Mechanism and prevention of non-contact anterior cruciate ligament injury in athletes

doi:10.3877/cma.j.issn.1674-134X.2022.06.019

Abstract

Abstract:

Objective

Non-contact anterior cruciate ligament injury is one of the common sports injuries that lead to lower limb dysfunction and seriously affect the career and quality of life of athletes. It shows obvious characteristics of high incidence, non-contact and gender differences. At present, the research on the mechanism of non-contact anterior cruciate ligament injury has become a highlight. Through the analysis and interpretation of the current research situation at home and abroad, this article summed up the non-contact injury mechanism of four different sports: football, basketball, rugby and skiing, and analyzed the reasons for the differences in anatomical structure, activity mode and hormone level between men and women in ACL injury. The relevant preventive measures were summarized to provide diagnostic analysis and rehabilitation suggestions for clinical work.

Key words: Anterior cruciate ligament, Injury, Athletic injuries

Siya Wang, Yihong Xu, Weidong Xu. Mechanism and prevention of non-contact anterior cruciate ligament injury in athletes[J]. Chinese Journal of Joint Surgery(Electronic Edition), 2022, 16(06): 776-780.

/ / Recommend

Add to citation manager EndNote|Ris|BibTeX

URL: https://zhgjwkzz.cma-cmc.com.cn/EN/10.3877/cma.j.issn.1674-134X.2022.06.019

https://zhgjwkzz.cma-cmc.com.cn/EN/Y2022/V16/I06/776

References 55

[1]	Arendt E, Dick R. Knee injury patterns among men and women in collegiate basketball and soccer.NCAA data and review of literature[J]. Am J Sports Med, 1995, 23(6): 694－701.
[2]	Noyes FR, Mooar PA, Matthews DS, et al. The symptomatic anterior cruciate-deficient knee.Part I：the long-term functional disability in athletically active individuals[J]. J Bone Joint Surg Am, 1983, 65(2): 154－162.
[3]	敖英芳，田得祥，崔国庆，等．运动员前交叉韧带损伤的流行病学研究[J]．体育科学，2000，20(4)：47－48.
[4]	王建，敖英芳．前交叉韧带损伤的临床流行病学研究[J]．中国运动医学杂志，2001，20(4)：380－382.
[5]	Herzog MM, Marshall SW, Lund JL, et al. Trends in incidence of ACL reconstruction and concomitant procedures among commercially insured individuals in the United States，2002－2014[J]. Sports Health, 2018, 10(6): 523－531.
[6]	Campbell CJ, Carson JD, Diaconescu ED, et al. Canadian academy of sport and exercise medicine position statement：neuromuscular training programs can decrease anterior cruciate ligament injuries in youth soccer players[J]. Clin J Sport Med, 2014, 24(3): 263－267.
[7]	Ellison TM, Flagstaff I, Johnson AE. Sexual dimorphisms in anterior cruciate ligament injury: a current concepts review[J/OL]. Orthop J Sports Med, 2021, 9(12): 23259671211025304. DOI: 10.1177/23259671211025304.
[8]	汪洋．足球运动员侧切动作中前交叉韧带损伤机制的研究[D]．大连：大连理工大学，2020.
[9]	Von PA, Roos EM, Roos H. High prevalence of osteoarthritis 14 years after an anterior cruciate ligament tear in male soccer players：a study of radiographic and patient relevant outcomes[J]. Ann Rheum Dis, 2004, 63(3): 269－273.
[10]	Wang LJ, Zeng N, Yan ZP, et al. Post-traumatic osteoarthritis following ACL injury[J]. Arthritis Res Ther, 2020, 22(1): 57.
[11]	徐雁，敖英芳．前交叉韧带断裂继发软骨损伤的临床研究[J]．中国运动医学杂志，2002，21(1)：7－10.
[12]	周天平，徐一宏，徐卫东．前交叉韧带损伤处理相关国际指南解读及其临床应用[J/CD]．中华关节外科杂志(电子版)，2021，15(6)：718－724.
[13]	Van MN, Van CH, Brooijmans F, et al. Evidence-based clinical practice update：practice guidelines for anterior cruciate ligament rehabilitation based on a systematic review and multidisciplinary consensus[J]. Br J Sports Med, 2016, 50(24): 1506－1515.
[14]	Kohn L, Rembeck E, Rauch A. Anterior cruciate ligament injury in adults: diagnostics and treatment[J]. Orthopade, 2020, 49(11): 1013－1028.
