Systematic video analysis of ACL injuries in professional male football (soccer): injury mechanisms, situational patterns and biomechanics study on 134 consecutive cases
Systematic video analysis of ACL injuries in professional male football (soccer): injury mechanisms, situational patterns and biomechanics study on 134 consecutive cases
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DOI：
10.1136/bjsports-2019-101247
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发表时间：
2020-12-01
影响因子：
18.4
通讯作者：
Della Villa, Stefano
中科院分区：
文献类型：
--
作者：
Della Villa, Francesco;Buckthorpe, Matthew;Della Villa, Stefano
BackgroundA几个小的研究报告ACL损伤的机制，在职业男子football.AimTo描述的机制，情景模式和生物力学（运动学）ACL损伤在职业男子football match.MethodsWe确定了148个连续ACL损伤在10个赛季的职业意大利足球。对134例（90%）损伤视频进行了机制和情景模式分析，而107例病例中可能进行生物力学分析。三位独立的评论家对每个视频进行了评估。结果非接触性损伤59例（44%），间接接触性损伤59例（44%），直接接触性损伤16例（12%）。球员在受伤前经常感到不安。我们为遭受非接触性或间接接触性伤害的运动员确定了四种主要的情境模式：（1）按压和铲球（n=55）;（2）铲球（n=24）;（3）踢后恢复平衡（n=19）;（4）跳跃着陆（n=8）。膝关节外翻负荷（n=83，81%）是所有四种情况下的主要损伤模式（分别为86%，86%，67%和50%）。62%的伤病发生在上半场（p
BackgroundA few small studies have reported on the mechanisms of ACL injury in professional male football.AimTo describe the mechanisms, situational patterns and biomechanics (kinematics) of ACL injuries in professional male football matches.MethodsWe identified 148 consecutive ACL injuries across 10 seasons of professional Italian football. 134 (90%) injury videos were analysed for mechanism and situational pattern, while biomechanical analysis was possible in 107 cases. Three independent reviewers evaluated each video. ACL injury epidemiology (month), timing within the match and pitch location at the time of injury were also reported.Results59 (44%) injuries were non-contact, 59 (44%) were indirect contact and 16 (12%) were direct contact. Players were frequently perturbed immediately prior to injury. We identified four main situational patterns for players who suffered a non-contact or an indirect contact injury: (1) pressing and tackling (n=55); (2) tackled (n=24); (3) regaining balance after kicking (n=19); and (4) landing from a jump (n=8). Knee valgus loading (n=83, 81%) was the dominant injury pattern across all four of these situational patterns (86%, 86%, 67% and 50%, respectively). 62% of the injuries occurred in the first half of the matches (p