Anterior cruciate ligament injury prevention.

IF 0.5 4区 医学 Q4 ORTHOPEDICS Annals of Joint Pub Date : 2022-01-15 eCollection Date: 2022-01-01 DOI:10.21037/aoj-2020-01
Hannah Bradsell, Rachel M Frank
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Abstract

Anterior cruciate ligament injuries are a prominent issue in the field of sports medicine, especially for the female athlete. Extensive research has been performed that acknowledges the disparity in anterior cruciate ligament injury rates between male and female athletes and the high prevalence of risk factors specific to females. The underlying causes of anterior cruciate ligament injuries are widespread and are important to consider when approaching injury prevention. For example, prevention techniques aim to correct neuromuscular imbalances and improve biomechanical deficits, which are some of the most significant risk factors leading to these injuries. While there is a lack of opportunity for intervention related to anatomical and hormonal risks, awareness of their influence on injury mechanisms remains an important factor in clinical decision-making. In pursuit of addressing the risks of this injury, several prevention programs have been established that have been shown to successfully reduce anterior cruciate ligament injury rates when properly executed. The most effective programs include early intervention with continuous training and are multicomponent programs including various targeted exercises to modify associated risk factors. Unfortunately, despite the development of these readily available programs, anterior cruciate ligament injury rates remain high due to insufficient implementation of these methods. Recognizing the efficacy and feasibility of utilizing prevention strategies and continuing to develop effective techniques remain of utmost importance to reduce the incidence of this substantial injury among athletes.

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预防前十字韧带损伤。
前十字韧带损伤是运动医学领域的一个突出问题,尤其是对女运动员而言。大量研究表明,男女运动员的前十字韧带损伤率存在差异,女性特有的风险因素也很普遍。前十字韧带损伤的根本原因十分广泛,在预防损伤时必须加以考虑。例如,预防技术旨在纠正神经肌肉失衡和改善生物力学缺陷,这些都是导致这些损伤的一些最重要的风险因素。虽然缺乏对解剖学和荷尔蒙风险进行干预的机会,但认识到它们对损伤机制的影响仍然是临床决策的一个重要因素。为了应对这种损伤的风险,已经制定了几项预防计划,只要执行得当,这些计划都能成功降低前十字韧带损伤率。最有效的计划包括早期干预和持续训练,并且是多成分计划,包括各种有针对性的练习,以改变相关的风险因素。遗憾的是,尽管制定了这些现成的计划,但由于这些方法实施不足,前十字韧带损伤率仍然居高不下。认识到利用预防策略的有效性和可行性,并继续开发有效的技术,对于降低运动员中这一重大损伤的发生率仍然至关重要。
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来源期刊
Annals of Joint
Annals of Joint ORTHOPEDICS-
CiteScore
1.10
自引率
-25.00%
发文量
17
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