Daniele Mazza , Alessandro Carrozzo , Alessandro Annibaldi , Francesco De Carli , Vincenzo Santoriello , Paolo Zeppilli , Angelo De Carli
{"title":"男女职业足球运动员的前交叉韧带撕裂。","authors":"Daniele Mazza , Alessandro Carrozzo , Alessandro Annibaldi , Francesco De Carli , Vincenzo Santoriello , Paolo Zeppilli , Angelo De Carli","doi":"10.1016/j.knee.2025.08.021","DOIUrl":null,"url":null,"abstract":"<div><h3>Purpose</h3><div>Women’s football has experienced significant growth, with approximately 16.6 million female players worldwide, emphasizing the need for research focused on injuries. Anterior cruciate ligament (ACL) ruptures are a major concern, particularly among elite players, and understanding differences of sex in injury incidence and recovery is crucial for developing effective prevention and rehabilitation strategies.</div></div><div><h3>Methods</h3><div>This retrospective study analyzed ACL injuries in male and female players from the top five European leagues (Serie A, Premier League, Ligue 1, La Liga, and Bundesliga) during the 2022–2023. A total of 169 players (68 female, 101 male) who underwent ACL reconstruction were included. Data on age, body mass index (BMI), injury history, affected side, playing position, and return-to-play (RTP) outcomes were collected. Statistical analyses were performed using SPSS® software with a significance level of <em>P</em> < 0.05.</div></div><div><h3>Results</h3><div>Female players had a significantly longer average RTP (300 days) compared to male players (248 days) (<em>P</em> < 0.001). Furthermore, 8.8 % of female athletes did not return to play, while 20.7 % of male athletes failed to achieve RTP (<em>P</em> = 0.031). The defender position had the highest non-return rate (25 %).</div></div><div><h3>Conclusion</h3><div>This study highlights significant sex differences in ACL injury recovery in professional football. Professional female soccer players appear to require a longer rehabilitation period with a significant increase in return to play (RTP) compared to male soccer players, but with a lower risk of dropout (8.8 % vs 20.7 %). Further research and targeted interventions are essential to improve rehabilitation for female players.</div></div>","PeriodicalId":56110,"journal":{"name":"Knee","volume":"57 ","pages":"Pages 292-297"},"PeriodicalIF":2.0000,"publicationDate":"2025-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"ACL tears in female and male professional soccer players\",\"authors\":\"Daniele Mazza , Alessandro Carrozzo , Alessandro Annibaldi , Francesco De Carli , Vincenzo Santoriello , Paolo Zeppilli , Angelo De Carli\",\"doi\":\"10.1016/j.knee.2025.08.021\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Purpose</h3><div>Women’s football has experienced significant growth, with approximately 16.6 million female players worldwide, emphasizing the need for research focused on injuries. Anterior cruciate ligament (ACL) ruptures are a major concern, particularly among elite players, and understanding differences of sex in injury incidence and recovery is crucial for developing effective prevention and rehabilitation strategies.</div></div><div><h3>Methods</h3><div>This retrospective study analyzed ACL injuries in male and female players from the top five European leagues (Serie A, Premier League, Ligue 1, La Liga, and Bundesliga) during the 2022–2023. A total of 169 players (68 female, 101 male) who underwent ACL reconstruction were included. Data on age, body mass index (BMI), injury history, affected side, playing position, and return-to-play (RTP) outcomes were collected. Statistical analyses were performed using SPSS® software with a significance level of <em>P</em> < 0.05.</div></div><div><h3>Results</h3><div>Female players had a significantly longer average RTP (300 days) compared to male players (248 days) (<em>P</em> < 0.001). Furthermore, 8.8 % of female athletes did not return to play, while 20.7 % of male athletes failed to achieve RTP (<em>P</em> = 0.031). The defender position had the highest non-return rate (25 %).</div></div><div><h3>Conclusion</h3><div>This study highlights significant sex differences in ACL injury recovery in professional football. Professional female soccer players appear to require a longer rehabilitation period with a significant increase in return to play (RTP) compared to male soccer players, but with a lower risk of dropout (8.8 % vs 20.7 %). Further research and targeted interventions are essential to improve rehabilitation for female players.</div></div>\",\"PeriodicalId\":56110,\"journal\":{\"name\":\"Knee\",\"volume\":\"57 \",\"pages\":\"Pages 292-297\"},\"PeriodicalIF\":2.0000,\"publicationDate\":\"2025-09-16\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Knee\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S0968016025002236\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"ORTHOPEDICS\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Knee","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0968016025002236","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"ORTHOPEDICS","Score":null,"Total":0}
ACL tears in female and male professional soccer players
Purpose
Women’s football has experienced significant growth, with approximately 16.6 million female players worldwide, emphasizing the need for research focused on injuries. Anterior cruciate ligament (ACL) ruptures are a major concern, particularly among elite players, and understanding differences of sex in injury incidence and recovery is crucial for developing effective prevention and rehabilitation strategies.
Methods
This retrospective study analyzed ACL injuries in male and female players from the top five European leagues (Serie A, Premier League, Ligue 1, La Liga, and Bundesliga) during the 2022–2023. A total of 169 players (68 female, 101 male) who underwent ACL reconstruction were included. Data on age, body mass index (BMI), injury history, affected side, playing position, and return-to-play (RTP) outcomes were collected. Statistical analyses were performed using SPSS® software with a significance level of P < 0.05.
Results
Female players had a significantly longer average RTP (300 days) compared to male players (248 days) (P < 0.001). Furthermore, 8.8 % of female athletes did not return to play, while 20.7 % of male athletes failed to achieve RTP (P = 0.031). The defender position had the highest non-return rate (25 %).
Conclusion
This study highlights significant sex differences in ACL injury recovery in professional football. Professional female soccer players appear to require a longer rehabilitation period with a significant increase in return to play (RTP) compared to male soccer players, but with a lower risk of dropout (8.8 % vs 20.7 %). Further research and targeted interventions are essential to improve rehabilitation for female players.
期刊介绍:
The Knee is an international journal publishing studies on the clinical treatment and fundamental biomechanical characteristics of this joint. The aim of the journal is to provide a vehicle relevant to surgeons, biomedical engineers, imaging specialists, materials scientists, rehabilitation personnel and all those with an interest in the knee.
The topics covered include, but are not limited to:
• Anatomy, physiology, morphology and biochemistry;
• Biomechanical studies;
• Advances in the development of prosthetic, orthotic and augmentation devices;
• Imaging and diagnostic techniques;
• Pathology;
• Trauma;
• Surgery;
• Rehabilitation.