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Anterior cruciate ligament injury occurrence, return to sport and subsequent injury in the Australian High Performance Sports System: A 5-year retrospective analysis
Australian Inst Sport Clin Serv, Australia; Australian Inst Sport, Australia.
Linköping University, Department of Health, Medicine and Caring Sciences, Division of Prevention, Rehabilitation and Community Medicine. Linköping University, Faculty of Medicine and Health Sciences. Australian Inst Sport Clin Serv, Australia; Univ Canberra, Australia. (Sport Without Injury ProgrammE (SWIPE))
Univ Canberra, Australia; Australian Inst Sport Athlete Performance Hlth, Australia.
Australian Inst Sport Clin Serv, Australia.
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2023 (English)In: Physical Therapy in Sport, ISSN 1466-853X, E-ISSN 1873-1600, Vol. 64, p. 140-146Article in journal (Refereed) Published
Abstract [en]

Objectives: To report anterior cruciate ligament (ACL) injury occurrence, return to sport (RTS) timeframes and ACL subsequent injuries recorded in the Australian High Performance Sports System according to athlete sex. Methods: ACL injury data of injured athletes were prospectively collected by the treating sports and exercise physicians and physiotherapists within the Australian High Performance Sports System between January 1, 2015 and May 31, 2020. RTS time frames for ACL injuries and the proportion of subsequent ACL injuries were calculated. The RTS time was compared between sexes, age groups and ACL injury categories using the Mann-Whitney U test and the Kruskal-Wallis test. Results: A total of 132 ACL injuries were reported in 108 athletes (77 female, 31 male). ACL injuries accounted for 6.4% of all reported knee injuries, with almost half (48.5%) of the ACL injuries reported to occur during training. Median RTS time was 369 days (IQR = 273-487), with RTS times reducing with increasing age (X2 (Zbrojkiewicz et al., 2018) =11.781, p = 0.008). The presence of concurrent knee pathology did not significantly affect the RTS timeframes. ACL injuries were most frequently reported in netball, winter sports, basketball, field hockey and gymnastics. One quarter of the ACL reported (n = 34, 25.8%) were subsequent to a prior ACL injury, with the majority of these injuries occurring to the ipsilateral knee (n = 26) as opposed to contralateral knee (n = 6). Conclusions: Despite ACL injuries accounting for a small proportion of all knee injuries reported in the Australian High Performance Sports System, more than a quarter are subsequent to a previous ACL injury. Shorter RTS times were observed in older athletes; however, considerable periods of time-loss occur as a consequence of ACL in-juries. Effective primary prevention, rehabilitation processes, and ongoing tertiary prevention strategies are warranted in this population.

Place, publisher, year, edition, pages
CHURCHILL LIVINGSTONE , 2023. Vol. 64, p. 140-146
Keywords [en]
Knee; ligaments; Athletes; Rupture; Cruciate
National Category
Sport and Fitness Sciences
Identifiers
URN: urn:nbn:se:liu:diva-199732DOI: 10.1016/j.ptsp.2023.10.001ISI: 001102939400001OAI: oai:DiVA.org:liu-199732DiVA, id: diva2:1821636
Available from: 2023-12-20 Created: 2023-12-20 Last updated: 2025-02-11

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Perera, Nirmala
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Division of Prevention, Rehabilitation and Community MedicineFaculty of Medicine and Health Sciences
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