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Sport Sciences for Health

, Volume 14, Issue 2, pp 365–370 | Cite as

Anterior cruciate ligament injury in amateur football players: risk factors and return to sport after surgical reconstruction

  • F Luiso
  • C Tromponi
  • P Pozza
  • E Cavazza
  • E Vecchini
  • M Ricci
Original Article

Abstract

Purpose

To investigate mechanism of anterior cruciate ligament (ACL) injury, risk factors and outcome in amateur football players.

Methods

We analysed with a specific questionnaire and KOOS score 81 amateur players, at 2 years from injury and operation.

Results

62% of athletes played like midfielders, the other 38% like defenders or strikers (p < 0.01). 83% of ACL injuries occurred in preferred leg (p < 0.01) and in 76.5% cases were due to an indirect trauma. 85% of injuries occurred during a football match. 80% of players used circular cleats (p < 0.01). G-ST graft was used in 68% and BTB in 32%. Mean injury age was 20.7 ± 2.53 years. Mean time between operation and first training was 142 ± 3.83 days and between operation and first match was 188 ± 4.45 days. Mean KOOS score at 2 years was 97.6 ± 2.14% in G-ST group and 97 ± 1.23% in BTB group (p > 0.1). They felt at about 85% of their pre-injury level with G-ST as graft and at 89% with BTB (p > 0.1).

Conclusion

ACL injury in amateur football athletes occurs mainly during matches and is often due to an indirect trauma. Midfielder is more at risk, especially in his preferred leg and particularly if he wears shoes with circular cleats. After recovery, first training is at about 142 days and first match at 188. KOOS score and subjective feeling of recovery show satisfactory results at 2 years from surgery.

Keywords

ACL injury Football Amateur football players Return to sport 

Notes

Compliance with ethical standards

Conflict of interest

All authors deny relationships or interests (financial and non) that could have direct or potential influence or impart bias on the work.

Research involving human participants and/or animals

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed consent

Informed consent was obtained from all individual participants included in the study.

