Stiff Landings, Core Stability, and Dynamic Knee Valgus: A Systematic Review on Documented Anterior Cruciate Ligament Ruptures in Male and Female Athletes

Joseph Larwa, Conrad Stoy, Ross S. Chafetz, Michael Boniello and Corinna Franklin
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Joseph Larwa: Drexel University College of Medicine, Philadelphia, PA 19129, USA
Conrad Stoy: Drexel University College of Medicine, Philadelphia, PA 19129, USA
Ross S. Chafetz: Shriners Hospital for Children—Philadelphia, Philadelphia, PA 19140, USA
Michael Boniello: Shriners Hospital for Children—Philadelphia, Philadelphia, PA 19140, USA
Corinna Franklin: Shriners Hospital for Children—Philadelphia, Philadelphia, PA 19140, USA

IJERPH, 2021, vol. 18, issue 7, 1-13

Abstract: Anterior cruciate ligament (ACL) injuries are the most common ligament injury of the knee, accounting for between 100,000 and 200,000 injuries among athletes per year. ACL injuries occur via contact and non-contact mechanisms, with the former being more common in males and the later being more common in females. These injuries typically require surgical repair and have relatively high re-rupture rates, resulting in a significant psychological burden for these individuals and long rehabilitation times. Numerous studies have attempted to determine risk factors for ACL rupture, including hormonal, biomechanical, and sport- and gender-specific factors. However, the incidence of ACL injuries continues to rise. Therefore, we performed a systematic review analyzing both ACL injury video analysis studies and studies on athletes who were pre-screened with eventual ACL injury. We investigated biomechanical mechanisms contributing to ACL injury and considered male and female differences. Factors such as hip angle and strength, knee movement, trunk stability, and ankle motion were considered to give a comprehensive, joint by joint analysis of injury risk and possible roles of prevention. Our review demonstrated that poor core stability, landing with heel strike, weak hip abduction strength, and increased knee valgus may contribute to increased ACL injury risk in young athletes.

Keywords: ACL; knee; valgus; abduction; adduction; flexion; trunk; core (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2021
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (3)

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