Systematic review2014

Prevention of anterior cruciate ligament injuries in sports. Part I: systematic review of risk factors in male athletes

Alentorn-Geli E, Mendiguchía J, Samuelsson K, Musahl V, Karlsson J, Cugat R, Myer GD

Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 59 citations

Review labels

Funding not disclosed

Neutral facts our review recorded about how this study was done. They describe method, never whether we like the result.

How it was studied

Design
Systematic review (indexed by PubMed)
Studied in
People
Main outcome
Clinical events such as disease or death

Who paid for it

Funding
Funding not disclosed

Publication

Published
2013-10-24 · Knee Surg Sports Traumatol Arthrosc · vol. 22 · issue 1 · pp. 3–15
Publisher
Springer Science+Business Media
Cited
107 citations · more than 89% of similar papers · 2.3× the field average
References
88 works
Access
Paywalled
Research areas
Knee injuries and reconstruction techniques · Sports injuries and prevention · Lower Extremity Biomechanics and Pathologies
Keywords
Athletes, Anterior cruciate ligament, Medicine, ACL injury, Physical therapy, Risk factor, Risk assessment, Surgery, Internal medicine
MeSH
anterior cruciate ligament, tibia, knee joint, humans, joint instability, athletic injuries, knee injuries, risk factors, male, athletes, biomechanical phenomena, anterior cruciate ligament injuries

7 authors

From ES, SE, US

  • Eduard Alentorn‐Geli · correspondingUniversitat Autònoma de Barcelona; Universitat Pompeu Fabra; Parc de Salut
  • Jurdan Mendiguchía
  • Kristian SamuelssonSahlgrenska University Hospital
  • Volker MusahlUniversity of Pittsburgh Medical Center
  • J. KarlssonSahlgrenska University Hospital
  • Ramón CugatFC Barcelona

Abstract

Purpose

The purpose of this study was to report a comprehensive literature review on the risk factors for anterior cruciate ligament (ACL) injuries in male athletes.

Methods

All abstracts were read and articles of potential interest were reviewed in detail to determine on inclusion status for systematic review. Information regarding risk factors for ACL injuries in male athletes was extracted from all included studies in systematic fashion and classified as environmental, anatomical, hormonal, neuromuscular, or biomechanical. Data extraction involved general characteristics of the included studies (type of study, characteristics of the sample, type of sport), methodological aspects (for quality assessment), and the principal results for each type of risk factor.

Results

The principal findings of this systematic review related to the risk factors for ACL injury in male athletes are: (1) most of the evidence is related to environmental and anatomical risk factors; (2) dry weather conditions may increase the risk of non-contact ACL injuries in male athletes; (3) artificial turf may increase the risk of non-contact ACL injuries in male athletes; (4) higher posterior tibial slope of the lateral tibial plateau may increase the risk of non-contact ACL injuries in male athletes.

Conclusion

Anterior cruciate ligament injury in male athletes likely has a multi-factorial aetiology. There is a lack of evidence regarding neuromuscular and biomechanical risk factors for ACL injury in male athletes. Future research in male populations is warranted to provide adequate prevention strategies aimed to decrease the risk of this serious injury in these populations.

Abstract via Europe PMC. Copyright remains with the authors or publisher.

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