Abstract
Knee ligament injuries can be devastating to an athlete’s career and pose long-lasting deleterious eff ects in the form of knee osteoarthritis (1). We will begin with a review of the epidemiology of athletic knee ligament injury in general. Furthermore, we will review the mechanisms of injury and relative risk factors for these common athletic injuries. This chapter will also review the epidemiology, mechanism, risk factors, and prevention of knee joint injuries in general; however, it will focus on one of the most serious knee injuries experienced during participation in sports: disruption of the anterior cruciate ligament (ACL). This injury may not be the most common ligament injury experienced in sports; however, it is one of the most serious in terms of absence from sport, pain, disability, and increased risk of development of osteoarthritis about the knee joint (2). We will therefore discuss methods for prevention of knee ligament injuries, which currently is the only 100% efficacious intervention for long-term health of the knee joint.
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References
Myklebust G, et al. (2003) Prevention of anterior cruciate ligament injuries in female team handball players: a prospective intervention study over three seasons. Clin J Sport Med 13(2):71–78
Lohmander LS, et al. (2004) High prevalence of knee osteoarthritis, pain, and functional limitations in female soccer players twelve years after anterior cruciate ligament injury. Arthritis Rheum 50(10):3145–3152
Arendt E, Dick R (1995) Knee injury patterns among men and women in collegiate basketball and soccer. NCAA data and review of literature. Am J Sports Med 23(6):694–701
Malone TR, et al. (1993) Relationship of gender to anterior cruciate ligament injuries in intercollegiate basketball players. J South Orthop Assoc 2(1):36–39
Hewett TE, Myer GD, Ford KR (2004) Decrease in neuromuscular control about the knee with maturation in female athletes. J Bone Joint Surg Am 86-A(8):1601–1608
Agel J, Arendt EA, Bershadsky B (2005) Anterior cruciate ligament injury in national collegiate athletic association basketball and soccer: a 13-year review. Am J Sports Med 33(4):524–530
Deitch JR, et al. (2006) Injury risk in professional basketball players: a comparison of Women’s National Basketball Association and National Basketball Association athletes. Am J Sports Med 34(7):1077–1083
Mihata LC, Beutler AI, Boden BP (2006) Comparing the incidence of anterior cruciate ligament injury in collegiate lacrosse, soccer, and basketball players: implications for anterior cruciate ligament mechanism and prevention. Am J Sports Med 34(6):899–904
Faude O, et al. (2005) Injuries in female soccer players: a prospective study in the German national league. Am J Sports Med 33(11):1694–1700
Koehle MS, Lloyd-Smith R, Taunton JE (2002) Alpine ski injuries and their prevention. Sports Med 32(12):785–793
Messina DF, Farney WC, DeLee JC (1999) The incidence of injury in Texas high school basketball. A prospective study among male and female athletes. Am J Sports Med 27(3):294–299
Agel J, et al. (2007) Descriptive epidemiology of collegiate women’s basketball injuries: National Collegiate Athletic Association Injury Surveillance System, 19881989 through 2003–2004. J Athl Train 42(2):202–210
Dick R, et al. (2007) Descriptive epidemiology of collegiate women’s soccer injuries: National Collegiate Athletic Association Injury Surveillance System, 1988–1989 through 2002–2003. J Athl Train 42(2):278–285
Lindenfeld TN, et al. (1994) Incidence of injury in indoor soccer. Am J Sports Med 22(3):364–371
Dick R, et al. (2007) Descriptive epidemiology of collegiate women’s field hockey injuries: National Collegiate Athletic Association Injury Surveillance System, 1988–1989 through 2002–2003. J Athl Train 42(2):211–220
Dick R, et al. (2007) Descriptive epidemiology of collegiate women’s lacrosse injuries: National Collegiate Athletic Association Injury Surveillance System, 1988–1989 through 2003–2004. J Athl Train 42(2):262–269
Dick R, et al. (2007) Descriptive epidemiology of collegiate men’s lacrosse injuries: National Collegiate Athletic Association Injury Surveillance System, 1988–1989 through 2003–2004. J Athl Train 42(2):255–261
Marshall SW, et al. (2007) Descriptive epidemiology of collegiate women’s gymnastics injuries: National Collegiate Athletic Association Injury Surveillance System, 1988–1989 through 2003–2004. J Athl Train 42(2):234–240
