Isfahan University of Medical Sciences

Science Communicator Platform

Stay connected! Follow us on X network (Twitter):
Share this content! On (X network) By
Demographic and Injury Characteristics As Potential Risk Factors for Anterior Cruciate Ligament Injuries: A Multicentric Cross-Sectional Study Publisher



Motififard M1 ; Akbari Aghdam H1 ; Ravanbod H1 ; Jafarpishe MS2 ; Shahsavan M2 ; Daemi A3 ; Mehrvar A4 ; Rezvani A1 ; Jamalirad H5 ; Jajroudi M6 ; Shahsavan M2
Authors
Show Affiliations
Authors Affiliations
  1. 1. Department of Orthopedic Surgery, Isfahan University of Medical Sciences, Isfahan, 81746-73461, Iran
  2. 2. Department of Radiology, Isfahan University of Medical Sciences, Isfahan, 81746-73461, Iran
  3. 3. Department of Medical Biochemistry, Faculty of Medicine, Cukurova University, Adana, 01330, Turkey
  4. 4. Department of Orthopedic Surgery, Shahid Beheshti University of Medical Sciences, Tehran, 19839-69411, Iran
  5. 5. Department of Medical Informatics, Mashhad University of Medical Sciences, Mashhad, 91779-48564, Iran
  6. 6. Pharmaceutical Research Center, Mashhad University of Medical Sciences, Mashhad, 91779-48564, Iran

