Risk factors associated with noncontact injury of the anterior cruciate ligament - A prospective four-year evaluation of 859 West Point cadets
Risk factors associated with noncontact injury of the anterior cruciate ligament - A prospective four-year evaluation of 859 West Point cadets
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DOI：
10.1177/03635465030310061801
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发表时间：
2003-11-01
影响因子：
4.8
通讯作者：
Taylor, DC
中科院分区：
文献类型：
--
作者：
Uhorchak, JM;Scoville, CR;Taylor, DC
背景资料：非接触性前交叉韧带损伤的原因仍然是一个谜。目的：前瞻性地评估非接触性前交叉韧带损伤的危险因素在一个大的人口的年轻athleticpeople.Study Design：前瞻性队列study.Methods：在1995年，1198新的美国军事学院学员进行了详细的测试和许多参数记录。在他们4年的任期内，所有发生的前交叉韧带损伤都被确定。统计分析，以确定可能有倾向于学员非接触性前交叉韧带injuries.Results的因素：在895名学员谁完成了整个4年的研究，有24个非接触性前交叉韧带撕裂（16名男性，8名女性）。显著的风险因素包括股骨切迹宽度小、全身关节松弛，女性体重指数高于正常值，KT-2000关节测量仪值高于平均值1个标准差或更多。这些危险因素中的一个以上的存在大大增加了受伤的相对风险。所有女性学员谁有一些危险因素的组合持续非接触性前交叉韧带损伤，表明一些因素的组合是特别危险的女性knee.Conclusion：几个危险因素可能会使年轻运动员非接触性前交叉韧带损伤。(C)2003年美国骨科学会运动医学。
Background: The causes of noncontact anterior cruciate ligament injury remain an enigma.Purpose: To prospectively evaluate risk factors for noncontact anterior cruciate ligament injuries in a large population of young athletic people.Study Design: Prospective cohort study.Methods: In 1995, 1198 new United States Military Academy cadets underwent detailed testing and many parameters were documented. During their 4-year tenure, all anterior cruciate ligament injuries that occurred were identified. Statistical analyses were used to identify the factors that may have predisposed the cadets to noncontact anterior cruciate ligament injuries.Results: Among the 895 cadets who completed the entire 4-year study, there were 24 noncontact anterior cruciate ligament tears (16 in men, 8 in women). Significant risk factors included small femoral notch width, generalized joint laxity, and, in women, higher than normal body mass index and KT-2000 arthrometer values that were 1 standard deviation or more above the mean. The presence of more than one of these risk factors greatly increased the relative risk of injury. All female cadets who had some combination of risk factors sustained noncontact anterior cruciate ligament injuries, indicating that some combinations of factors are especially perilous to the female knee.Conclusion: Several risk factors may predispose young athletes to noncontact anterior cruciate ligament injury. (C) 2003 American Orthopaedic Society for Sports Medicine.