Agel J, et al. (2007) Descriptive epidemiology of collegiate women’s volleyball injuries: National Collegiate Athletic Association Injury Surveillance System, 1988–1989 through 2003–2004. J Athl Train42(2):295–302
Dick R, et al. (2007) Descriptive epidemiology of collegiate men’s football injuries: National Collegiate Athletic Association Injury Surveillance System, 1988–1989 through 2003–2004. J Athl Train 42(2):221–233
Griffin LY, et al. (2006) Understanding and preventing noncontact anterior cruciate ligament injuries: a review of the Hunt Valley II meeting, January 2005. Am J Sports Med 34(9):1512–1532
Hewett TE, Myer GD, Ford KR (2006) Anterior Cruciate Ligament Injuries in Female Athletes: Part 1, Mechanisms and Risk Factors. Am J Sports Med 34(2):299–311
Orchard JW, Powell JW (2003) Risk of knee and ankle sprains under various weather conditions in American football. Med Sci Sports Exerc 35(7):1118–1123
Meyers MC, Barnhill BS (2004) Incidence, causes, and severity of high school football injuries on FieldTurf versus natural grass: a 5-year prospective study. Am J Sports Med 32(7):1626–1638
Ford KR, et al. (2006) Comparison of in-shoe foot loading patterns on natural grass and synthetic turf. J Sci Med Sport 9(6):433–440
Olsen OE, et al. (2004) Injury mechanisms for anterior cruciate ligament injuries in team handball: a systematic video analysis. Am J Sports Med 32(4):1002–1012
Albright JP, et al. (1994) Medial collateral ligament knee sprains in college football. effectiveness of preventive braces. Am J Sports Med 22(1):12–18
Natri A, et al. (1999) Alpine ski bindings and injuries. Current findings. Sports Med 28(1):35–48
Kocher MS, et al. (2003) Effect of functional bracing on subsequent knee injury in ACL-deficient professional skiers. J Knee Surg 16(2):87–92
Myklebust G, et al. (1998) A prospective cohort study of anterior cruciate ligament injuries in elite Norwegian team handball. Scand J Med Sci Sports 8(3):149–153
Hewett TE, et al. (2005) Biomechanical measures of neuromuscular control and valgus loading of the knee predict anterior cruciate ligament injury risk in female athletes: a prospective study. Am J Sports Med 33(4):492–501
Orchard J, et al. (2001) Intrinsic and extrinsic risk factors for anterior cruciate ligament injury in Australian footballers. Am J Sports Med 29(2):196–200
Shelbourne K, Davis T, Klootwyk T (1998) The relationship between intercondylar notch width of the femur and the incidence of anterior cruciate ligament tears. Am J Sport Med 26:402–408
Uhorchak JM, et al. (2003) Risk factors associated with noncontact injury of the anterior cruciate ligament: a prospective four-year evaluation of 859 West Point cadets. Am J Sports Med 31(6):831–842
Knapik JJ, et al. (2001) Risk factors for training-related injuries among men and women in basic combat training. Med Sci Sports Exerc 33(6):946–954
Ostenberg A, Roos H (2000) Injury risk factors in female European football. A prospective study of 123 players during one season. Scand J Med Sci Sports 10(5):279–285
Flynn RK, et al. (2005) The familial predisposition toward tearing the anterior cruciate ligament: a case control study. Am J Sports Med 33(1):23–28
Harner CD, et al. (1994) Detailed analysis of patients with bilateral anterior cruciate ligament injuries. Am J Sports Med 22(1):37–43
Trojian TH, Collins S (2006) The anterior cruciate ligament tear rate varies by race in professional Women’s basketball. Am J Sports Med 34(6):895–898
Haycock CE, Gillette JV (1976) Susceptibility of women athletes to injury: myth vs. reality. Journal of the American Medical Association 236(2):163–165
Livingston LA (1998) The quadriceps angle: a review of the literature. J Orthop Sports Phys Ther 28(2):105–109
Zelisko JA, Noble HB, Porter M (1982) A comparison of men’s and women’s professional basketball injuries. American Journal of Sports Medicine 10(5):297–299
Shambaugh JP, Klein A, Herbert JH (1991) Structural measures as predictors of injury basketball players. Med Sci Sports Exerc 23(5):522–527
Gray J, et al. (1985) A survey of injuries to the anterior cruciate ligament of the knee in female basketball players. Int J Sports Med 6(6):314–316
Pantano KJ, et al. (2005) Differences in peak knee valgus angles between individuals with high and low Q-angles during a single limb squat. Clin Biomech (Bristol, Avon) 20(9):966–972
Beynnon BD, et al. (2003) The effect of anterior cruciate ligament deficiency and functional bracing on translation of the tibia relative to the femur during nonweightbearing and weightbearing. Am J Sports Med 31(1):99–105
