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Systematic video analysis of ACL injuries in professional male football (soccer): injury mechanisms, situational patterns and biomechanics study on 134 consecutive cases
- Source :
- British journal of sports medicine. 54(23)
- Publication Year :
- 2020
-
Abstract
- BackgroundA few small studies have reported on the mechanisms of ACL injury in professional male football.AimTo describe the mechanisms, situational patterns and biomechanics (kinematics) of ACL injuries in professional male football matches.MethodsWe identified 148 consecutive ACL injuries across 10 seasons of professional Italian football. 134 (90%) injury videos were analysed for mechanism and situational pattern, while biomechanical analysis was possible in 107 cases. Three independent reviewers evaluated each video. ACL injury epidemiology (month), timing within the match and pitch location at the time of injury were also reported.Results59 (44%) injuries were non-contact, 59 (44%) were indirect contact and 16 (12%) were direct contact. Players were frequently perturbed immediately prior to injury. We identified four main situational patterns for players who suffered a non-contact or an indirect contact injury: (1) pressing and tackling (n=55); (2) tackled (n=24); (3) regaining balance after kicking (n=19); and (4) landing from a jump (n=8). Knee valgus loading (n=83, 81%) was the dominant injury pattern across all four of these situational patterns (86%, 86%, 67% and 50%, respectively). 62% of the injuries occurred in the first half of the matches (pConclusions88% of ACL injuries occurred without direct knee contact, but indirect contact injuries were as frequent as non-contact injuries, underlying the importance of mechanical perturbation. The most common situational patterns were pressing, being tackled and kicking.
- Subjects :
- Male
medicine.medical_specialty
football
Competitive Behavior
Anterior cruciate ligament
injury prevention
Video Recording
Physical Therapy, Sports Therapy and Rehabilitation
Football
03 medical and health sciences
0302 clinical medicine
Physical medicine and rehabilitation
Epidemiology
Injury prevention
Soccer
medicine
Humans
Orthopedics and Sports Medicine
Knee
Situational ethics
030222 orthopedics
knee ACL
biology
business.industry
Anterior Cruciate Ligament Injurie
Anterior Cruciate Ligament Injuries
anterior cruciate ligament
Biomechanics
Time and Motion Studie
030229 sport sciences
General Medicine
biology.organism_classification
medicine.disease
ACL injury
Biomechanical Phenomena
Valgus
medicine.anatomical_structure
Italy
Time and Motion Studies
biomechanic
Season
Seasons
business
Human
Subjects
Details
- ISSN :
- 14730480
- Volume :
- 54
- Issue :
- 23
- Database :
- OpenAIRE
- Journal :
- British journal of sports medicine
- Accession number :
- edsair.doi.dedup.....6c6f660eed31716ef55eca5bb0c8f3c1