Understanding the Intrinsic and Extrinsic Factors of ACL Injuries
DOI:
https://doi.org/10.58445/rars.1280Keywords:
ACL, risk factors, female injuries, knee injuries, sports injuriesAbstract
ACL tears are a prevalent issue throughout all sports, sexes, and ages due to their harmful impact on an athlete’s physical and mental well-being. This is the result of a variety of intrinsic and extrinsic factors. The intrinsic factors investigated in this paper relate to unique individual characteristics, such as ACL size, biomechanical movement, and amounts of different hormones. On the other hand, extrinsic factors refer to the outside environment around the athlete, including weather, playing surface, and footwear type. The combination of these factors impacts specific groups more than others. In particular, females are 3 to 6 times more likely to injure their ACLs than males, and soccer and basketball players are among the most susceptible to ACL injuries. The paper reviews why ACL injuries occur generally and how certain factors contribute to the disparity in injuries throughout multiple variables by collecting data and conclusions from past research. These conclusions are used to provide recommendations for injury prevention methods.
References
Anderson, T., Wasserman, E. B., & Shultz, S. J. (2019). Anterior cruciate ligament injury risk by season period and competition segment: an analysis of National Collegiate Athletic Association injury surveillance data. Journal of athletic training, 54(7), 787-795.
Balazs, G. C., Pavey, G. J., Brelin, A. M., Pickett, A., Keblish, D. J., & Rue, J. P. H. (2015). Risk of anterior cruciate ligament injury in athletes on synthetic playing surfaces: a systematic review. The American journal of sports medicine, 43(7), 1798-1804.
Beynnon, B. D., Vacek, P. M., Newell, M. K., Tourville, T. W., Smith, H. C., Shultz, S. J., ... & Johnson, R. J. (2014). The effects of level of competition, sport, and sex on the incidence of first-time noncontact anterior cruciate ligament injury. The American journal of sports medicine, 42(8), 1806-1812.
Chaudhari, A. M., Zelman, E. A., Flanigan, D. C., Kaeding, C. C., & Nagaraja, H. N. (2009). Anterior cruciate ligament-injured subjects have smaller anterior cruciate ligaments than matched controls: a magnetic resonance imaging study. The American journal of sports medicine, 37(7), 1282–1287. https://doi.org/10.1177/0363546509332256
Coen, S. E., Rosenberg, M. W., & Davidson, J. (2018). "It's gym, like gym not Jim": Exploring the role of place in the gendering of physical activity. Social Science & Medicine, 196, 29-36.
Dragoo, J. L., Padrez, K., Workman, R., & Lindsey, D. P. (2009). The effect of relaxin on the female anterior cruciate ligament: analysis of mechanical properties in an animal model. The Knee, 16(1), 69-72.
Flynn, R. K., Pedersen, C. L., Birmingham, T. B., Kirkley, A., Jackowski, D., & Fowler, P. J. (2005). The familial predisposition toward tearing the anterior cruciate ligament: a case control study. The American journal of sports medicine, 33(1), 23-28.
Griffin, L. Y., Agel, J., Albohm, M. J., Arendt, E. A., Dick, R. W., Garrett, W. E., ... & Wojtys, E. M. (2000). Noncontact anterior cruciate ligament injuries: risk factors and prevention strategies. JAAOS-Journal of the American Academy of Orthopaedic Surgeons, 8(3), 141-150.
Hashemi, J., Breighner, R., Chandrashekar, N., Hardy, D. M., Chaudhari, A. M., Shultz, S. J., ... & Beynnon, B. D. (2011). Hip extension, knee flexion paradox: a new mechanism for non-contact ACL injury. Journal of biomechanics, 44(4), 577-585.
Hewett, T. E., Ford, K. R., Hoogenboom, B. J., & Myer, G. D. (2010). Understanding and preventing acl injuries: current biomechanical and epidemiologic considerations-update 2010. North American journal of sports physical therapy: NAJSPT, 5(4), 234.
