Prior history of anterior cruciate ligament (ACL) reconstruction is associated with a greater risk of subsequent ACL injury in female collegiate athletes
Deutscher übersetzter Titel: | Die Vorgeschichte einer Rekonstruktion des vorderen Kreuzbands (VKB) ist bei College-Sportlerinnen mit einem größerem Risiko einer Wiederverletzung des VKB assoziiert |
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Autor: | Brumitt, Jason; Mattocks, Alma; Engilis, Amy; Isaak, Dale; Loew, Jeremy |
Erschienen in: | Journal of science and medicine in sport |
Veröffentlicht: | 22 (2019), 12, S. 1309-1313, Lit. |
Format: | Literatur (SPOLIT) |
Publikationstyp: | Zeitschriftenartikel |
Medienart: | Elektronische Ressource (online) Gedruckte Ressource |
Sprache: | Englisch |
ISSN: | 1440-2440, 1878-1861 |
DOI: | 10.1016/j.jsams.2019.08.005 |
Schlagworte: | |
Online Zugang: | |
Erfassungsnummer: | PU202003001890 |
Quelle: | BISp |
Abstract des Autors
Objectives: The risk of a subsequent anterior cruciate ligament (ACL) sprain is greater in high school aged female athletes with prior history of ACL reconstruction (ACLR) than in age-matched controls. The risk of a subsequent ACL injury in female collegiate athletes with prior ACLR is unknown. The primary purpose of this study was to determine the relative risk of a subsequent ACL injury in female collegiate athletes with prior ACLR when compared to age-matched controls. The secondary purpose of this study was to evaluate the ability of jump and hop tests to discriminate ACL injury risk. Design: Prospective cohort. Methods: Three hundred and sixty female collegiate athletes (mean age 19.3 ± 1.4 years) representing the following sports: volleyball, soccer, and basketball were recruited. Subjects reported prior history of ACLR and standing long jump (SLJ) and single-leg hop (SLH) scores were collected during the preseason. Noncontact time-loss ACL and lower quadrant (i.e., low back and lower extremities) injuries were tracked by university athletic trainers. Results: Female collegiate athletes with a prior history of ACLR were 6 times (RR = 6.8 [95% CI: 1.4, 32.9] p-value = 0.007) more likely to experience an ACL injury than controls. Suboptimal performance on a battery of tests (SLJ ≤ 79% height, (B) SLH ≤ 69% height) was associated with a greater risk of lower quadrant injury (RR = 1.6 [95% CI: 1.1, 2.4] p-value = 0.028); however performance on these tests was not associated with ACL injury. Conclusions: Female collegiate athletes should be screened for history of ACLR.