Source: Journal of Clinical Medicine Published:2024


Abstract

Background: Anterior cruciate ligament (ACL) injuries are prevalent and can have debilitating consequences, with various factors potentially influencing their occurrence. This multicentric study aimed to comprehensively analyze the epidemiological characteristics of ACL injuries. We hypothesized that specific patient characteristics, such as age, sex, body mass index (BMI), and sports involvement, would be associated with distinct injury patterns and risk profiles. Methods: This cross-sectional study analyzed the medical records of 712 patients aged 15–60 diagnosed with ACL rupture. Data on demographics, injury mechanisms, associated injuries, graft type, and sports involvement were collected. Results: The majority of patients were male (93.1%), aged 15–30 years (80.2%), and overweight (66.7%). Autografts were the predominant graft choice (96.07%). Associated injuries were present in 79.5% of cases, with medial meniscus ruptures being the most common (37.36%). Sports-related (49.3%) and non-sports-related (50.7%) injuries were nearly equal, with non-contact injuries more prevalent (71.1%). In the sports-related subgroup, associated injuries emerged as a significant risk factor for ACL rupture (p = 0.014, OR = 1.596, 95% CI: 1.101–2.314), whereas non-contact mechanisms showed borderline significance (OR = 0.75, p = 0.09). Moreover, younger athletes were more susceptible to sports-related injuries (p = 0.024), with football being the primary sport involved. Conclusions: This study identified a high prevalence of concomitant injuries with ACL injury, which increased the risk of ACL injury, particularly in sports-related cases. Age-related differences in injury patterns highlight the need for age-appropriate preventive measures, especially for younger athletes participating in high-risk sports. This underscores the need for comprehensive injury assessment, targeted prevention strategies, and optimized clinical management approaches tailored to different populations’ specific characteristics and risks. © 2024 by the authors.
Related Docs
View other Related Docs
1. On the Relationship Between Lower Extremity Muscles Activation and Peak Vertical and Posterior Ground Reaction Forces During Single Leg Drop Landing, Journal of Sports Medicine and Physical Fitness (2015)
2. Comparison of Clinical Results of Anterior Cruciate Ligament Reconstruction With the Two Methods of Ptla Tendon and Hamstring Tendon, Journal of Isfahan Medical School (2012)
3. Investigation of Hamstring Tendon Graft Fixation for the Reconstruction of Anterior Cruciate Ligament Using Interference Screw Merely or in Combination With Supplementary Staple: A Clinical Trial, Advanced Biomedical Research (2020)
4. Comparison of Functional Outcome Measures After Acl Reconstruction in Competitive Soccer Players: A Randomized Trial, Journal of Bone and Joint Surgery (2013)
5. The Effect of Proximal Posterior Tibial Slope on the Incidence of Anterior Cruciate Ligament Injury, Muscles, Ligaments and Tendons Journal (2022)
6. Acl Reconstruction Using Bone-Patella Tendon-Bone Autograft: Press-Fit Technique Vs. Interference Screw Fixation, Archives of Orthopaedic and Trauma Surgery (2014)
7. Kinetic and Kinematic Performance of the Unaffected Lower Limb During Step Descent in Subjects With Anterior Cruciate Ligament Injury, Journal of Mechanics in Medicine and Biology (2017)
8. Diagnostic Performance of Dual-Energy Computed Tomography in Detecting Anterior Cruciate Ligament Injuries: A Systematic Review and Meta-Analysis, Skeletal Radiology (2024)
Experts (# of related papers)
View all Related Experts
Hossein Akbari Aghdam (4)
Mohammad Amin Najafi (2)
Other Related Docs
9. Anterior Cruciate Ligament Injury and Its Postoperative Outcomes Are Not Associated With Polymorphism in Col1a1 Rs1107946 (G/T): A Case–Control Study in the Middle East Elite Athletes, Journal of Orthopaedic Surgery and Research (2022)
10. Validation of a Persian-Version of Knee Injury and Osteoarthritis Outcome Score (Koos) in Iranians With Knee Injuries, Osteoarthritis and Cartilage (2008)
11. What Are Gender Differences in Lower Limb Muscle Activity During Jump–Landing Tasks? a Systematic Review and Meta-Analysis, BMC Sports Science, Medicine and Rehabilitation (2022)
12. Knee Injury and Osteoarthritis Outcome Score (Koos); Reliability and Validity in Competitive Athletes After Anterior Cruciate Ligament Reconstruction, Osteoarthritis and Cartilage (2011)
13. Comparison of the Knee Joint Reaction Force Between Individuals With and Without Acute Anterior Cruciate Ligament Rupture During Walking, Journal of Orthopaedic Surgery and Research (2022)
14. Evaluation of the Stability of the Subjects With Anterior Cruciate Injuries Reconstruction, Journal of Knee Surgery (2021)
15. Reliability of Center of Pressure Measures of Postural Stability in Patients With Unilateral Anterior Cruciate Ligament Injury, Journal of Applied Sciences (2008)
16. Comparison of Clinical Examination and Magnetic Resonance Imaging Findings With Arthroscopic Findings in Patients With Meniscus and Ligament Damages, Journal of Isfahan Medical School (2018)
17. The Incidence and Common Locations of Bone Bruise in Patients With Anterior Cruciate Ligament Rupture, Journal of Isfahan Medical School (2021)
18. Reconstruction of the Anterior Cruciate Ligament: A Comparison Between Bone-Patellar Tendon-Bone Grafts and Fourstrand Hamstring Grafts, Medical Journal of the Islamic Republic of Iran (2014)
19. Effect of Rocker-Sole Footwear on Knee Joint Biomechanics While Walking in People With Acl-Reconstructed Knees: A Cross-Sectional Biomechanical Study, Current Orthopaedic Practice (2020)
20. Evaluation the Results of Anterior Cruciate Ligament Reconstruction With or Without Using Antibiotic Solution During Graft Preparation, European Journal of Orthopaedic Surgery and Traumatology (2023)
21. Anterior Cruciate Ligament Reconstruction With or Without Bracing, Iranian Journal of Medical Sciences (2006)
22. Gait Analysis of Anterior Cruciate Ligament Reconstructed Subjects With a Combined Tendon Obtained From Hamstring and Peroneus Longus, Knee (2013)
23. Static and Dynamic Postural Control in Competitive Athletes After Anterior Cruciate Ligament Reconstruction and Controls, Knee Surgery, Sports Traumatology, Arthroscopy (2012)