Anderson AF, et al. (2001) Correlation of anthropometric measurements, strength, anterior cruciate ligament size, and intercondylar notch characteristics to sex differences in anterior cruciate ligament tear rates. Am J Sport Med 29(1):58–66
LaPrade RF, Burnett QM, 2nd (1994) Femoral intercondylar notch stenosis and correlation to anterior cruciate ligament injuries. A prospective study. Am J Sports Med 22(2):198–202; discussion 203
Schickendantz MS, Weiker GG (1993) The predictive value of radiographs in the evaluation of unilateral and bilateral anterior cruciate ligament injuries. Am J Sports Med 21(1):110–113
Souryal TO, Freeman TR (1993) Intercondylar notch size and anterior cruciate ligament injuries in athletes. A prospective study. Am J Sports Med 21(4):535–539
Hutchinson MR, Ireland ML (1995) Knee injuries in female athletes. Sports Medicine 19(4):288–302
Anderson AF, et al. (1987) Analysis of the intercondylar notch by computed tomography. Am J Sports Med 15(6):547–552
Lund-Hanssen H, et al. (1994) Intercondylar notch width and the risk for anterior cruciate ligament rupture. A case-control study in 46 female handball players. Acta Orthop Scand 65(5):529–532
Lombardo S, Sethi PM, Starkey C (2005) Intercondylar notch stenosis is not a risk factor for anterior cruciate ligament tears in professional male basketball players: an 11-year prospective study. Am J Sports Med 33(1):29–34
Chandrashekar N, et al. (2006) Sex-based differences in the tensile properties of the human anterior cruciate ligament. J Biomech 39(16):2943–2950
Woodford-Rogers B, Cyphert L, Denegar CR (1994) Risk factors for anterior cruciate ligament injury in high school and college athletes. J Athl Train 29(4):343–346
Boden BP, et al. (2000) Mechanisms of anterior cruciate ligament injury. Orthopedics 23(6):573–578
Allen MK, Glasoe WM (2000) Metrecom Measurement of Navicular Drop in Subjects with Anterior Cruciate Ligament Injury. J Athl Train 35(4):403–406
Loudon JK, Jenkins W, Loudon KL (1996) The relationship between static posture and ACL injury in female athletes. J Orthop Sports Phys Ther 24(2):91–97
Hewett TE, Myer GD, Ford KR (2006) Anterior cruciate ligament injury in female athletes: Part 1, mechanisms and risk factors. Am J Sports Med 34(2):299–311
Beynnon BD, et al. (2006) A prospective, randomized clinical investigation of the treatment of first-time ankle sprains. Am J Sports Med 34(9):1401–1412
Hewett TE, Zazulak BT, Myer GD (2007) Effects of the menstrual cycle on anterior cruciate ligament injury risk: a systematic review. Am J Sports Med 35(4):659–668
DeMorat G, et al. (2004) Aggressive quadriceps loading can induce noncontact anterior cruciate ligament injury. Am J Sports Med 32(2):477–483
Kirkendall DT, Garrett WE, Jr. (2000) The anterior cruciate ligament enigma. Injury mechanisms and prevention. Clin Orthop 372:64–68
Pflum MA, et al. (2004) Model prediction of anterior cruciate ligament force during drop-landings. Med Sci Sports Exerc 36(11):1949–1958
Pollard CD, Davis IM, Hamill J (2004) Influence of gender on hip and knee mechanics during a randomly cued cutting maneuver. Clin Biomech 19(10):1022–1031
Salci Y, et al. (2004) Comparison of landing maneuvers between male and female college volleyball players. Clin Biomech 2004:622–628
Zazulak BT, et al. (2007) The effects of core proprioception on knee injury: a prospective biomechanical-epidemiological study. Am J Sports Med 35(3):368–373
Krosshaug T, et al. (2007) Mechanisms of anterior cruciate ligament injury in basketball: video analysis of 39 cases. Am J Sports Med 35(3):359–367
Krosshaug T, et al. (2007) Estimating 3D joint kinematics from video sequences of running and cutting maneuvers — assessing the accuracy of simple visual inspection. Gait Posture 26(3):378–385
Krosshaug T, Bahr R (2005) A model-based image-matching technique for three-dimensional reconstruction of human motion from uncalibrated video sequences. J Biomech 38(4):919–929
Jarvinen M, et al. (1994) Mechanisms of anterior cruciate ligament ruptures in skiing. Knee Surg Sports Traumatol Arthrosc 2(4):224–228
Yu B, Garrett WE (2007) Mechanisms of non-contact ACL injuries. Br J Sports Med 41(Suppl 1):i47–i51
Ettlinger CF, Johnson RJ, Shealy JE (1995) A method to help reduce the risk of serious knee sprains incurred in alpine skiing. Am J Sports Med 23(5):531–537
Krosshaug T, et al. (2007) Biomechanical analysis of anterior cruciate ligament injury mechanisms: three-dimensional motion reconstruction from video sequences. Scand J Med Sci Sports 17(5):508–519
Fung DT, Zhang LQ (2003) Modeling of ACL impingement against the intercondylar notch. Clin Biomech (Bristol, Avon) 18(10):933–941
