Correlation Analysis of Landing Error Score and Lower Body Stiffness for Evaluating Anterior Cruciate Ligament Risk Factors in Female Soccer Players.

Introduction: Nowadays, the use of artificial turf fields has become widespread. Given the high prevalence of noncontact injuries among female soccer players and high contribution of the Anterior Cruciate Ligament (ACL) injury, this research was conducted to compare biomechanical risk factors in the incidence of ACL injury for elite female soccer players during shearing maneuver and header on the natural grass and artificial turf fields. Methods: Sixteen players were selected from U-14 women’s national team by the convenience sampling method and started to perform the skills. Knee joint information was calculated by a 3D imaging system and a force plate. Statistical differences were reported using the dependent t-test at a significant level of 0.05. Results: The findings showed that the biomechanical behavior of the lower extremity while performing soccer skills on the natural grass was affected differently from that on the artificial turf. Results also demonstrated that the torque applied to the knee joint on the natural grass was higher than that on the artificial turf (P=0.039). Angular velocity on the artificial turf was also higher than that on the natural grass (P=0.006). Conclusion: The higher knee joint torque and the lower angular velocity on natural grass may result in a higher risk of ACL injury on the natural grass than on the artificial turf. Therefore, the use of prevention programs for ACL injury is crucial to minimize the incidence of lower extremity injuries.

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Assessment of neuromuscular risk factors for anterior cruciate ligament injury through tensiomyography in male soccer players

Knee Surgery Sports Traumatology Arthroscopy ◽

10.1007/s00167-014-3018-1 ◽

2014 ◽

Vol 23 (9) ◽

pp. 2508-2513 ◽

Cited By ~ 20

Author(s):

Eduard Alentorn-Geli ◽

Pedro Alvarez-Diaz ◽

Silvia Ramon ◽

Miguel Marin ◽

Gilbert Steinbacher ◽

...

Keyword(s):

Risk Factors ◽

Anterior Cruciate Ligament ◽

Anterior Cruciate Ligament Injury ◽

Cruciate Ligament ◽

Soccer Players ◽

Ligament Injury ◽

Anterior Cruciate

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Anterior cruciate ligament injury risk factors in football

The Journal of Sports Medicine and Physical Fitness ◽

10.23736/s0022-4707.19.09563-x ◽

2019 ◽

Vol 59 (10) ◽

Author(s):

Gian Nicola Bisciotti ◽

Karim Chamari ◽

Emanuele Cena ◽

Andrea Bisciotti ◽

Alessandro Bisciotti ◽

...

Keyword(s):

Risk Factors ◽

Anterior Cruciate Ligament ◽

Anterior Cruciate Ligament Injury ◽

Injury Risk ◽

Cruciate Ligament ◽

Ligament Injury ◽

Injury Risk Factors ◽

Anterior Cruciate

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Altered Knee Laxity and Stiffness in Response to a Soccer Match Simulation in Players Returning to Sport Within 12 Months After Anterior Cruciate Ligament Reconstruction

The American Journal of Sports Medicine ◽

10.1177/03635465211013020 ◽

2021 ◽

pp. 036354652110130

Author(s):

Stefano Nuccio ◽

Luciana Labanca ◽

Jacopo Emanuele Rocchi ◽

Pier Paolo Mariani ◽

Paola Sbriccoli ◽

...

Keyword(s):

