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Multivariate Analyses of Risk Factors for Noncontact Anterior Cruciate Ligament Injuries

  • Morgan Hadley
  • Bruce Beynnon
Chapter

Abstract

This chapter reviews investigations that have used multivariate approaches to determine the risk factors associated with increased risk of suffering ACL injury. One study assessed the effect of sport, level of play, and gender. Other studies analyzed the effect of demographic characteristics, joint laxity, lower extremity alignment, and strength. Several investigations have assessed the effect of knee geometric characteristics in increasing the incidence of noncontact ACL injury.

Keywords

ACL injury Multivariate analysis Knee geometry 

References

  1. 1.
    Argentieri EC, Sturnick DR, DeSarno MJ, Gardner-Morse MG, Slauterbeck JR, Johnson RJ, Beynnon BD (2014) Changes to the articular cartilage thickness profile of the tibia following anterior cruciate ligament injury. Osteoarthr Cartil 22(10):1453–1460.  https://doi.org/10.1016/j.joca.2014.06.025 CrossRefPubMedGoogle Scholar
  2. 2.
    Tourville TW, Jarrell KM, Naud S, Slauterbeck JR, Johnson RJ, Beynnon BD (2014) Relationship between isokinetic strength and tibiofemoral joint space width changes after anterior cruciate ligament reconstruction. Am J Sports Med 42(2):302–311.  https://doi.org/10.1177/0363546513510672 CrossRefPubMedGoogle Scholar
  3. 3.
    Lohmander LS, Englund PM, Dahl LL, Roos EM (2007) The long-term consequence of anterior cruciate ligament and meniscus injuries: osteoarthritis. Am J Sports Med 35(10):1756–1769CrossRefPubMedGoogle Scholar
  4. 4.
    Beynnon BD, Vacek PM, Newell MK, Tourville TW, Smith HC, Shultz SJ, Slauterbeck JR, Johnson RJ (2014) The effects of level of competition, sport, and sex on the incidence of first-time noncontact anterior cruciate ligament injury. Am J Sports Med 42(8):1806–1812.  https://doi.org/10.1177/0363546514540862 CrossRefPubMedGoogle Scholar
  5. 5.
    Harmon KG, Dick R (1998) The relationship of skill level to anterior cruciate ligament injury. Clin J Sport Med 8(4):260–265CrossRefPubMedGoogle Scholar
  6. 6.
    Arendt EA, Agel J, Dick R (1999) Anterior cruciate ligament injury patterns among collegiate men and women. J Athl Train 34(2):86–92PubMedPubMedCentralGoogle Scholar
  7. 7.
    Gwinn DE, Wilckens JH, McDevitt ER, Ross G, Kao TC (2000) The relative incidence of anterior cruciate ligament injury in men and women at the United States Naval Academy. Am J Sports Med 28(1):98–102CrossRefPubMedGoogle Scholar
  8. 8.
    Agel J, Arendt EA, Bershadsky B (2005) Anterior cruciate ligament injury in national collegiate athletic association basketball and soccer: a 13-year review. Am J Sports Med 33(4):524–530CrossRefPubMedGoogle Scholar
  9. 9.
    Mihata LC, Beutler AI, Boden BP (2006) Comparing the incidence of anterior cruciate ligament injury in collegiate lacrosse, soccer, and basketball players: implications for anterior cruciate ligament mechanism and prevention. Am J Sports Med 34(6):899–904.  https://doi.org/10.1177/0363546505285582 CrossRefPubMedGoogle Scholar
  10. 10.
    Hootman JM, Dick R, Agel J (2007) Epidemiology of collegiate injuries for 15 sports: summary and recommendations for injury prevention initiatives. J Athl Train 42(2):311–319PubMedPubMedCentralGoogle Scholar
  11. 11.
    Prodromos CC, Han Y, Rogowski J, Joyce B, Shi K (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(12):1320–1325e1326CrossRefPubMedGoogle Scholar
  12. 12.
