Non-contact ACL injuries in female athletes: An International Olympic Committee current concepts statement

P. Renstrom, A. Ljungqvist, E. Arendt, B. Beynnon, T. Fukubayashi, W. Garrett, T. Georgoulis, T. E. Hewett, R. Johnson, T. Krosshaug, B. Mandelbaum, L. Micheli, G. Myklebust, E. Roos, H. Roos, P. Schamasch, S. Shultz, S. Werner, E. Wojtys, L. Engebretsen

    Research output: Contribution to journalArticle

    364 Citations (Scopus)

    Abstract

    The incidence of anterior cruciate ligament (ACL) injury remains high in young athletes. Because female athletes have a much higher incidence of ACL injuries in sports such as basketball and team handball than male athletes, the IOC Medical Commission invited a multidisciplinary group of ACL expert clinicians and scientists to (1) review current evidence including data from the new Scandinavian ACL registries; (2) critically evaluate high-quality studies of injury mechanics; (3) consider the key elements of successful prevention programmes; (4) summarise clinical management including surgery and conservative management; and (5) identify areas for further research. Risk factors for female athletes suffering ACL injury include: (1) being in the preovulatory phase of the menstrual cycle compared with the postovulatory phase; (2) having decreased intercondylar notch width on plain radiography; and (3) developing increased knee abduction moment (a valgus intersegmental torque) during impact on landing. Well-designed injury prevention programmes reduce the risk of ACL for athletes, particularly women. These programmes attempt to alter dynamic loading of the tibiofemoral joint through neuromuscular and proprioceptive training. They emphasise proper landing and cutting techniques. This includes landing softly on the forefoot and rolling back to the rearfoot, engaging knee and hip flexion and, where possible, landing on two feet. Players are trained to avoid excessive dynamic valgus of the knee and to focus on the "knee over toe position" when cutting.

    Original languageEnglish
    Pages (from-to)394-412
    Number of pages19
    JournalBritish Journal of Sports Medicine
    Volume42
    Issue number6
    DOIs
    Publication statusPublished - 2008 Jun

    Fingerprint

    Athletes
    Anterior Cruciate Ligament
    Knee
    Basketball
    Follicular Phase
    Luteal Phase
    Incidence
    Wounds and Injuries
    Torque
    Toes
    Menstrual Cycle
    Mechanics
    Radiography
    Sports
    Registries
    Hip
    Joints
    Anterior Cruciate Ligament Injuries
    Research

    ASJC Scopus subject areas

    • Public Health, Environmental and Occupational Health
    • Orthopedics and Sports Medicine

    Cite this

    Renstrom, P., Ljungqvist, A., Arendt, E., Beynnon, B., Fukubayashi, T., Garrett, W., ... Engebretsen, L. (2008). Non-contact ACL injuries in female athletes: An International Olympic Committee current concepts statement. British Journal of Sports Medicine, 42(6), 394-412. https://doi.org/10.1136/bjsm.2008.048934

    Non-contact ACL injuries in female athletes : An International Olympic Committee current concepts statement. / 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.

    In: British Journal of Sports Medicine, Vol. 42, No. 6, 06.2008, p. 394-412.

    Research output: Contribution to journalArticle

    Renstrom, P, Ljungqvist, A, Arendt, E, Beynnon, B, Fukubayashi, T, Garrett, W, Georgoulis, T, Hewett, TE, Johnson, R, Krosshaug, T, Mandelbaum, B, Micheli, L, Myklebust, G, Roos, E, Roos, H, Schamasch, P, Shultz, S, Werner, S, Wojtys, E & Engebretsen, L 2008, 'Non-contact ACL injuries in female athletes: An International Olympic Committee current concepts statement', British Journal of Sports Medicine, vol. 42, no. 6, pp. 394-412. https://doi.org/10.1136/bjsm.2008.048934
    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 female athletes : An International Olympic Committee current concepts statement. In: British Journal of Sports Medicine. 2008 ; Vol. 42, No. 6. pp. 394-412.
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