Anterior Cruciate Ligament ◽

Cruciate Ligament ◽

Return To Sport ◽

Knee Laxity ◽

Activity Level ◽

Soccer Players ◽

Control Group ◽

Soccer Match ◽

Anterior Cruciate ◽

Anterior Knee

Background: The acute effects of exercise on anterior knee laxity (AKL) and anterior knee stiffness (AKS) have been documented in healthy participants, but only limited evidence has been provided for athletes cleared to return to sports after anterior cruciate ligament (ACL) reconstruction (ACLR). Purpose/Hypothesis: The purpose was to determine if 45 minutes of a soccer match simulation lead to acute changes in AKL and AKS in soccer players returning to sport within 12 months after ACLR. We hypothesized that the reconstructed knee of the ACLR group would exhibit an altered response to sport-specific exercise. Study Design: Controlled laboratory study. Methods: A total of 13 soccer players cleared to return to sport after ACLR and 13 healthy control soccer players matched for age, physical activity level, limb dominance, and anthropometric characteristics were recruited. To assess the effects of a standardized soccer match simulation (Soccer Aerobic Field Test [SAFT45]) on AKL and AKS, an arthrometric evaluation was carried out bilaterally before and immediately after SAFT45. To conduct a comprehensive examination of the force-displacement curve, the absolute and side-to-side difference (SSD) values of both AKL and AKS were extracted at 67, 134, and 200 N. Results: The ACLR and control groups showed similar AKL and AKS at baseline ( P > .05). In response to SAFT45, laxity increased bilaterally at all force levels by 14% to 17% only in the control group ( P < .025). Similarly, AKS at 134 and 200 N decreased in response to SAFT45 only in the control group (10.5% and 20.5%, respectively; P < .025). After SAFT45, the ACLR group had 1.9 and 2.5 times higher SSDs of AKS at 67 and 134 N compared with the control group, respectively ( P < .025), as well as a 1.9 times higher SSD of AKS at 134 N compared with baseline ( P = .014). Conclusion: Soccer players at the time of return to sport after ACLR showed an altered mechanical response to a sport-specific match simulation consisting of bilaterally unchanged AKL and AKS. Clinical Relevance: Soccer players showing altered AKL and AKS in response to exercise after ACLR may not be ready to sustain their preinjury levels of sport, thus potentially increasing the risk of second ACL injuries.

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Risk Factors for Failure After Anterior Cruciate Ligament Reconstruction in a Pediatric Population: A Prediction Algorithm

Orthopaedic Journal of Sports Medicine ◽

10.1177/2325967121991165 ◽

2021 ◽

Vol 9 (3) ◽

pp. 232596712199116

Author(s):

Nicholas J. Lemme ◽

Daniel S. Yang ◽

Brooke Barrow ◽

Ryan O’Donnell ◽

Alan H. Daniels ◽

...

Keyword(s):

Risk Factors ◽

Anterior Cruciate Ligament ◽

Anterior Cruciate Ligament Reconstruction ◽

Ligament Reconstruction ◽

Pediatric Patients ◽

Cruciate Ligament ◽

Adult Patients ◽

Collateral Ligament ◽

Cruciate Ligament Reconstruction ◽

Anterior Cruciate

Background: Anterior cruciate ligament reconstruction (ACLR) in pediatric patients is becoming increasingly common. There is growing yet limited literature on the risk factors for revision in this demographic. Purpose: To (1) determine the rate of pediatric revision ACLR in a nationally representative sample, (2) ascertain the associated patient- and injury-specific risk factors for revision ACLR, and (3) examine the differences in the rate and risks of revision ACLR between pediatric and adult patients. Study Design: Case-control study; Level of evidence, 3. Methods: The PearlDiver patient record database was used to identify adult patients (age ≥20 years) and pediatric patients (age <20 years) who underwent primary ACLR between 2010 and 2015. At 5 years postoperatively, the risk of revision ACLR was compared between the adult and pediatric groups. ACLR to the contralateral side was also compared. Multivariate logistic regression was used to determine the significant risk factors for revision ACLR and the overall reoperation rates in pediatric and adult patients; from these risk factors, an algorithm was developed to predict the risk of revision ACLR in pediatric patients. Results: Included were 2055 pediatric patients, 1778 adult patients aged 20 to 29 years, and 1646 adult patients aged 30 to 39 years who underwent ACLR. At 5 years postoperatively, pediatric patients faced a higher risk of revision surgery when compared with adults (18.0 % vs 9.2% [adults 20-29 years] and 7.1% [adults 30-39 years]; P < .0001), with significantly decreased survivorship of the index ACLR ( P < .0001; log-rank test). Pediatric patients were also at higher risk of undergoing contralateral ACLR as compared with adults (5.8% vs 1.6% [adults 20-29 years] and 1.9% [adults 30-39 years]; P < .0001). Among the pediatric cohort, boys (odds ratio [OR], 0.78; 95% CI, 0.63-0.96; P = .0204) and patients >14 years old (OR, 0.62; 95% CI, 0.45-0.86; P = .0035) had a decreased risk of overall reoperation; patients undergoing concurrent meniscal repair (OR, 1.84; 95% CI, 1.43-2.38; P < .0001) or meniscectomy (OR, 2.20; 95% CI, 1.72-2.82; P < .0001) had an increased risk of revision surgery. According to the risk algorithm, the highest probability for revision ACLR was in girls <15 years old with concomitant meniscal and medial collateral ligament injury (36% risk of revision). Conclusion: As compared with adults, pediatric patients had an increased likelihood of revision ACLR, contralateral ACLR, and meniscal reoperation within 5 years of an index ACLR. Families of pediatric patients—especially female patients, younger patients, and those with concomitant medial collateral ligament and meniscal injuries—should be counseled on such risks.

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