McLean SG, Lipfert SW, van den Bogert AJ (2004) Effect of gender and defensive opponent on the biomechanics of sidestep cutting. Med Sci Sports Exerc. 36(6):1008–1016
Speer KP, et al. (1992) Osseous injury associated with acute tears of the anterior cruciate ligament. Am J Sports Med 20(4):382–389
McLean SG, et al. (2005) Evaluation of a two dimensional analysis method as a screening tool for anterior cruciate ligament injury. Br J Sports Med 39(6):355–362
Simeonsson RJ, et al. (2000) Revision of the International Classification of Impairments, Disabilities, and Handicaps: developmental issues. J Clin Epidemiol 53(2):113–124
Markolf KL, et al. (1995) Combined knee loading states that generate high anterior cruciate ligament forces. J Orthop Res 13(6):930–935
Hewett TE, Ford KR, Myer GD (2006) Anterior Cruciate Ligament Injuries in Female Athletes: Part 2, A Metaanalysis of Neuromuscular Interventions Aimed at Injury Prevention. Am J Sports Med 34(3):490–498
Pfeiffer RP, et al. (2006) Lack of effect of a knee ligament injury prevention program on the incidence of noncontact anterior cruciate ligament injury. J Bone Joint Surg Am 88(8):1769–1774
Soderman K, et al. (2001) Risk factors for leg injuries in female soccer players: a prospective investigation during one out-door season. Knee Surg Sports Traumatol Arthrosc 9(5):313–321
Hewett TE, et al. (1999) The effect of neuromuscular training on the incidence of knee injury in female athletes. A prospective study. Am J Sports Med 27(6):699–706
Hewett TE, et al. (1996) Plyometric training in female athletes. Decreased impact forces and increased hamstring torques. Am J Sports Med 24(6):765–773
Mandelbaum BR, et al. (2005) Effectiveness of a neuromuscular and proprioceptive training program in preventing the incidence of ACL injuries in female athletes: two year follow up. Am J Sport Med 33(6) <AQ: Please provide page number in Reg. 87.>
Heidt RS, Jr., et al. (2000) Avoidance of soccer injuries with preseason conditioning. Am J Sports Med 28(5):659–662
Soderman K, et al. (2000) Balance board training: prevention of traumatic injuries of the lower extremities in female soccer players? A prospective randomized intervention study. Knee Surg Sports Traumatol Arthrosc 8(6):356–363
Olsen OE, et al. (2003) Relationship between floor type and risk of ACL injury in team handball. Scand J Med Sci Sports 13(5):299–304
Wedderkopp N, et al. (2003) Comparison of two intervention programmes in young female players in European handball — with and without ankle disc. Scand J Med Sci Sports 13(6):371–375
Johnson RJ (2001) The ACL injury in female skiers. In: prevention of noncontact ACL injuries. Griffin LY, editor. Rosemont, IL: American Academy of Orthopaedic Surgeons: 107–111
Prapavessis H, McNair PJ (1999) Effects of instruction in jumping technique and experience jumping on ground reaction forces. J Orthop Sports Phys Ther 29(6):352–356
Caraffa A, et al. (1996) Prevention of anterior cruciate ligament injuries in soccer. A prospective controlled study of proprioceptive training. Knee Surg Sports Traumatol Arthrosc 4(1):19–21
Beynnon B, et al. (2006) A Prospective Study of Risk Factors for First Time Inversion Ankle Ligament Trauma. American Academy of Orthopaedic Surgeons Annual Meeting
Zazulak BT, et al. (2007) Deficits in neuromuscular control of the trunk predict knee injury risk: a prospective biomechanical-epidemiological study. Am J Sports Med 35(7):1123–30
Lehnhard RA, et al. (1996) Monitoring injuries on a college soccer team: the effect of strength training. J Strength Cond Res 10(2):115–119
Petersen W, et al. (2006) A controlled prospective case control study of a prevention training program in female team handball players: the German experience. Arch Orthop Trauma Surg <AQ: Please provide volume, issue, and page numbers for Ref. 97.>
Gilchrist JR, et al. (2004) A Randomized Controlled Trial to Prevent Non-Contact ACL Injury in Female Collegiate Soccer Players. Presented at the American Orthopaedic Society for Sports Medicine in San Francisco, CA
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Hewett, T.E., Zazulak, B.T., Krosshaug, T., Bahr, R. (2012). Clinical basis: Epidemiology, risk factors, mechanisms of injury, and prevention of ligament injuries of the knee. In: The Knee Joint. Springer, Paris. https://doi.org/10.1007/978-2-287-99353-4_6
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DOI: https://doi.org/10.1007/978-2-287-99353-4_6
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