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Hormonelle, neuromuskuläre und anatomische Ursachen für die erhöhte Inzidenz von Rupturen des vorderen Kreuzbands bei Sportlerinnen

Causes Hormonaux, Neuromusculaires et Anatomiques de l’Incidence Accrue des Ruptures du Ligament Croisé Antérieur chez les Sportives

  • Prävention
  • Published:
Journal für Gynäkologische Endokrinologie/Schweiz Aims and scope

Zusammenfassung

Frauen haben ein erhöhtes relatives Risiko, eine vordere Kreuzbandruptur zu erleiden. Die Gründe hierfür sind multifaktoriell und beinhalten unter anderem anatomische, neuromuskuläre und hormonelle Faktoren. Dieses Risiko lässt sich durch dezidierte Präventionsprogramme, die insbesondere darauf abzielen, die neuromuskulären Voraussetzungen zu verbessern, reduzieren. Insgesamt ist die Datenlage sehr heterogen und lässt insofern nur bedingt Rückschlüsse auf die tägliche Praxis zu. Evidente Daten zu erhalten und sinnvoll aufgebaute Studien zu erstellen, erscheint aufgrund der vielschichtigen Einflussfaktoren schwierig. Eine Möglichkeit, eine höhere Qualität bezüglich der Literatur zu erhalten, sind nationale oder internationale Register, wie sie z. B. in manchen skandinavischen Ländern bereits implementiert sind.

Résumé

Les femmes ont un risque relatif plus élevé de subir une rupture d’un ligament croisé. Les causes sont multifactorielles, incluant entre autres des facteurs anatomiques, neuromusculaires et hormonaux. Ce risque peut être réduit par des programmes de prévention déterminés visant en particulier à améliorer les conditions neuromusculaires. Les données disponibles sont globalement très hétérogènes et elles permettent mal de tirer des conclusions pour la pratique quotidienne. À cause de la complexité des facteurs d’influence, il semble difficile d’obtenir des données fiables et d’élaborer des conceptions d’études pertinentes. Un moyen d’obtenir une meilleure qualité de la littérature est de recourir à des registres nationaux ou internationaux tels qu’ils sont déjà implémentés p. ex. dans certains pays scandinaves.

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  1. Klinik für Orthopädie und Traumatologie, Kantonsspital Winterthur, Brauerstr. 15, Postfach, 8401, Winterthur, Schweiz

    Hannes Kuttner &  Jean-Romain Delaloye

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H. Kuttner und J.-R. Delaloye geben an, dass kein Interessenkonflikt besteht.

Für diesen Beitrag wurden von den Autoren keine Studien an Menschen oder Tieren durchgeführt. Für die aufgeführten Studien gelten die jeweils dort angegebenen ethischen Richtlinien.

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Hinweis des Verlags

Der Verlag bleibt in Hinblick auf geografische Zuordnungen und Gebietsbezeichnungen in veröffentlichten Karten und Institutsadressen neutral.

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Kuttner, H., Delaloye, JR. Hormonelle, neuromuskuläre und anatomische Ursachen für die erhöhte Inzidenz von Rupturen des vorderen Kreuzbands bei Sportlerinnen. J. Gynäkol. Endokrinol. CH 25, 4–12 (2022). https://doi.org/10.1007/s41975-022-00233-3

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