Hewett, T. E., Myer, G. D., Ford, K. R., Paterno, M. V., & Quatman, C. E. (2016). Mechanisms, prediction, and prevention of ACL injuries: Cut risk with three sharpened and validated tools. Journal of Orthopaedic Research, 34(11), 1843-1855.
Jagadeesh, N., Kapadi, S., Deva, V., & Kariya, A. (2021). Risk factors of ACL injury. Arthroscopy.
Joseph, A. M., Collins, C. L., Henke, N. M., Yard, E. E., Fields, S. K., & Comstock, R. D. (2013). A multisport epidemiologic comparison of anterior cruciate ligament injuries in high school athletics. Journal of athletic training, 48(6), 810-817.
Kaeding, C. C., Pedroza, A. D., Reinke, E. K., Huston, L. J., Moon Consortium, & Spindler, K. P. (2015). Risk factors and predictors of subsequent ACL injury in either knee after ACL reconstruction: prospective analysis of 2488 primary ACL reconstructions from the MOON cohort. The American journal of sports medicine, 43(7), 1583-1590.
Lin, C. Y., Casey, E., Herman, D. C., Katz, N., & Tenforde, A. S. (2018). Sex differences in common sports injuries. PM&R, 10(10), 1073-1082.
Mansfield, M. (2014). Effects of Playing Surface and Shoe Type of ACL Tears in Soccer Players.
Myrick, K. M., Voss, A., Feinn, R. S., Martin, T., Mele, B. M., & Garbalosa, J. C. (2019). Effects of season long participation on ACL volume in female intercollegiate soccer athletes. Journal of experimental orthopaedics, 6, 1-6.
Orchard, J., Seward, H., McGivern, J., & Hood, S. (2001). Intrinsic and extrinsic risk factors for anterior cruciate ligament injury in Australian footballers. The American journal of sports medicine, 29(2), 196-200.
Parsons, J. L., Coen, S. E., & Bekker, S. (2021). Anterior cruciate ligament injury: towards a gendered environmental approach. British journal of sports medicine, 55(17), 984-990.
Paterno, M. V., Flynn, K., Thomas, S., & Schmitt, L. C. (2018). Self-reported fear predicts functional performance and second ACL injury after ACL reconstruction and return to sport: a pilot study. Sports health, 10(3), 228-233.
Radzimski, A. O., Mündermann, A., & Sole, G. (2012). Effect of footwear on the external knee adduction moment—a systematic review. The knee, 19(3), 163-175.
Ruedl, G., Ploner, P., Linortner, I., Schranz, A., Fink, C., Patterson, C., ... & Burtscher, M. (2011). Interaction of potential intrinsic and extrinsic risk factors in ACL injured recreational female skiers. International journal of sports medicine, 618-622.
Siegel, L., Vandenakker-Albanese, C., & Siegel, D. (2012). Anterior cruciate ligament injuries: anatomy, physiology, biomechanics, and management. Clinical Journal of Sport Medicine, 22(4), 349-355.
Smith, H. C., Vacek, P., Johnson, R. J., Slauterbeck, J. R., Hashemi, J., Shultz, S., & Beynnon, B. D. (2012). Risk factors for anterior cruciate ligament injury: a review of the literature—part 2: hormonal, genetic, cognitive function, previous injury, and extrinsic risk factors. Sports health, 4(2), 155-161.
Smith, H. C., Vacek, P., Johnson, R. J., Slauterbeck, J. R., Hashemi, J., Shultz, S., & Beynnon, B. D. (2012). Risk factors for anterior cruciate ligament injury: a review of the literature-part 2: hormonal, genetic, cognitive function, previous injury, and extrinsic risk factors. Sports health, 4(2), 155–161. https://doi.org/10.1177/1941738111428282
Voskanian, N. (2013). ACL Injury prevention in female athletes: review of the literature and practical considerations in implementing an ACL prevention program. Current reviews in musculoskeletal medicine, 6, 158-163.
Watson, A. (2020, November 10). Knee Joint. Geeky Medics. Retrieved June 22, 2024, from https://my.noodletools.com/web2.0/bibliography.html
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