Epidemiology of recurrent anterior cruciate ligament injuries according to sport type

Khalid Mohammed Sunbol; Marwa Fahad Alsuwaidan; Abdulwahab Yahya Huraysi; Yahia Abdullah Elsharif; Basil Abdulrahman Alsuwaine; Abdulhadi Abdullah Alkhalifah; Mohammed Jamal Almunaikh; Jawad Najeeb Almarzooq; Fahad Saleh Almutairi; Mohammed Abdulaziz Kattan; Mohammed Ahmed Alghamdi

doi:10.18203/2394-6040.ijcmph20222087

Authors

Khalid Mohammed Sunbol Department of Orthopaedics, East Jeddah General Hospital, Jeddah, Saudi Arabia
Marwa Fahad Alsuwaidan Department of Orthopaedics, King Salman Hospital, Riyadh, Saudi Arabia
Abdulwahab Yahya Huraysi College of Medicine, King Khalid University, Abha, Saudi Arabia
Yahia Abdullah Elsharif College of Medicine, King Khalid University, Abha, Saudi Arabia
Basil Abdulrahman Alsuwaine College of Medicine, King Saud University, Riyadh, Saudi Arabia
Abdulhadi Abdullah Alkhalifah College of Medicine, Dar Al Uloom University, Riyadh, Saudi Arabia
Mohammed Jamal Almunaikh Department of Orthopaedics, Al Razi Orthopedic Hospital, Kuwait City, Kuwait
Jawad Najeeb Almarzooq College of Medicine, King Faisal University, AlAhsa, Saudi Arabia
Fahad Saleh Almutairi Department of General Surgery, Prince Sultan Military Medical City, Riyadh, Saudi Arabia
Mohammed Abdulaziz Kattan Department of Internal Medicine, International Medical Center, Jeddah, Saudi Arabia
Mohammed Ahmed Alghamdi College of Medicine, Royal College of Surgeons in Ireland, Dublin, Ireland

DOI:

https://doi.org/10.18203/2394-6040.ijcmph20222087

Keywords:

Anterior, Cruciate, Ligament, Recurrent, Prevalence

Abstract

The anterior cruciate ligament (ACL) is one of the two cruciate ligaments that helps to strengthen the knee joint. It is a common knee injury, which often occurs in sports players. There is no bias against age or gender; however, it has been suggested in literature that women are at increased risk of secondary ACL injury. These injuries can have serious consequences for an injured athlete, including high medical costs, long off playing time, and an elevated chance of developing early osteoarthritis. Recurrent ACL injuries are described as injuries that occur in the same knee which has been previously treated. A recurrent ACL may be the result of a severe injury to the same position, graft failure, or an improper surgical procedure. Studies have reported significant prevalence of recurrent ACL. The purpose of this research is to review the available information about the epidemiology of recurrent ACL injuries. Athletes returning to sports field within two years of injury have higher chance of recurrent ACL injury. Variable prevalence of recurrent ACL injuries is reported in literature and limited studies are available. The young age, high level of exposure to physical activity, and the use of allograft all increase the chances of further ACL injury. Future population-based epidemiological studies can be beneficial and are need of time.

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References

Rodriguez K, Soni M, Joshi PK. Anterior Cruciate Ligament Injury: Conservative Versus Surgical Treatment. Cureus. 2021;13(12):e20206.

Bahr R, Krosshaug T. Understanding injury mechanisms: a key component of preventing injuries in sport. Bri J Sports Med. 2005;39(6):324-9.

Mouton C, Gokeler A, Urhausen A, Nührenbörger C, Seil R. High Incidence of Anterior Cruciate Ligament Injuries Within the First 2 Months of the Season in Amateur Team Ball Sports. Sports Health. 2022;14(2):183-7.

Joseph AM, Collins CL, Henke NM, Yard EE, Fields SK, Comstock RD. A multisport epidemiologic comparison of anterior cruciate ligament injuries in high school athletics. J Athletic Training. 2013;48(6):810-17.

Gans I, Retzky JS, Jones LC, Tanaka MJ. Epidemiology of Recurrent Anterior Cruciate Ligament Injuries in National Collegiate Athletic Association Sports: The Injury Surveillance Program, 2004-2014. Orthop J Sports Med. 2018;6(6):2325967118777823.

Koh BTH, Sayampanathan AA, Bin Abd Razak HR, Chong HC, Andrew Tan H-C. Injury patterns in patients presenting with a recurrent anterior cruciate ligament tear following primary reconstruction. Ann Translational Med. 2016;4(12):1.

Slater LV, Wasserman EB, Hart JM. Trends in Recurrent Anterior Cruciate Ligament Injuries Differ From New Anterior Cruciate Ligament Injuries in College and High School Sports: 2009-2010 Through 2016-2017. Orthop J Sports Med. 2019;7(11):2325967119883867.

McMurray NS, Bates NA, Fischer S, Schilaty ND, Hewett TE. Investigation of primary and second anterior cruciate ligament tears using a geographic database. Int J Sports Phys Ther. 2020;15(4):593-602.

Chia L, De Oliveira Silva D, Whalan M. Non-contact Anterior Cruciate Ligament Injury Epidemiology in Team-Ball Sports: A Systematic Review with Meta-analysis by Sex, Age, Sport, Participation Level, and Exposure Type. Sports Med. 2022.

Elbarrany W. Prevalence and mechanism of Anterior cruciate ligament injury among Makkah City, Saudi Arabia. World J Pharmaceutical Res. 2017;6:383-91.

Grassi A, Ardern CL, Marcheggiani Muccioli GM, Neri MP, Marcacci M, Zaffagnini S. Does revision ACL reconstruction measure up to primary surgery? A meta-analysis comparing patient-reported and clinician-reported outcomes, and radiographic results. Br J Sports Med. 2016;50(12):716-24.

Nagelli CV, Hewett TE. Should Return to Sport be Delayed Until 2 Years After Anterior Cruciate Ligament Reconstruction? Biological and Functional Considerations. Sports Med (Auckland, NZ). 2017;47(2):221-32.

Paterno MV, Rauh MJ, Schmitt LC, Ford KR, Hewett TE. Incidence of contralateral and ipsilateral anterior cruciate ligament (ACL) injury after primary ACL reconstruction and return to sport. Clin J Sport Med. 2012;22(2):116-21.

Paterno MV, Rauh MJ, Schmitt LC, Ford KR, Hewett TE. Incidence of Second ACL Injuries 2 Years After Primary ACL Reconstruction and Return to Sport. Am J Sports Med. 2014;42(7):1567-73.

Wiggins AJ, Grandhi RK, Schneider DK, Stanfield D, Webster KE, Myer GD. Risk of Secondary Injury in Younger Athletes After Anterior Cruciate Ligament Reconstruction: A Systematic Review and Meta-analysis. Am J Sports Med. 2016;44(7):1861-76.

Johnson JL, Capin JJ, Arundale AJH, Zarzycki R, Smith AH, Snyder-Mackler L. A Secondary Injury Prevention Program May Decrease Contralateral Anterior Cruciate Ligament Injuries in Female Athletes: 2-Year Injury Rates in the ACL-SPORTS Randomized Controlled Trial. J Orthop Sports Physical Therapy. 2020;50(9):523-30.

Schilaty ND, Nagelli C, Bates NA. Incidence of Second Anterior Cruciate Ligament Tears and Identification of Associated Risk Factors From 2001 to 2010 Using a Geographic Database. Orthop J Sports Med. 2017;5(8):2325967117724196.