Primary Anterior Cruciate Ligament Injury: Extrinsic and Intrinsic Risk Factors.

IF 2.6 2区 医学 Q1 ORTHOPEDICS
Nicholas A Apseloff, Jonathan D Hughes, Brian M Devitt, Volker Musahl
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引用次数: 0

Abstract

Anterior cruciate ligament (ACL) injuries continue to increase in incidence despite extensive research into prevention strategies. Many extrinsic and intrinsic risk factors for sustaining ACL injuries have been identified and continue to be investigated. Extrinsic risk factors for ACL injury relate to the athlete's environment, such as the shoe-surface interaction, weather conditions, and sport played. Intrinsic risk factors relate to the athlete's sex, hormones, knee anatomy, landing and pivoting biomechanics, and neuromuscular control. Recent research has highlighted the role of the bony morphology of the proximal tibia and distal femur on primary ACL injury risk, as well as the risk for ACL graft failure. Sex differences in bony and ligamentous morphology of the knee, neuromuscular control, and hormonal factors, such as serum relaxin levels and variations within the menstrual cycle, have been correlated with a higher risk of noncontact primary ACL injuries in female athletes compared with male athletes.

原发性前十字韧带损伤:外在和内在风险因素。
尽管对预防策略进行了广泛的研究,但前十字韧带(ACL)损伤的发生率仍在不断上升。许多导致前十字韧带损伤的外在和内在风险因素已被确认,并将继续得到研究。前十字韧带损伤的外在风险因素与运动员所处的环境有关,如鞋面的相互作用、天气条件和所从事的运动。内在风险因素与运动员的性别、荷尔蒙、膝关节解剖、着地和旋转生物力学以及神经肌肉控制有关。最近的研究强调了胫骨近端和股骨远端骨骼形态对十字韧带原发性损伤风险的作用,以及十字韧带移植失败的风险。与男性运动员相比,女性运动员在膝关节骨骼和韧带形态、神经肌肉控制以及荷尔蒙因素(如血清松弛素水平和月经周期变化)方面的性别差异与更高的非接触性前交叉韧带损伤风险相关。
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来源期刊
CiteScore
6.10
自引率
6.20%
发文量
529
审稿时长
4-8 weeks
期刊介绍: The Journal of the American Academy of Orthopaedic Surgeons was established in the fall of 1993 by the Academy in response to its membership’s demand for a clinical review journal. Two issues were published the first year, followed by six issues yearly from 1994 through 2004. In September 2005, JAAOS began publishing monthly issues. Each issue includes richly illustrated peer-reviewed articles focused on clinical diagnosis and management. Special features in each issue provide commentary on developments in pharmacotherapeutics, materials and techniques, and computer applications.
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