    Mountcastle SB, Posner M, Kragh JF Jr, Taylor DC (2007) Gender differences in anterior cruciate ligament injury vary with activity: epidemiology of anterior cruciate ligament injuries in a young, athletic population. Am J Sports Med 35(10):1635–1642.  https://doi.org/10.1177/0363546507302917 CrossRefPubMedGoogle Scholar
  13. 13.
    Dick R, Ferrara MS, Agel J, Courson R, Marshall SW, Hanley MJ, Reifsteck F (2007) Descriptive epidemiology of collegiate men’s football injuries: National Collegiate Athletic Association Injury Surveillance System, 1988–1989 through 2003–2004. J Athl Train 42(2):221–233PubMedPubMedCentralGoogle Scholar
  14. 14.
    Dragoo JL, Braun HJ, Durham JL, Chen MR, Harris AH (2012) Incidence and risk factors for injuries to the anterior cruciate ligament in National Collegiate Athletic Association football: data from the 2004–2005 through 2008–2009 National Collegiate Athletic Association Injury Surveillance System. Am J Sports Med 40(5):990–995.  https://doi.org/10.1177/0363546512442336 CrossRefPubMedGoogle Scholar
  15. 15.
    Gilchrist J, Mandelbaum BR, Melancon H, Ryan GW, Silvers HJ, Griffin LY, Watanabe DS, Dick RW, Dvorak J (2008) A randomized controlled trial to prevent noncontact anterior cruciate ligament injury in female collegiate soccer players. Am J Sports Med 36(8):1476–1483.  https://doi.org/10.1177/0363546508318188 CrossRefPubMedGoogle Scholar
  16. 16.
    Levy AS, Wetzler MJ, Lewars M, Laughlin W (1997) Knee injuries in women collegiate rugby players. Am J Sports Med 25(3):360–362.  https://doi.org/10.1177/036354659702500315 CrossRefPubMedGoogle Scholar
  17. 17.
    Joseph AM, Collins CL, Henke NM, Yard EE, Fields SK, Comstock RD (2013) A multisport epidemiologic comparison of anterior cruciate ligament injuries in high school athletics. J Athl Train 48(6):810–817.  https://doi.org/10.4085/1062-6050-48.6.03 CrossRefPubMedPubMedCentralGoogle Scholar
  18. 18.
    Swenson DM, Collins CL, Best TM, Flanigan DC, Fields SK, Comstock RD (2013) Epidemiology of knee injuries among U.S. high school athletes, 2005/2006–2010/2011. Med Sci Sports Exerc 45(3):462–469.  https://doi.org/10.1249/MSS.0b013e318277acca CrossRefPubMedPubMedCentralGoogle Scholar
  19. 19.
    Messina DF, Farney WC, DeLee JC (1999) The incidence of injury in Texas high school basketball. A prospective study among male and female athletes. Am J Sports Med 27(3):294–299CrossRefPubMedGoogle Scholar
  20. 20.
    Mandelbaum BR, Silvers HJ, Watanabe DS, Knarr JF, Thomas SD, Griffin LY, Kirkendall DT, Garrett W Jr (2005) Effectiveness of a neuromuscular and proprioceptive training program in preventing anterior cruciate ligament injuries in female athletes: 2-year follow-up. Am J Sports Med 33(7):1003–1010.  https://doi.org/10.1177/0363546504272261 CrossRefPubMedGoogle Scholar
  21. 21.
    Pfeiffer RP, Shea KG, Roberts D, Grandstrand S, Bond L (2006) Lack of effect of a knee ligament injury prevention program on the incidence of noncontact anterior cruciate ligament injury. J Bone Joint Surg Am 88(8):1769–1774CrossRefPubMedGoogle Scholar
  22. 22.
    Uhorchak JM, Scoville CR, Williams GN, Arciero RA, St Pierre P, Taylor DC (2003) Risk factors associated with noncontact injury of the anterior cruciate ligament: a prospective four-year evaluation of 859 West Point cadets. Am J Sports Med 31(6):831–842CrossRefPubMedGoogle Scholar
  23. 23.
