Skip to main content

Prevention in ACL Injuries

  • Chapter
  • First Online:
Sports Injuries

Abstract

The anterior cruciate ligament of the knee (ACL) is one of four primary ligaments holding the knee. As more women practice sports such as soccer and basketball, it has become increasingly apparent that females are at a higher risk for non-contact ACL injuries than males. The risk factors for ACL injury have been considered as internal (hormonal and anatomical) or external (like footwear and playing surfaces). Approximately 80% of ACL injuries are non-contact, occurring while landing from a jump, cutting, or decelerating. Even though the exact reason for the higher rate of ACL injury in women is not yet clear, some factors such as differences in anatomy, hormones, strength, or conditioning are pointed. Several prevention programs have been designed that aim at reducing the risk of knee ligament injury. They try to improve neuromuscular and proprioceptive abilities, altering the dynamic loading of the tibio-femoral joint, with proven results.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 219.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Tegnander, A., Olsen, O.E., Moholdt, T.T., Engebretsen, L., Bahr, R.: Injuries in Norwegian female elite soccer: a prospective one-season cohort study. Knee Surg. Sports Traumatol. Arthrosc. 16(2), 194–198 (2007)

    Article  PubMed  Google Scholar 

  2. Arendt, E.A.: Musculoskeletal injuries of the knee: are females at greater risk? Minn. Med. 90, 38–40 (2007)

    PubMed  Google Scholar 

  3. Caraffa, A., Cerulli, G., Projetti, M., Aisa, G., Rizzo, A.: Prevention of anterior cruciate ligament injuries in soccer. A prospective controlled study of proprioceptive training. Knee Surg. Sports Traumatol. Arthrosc. 4, 19–21 (1996)

    Article  PubMed  CAS  Google Scholar 

  4. Chandrashekar, N., Slauterbeck, J., Hasmeni, J.: Sex based differences in the anthropometric characteristics of the anterior cruciate ligament and its relation to intercondylar notch geometry. Am. J. Sports Med. 33, 1492–1498 (2005)

    Article  PubMed  Google Scholar 

  5. Chandrashekar, N.J., Mansour, M., Slauterbeck, J., et al.: Sex-based differences in the viscoelastic properties of tendon structures. Eur. J. Appl. Physiol. 88, 520–526 (2003)

    Article  Google Scholar 

  6. Chaudhari AM, Hearn BK, Andriacchi TP. : Sport-dependent variations in arm position during single-limb landing influence knee loading: implications for anterior cruciate ligament injury. Am J Sports Med. 33, 824–830 (2005)

    Google Scholar 

  7. Cumps, E., Verhagen, E., Annemans, L., Meeusen, R.: Injury risk and socio-economic costs resulting from sports injuries in Flanders. Data derived from Sports Insurance Statistics 2003. Br. J. Sports Med. 42(9), 767–772 (2008)

    Article  PubMed  CAS  Google Scholar 

  8. Geli, E., Myer, G., Silvers, H.J., Samitier, G., Romero, D., Haro, C.L., Cugat, R.: Prevention of non-contact anterior cruciate ligament injuries in soccer players. Part 1. Mechanisms of injury and understanding risk factors. Knee Surg. Sports Traumatol. Arthrosc. 17, 705–729 (2009)

    Article  Google Scholar 

  9. Football ACL injuries about equal on grass versus AstroTurf® courtesy of sports medicine & football: The 2006 perspective presented by Dr. James P. Bradley. May 13, 2006

    Google Scholar 

  10. Griffin, L.Y.: Football ACL injuries about equal on grass versus AstroTurf® courtesy of sports medicine & football: The 2006 perspective presented by. Dr. James P. Bradley May 13, 2006

    Google Scholar 

  11. Kocher Olsen, O.E., Myclebust, G., Engebretsen, L., et al.: Relationship between floor type and risk of ACL injury in team handball. Scand. J. Med. Sci. Sports 13, 299–304 (2003)

    Article  Google Scholar 

  12. Lambson, R.B., Barnhill, B.S., Higgins, R.W.: Football cleat design and it’s effect on ACL injuries: a 3 year prospective study. Am. J. Sports Med. 24, 155–159 (1996)

    Article  PubMed  CAS  Google Scholar 

  13. Myclebust, G., Engebretsen, L., Braekken, I.H., et al.: Prevention of anterior cruciate ligament injuries in female team handball players: a prospective intervention study over three seasons. Clin. J. Sports Med. 13(2)), 71–78 (2003)

    Article  Google Scholar 

  14. Position statement on GIRLS AND WOMEN IN SPORT IOC Medical Commission, Working Group Women in Sport. Chairman Dr. Patricia Sangenis., 2002

    Google Scholar 

  15. Renstrom, P., Ljungqvist, A., Arendt, E., Beynnon, B., Fukubayashi, T., Garrett, W., Georgoulis, T., Hewett, T.E., Johnson, R., Krosshaug, T., Mandelbaum, B., Micheli, L., Myklebust, G., Roos, E., Roos, H., Schamasch, P., Shultz, S., Werner, S., Wojtys, E., Engebretsen, L.: Non Contact ACL injuries in females athletes: an international Olympic Committee current concepts statement. Br. J. Sports Med. 42, 394–412 (2008)

    Article  PubMed  CAS  PubMed Central  Google Scholar 

  16. McLean SG. The ACL Injury Enigma: We Can’t Prevent What We Don’t Understand. J Athl Train. 43(5), 538–540 (2008)

    Google Scholar 

  17. Shin, C.S., Chaudhari, A.M., Andriacchi, T.P.: The effect of isolated valgus moments on ACL strain during single-leg landing: a simulation study. J. Biomech. 42(3), 280–285 (2009)

    Article  PubMed  PubMed Central  Google Scholar 

  18. Slauterbeck, J.R., Fuzie, S.F., Smith, M.P., et al.: The menstrual cycle, sex hormones, and anterior cruciate ligament injury. J. Athl. Train. 37, 275–278 (2002)

    PubMed  PubMed Central  Google Scholar 

  19. Griffin, L.Y., Albohm, M.J., Arendt, E.A., Bahr, R., Beynnon, B.D., Demaio, M., et al.: Understanding and preventing noncontact anterior cruciate ligament injuries: a review of the Hunt Valley II meeting January 2005. American Journal of SportsMedicine. 34(9), 1512–1532 (2006)

    Google Scholar 

  20. Petersen, W., Braun, C., Bock, W., Schmidt, K., Weimann, A., Drescher, W., Eiling, E., Stange, R., Fuchs, T., Hedderich, J., Zantop, T.: A controlled prospective case control study of a prevention training program in female team handball players: the German experience. Arch. Orthop. Trauma. Surg. 125(9), 614–621 (2005)

    Article  PubMed  Google Scholar 

  21. Wojtys, E.M., Huston, L., Boynton, M.D., et al.: The effect of menstrual cycle on anterior cruciate ligament in women as determined by hormone levels. Am. J. Sports Med. 30, 182–188 (2002)

    PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Henrique Jones .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2012 Springer-Verlag Berlin Heidelberg

About this chapter

Cite this chapter

Jones, H., Rocha, P.C. (2012). Prevention in ACL Injuries. In: Doral, M. (eds) Sports Injuries. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-15630-4_6

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-15630-4_6

  • Published:

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-15629-8

  • Online ISBN: 978-3-642-15630-4

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics