Anterior Cruciate Ligament Tear Location in National Football League Athletes Based on Magnetic Resonance Imaging.

IF 1.4 4区医学 Q3 ORTHOPEDICS

Hss Journal Pub Date : 2025-11-26 DOI:10.1177/15563316251396136

Robert H Brophy, Jana Crain, Jon Baker, Richard Silverman, Ed Wojtys, Ben Stollberg, Christina Mack, Mackenzie Herzog

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引用次数: 0

Abstract

Background: Anterior cruciate ligament (ACL) tears are common and often devastating injuries among elite athletes. While interest in ACL preservation has highlighted the importance of ACL tear location to treatment decision-making, there is limited data on ACL tear location in elite athletes.

Purpose: We sought to describe the distribution of ACL tear location among National Football League (NFL) athletes and test the hypothesis that tear location is associated with injury mechanism.

Methods: Using a dataset from a study published in 2023, we identified 191 players with magnetic resonance imaging (MRI) of acute ACL tears occurring in NFL practice or games from 2015 to 2019; these were reviewed by 2 musculoskeletal radiologists. Data from these MRIs were linked to each player's electronic medical record data, and injuries from 2018 to 2019 were linked with available video to assess for an association between tear location and mechanism of injury in 73 of those players.

Results: Overall, 3% of tears were type I, 20% type II, 74% type III, 2% type IV, and <1% type V. For noncontact injuries, 71% were type III and 29% type II. Among indirect contact injuries, 78% were type III, 13% type II, 4% type IV, and 4% type V. In direct contact injuries, tears were 73% type III, 13% type II, and 13% type IV.

Conclusion: This retrospective review of MRI and video data of ACL tears in NFL players found that mid-substance tears were the most common. There was a higher proportion of type III tears and a lower proportion of type I tears compared to prior studies, suggesting these athletes may be less amenable to preservation techniques.

Level of evidence: Level IV: cross-sectional study.

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基于磁共振成像的国家橄榄球联盟运动员前十字韧带撕裂定位。

背景：前交叉韧带（ACL）撕裂在优秀运动员中是常见的并且经常是毁灭性的损伤。虽然对前交叉韧带保存的兴趣强调了前交叉韧带撕裂位置对治疗决策的重要性，但关于优秀运动员前交叉韧带撕裂位置的数据有限。目的：我们试图描述美国国家橄榄球联盟（NFL）运动员ACL撕裂位置的分布，并检验撕裂位置与损伤机制相关的假设。方法：使用2023年发表的一项研究的数据集，我们确定了2015年至2019年在NFL训练或比赛中发生急性ACL撕裂的191名球员的磁共振成像（MRI）；这些是由2名肌肉骨骼放射科医生审查的。这些核磁共振成像的数据与每个球员的电子病历数据相关联，2018年至2019年的伤病与可用视频相关联，以评估其中73名球员的撕裂位置与损伤机制之间的关联。结果：总体而言，3%的撕裂为I型，20%为II型，74%为III型，2%为IV型。结论：对NFL球员ACL撕裂的MRI和视频数据进行回顾性分析，发现中间物质撕裂最常见。与之前的研究相比，III型撕裂的比例更高，而I型撕裂的比例更低，这表明这些运动员可能不太适合保存技术。证据等级：IV级：横断面研究。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Hss Journal Medicine-Surgery

CiteScore

3.90

自引率

0.00%

发文量

期刊介绍： The HSS Journal is the Musculoskeletal Journal of Hospital for Special Surgery. The aim of the HSS Journal is to promote cutting edge research, clinical pathways, and state-of-the-art techniques that inform and facilitate the continuing education of the orthopaedic and musculoskeletal communities. HSS Journal publishes articles that offer contributions to the advancement of the knowledge of musculoskeletal diseases and encourages submission of manuscripts from all musculoskeletal disciplines.