[15]	Marx RG, Jones EC, Angel M, et al. Beliefs and attitudes of members of the American Academy of Orthopaedic Surgeons regarding the treatment of anterior cruciate ligament injury[J]. Arthroscopy, 2003, 19(7): 762－770.
[16]	Mall NA, Chalmers PN, Moric M, et al. Incidence and trends of anterior cruciate ligament reconstruction in the United States[J]. Am J Sports Med, 2014, 42(10): 2363－2370.
[17]	Renstrom P, Ljungqvist A, Arendt E, et al. Non-contact ACL injuries in female athletes：an International Olympic Committee current concepts statement[J]. Br J Sports Med, 2008, 42(6): 394－412.
[18]	Waldén M, Krosshaug T, Bjørneboe J, et al. Three distinct mechanisms predominate in non-contact anterior cruciate ligament injuries in male professional football players：a systematic video analysis of 39 cases[J]. Br J Sports Med, 2015, 49(22): 1452－1460.
[19]	Bisciotti GN, Chamari K, Cena E, et al. Anterior cruciate ligament injury risk factors in football[J]. J Sports Med Phys Fitness, 2019, 59(10): 1724－1738.
[20]	黎彩媚，董广新，何健豪．不同运动项目前交叉韧带损伤的机理分析[J]．当代体育科技，2021，11(15)：12－14.
[21]	Lucarno S, Zago M, Buckthorpe M, et al. Systematic video analysis of anterior cruciate ligament injuries in professional female soccer players[J]. Am J Sports Med, 2021, 49(7): 1794－1802.
[22]	窦金柱．女子篮球运动员侧切动作前交叉韧带损伤成因的生物力学研究[D]．长春：东北师范大学，2017.
[23]	Montgomery C, Blackburn J, Withers D, et al. Mechanisms of ACL injury in professional rugby union: a systematic video analysis of 36 cases[J]. Br J Sports Med, 2018, 52(15): 994－1001.
[24]	Della Villa F, Tosarelli F, Ferrari R, et al. Systematic video analysis of anterior cruciate ligament injuries in professional male rugby players: pattern, injury mechanism, and biomechanics in 57 consecutive cases[J/OL]. Orthop J Sports Med, 2021, 9(11): 23259671211048182. DOI: 10.1177/23259671211048182.
[25]	Leppänen M, Pasanen K, KKrosshaug T, et al. Sagittal plane hip, knee, and ankle biomechanics and the risk of anterior cruciate ligament injury: a prospective study[J/OL]. Orthop J Sports Med, 2017, 5(12): 2325967117745487. DOI: 10.1177/2325967117745487.
[26]	Johnston JT, Mandelbaum BR, Schub D, et al. Video analysis of anterior cruciate ligament tears in professional American football athletes[J]. Am J Sports Med, 2018, 46(4): 862－868.
[27]	Qiu L, Sheng B, Li J, et al. Mechanisms of non-contact anterior cruciate ligament injury as determined by bone contusion location and severity[J]. Quant Imaging Med Surg, 2021, 11(7): 3263－3273.
[28]	Boden BP, Sheehan FT. Mechanism of non-contact ACL injury：OREF Clinical Research Award 2021[J]. J Orthop Res, 2022, 40(3): 531－540.
[29]	王卓然，李春光．高山滑雪运动员前交叉韧带损伤研究进展[J]．中国体育教练员，2021，29(3)：58－62.
[30]	Ettlinger CF, Johnson RJ, Shealy JE. A method to help reduce the risk of serious knee sprains incurred in alpine skiing[J]. Am J Sports Med, 1995, 23(5): 531－537.
[31]	汪宇峰．大众高山滑雪对膝关节前交叉韧带损伤的研究[J]．沈阳体育学院学报，2008，27(1)：16－18.
[32]	Agel J, Rockwood T, Klossner D. Collegiate ACL injury rates across 15 sports：National collegiate athletic association injury surveillance system data update(2004-2005 through 2012－2013)[J]. Clin J Sport Med, 2016, 26(6): 518－523.
[33]	Larwa J, Stoy C, Chafetz RS, et al. Stiff landings, core stability, and dynamic knee valgus: a systematic review on documented anterior cruciate ligament ruptures in male and remale athletes[J/OL]. Int J Environ Res Public Health, 2021, 18(7): 3826. DOI 10.3390/ijerph18073826.
[34]	Barnett SC, Murray MM, Flannery SW, et al. ACL size, but not signal intensity, is influenced by sex, body size, and knee anatomy[J/OL]. Orthop J Sports Med, 2021, 9(12): 23259671211063836. DOI: 10.1177/23259671211063836.
[35]	Chandrashekar N, Mansouri H, Slauterbeck J, et al. Sex-based differences in the tensile properties of the human anterior cruciate ligament[J]. J Biomech, 2006, 39(16): 2943－2950.
