Risk factors of anterior cruciate ligament injury in football players: a systematic review of the literature

Volpi, Piero; Bisciotti, Gian Nicola; Chamari, Karim; Cena, Emanuele; Carimati, Giulia; Bragazzi, Nicola Luigi

doi:10.11138/mltj/2016.6.4.480

Cited by 12 publications

(15 citation statements)

References 27 publications

(17 reference statements)

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“…Previous Injury A history of previous injury continues to be the most consistent and strongest risk factor for future injury, and this also holds true for specific injuries [9,[25][26][27][28][29]. For example, a history of previous hamstring injury is associated with future hamstring injury among male players [25,28], previous ACL injury is associated with risk of future ACL injury [29], and previous ankle sprain injury is related to the emergence of new ankle sprain injuries [27].…”

Section: Risk and Protective Factors Non-modifiable Risk Factorsmentioning

confidence: 99%

“…One systematic review suggested that increasing age was a risk factor for future hamstring injury among male players [25]. Another systematic review concluded that existing literature was insufficient to infer any relationship between age and the risk of ACL injury among soccer players [29]. In a single prospective study, age > 14 years was a significant risk factor for future acute knee injury among female players [30].…”

Section: Risk and Protective Factors Non-modifiable Risk Factorsmentioning

confidence: 99%

“…Genetics Familial predisposition for ACL injury is associated with increased risk of ACL injury and acute knee injury [29,30].…”

Section: Risk and Protective Factors Non-modifiable Risk Factorsmentioning

confidence: 99%

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Reducing Injuries in Soccer (Football): an Umbrella Review of Best Evidence Across the Epidemiological Framework for Prevention

2020

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Soccer is the most popular sport in the world. Expectedly, the incidence of soccer-related injuries is high and these injuries exert a significant burden on individuals and families, including health and financial burdens, and on the socioeconomic and healthcare systems. Using established injury prevention frameworks, we present a concise synthesis of the most recent scientific evidence regarding injury rates, characteristics, mechanisms, risk and protective factors, interventions for prevention, and implementation of interventions in soccer. In this umbrella review, we elucidate the most recent available evidence gleaned primarily from systematic reviews and meta-analyses. Further, we express the exigent need to move current soccer injury prevention research evidence into action for improved player outcomes and widespread impact through increased attention to dissemination and implementation research. Additionally, we highlight the importance of an enabling context and effective implementation strategies for the successful integration of evidence-based injury prevention programs into real-world soccer settings. This narrative umbrella review provides guidance to inform future research, practice, and policy towards reducing injuries among soccer players.

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Section: Risk and Protective Factors Non-modifiable Risk Factorsmentioning

confidence: 99%

Section: Risk and Protective Factors Non-modifiable Risk Factorsmentioning

confidence: 99%

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Reducing Injuries in Soccer (Football): an Umbrella Review of Best Evidence Across the Epidemiological Framework for Prevention

2020

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“…Difficulties in coping with these demands are related to increased injury risk. Among injuries, ruptures of the anterior cruciate ligament (ACL) are considered some of the most dramatic events that may affect players' careers (Volpi et al, 2016). Also, women are, in comparison to the men footballers, exposed to a two to three times higher risk of ACL injury (Waldén, Hägglund, Werner, & Ekstrand, 2011).…”

mentioning

confidence: 99%

Elite female footballers’ stories of sociocultural factors, emotions, and behaviours prior to anterior cruciate ligament injury

Ivarsson

Johnson

Karlsson

et al. 2018

International Journal of Sport and Exercise Psychology

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The aim of the study was to examine how players' perceptions of sociocultural factors and intra-and interpersonal aspects of sporting experiences may have influenced the emotions, cognitions, and behaviours of elite female soccer players prior to the occurrence of ACL injuries. The research questions guiding the study were: (a) how did female elite soccer players perceive that their psychosocial experiences were related to their cognitive, physiological, and emotional states prior to their ACL injuries, and (b) how did the players feel their perceived states influenced their behaviours prior to injury occurrence. The participants consisted of the total population of female players (N = 18) competing in the Swedish women's elite league, who incurred a total ACL tear during the 2012 season. Using a semi-structured interview guide, all players were interviewed post-season. We represented the data using a storytelling approach of aggregated creative nonfiction. The aggregated stories showed sociocultural rules and expectations of overtraining and placing pressure on athletes to play even if they were not physically or psychologically fit. Responding to pressures with potentially risk-increasing behaviours might raise the probability of becoming injured through a number of pathways. Team managers, coaches, and members of the medical team are recommended to develop environments that stimulate the players to engage in adaptive stress-recovery and risk-decreasing behaviours.

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“…Due to discouraging results of clinical studies from the 1970s and 1980s, primary repair of the anterior cruciate ligament (ACL) was more or less abandoned and replaced by surgical reconstruction with autograft or allograft material as the gold standard from the 1990s onwards [1][2][3][4][5] . The clinical results achieved by ACL reconstruction are generally accepted.…”

Section: Introductionmentioning

confidence: 99%

Low revision rate and excellent subjective outcome of primary ACL repair with a minimum follow-up of 5 years

Nau

Teuschi

Ebner³

et al. 2019

Muscle Ligaments and Tendons J

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Introduction: Due to limitations of ACL reconstruction, primary ACL repair has recently regained research interest. Although abandoned in the past, primary repair with conservation of the original ligament demonstrates considerable advantages compared to reconstruction. We hypothesized that early repair, strictly limited to patients with a proximal ACL rupture and excellent tissue quality of the remaining ACL stump, would lead to equal revision rates and subjective outcomes as reported for ACL reconstruction after a minimum of 5 years. Methods: In this questionnaire study, patients who had a primary ACL repair between 2002 and 2009 were invited to participate. Besides any potential revision surgery, the Tegner activity scale and the Knee Injury and Osteoarthritis Outcome Score were included in the evaluation. Results: Out of 1912 patients who had ACL related surgery during the observation period, 221 (11.4%) had a primary ACL repair. 60 patients (61 knees) were available for follow-up. In 2/61 (3.3%) cases ACL revision surgery was performed and one patient had meniscus surgery of the affected side. The median Tegner activity scale was 6 (range, 3 to 10). The mean KOOS subscores were 88.8% (Function/Sports), 86.6% (Quality of life), 94.6 (Symptoms), 94.0 (Pain) and 97.0 (Activities of Daily Living). Conclusion: Primary ACL repair, strictly limited to proximal ruptures with good tissue quality leads to revision rates and subjective outcome comparable to ACL reconstruction. Level of evidence: IV.

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Risk factors of anterior cruciate ligament injury in football players: a systematic review of the literature

Cited by 12 publications

References 27 publications

Reducing Injuries in Soccer (Football): an Umbrella Review of Best Evidence Across the Epidemiological Framework for Prevention

Reducing Injuries in Soccer (Football): an Umbrella Review of Best Evidence Across the Epidemiological Framework for Prevention

Elite female footballers’ stories of sociocultural factors, emotions, and behaviours prior to anterior cruciate ligament injury

Low revision rate and excellent subjective outcome of primary ACL repair with a minimum follow-up of 5 years

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