The increased risk of anterior cruciate ligament (ACL) injuries in young, physically active females remains a pertinent and timely topic. In the last 5 years, the number of PubMed citations related to ACL risk in females has doubled. Females remain at greater risk than males for ACL injury ( Agel
Sandra J. Shultz and Randy J. Schmitz
Travis Anderson, Sandra J. Shultz, Nancy I. Williams, Ellen Casey, Zachary Kincaid, Jay L. Lieberman and Laurie Wideman
Epidemiological research has shown female athletes are up to three times more likely to suffer a non-contact anterior cruciate ligament (ACL) injury than male athletes in similar sports ( Prodromos, Han, Rogowski, Joyce, & Shi, 2007 ). These ACL injuries and associated surgeries result in
This article offers an analysis of the social sources of biomedical interest in women’s sports injuries through a case study of anterior cruciate ligament (ACL) injuries. Although both men and women incur them, there is extensive research interest in women’s ACL injuries. Drawing on interviews with researchers who have contributed to this research, the investigation examines the social sources of this interest. Explanations lie largely in the evolution of the agenda in sport medicine to a concern with injury prevention, which coincides with a movement toward the inclusion of women in health research. The article concludes with a consideration of the political and ideological implications of the interaction of the prevention and inclusion agendas in research on women’s sport injuries.
Cet article propose une analyse des sources sociales de l’intérêt biomédical pour les blessures dans les sports féminins à travers l’étude du cas des blessures au ligament croisé antérieur (LCA). Bien que les hommes et les femmes en soient tous deux victimes, il y a énormément d’intérêt en recherche pour les blessures au LCA chez les femmes. S’appuyant sur des entrevues avec des chercheurs qui ont contribué à ce projet, l’étude examine les sources sociales de cet intérêt. Les explications reposent grandement sur l’évolution de l’agenda en médecine du sport vers un souci de prévention des blessures, ce qui coïncide avec un mouvement vers l’inclusion des femmes dans la recherche sur la santé. L’article conclut par une considération des implications politiques et idéologiques de l’interaction des agendas de prévention et d’inclusion en recherche sur les blessures sportives chez les femmes.
Sandra J. Shultz
Despite extensive research, we still do not fully understand the biological mechanisms that underlie a female's increased susceptibility for suffering a noncontact ACL injury. While sex differences in neuromuscular control are often implicated, prevention efforts addressing these differences have not resulted in a profound or sustainable reduction in injury rates. This paper will explore two likely scenarios that explain this greater susceptibility in females: (1) females have a structurally weaker ligament that is more prone or susceptible to failure at a given load (scenario #1), or (2) females develop less knee protection and experiences higher relative loads on the ACL (scenario #2). While we have learned much over the last two decades about ACL injury risk in females, much remains unknown. Continued research is of paramount importance if we are to effectively identify those females who are at greatest risk for injury and effectively reduce their susceptibility through appropriate interventions.
Bradley D. Hatfield, Calvin M. Lu and Jo B. Zimmerman
secondary anterior cruciate ligament (ACL) injury prevention and the future of research on this devastating injury. She described considerable advances in risk identification and prevention over the past 20 years and posed many questions regarding the most effective training and rehabilitation approaches to
-literacy skills (such as proper jump-landing technique) can lead to greater injury potential. For example, researchers studying knee injuries in female athletes have discovered that improper jump-landing mechanics (a lack of physical literacy) is related to the likelihood of ACL (anterior cruciate ligament
Geoffrey T. Burns, Kenneth M. Kozloff and Ronald F. Zernicke
of a muscle or muscle group, there may be less apparent costs, such as injury risk. Ninety percent of professional dancers sustain an injury in their career, with 75% sustaining a lower-extremity injury ( Schoene, 2007 ). The rates of anterior-cruciate-ligament reconstruction alone are similar to