Anterior cruciate ligament injury occurrence, return to sport and subsequent injury in the Australian High Performance Sports System: A 5-year retrospective analysis

IF 2.2 3区医学 Q1 REHABILITATION

Physical Therapy in Sport Pub Date : 2023-11-01 DOI:10.1016/j.ptsp.2023.10.001

Joshua D. Rigg , Nirmala Kanthi Panagodage Perera , Liam A. Toohey , Jennifer Cooke , David Hughes

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引用次数: 0

Abstract

Objectives

To report anterior cruciate ligament (ACL) injury occurrence, return to sport (RTS) timeframes and ACL subsequent injuries recorded in the Australian High Performance Sports System according to athlete sex.

Methods

ACL injury data of injured athletes were prospectively collected by the treating sports and exercise physicians and physiotherapists within the Australian High Performance Sports System between January 1, 2015 and May 31, 2020. RTS time frames for ACL injuries and the proportion of subsequent ACL injuries were calculated. The RTS time was compared between sexes, age groups and ACL injury categories using the Mann-Whitney U test and the Kruskal-Wallis test.

Results

A total of 132 ACL injuries were reported in 108 athletes (77 female, 31 male). ACL injuries accounted for 6.4% of all reported knee injuries, with almost half (48.5%) of the ACL injuries reported to occur during training. Median RTS time was 369 days (IQR = 273–487), with RTS times reducing with increasing age (X² (Zbrojkiewicz et al., 2018) = 11.781, p = 0.008). The presence of concurrent knee pathology did not significantly affect the RTS timeframes. ACL injuries were most frequently reported in netball, winter sports, basketball, field hockey and gymnastics. One quarter of the ACL reported (n = 34, 25.8%) were subsequent to a prior ACL injury, with the majority of these injuries occurring to the ipsilateral knee (n = 26) as opposed to contralateral knee (n = 6).

Conclusions

Despite ACL injuries accounting for a small proportion of all knee injuries reported in the Australian High Performance Sports System, more than a quarter are subsequent to a previous ACL injury. Shorter RTS times were observed in older athletes; however, considerable periods of time-loss occur as a consequence of ACL injuries. Effective primary prevention, rehabilitation processes, and ongoing tertiary prevention strategies are warranted in this population.

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澳大利亚高水平运动系统中前交叉韧带损伤的发生、恢复运动和随后的损伤:一项5年回顾性分析

目的报告澳大利亚高性能运动系统中按运动员性别记录的前交叉韧带(ACL)损伤发生率、恢复运动时间和ACL后续损伤。方法在2015年1月1日至2020年5月31日期间，由澳大利亚高性能运动系统的治疗运动医师和物理治疗师前瞻性地收集受伤运动员的sacl损伤数据。计算ACL损伤的RTS时间框架和随后ACL损伤的比例。采用Mann-Whitney U检验和Kruskal-Wallis检验比较不同性别、年龄组和前交叉韧带损伤类型的RTS时间。结果108例运动员共发生前交叉韧带损伤132例，其中女77例，男31例。前交叉韧带损伤占所有报告的膝关节损伤的6.4%，其中几乎一半(48.5%)的前交叉韧带损伤发生在训练期间。中位RTS时间为369天(IQR = 273-487)， RTS时间随着年龄的增加而减少(X2 (Zbrojkiewicz et al.， 2018) = 11.781, p = 0.008)。并发膝关节病理的存在对RTS时间框架没有显著影响。前交叉韧带损伤在无板篮球、冬季运动、篮球、曲棍球和体操中最常见。四分之一的ACL报告(n = 34, 25.8%)是先前ACL损伤的结果，其中大多数损伤发生在同侧膝关节(n = 26)而不是对侧膝关节(n = 6)。结论尽管ACL损伤在澳大利亚高性能运动系统报告的所有膝关节损伤中只占很小的比例，但超过四分之一是先前ACL损伤的结果。老年运动员的RTS时间更短;然而，前交叉韧带损伤会导致相当长的时间损失。在这一人群中，需要有效的初级预防、康复过程和持续的三级预防策略。

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

Physical Therapy in Sport 医学-康复医学

CiteScore

4.50

自引率

8.30%

发文量

125

审稿时长

39 days

期刊介绍： Physical Therapy in Sport is an international peer-reviewed journal that provides a forum for the publication of research and clinical practice material relevant to the healthcare professions involved in sports and exercise medicine, and rehabilitation. The journal publishes material that is indispensable for day-to-day practice and continuing professional development. Physical Therapy in Sport covers topics dealing with the diagnosis, treatment, and prevention of injuries, as well as more general areas of sports and exercise medicine and related sports science. The journal publishes original research, case studies, reviews, masterclasses, papers on clinical approaches, and book reviews, as well as occasional reports from conferences. Papers are double-blind peer-reviewed by our international advisory board and other international experts, and submissions from a broad range of disciplines are actively encouraged.