ACL injury characteristics in badminton : A registry study with prospectively collected data on sports related epidemiology and injury mechanism of 539 badminton players

Niels Christian Kaldau, Frederik Flensted Andersen, Kristoffer Weisskirchner Barfod, Peter Nyby Hersnaes, Jesper Bencke, Per Hölmich
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Abstract

Background

Over recent years, more anterior cruciate ligament (ACL) ruptures in badminton players have occurred. Little is known about the injury mechanism in badminton. The hypothesis is that most ACL injuries occur with single leg landings on the non-dominant leg in the backhand side or with lunge movements in the forehand side on the dominant leg. To inform prevention strategies the aim of this study was to investigate the mechanism of ACL injuries in badminton, specifically if ACL injuries occur in certain positions on the badminton court and/or with certain movements. Secondary aims were to investigate differences among gender, age groups and between recreational and tournament players.

Methods

The study, ACL Denmark, investigate ACL ruptures in a cohort of 90.610 participants diagnosed between 2000 and 2018. Of those, 539 participants reported ACL rupture during badminton and filled in an online questionnaire in December 2021–January 2022 on the injury mechanism and other injury characteristics. Data is presented as numbers, percentage, means (SD) and median (IQR) with chi square test or Fischers exact test for dichotomous outcomes.

Results

Most participants played badminton (n = 435, 81 %) as primary sport and 155 (29 %) reported to play on a competitive level (Tegner score 8). The rear court (n = 285, 40 %) was the most frequent location of injury but with a high percentage on the front and midcourt (n = 154, 22 %). The rear court was more prevalent among players aged 18–29 (p < 0.001). The most prevalent movement preceding the ACL injury was the scissor kick jump on the rear court (100, 19 %) followed by lunge at the net (70, 13 %) and lunge at the rear court (69, 13 %). One hundred and six players (15 %) were injured preceded by a deceptive shot from the opponent. The dominant leg was mainly injured in the forehand side and the non-dominant leg mainly in the backhand side.

Conclusion

The most prevalent movement preceding the ACL injury was the lunge followed by the scissor kick jump. The rear court was the primary location of ACL injury in badminton and the dominant knee has a higher risk of injury in the forehand side and the non-dominant knee in the backhand side. More focus on the technical performance of lunge and scissor kick jumps and development of a badminton specific ACL injury prevention program is needed in badminton.

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羽毛球前交叉韧带损伤特征:一项登记研究,前瞻性地收集了 539 名羽毛球运动员的运动相关流行病学和损伤机制数据
背景近年来,羽毛球运动员前十字韧带(ACL)断裂的情况越来越多。人们对羽毛球运动的损伤机制知之甚少。根据假设,大多数前十字韧带损伤发生在反手侧非优势腿单腿着地或正手侧优势腿猛冲动作时。为制定预防策略,本研究旨在调查羽毛球运动中前交叉韧带损伤的机理,特别是前交叉韧带损伤是否发生在羽毛球场上的特定位置和/或特定动作中。次要目的是调查不同性别、年龄组以及休闲和比赛运动员之间的差异。方法这项名为 "丹麦前交叉韧带 "的研究调查了 2000 年至 2018 年期间确诊的 90 610 名参与者的前交叉韧带断裂情况。其中,539 名参与者报告在羽毛球运动中发生前交叉韧带断裂,并在 2021 年 12 月至 2022 年 1 月期间填写了关于损伤机制和其他损伤特征的在线问卷。数据以数字、百分比、平均值(SD)和中位数(IQR)表示,二分法结果采用秩方检验或费舍尔精确检验。结果大多数参与者(n = 435,81 %)将羽毛球作为主要运动,155 人(29 %)报告说他们有竞技水平(Tegner 评分 8 分)。后场(285 人,40%)是最常见的受伤部位,但前场和中场受伤的比例也很高(154 人,22%)。在 18-29 岁的球员中,后场受伤的比例更高(p < 0.001)。前交叉韧带受伤前最常见的动作是在后场的剪刀脚起跳(100,19%),其次是在网前的腾空(70,13%)和在后场的腾空(69,13%)。有 16 名球员(15%)在对手的欺骗性击球之前受伤。结论 前交叉韧带受伤前最常见的动作是猛冲,其次是剪刀脚起跳。后场是羽毛球运动中前交叉韧带损伤的主要部位,正手侧的优势膝关节和反手侧的非优势膝关节损伤风险较高。在羽毛球运动中,需要更加关注弓步跳和剪刀脚跳的技术表现,并制定专门的羽毛球前交叉韧带损伤预防计划。
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来源期刊
CiteScore
3.80
自引率
0.00%
发文量
21
审稿时长
98 days
期刊介绍: The Asia-Pacific Journal of Sports Medicine, Arthroscopy, Rehabilitation and Technology (AP-SMART) is the official peer-reviewed, open access journal of the Asia-Pacific Knee, Arthroscopy and Sports Medicine Society (APKASS) and the Japanese Orthopaedic Society of Knee, Arthroscopy and Sports Medicine (JOSKAS). It is published quarterly, in January, April, July and October, by Elsevier. The mission of AP-SMART is to inspire clinicians, practitioners, scientists and engineers to work towards a common goal to improve quality of life in the international community. The Journal publishes original research, reviews, editorials, perspectives, and letters to the Editor. Multidisciplinary research with collaboration amongst clinicians and scientists from different disciplines will be the trend in the coming decades. AP-SMART provides a platform for the exchange of new clinical and scientific information in the most precise and expeditious way to achieve timely dissemination of information and cross-fertilization of ideas.
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