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, Timothy 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 journalReview article

362 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 (US)
Pages (from-to)394-412
Number of pages19
JournalBritish Journal of Sports Medicine
Volume42
Issue number6
DOIs
StatePublished - Jun 2008
Externally publishedYes

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, Timothy; 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 journalReview article

Renstrom, P, Ljungqvist, A, Arendt, E, Beynnon, B, Fukubayashi, T, Garrett, W, Georgoulis, T, Hewett, T, 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, Timothy ; 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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