    Vacek PM, Slauterbeck JR, Tourville TW, Sturnick DR, Holterman LA, Smith HC, Shultz SJ, Johnson RJ, Tourville KJ, Beynnon BD (2016) Multivariate analysis of the risk factors for first-time noncontact ACL injury in high school and college athletes: a prospective cohort study with a nested, matched case-control analysis. Am J Sports Med 44(6):1492–1501.  https://doi.org/10.1177/0363546516634682 CrossRefPubMedGoogle Scholar
  24. 24.
    Thein R, Hershkovich O, Gordon B, Burstein G, Tenebaum S, Derazne E, Tzur D, Shamis A, Afek A, Kreiss Y (2016) The prevalence of cruciate ligament and meniscus knee injury in young adults and associations with gender, body mass index, and height a large cross-sectional study. J Knee Surg 30:565.  https://doi.org/10.1055/s-0036-1593620 CrossRefPubMedGoogle Scholar
  25. 25.
    Carter JC, Sturnick DR, Vacek PM, DeSarno MJ, Argentieri EC, Slauterbeck JR, Johnson RJ, Beynnon BD (2017) Relationship between geometry of the extensor mechanism of the knee and risk of anterior cruciate ligament injury. J Orthop Res 35(5):965–973.  https://doi.org/10.1002/jor.23366 CrossRefPubMedGoogle Scholar
  26. 26.
    Sturnick DR, Vacek PM, DeSarno MJ, Gardner-Morse MG, Tourville TW, Slauterbeck JR, Johnson RJ, Shultz SJ, Beynnon BD (2015) Combined anatomic factors predicting risk of anterior cruciate ligament injury for males and females. Am J Sports Med 43(4):839–847.  https://doi.org/10.1177/0363546514563277 CrossRefPubMedGoogle Scholar
  27. 27.
    Beynnon BD, Hall JS, Sturnick DR, Desarno MJ, Gardner-Morse M, Tourville TW, Smith HC, Slauterbeck JR, Shultz SJ, Johnson RJ, Vacek PM (2014) Increased slope of the lateral tibial plateau subchondral bone is associated with greater risk of noncontact ACL injury in females but not in males: a prospective cohort study with a nested, matched case-control analysis. Am J Sports Med 42(5):1039–1048.  https://doi.org/10.1177/0363546514523721 CrossRefPubMedGoogle Scholar
  28. 28.
    Shaw KA, Dunoski B, Mardis N, Pacicca D (2015) Knee morphometric risk factors for acute anterior cruciate ligament injury in skeletally immature patients. J Child Orthop 9(2):161–168.  https://doi.org/10.1007/s11832-015-0652-1 CrossRefPubMedPubMedCentralGoogle Scholar
  29. 29.
    Simon RA, Everhart JS, Nagaraja HN, Chaudhari AM (2010) A case-control study of anterior cruciate ligament volume, tibial plateau slopes and intercondylar notch dimensions in ACL-injured knees. J Biomech 43(9):1702–1707.  https://doi.org/10.1016/j.jbiomech.2010.02.033 CrossRefPubMedPubMedCentralGoogle Scholar
  30. 30.
    Sonnery-Cottet B, Archbold P, Cucurulo T, Fayard JM, Bortolletto J, Thaunat M, Prost T, Chambat P (2011) The influence of the tibial slope and the size of the intercondylar notch on rupture of the anterior cruciate ligament. J Bone Joint Surg Br 93(11):1475–1478.  https://doi.org/10.1302/0301-620X.93B11.26905 CrossRefPubMedGoogle Scholar
  31. 31.
    Waiwaiole A, Gurbani A, Motamedi K, Seeger L, Sim MS, Nwajuaku P, Hame SL (2016) Relationship of ACL injury and posterior Tibial slope with patient age, sex, and race. Orthop J Sports Med 4(11):2325967116672852.  https://doi.org/10.1177/2325967116672852 CrossRefPubMedPubMedCentralGoogle Scholar
  32. 32.
    Hagglund M, Walden M (2016) Risk factors for acute knee injury in female youth football. Knee Surg Sports Traumatol Arthrosc 24(3):737–746.  https://doi.org/10.1007/s00167-015-3922-z CrossRefPubMedGoogle Scholar

Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Department of Orthopaedics and RehabilitationMcClure Musculoskeletal Research Center, Robert Larner College of Medicine, University of VermontBurlingtonUSA

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