References

  1. 1.
    Sanders TL, Maradit Kremers H, Bryan AJ et al (2016) Incidence of anterior cruciate ligament tears and reconstruction: a 21-year population-based study. Am J Sports Med 44(6):1502–1507CrossRefPubMedGoogle Scholar
  2. 2.
    Krustrup P, Aagaard P, Nybo L et al (2010) Recreational football as a health promoting activity: a topical review. Scand J Med Sci Sports 20(Suppl. 1):1–13CrossRefPubMedGoogle Scholar
  3. 3.
    Granan LP, Bahr R, Steindal K et al (2008) Development of a national cruciate ligament surgery registry: the norwegian national knee ligament registry. Am J Sports Med 36:308–315CrossRefPubMedGoogle Scholar
  4. 4.
    Prodromos CC, Han Y, Rogowski J et al (2007) A meta-analysis of the incidence of anterior cruciate ligament tears as a function of gender, sport, and a knee injury-reduction regimen. Arthroscopy 23:1320–1325CrossRefPubMedGoogle Scholar
  5. 5.
    Bjordal JM, Arnły F, Hannestad B et al (1997) Epidemiology of anterior cruciate ligament injuries in soccer. Am J Sports Med 25(3):341–345CrossRefPubMedGoogle Scholar
  6. 6.
    Boden BP, Dean GS, Feagin JA Jr et al (2000) Mechanisms of anterior cruciate ligament injury. Orthopedics 23(6):573–578PubMedGoogle Scholar
  7. 7.
    Yohei S, Sandra JS (2008) Mechanisms of noncontact anterior cruciate ligament injury. J Athl Train. 43(4):396–408CrossRefGoogle Scholar
  8. 8.
    Domnick C, Raschke MJ, Herbor M (2016) Biomechanics of the anterior cruciate ligament: physiology, rupture and reconstruction techniques. World J Orthop 7(2):82–93CrossRefPubMedPubMedCentralGoogle Scholar
  9. 9.
    Hawkins RD, Fuller CW (1999) A prospective epidemiological study of injuries in four English professional football clubs. Br J Sports Med 33(3):196–203CrossRefPubMedPubMedCentralGoogle Scholar
  10. 10.
    Waldén M, Hägglund M, Magnusson H, Ekstrand J (2011) Anterior cruciate ligament injury in elite football: a prospective three-cohort study. Knee Surg Sports Traumatol Arthrosc 19(1):11–19CrossRefPubMedGoogle Scholar
  11. 11.
    Arnason A, Tenga A, Engebretsen L, Bahr R (2004) A prospective video-based analysis of injury situations in elite male football: football incident analysis. Am J Sports Med 32(6):1459–1465CrossRefPubMedGoogle Scholar
  12. 12.
    Chomiak J, Junge A, Peterson L, Dvorak J (2000) Severe injuries in football players. Influencing factors. Am J Sports Med 28(5 Suppl):S58–S68CrossRefPubMedGoogle Scholar
  13. 13.
    Hawkins RD, Fuller CW (1998) An examination of the frequency and severity of injuries and incidents at three levels of professional football. Br J Sports Med 32:326–332CrossRefPubMedPubMedCentralGoogle Scholar
  14. 14.
    Nielsen AB, Yde J (1989) Epidemiology and traumatology of injuries in soccer. Am J Sports Med 17:803–807CrossRefPubMedGoogle Scholar
  15. 15.
    Faude O, Junge A, Kindermann W, Dvorak J (2006) Risk factors for injuries in elite female soccer players. Br J Sports Med 40(9):785–790CrossRefPubMedPubMedCentralGoogle Scholar
  16. 16.
    Brophy RH, Stepan JG, Silvers HJ, Mandelbaum BR (2015) Defending puts the anterior cruciate ligament at risk during soccer: a gender-based analysis. Sports Health 7(3):244–249CrossRefPubMedPubMedCentralGoogle Scholar
  17. 17.
    Brophy R, Silvers HJ, Gonzales T, Mandelbaum BR (2010) Gender influences: the role of leg dominance in ACL injury among soccer players. Br J Sports Med 44(10):694–697CrossRefPubMedGoogle Scholar
  18. 18.
    Gehring D, Rott F, Stapelfeldt B, Gollhofer A (2007) Effect of soccer shoe cleats on knee joint loads. Int J Sports Med 28(12):1030–1034 (Epub 2007 Apr 23) CrossRefPubMedGoogle Scholar
  19. 19.
    Lambson RB, Barnhill BS, Higgins RW (1996) Football cleat design and its effect on anterior cruciate ligament injuries. A three-year prospective study. Am J Sports Med. 24(2):155–159CrossRefPubMedGoogle Scholar
  20. 20.
    Livesay GA, Reda DR, Nauman EA (2006) Peak torque and rotational stiffness developed at the shoe-surface interface: the effect of shoe type and playing surface. Am J Sports Med 34(3):415–422 (Epub 2006 Jan 6) CrossRefPubMedGoogle Scholar
  21. 21.
    Bigoni M, Zanchi N, Turati M (2017) Healing potential and surgical treatment of anterior cruciate ligament rupture in paediatric population. Sport Sci Health 13:645CrossRefGoogle Scholar
  22. 22.
    Backous DD, Friedl KE, Smith NJ et al (1988) Soccer injuries and their relation to physical maturity. Am J Dis Child 142(839–842):4Google Scholar
  23. 23.
    Keller CS, Noyes FR, Buncher CR (1987) The medical aspects of soccer injury epidemiology. Am J Sports Med 15(230–237):31Google Scholar
  24. 24.
    Amiel D, Kleiner JB, Roux RD et al (1986) The phenomenon of “ligamentization”: anterior cruciate ligament reconstruction with autogenous patellar tendon. J Orthop Res 4(2):162–172CrossRefPubMedGoogle Scholar
  25. 25.
    Wipfler B, Donner S, Zechmann CM et al (2011) Anterior cruciate ligament reconstruction using patellar tendon versus hamstring tendon: a prospective comparative study with 9-year follow-up. Arthroscopy 27(5):653–665CrossRefPubMedGoogle Scholar
  26. 26.
    Marumo K, Saito M, Yamagishi T et al (2005) The “ligamentization” process in human anterior cruciate ligament reconstruction with autogenous patellar and hamstring tendons: a biochemical study. Am J Sports Med 33(8):1166–1173CrossRefPubMedGoogle Scholar
  27. 27.
    Shaerf DA, Pastides PS, Sarraf KM et al (2014) Anterior cruciate ligament reconstruction best practice: a review of graft choice. World J Orthop 5(1):23–29CrossRefPubMedPubMedCentralGoogle Scholar
  28. 28.
    Bigoni M, Gaddi D, Gorla M, Munegato D, Pungitore M, Piatti M, Turati M (2017) Arthroscopic anterior cruciate ligament repair for proximal anterior cruciate ligament tears in skeletally immature patients: surgical technique and preliminary results. Knee 24(1):40–48CrossRefPubMedGoogle Scholar
  29. 29.
    Zaffagnini S, Grassi A, Serra M et al (2015) Return to sport after ACL reconstruction: how, when and why? A narrative review of current evidence. Joints 3(1):25–30PubMedPubMedCentralGoogle Scholar
  30. 30.
    Ardern CL, Taylor NF, Feller JA et al (2014) Fifty-five per cent return to competitive sport following anterior cruciate ligament reconstruction surgery: an updated systematic review and meta-analysis including aspects of physical functioning and contextual factors. Br J Sports Med 48(21):1543–1552CrossRefPubMedGoogle Scholar
  31. 31.
    Waldén M, Hägglund M, Magnusson H et al (2016) ACL injuries in men’s professional football: a 15-year prospective study on time trends and return-to-play rates reveals only 65% of players still play at the top level 3 years after ACL rupture. Br J Sports Med 50(12):744–750CrossRefPubMedGoogle Scholar

Copyright information

© Springer-Verlag Italia S.r.l., part of Springer Nature 2018

Authors and Affiliations

  • F Luiso
    • 1
  • C Tromponi
    • 1
  • P Pozza
    • 1
  • E Cavazza
    • 1
  • E Vecchini
    • 1
  • M Ricci
    • 1
  1. 1.Azienda Ospedaliera Universitaria Integrata VeronaVeronaItaly

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