, Saudi Arabia: Prevalence and Observations on Injury Mechanism.

Alrubayyi¹,

Alzahrani²,

Alotaibi³

et al. 2018

IJAR

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“…Although ACL injury is rare in pre-pubertal children, no difference has been found between girls and boys up to 12 years-of-age [42]. In a questionnaire survey based on surgery records from Norway, ACL-injured female players were significantly younger (19 vs. 27 years) than their male counterparts [8].…”

Section: Female-to-male Ratiomentioning

confidence: 97%

Anterior cruciate ligament injury in elite football: a prospective three-cohort study

Waldén

Hägglund

Magnusson

et al. 2010

Knee Surg Sports Traumatol Arthrosc

251

221

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Anterior cruciate ligament (ACL) injury causes long lay-off time and is often complicated with subsequent new knee injury and osteoarthritis. Female gender is associated with an increased ACL injury risk, but few studies have adjusted for gender-related differences in age although female players are often younger when sustaining their ACL injury.The objective of this three-cohort study was to describe ACL injury characteristics in teams from the Swedish men's and women's first leagues and from several European men's professional first leagues. Over a varying number of seasons from 2001 to 2009, 57 clubs (2329 players) were followed prospectively and during this period 78 ACL injuries occurred (5 partial). Mean age at ACL injury was lower in women compared to men (20.6 ± 2.2 vs. 25.2 ± 4.5 years, p=0.0002).Using a Cox regression, the female-to-male hazard ratio (HR) was 2.6 (95% CI 1.4 to 4.6) in all three cohorts studied and 2.6 (95% CI 1.3 to 5.3) in the Swedish cohorts; adjusted for age, the HR was reduced to 2.4 (95% CI 1.3 to 4.2) and 2.1 (95% CI 1.0 to 4.2), respectively. Match play was associated with a higher ACL injury risk with a match-to-training ratio of 20.8 (95% CI 12.4 to 34.8) and 45 ACL injuries (58%) occurred due to non-contact mechanisms. Hamstrings grafts were used more often in Sweden than in Europe (67% vs. 34%, p=0.028), and there were no differences in time to return to play after ACL reconstruction between the cohorts or different grafts. In conclusion, this study showed that the ACL injury incidence in female elite footballers was more than doubled compared to their male counterparts, but also that they were significantly younger at ACL injury than males. These findings suggest that future preventive research primarily should address the young female football player.

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“…Nevertheless, this finding is consistent with a study conducted in Sweden which also showed that children aged below 10 years old account for less than 1% of total ACLR 4 . Maybe, this finding can be related with the fact that ACL tear is a rare injury in children 15,16 and generally surgeons prefer a conservative treatment for them due to the open growth plates that may be damaged during ACLR 17 . Surgery between those with 11 to 20 years old presented a significant increase over time; the same findings were seen in Sweden and the U.S. and can be explained by an increased participation in competitive sports by a youth population 4,17 .…”

Section: Discussionmentioning

confidence: 99%

Epidemiology of Anterior Cruciate Ligament Reconstruction in Brazil's Public Health System

Lopes

Simić

Pappas

2016

Rev Bras Med Esporte

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Introduction: Several studies have reported on the epidemiology of Anterior Cruciate Ligament Reconstruction (ACLR) in Europe and North America; however, there is currently no data relating to Brazil. Objective: To describe the incidence of ACLR in Brazil and investigate temporal trends and differences between age and sex groups. Methods: All reported ACLR cases in the public hospital system between January 2008 and December 2014 were extracted from the Information Technology Department of the Brazilian Ministry of Health. Linear regression analysis was used to assess changes in ACLR incidence in the overall population and among sex and age groups, hospitalization time, and health care costs. Results: A total of 48,241 ACLR were reported from 2008-2014 with an overall incidence of 3.49 per 100,000 persons/year. Males accounted for 82% of the procedures. The incidence of ACLR increased by 56% among males (p=0.01) and by 112% among females (p=0.001). The mean hospitalization time decreased from 2.4 days in 2008 to 1.8 day in 2014 (R 2 = 0.883, p= 0.002). The total cost across all years was US$56 million, with a mean of US$1,145 per ACLR. Conclusion: Although the total incidence of ACLR in Brazil is lower compared to other countries, it has increased over the years, especially in females. The creation of an ACLR registry is necessary in the future, for more accurate control and new investigations.

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Anterior Cruciate Ligament Injury in Pediatric and Adolescent Soccer Players: An Analysis of Insurance Data

Cited by 134 publications

References 56 publications

A Survey of Injuries to the Anterior Cruciate Ligament Among Makkah Population, Saudi Arabia: Prevalence and Observations on Injury Mechanism.

A Survey of Injuries to the Anterior Cruciate Ligament Among Makkah Population, Saudi Arabia: Prevalence and Observations on Injury Mechanism.

Anterior cruciate ligament injury in elite football: a prospective three-cohort study

Epidemiology of Anterior Cruciate Ligament Reconstruction in Brazil's Public Health System

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