Incidence of Knee Injuries on Artificial Turf Versus Natural Grass in National Collegiate Athletic Association American Football: 2004-2005 Through 2013-2014 Seasons
Loughran GJ, Vulpis CT, Murphy JP, Weiner DA, Svoboda SJ, Hinton RY, Milzman DP
The American journal of sports medicine · 31 citations
How it was studied
- Design
- Cohort study (classified by our AI screen)
- Studied in
- People
- Main outcome
- Clinical events such as disease or death
Who paid for it
- Funding
- Independent funding
- University or hospital
- Georgetown University
- Nonprofit
- National Collegiate Athletic Association
- University or hospital
- Centrum för idrottsforskning
Based on 3 listed funder(s).
Publication
- Published
- 2019-04-17 · Am J Sports Med · vol. 47 · issue 6 · pp. 1294–1301
- Publisher
- SAGE Publishing
- Cited
- 59 citations · more than 95% of similar papers · 4.5× the field average
- Impact
- Top 10% most cited in its field
- References
- 26 works
- Access
- Paywalled
- Research areas
- Sports injuries and prevention · Knee injuries and reconstruction techniques · Tendon Structure and Treatment
- Keywords
- Football, Incidence (geometry), American football, Medicine, Geography, Mathematics, Archaeology
- MeSH
- menisci, tibial, anterior cruciate ligament, posterior cruciate ligament, humans, poaceae, athletic injuries, knee injuries, incidence, risk factors, seasons, universities, football, united states, male, athletes, tibial meniscus injuries, anterior cruciate ligament injuries
7 authors
From US
- Galvin J. Loughran · correspondingGeorgetown University
- Christian VulpisGeorgetown University
- Jordan P. MurphyGeorgetown University
- David A. WeinerMedStar Union Memorial Hospital
- Steven J. SvobodaGeorgetown University; MedStar Georgetown University Hospital
- Richard Y. HintonMedStar Union Memorial Hospital
Abstract
Background
The use of artificial turf in American football continues to grow in popularity, and the effect of these playing surfaces on athletic injuries remains controversial. Knee injuries account for a significant portion of injuries in the National Collegiate Athletic Association (NCAA) football league; however, the effect of artificial surfaces on knee injuries remains ill-defined.
Hypothesis
There is no difference in the rate or mechanism of knee ligament and meniscal injuries during NCAA football events on natural grass and artificial turf playing surfaces.
Study design
Descriptive epidemiology study.
Methods
The NCAA Injury Surveillance System Men's Football Injury and Exposure Data Sets for the 2004-2005 through 2013-2014 seasons were analyzed to determine the incidence of anterior cruciate ligament (ACL), posterior cruciate ligament (PCL), medial collateral ligament (MCL), medial meniscus, and lateral meniscal tear injuries. Injury rates were calculated per 10,000 athlete exposures, and rate ratios (RRs) were used to compare injury rates during practices and competitions on natural grass and artificial turf in NCAA football as a whole and by competition level (Divisions I, Divisions II and III). Mechanisms of injury were calculated for each injury on natural grass and artificial turf surfaces.
Results
A total of 3,009,205 athlete exposures and 2460 knee injuries were reported from 2004 to 2014: 1389 MCL, 522 ACL, 269 lateral meniscal, 164 medial meniscal, and 116 PCL. Athletes experienced all knee injuries at a significantly higher rate when participating in competitions as compared with practices. Athletes participating in competitions on artificial turf experienced PCL injuries at 2.94 times the rate as those playing on grass (RR = 2.94; 95% CI, 1.61-5.68). When stratified by competition level, Division I athletes participating in competitions on artificial turf experienced PCL injuries at 2.99 times the rate as those playing on grass (RR = 2.99; 95% CI, 1.39-6.99), and athletes in lower NCAA divisions (II and III) experienced ACL injuries at 1.63 times the rate (RR = 1.63; 95% CI, 1.10-2.45) and PCL injuries at 3.13 times the rate (RR = 3.13; 95% CI, 1.14-10.69) on artificial turf as compared with grass. There was no statistically significant difference in the rate of MCL, medial meniscal, or lateral meniscal injuries on artificial turf versus grass when stratified by event type or level of NCAA competition. No difference was found in the mechanisms of knee injuries on natural grass and artificial turf.
Conclusion
Artificial turf is an important risk factor for specific knee ligament injuries in NCAA football. Injury rates for PCL tears were significantly increased during competitions played on artificial turf as compared with natural grass. Lower NCAA divisions (II and III) also showed higher rates of ACL injuries during competitions on artificial turf versus natural grass.
Abstract via Europe PMC. Copyright remains with the authors or publisher.
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