[36]	Chandrashekar N, Slauterbeck J, Hashemi J. Sex-based differences in the anthropometric characteristics of the anterior cruciate ligament and its relation to intercondylar notch geometry: a cadaveric study[J]. Am J Sports Med, 2005, 33(10)：1492－1498.
[37]	张伟，刘云鹏，王星亮，等．膝关节前交叉韧带损伤危险因素的影像学分析[J]．中国组织工程研究，2022，26(15)：2361－2366.
[38]	Griffin LY, Albohm MJ, Arendt EA, et al. Understanding and preventing noncontact anterior cruciate ligament injuries：a review of the Hunt Valley II meeting, January 2005[J]. Am J Sports Med, 2006, 34(9): 1512－1532.
[39]	张晓敏．前交叉韧带损伤与MRI测量股骨髁间窝宽度及髁间窝宽度指数的相关性分析[J]．影像研究与医学应用，2021，5(16)：59－60.
[40]	Haycock CE, Gillette JV. Susceptibility of women athletes to injury. Myths vs reality[J]. JAMA, 1976, 236(2): 163－165.
[41]	Chappell JD, Yu B, Kirkendall DT, et al. A comparison of knee kinetics between male and female recreational athletes in stop-jump tasks[J]. Am J Sports Med, 2002, 30(2): 261－267.
[42]	Iguchi J, Tateuchi H, Taniguchi M, et al. The effect of sex and fatigue on lower limb kinematics, kinetics, and muscle activity during unanticipated side-step cutting[J]. Knee Surgery Sports Traumatology Arthroscopy, 2014, 22(1): 41－48.
[43]	刘卉，苏玉林，于冰．非接触性前交叉韧带损伤特点及机制的研究进展[J]．医用生物力学，2008，23(3)：240－247.
[44]	Sigward SM, Pollard CD, Havens KL, et al. Influence of sex and maturation on knee mechanics during side-step cutting[J]. Med Sci Sports Exerc, 2012, 44(8): 1497－1503.
[45]	Weber AE, Gallo MC, Bolia IK, et al. Anabolic androgenic steroids in orthopaedic surgery: current concepts and clinical applications [J/OL]. J Am Acad Orthop Surg Glob Res Rev, 2022, 6(1): e21.00156. DOI: 10.5435/JAAOSGlobal-D-21-00156.
[46]	时潇，谢地．侧切动作中前交叉韧带损伤机制研究进展[J]．中国运动医学杂志，2019，38(5)：418－423.
[47]	郑荣强，周静怡．非接触性前交叉韧带损伤的生物力学风险评估及预防[J]．中国组织工程研究，2014，18(24)：3919－3924.
[48]	Sugimoto D, Myer GD, Foss KB, et al. Specific exercise effects of preventive neuromuscular training intervention on anterior cruciate ligament injury risk reduction in young females：meta-analysis and subgroup analysis[J]. Br J Sports Med, 2015, 49(5): 282－289.
[49]	Jeong J, Choi DH, Shin CS. Core strength training can alter neuromuscular and biomechanical risk factors for anterior cruciate ligament injury[J]. Am J Sports Med, 2021, 49(1): 183－192.
[50]	Weinhandl JT, Earl BE, Ebersole KT, et al. Reduced hamstring strength increases anterior cruciate ligament loading during anticipated sidestep cutting[J]. Clin Biomech (Bristol, Avon), 2014, 29(7): 752－759.
[51]	Sheu CL, Gray AM, Brown D, et al. Sex Differences in knee flexion angle during a rapid change of direction while running[J/OL]. Orthop J Sports Med, 2015, 3(12): 2325967115617932. DOI: 10.1177/2325967115617932.
[52]	Le Gall F, Carling C, Reilly T. Injuries in young elite female soccer players：an 8-season prospective study[J]. Am J Sports Med, 2008, 36(2): 276－284.
[53]	Monajati A, Larumbe ZE, Goss-Sampson M, et al. The effectiveness of injury prevention programs to modify risk factors for Non-Contact anterior cruciate ligament and hamstring injuries in uninjured team sports athletes：a systematic review[J/OL]. PLoS One, 2016, 11(5): e0155272. DOI: 10.1371/journal.pone.0155272.
[54]	Longo UG, Loppini M, Berton A，et al. The FIFA 11+ program is effective in preventing injuries in elite male basketball players: a cluster randomized controlled trial[J]. Am J Sports Med, 2012, 40(5): 996－1005.
[55]	Olivares-Jabalera J, Fílter-Ruger A, Dos′Santos T, et al. Exercise-based training strategies to reduce the Incidence or mitigate the risk factors of anterior cruciate ligament injury in adult football (soccer) players: a systematic review[J/OL]. Int J Environ Res Public Health, 2021, 18(24)：13351. DOI: 10.3390/ijerph182413351.

Please choose a citation manager

Content to export